I am a 58 year old female who had a simple mastectomy in November 2003 for a 1.1 cm invasive medullary carcinoma. The sentinel node biopsy was negative and the tumor was ER/PR negative and Her/Neu negative. I underwent four chemo cycles of AC that were completed 3 weeks ago. When I go for my post-op follow-up with the surgeon next month, I would like to start the reconstruction process. My first choice would be a saline implant, but I have several concerns.
1)My remaining breast is size 40C. Would the surgeon be able to provide me with a fairly good match in size and structure? At 58, I have some "sagging" of the remaining breast.
2)Will the 6 month delay between the mastectomy and reconstruction cause problems with getting the tissue to expand? I do have a considerable amount of tissue left in the area of the mastectomy.
Thanks so much for your help.