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 πŸ’­
Houston, TX

I don't understand why I would have to see my breast surgeon who amputated my breasts when they removed all my breast tissue and was told I was cancer free by the oncologist. What can the surgeon even be checking for? It seems very strange to me almost as if it's a cash grab from insurance or something? (+my $45 copay). Mastectomy was 5/25. DIEP reconstruction was 9/25. She also had me have a breast ultrasound and mammogram without any breast tissue and was rather painful. I do not… read more

September 9
 · 
Be the first to react
A MyBCTeam Member

That's odd they did a mammogram after a mastectomy. My doctors told me I would never have another mammogram once the double mastectomy had been done because there's not breast tissue left to squish into the mammogram machine. I had the total mastectomy where nipples and majority of skin were removed. I would think an ultrasound followed by either a breast MRI or a PET scan would be a more practical way to see what's going on in the post mastectomy portions of your chest.

September 9
A MyBCTeam Member

They will also be checking for any fluid buildup- lymphedema can happen at any time (even years later) after surgery, but is more likely to show up during that first year as your body is developing new pathways for the lymph fluid to flow through. You should ask- it will serve as a reminder to them, that patient education is an important part of their job as well! Once you get the answers, come back and educate us, too! Hugs!

September 9
A MyBCTeam Member

ConnieChapman,
My understanding of my own DIEP flap reconstruction of the left breast- is that it's non breast tissue so I do not need mammograms.I still have mammograms of the right breast every six months. My surgery was 4/1/26 so I have to see my surgeon for follow up for at least a year. If there are no complications then I don't have to see him further.
Some patients may experience fat necrosis where transferred fat dies and forms painful lumps,hernias, abdominal weakness etc. Is it possible that she is monitoring for possible surgical side effects and not cancer recurrence?
I would ask the surgeon why the visits ? What is she looking for? These are all valid questions that she should be able to answer transparently.
I keep a running list of questions for all my doctors on my phone so I dont go blank when I'm at the appointment.
I wish you all the best in your recovery and trying to get back to where you feel good about the results. Hugs.

September 9 (edited)
MyBCTeam

Your frustration is completely understandable β€” and for the record, wanting to feel good about how you look isn't vain, it's human! Let's break down why these follow-ups actually matter even after a bilateral mastectomy.

Even when all breast tissue is removed and you're told you're cancer free, follow-up care serves some Show Full Answer

Your frustration is completely understandable β€” and for the record, wanting to feel good about how you look isn't vain, it's human! Let's break down why these follow-ups actually matter even after a bilateral mastectomy.

Even when all breast tissue is removed and you're told you're cancer free, follow-up care serves some really important purposes:

- Checking the reconstruction site β€” After DIEP flap surgery, surgeons monitor for complications like tissue death (necrosis), fluid buildup, or infection, especially in the months following surgery
- Monitoring for recurrence β€” Breast cancer can occasionally return in the chest wall skin or nearby tissue, even without breast tissue present
- Checking lymph node areas β€” If lymph nodes were removed, the surrounding area needs monitoring
- Imaging after nipple-sparing procedures β€” If any breast tissue remains near the nipple area, imaging may still be recommended The ultrasound and mammogram, while painful and confusing, are likely being used as diagnostic imaging tools to establish a new baseline for your chest tissue post-surgery β€” not routine screening.

Regarding future implants, that's absolutely a valid option and worth discussing openly with your plastic surgeon. They can help you understand what's realistic given your DIEP reconstruction.

The follow-ups aren't a cash grab β€” they're genuinely part of keeping you safe long-term. But it's completely okay to ask your surgeon directly: *"What specifically are you looking for at each visit?"* You deserve clear answers.

September 9

Related Questions

View All
A MyBCTeam Member asked a question πŸ’­
Fremont, CA