Choosing not to have breast reconstruction after surgery for breast cancer in women

Some women who’d had a mastectomy chose not to have breast reconstruction: several said they didn’t want another operation which they felt was unnecessary.

One woman who had a wide local excision was also offered reconstructive surgery but declined it because she, too, felt that it would be unnecessary surgery.

Other people who chose not to have breast reconstruction after a mastectomy said they were unhappy with having an implant or “foreign object” in their body or using muscle from another part of the body to create a breast form. One woman said that because having reconstructive surgery would be a long operation in a hospital some distance away from her home and family, she decided against it.

After seeing pictures of reconstructed breasts, another said she felt that reconstructive surgery might bring risks of further complications. Several others, though, said they would have liked to have seen other women’s reconstructed breasts before making a decision. Most surgeons have photos of reconstructions they have carried out for women to look at.

Gillian didn’t want reconstructive surgery for several reasons. She wanted to be as strong and…

Age at interview 52

Gender Female

Age at diagnosis 50

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Two younger women with children said that caring for their children was their main concern. Because reconstructive surgery would involve a long operation and recovery, they would not have the time and energy they’d need to care for their children soon after coming out of hospital.

Jo didn’t want immediate reconstruction in case she’d need chemotherapy or radiotherapy after her…

Age at interview 42

Gender Female

Age at diagnosis 42

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Not having a reconstruction was the right decision for Felicity because, after her mastectomy,…

Age at interview 43

Gender Female

Age at diagnosis 41

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Several women said they were comfortable with how they looked; they didn’t want any more surgery and preferred instead to wear a breast prosthesis (see Prostheses).

Janet didnt like the thought of reconstructive surgery. She said that, because she has a small…

Age at interview 68

Gender Female

Age at diagnosis 60

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A few women, however, said that although they didn’t want breast reconstruction, they were unhappy with how they looked. One said she had a large, “unsightly” mastectomy scar.

It is important for women who are unhappy with their scar to talk to their surgeon as it may be possible for the surgeon to neaten the scar.

Another woman said she felt “like a freak” with only one breast and would like to have reconstructive surgery in the future.

A few women who had used a prosthesis after surgery later went on to have breast reconstruction, sometimes because they felt unbalanced or “lopsided” with only one breast.

One woman said she’d “had enough of hospitals” after her mastectomy but, 6 months later, decided to have a reconstruction.

Eileen was unhappy with how her mastectomy scar looked and felt but didnt want a reconstruction.

Age at interview 62

Gender Female

Age at diagnosis 60

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At the time of her mastectomy, Linda couldnt face any more surgery. She said she cant imagine…

Age at interview 54

Gender Female

Age at diagnosis 53

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Hilary felt lop-sided with only one large breast, which caused her some back ache. She had a DIEP…

Age at interview 57

Gender Female

Age at diagnosis 50

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More experiences of choosing not to have breast reconstruction can be found on our Breast cancer section.

Nipple reconstruction

Mastectomy usually means removal of the whole breast including the nipple and areola (the coloured area of skin around the nipple), but it is possible...

Breast prostheses

Women who had a mastectomy without immediate breast reconstruction were given a lightweight foam prosthesis (false breast), which they could put inside their bra. This...