In less than a week, I’ll be seven months out from my bilateral mastectomy (BMX) with immediate DIEP flap breast reconstruction. DIEP flap reconstruction is an intricate and highly specialized surgery requiring exceptional skill and expertise. The process of finding a qualified microsurgeon can be daunting for many breast cancer patients. Fortunately—or perhaps unfortunately—I already knew of an excellent surgeon, Dr. Nagel, because of my daughter’s cancer and reconstruction surgery in 2020. Dr. Nagel and his associates, including his identical twin brother, exclusively treat breast cancer patients, and I feel incredibly fortunate to have them on my team. Dr. Nagel’s work is nothing short of amazing.
Breast reconstruction is a process, typically not just a single procedure. While some patients may only need one surgery, others go through multiple stages depending on healing, potential complications, and the need for refinements. Here’s a breakdown of the typical stages:
Phase 1: The Initial Surgery
In Phase 1, tissue—including skin and fat—is taken from the lower abdominal area and transferred to create new breast mounds. Blood vessels are meticulously harvested and reconnected in the chest to ensure proper blood flow. This stage is essential for establishing the foundation of the reconstructed breasts and ensuring the tissue’s survival.
Phase 2: The Revision Stage
Phase 2 focuses on refining the results of the initial surgery. This might include removing excess scar tissue, addressing asymmetries, or correcting any irregularities that may have arisen during healing. For many patients, this phase is also an opportunity to resolve lingering discomfort or issues from Phase 1.
Phase 3: Final Touches
If needed, Phase 3 typically involves fat grafting to refine the shape and contour of the breast mounds further. Not everyone requires this phase, as some refinements can be completed during Phase 2.
Since early last fall, I’ve been waiting for my Phase 2 consultation and scheduling. Almost two weeks ago, I finally had my appointment with Dr. Nagel. I was thrilled to receive the call and even more excited when they called last week to schedule the surgery. Dr. Nagel wanted to ensure my body was fully healed from Phase 1 before moving forward, which is why we waited until the new year to plan the next step.
You might be wondering why I’d choose to undergo another surgery after finally feeling healed. The main reason is my abdomen. I’ve been experiencing discomfort along my abdomen incision with certain clothing, and also have some knots under the incision. Dr. Nagel will address these issues during Phase 2 and fine-tune my breasts at the same time. If everything goes as planned, I shouldn’t need a Phase 3 surgery. February 7th will be the day - less than three weeks! I am beyond excited and nervous at the same time. Thankfully, recovery time will be less and should only be out of work for a week.
Reflecting on this journey, I’m reminded of how much patience and resilience it takes to navigate having a mastectomy and DIEP breast reconstruction. While the process can be long and sometimes frustrating, having a skilled and compassionate surgical team makes all the difference. I’m grateful for the choice of utilizing my own body for the reconstruction and not having something foreign in my body, as I am not certain how my body would have reacted. While the recovery has had its challenging moments, I am proud of the progress I’ve made and remain optimistic about the next phase of my journey.
Much Love,
Deandra