Effect of mastectomy on men’s body image

Most men who develop breast cancer need to have a mastectomy to remove their tumour, and it is less common for them to have reconstructive surgery or other cosmetic procedures afterwards than it is for women. (See Reconstruction). Some men will also need either radiotherapy or chemotherapy which can also alter their appearance, even if only for a short time, for example through the loss of head, facial, chest or other body hair (see Radiotherapy and Chemotherapy).

Any major surgery can leave scars or other changes to the body (see pre- and post -operation male mastectomy photos), and people react to and cope differently with their changed bodies. Here men discuss the feelings they had about their body image after their breast cancer treatment.

Some men felt very self-conscious about their body following surgery which usually removed their breast tissue and nipple, whilst others said that they were not at all bothered by the change to their body.

BT has a big scar but is still happy to do sport and strip off. Rugby people are used to scars…

Age at interview 65

Gender Male

Age at diagnosis 64

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David found no-one seemed to notice his scar when he took his shirt off at the beach. He had…

Age at interview 60

Gender Male

Age at diagnosis 51

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Bernard didnt like to take his top off. He didnt want to cause any embarrassment or make people…

Age at interview 59

Gender Male

Age at diagnosis 56

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Sometimes men’s feelings were affected by the appearance of the scar, and sometimes they were self-conscious about the absence of a nipple or an imbalance in the two sides of their chest.

Feeling self-conscious stopped some men from going swimming. Some no longer wanted to expose their chests on holiday, although several said that they needed to be careful anyway about exposing themselves to the sun after having radiotherapy on their chest or because they were fair-skinned.

John’s granddaughter helped him to overcome his self-consciousness by encouraging him to go in to the water whilst on holiday.

Bob thinks his scar is not very nice to look at. It needed to be restitched after the first set…

Age at interview 67

Gender Male

Age at diagnosis 63

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RG thinks that he looks lop-sided and wouldnt want to bare his chest at the gym or swimming…

Age at interview 64

Gender Male

Age at diagnosis 62

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Eric feels self-conscious about his scar and wouldnt want to walk around with nothing on. It…

Age at interview 78

Gender Male

Age at diagnosis 70

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Quite a few men had felt self-conscious when they were first recovering from their surgery, or when they went on holiday or swimming for the first time since their surgery, but they were gradually getting over it or had already got used to their changed body.

Eddie said he still felt somewhat self-conscious about having to wear a compression sleeve to help prevent problems with his lymphoedema whilst on holiday in a warm climate.

Mike still feels a bit self-conscious about his scar but is getting over it. It is red and not…

Age at interview 59

Gender Male

Age at diagnosis 59

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Eddie used to be self-conscious about his scar but now thinks that no-one seems bothered by it…

Age at interview 70

Gender Male

Age at diagnosis 69

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John no longer worries about showing his body on holiday, but he had had to get his confidence back.

Age at interview 61

Gender Male

Age at diagnosis 57

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Several of the men made comparisons between how they felt and how they imagined women would feel after a mastectomy. Mostly they suggested that it would be worse for a woman, but one or two did point out that it was easier for women to cover their changed body with specially-made clothes.

John had a shock when he first saw his scar and still feels a bit different at times because he…

Age at interview 65

Gender Male

Age at diagnosis 63

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David no longer takes his shirt off because he is conscious of the sun, but he does think that it…

Age at interview 57

Gender Male

Age at diagnosis 52

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Several of the men, like Derek, suggested that their feelings about having a mastectomy might have been different if they had been a younger man.

Derek feels he would be far more self-conscious of his changed body image if he was a younger man.

Age at interview 69

Gender Male

Age at diagnosis 68

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Only one of the men had had any cosmetic surgery (see Reconstruction). Having new nipples tattooed onto his chest had made a real difference to how he felt about himself. He now felt reborn as a man because he now looked the same as he used to before he was diagnosed with breast cancer.