Connect with others who understand.

  • Learn from expert-reviewed resources
  • Real advice from people who’ve been there
  • People who understand what you’re going through
Sign Up Log In
Powered By
Real members of MyBCTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyBCTeam Member asked a question 💭
Dayton, NJ

No chemo required post bilateral mastectomy. Weighing the difference between either surgery. I did have tissue expanders placed with the bilateral mastectomy.

July 26
 · 
Be the first to react
MyBCTeam

There isn't specific data available on reconstruction vs. going flat broken down by age 63, but here's what's known overall: roughly 30–40% of people who have a mastectomy choose reconstruction, while a significant number choose to go flat — and satisfaction rates are high in both groups.

Since you already have tissue Show Full Answer

There isn't specific data available on reconstruction vs. going flat broken down by age 63, but here's what's known overall: roughly 30–40% of people who have a mastectomy choose reconstruction, while a significant number choose to go flat — and satisfaction rates are high in both groups.

Since you already have tissue expanders in place, you're in a great position — they're essentially holding space while you decide, no rush needed! Here's a quick comparison to help weigh your options:

Going Flat (Aesthetic Flat Closure):
- Typically only one surgery needed
- Shorter recovery (several weeks to a month)
- Nearly 75% of women report being satisfied
- No implant maintenance or future replacements
- One MyBCTeam member said going flat felt "liberating" with no more surgeries ahead

Reconstruction (Implants or Tissue):
- Usually involves two or more surgeries
- Implants need replacing every few decades
- Tissue reconstruction feels more natural and lasts a lifetime
- Many members report a boost in confidence and self-esteem

Since you won't need post-mastectomy chemo, healing concerns are reduced, which is a real advantage for either path. The most important thing is choosing what feels right for *you* — emotionally and physically.

Talking openly with both your oncologist and plastic surgeon about your goals will help guide the best decision.

July 26
A MyBCTeam Member

I had a dbm 13 yrs ago at the age of 35. My mastectomies were with immediate implants. The last 13 years have been a struggle with daily heaviness, cold, pulling sensation and pain. I recently learned my implants have ruptured and I am scheduled for explant and go flat. It’s a really hard decision. The only thing I can tell you is trust yourself and what you feel is best for you.

July 26

Related Questions

View All