Body image and breast cancer in women

Breast cancer surgery, whether it removes the whole breast or only part of it, can be a traumatic experience. Women react to and cope differently with their changed bodies, and the first few months are likely to be the most difficult. Here women discuss the feelings they had about their body image.

Although women emphasised the importance of treating the cancer, concerns about body image, self-esteem and personal relationships were also considered significant in terms of making a full recovery.

Women who had a mastectomy often talked about their concerns about looking at the scar. Although some women looked at it shortly after the operation, one woman felt reluctant to look at her body and felt embarrassed when undressing in front of her husband. Like other women, however, she said these feelings got reduced with time.

Penny looked at her mastectomy scar with her husband when she was still in hospital.

Age at interview 47

Gender Female

Age at diagnosis 37

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Explains that she found it difficult to look at her body after breast surgery but that this…

Age at interview 68

Gender Female

Age at diagnosis 59

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How women reacted to and coped with their new body image also depended on the appearance of the scar. A few women who had worked in the health field said they knew what to expect and did not feel overly shocked or upset. Other women felt that getting used to their new body image took some time but it does not cause any anxieties now.

Explains why losing her breasts and looking at her scars did not cause her any anxieties.

Age at interview 70

Gender Female

Age at diagnosis 70

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Explains that concerns about her scar receded with time and that her husband has always been…

Age at interview 56

Gender Female

Age at diagnosis 55

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Some women said they coped well with their new body image but, had they been younger, their concerns might have been different.

Explains that losing her breast was not a great worry for her but appreciates that it might be…

Age at interview 59

Gender Female

Age at diagnosis 56

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Some women said that that they felt comfortable showing their scar to other people, including family, friends and children.

Penny had a lot of support from her family. She showed them her mastectomy scar because she…

Age at interview 47

Gender Female

Age at diagnosis 37

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Several women said they accepted that a mastectomy was the best option for them but the impact of it struck them later when they needed to think more carefully about what they could wear.

Penny went on holiday shortly after having a mastectomy. She had to find out about mastectomy…

Age at interview 47

Gender Female

Age at diagnosis 37

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Penny feels that, compared to ten years ago, there is a lot more and better mastectomy wear than…

Age at interview 47

Gender Female

Age at diagnosis 37

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A few women explained that their feelings towards their new body image were bound up with the side effects of treatments, such as weight gain and hair loss. Several women also discussed rebuilding their confidence after the illness. Some women took part in support group fashion shows, and others discussed the possibility of further breast surgery for cosmetic purposes. One woman described having laser surgery to improve the appearance of her scar, allowing her to wear a greater variety of clothing.

Healthtalkonline has a whole site on breast cancer in men, for more information see Effect of mastectomy on men’s body image.

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