‘going flat’ after breast cancer – the new york times

Before Debbie Bowers had surgery for breast cancer, her doctor promised that insurance would pay for reconstruction, and said she could “even go up a cup size.” But Ms. Direct insurance locations Bowers did not want a silicone implant or bigger breasts.

“Having something foreign in my body after a cancer diagnosis is the last thing I wanted,” said Ms. Direct choice car insurance Bowers, 45, of Bethlehem, Pa. Direct insurance group “I just wanted to heal.”

While plastic surgeons and oncologists aggressively promote breast reconstruction as a way for women to “feel whole again,” some doctors say they are beginning to see resistance to the surgery. Direct auto insurance locations Patients like Ms. One direct car insurance contact number Bowers are choosing to defy medical advice and social convention and remain breastless after breast cancer. Direct auto insurance contact number They even have a name for the decision to skip reconstruction: They call it “going flat.”

“Reconstruction is not a simple process,” said Dr. Auto direct car insurance Deanna J. 1 direct insurance Attai, a breast surgeon in Burbank, Calif., and a past president of the American Society of Breast Surgeons, adding that more of her patients, especially those with smaller breasts before diagnosis, were opting out of reconstruction. Canadian direct insurance vancouver bc “Some women just feel like it’s too much: It’s too involved, there are too many steps, it’s too long a process.” Continue reading the main story

Social media has allowed these women to become more open about their decision to live without breasts, as well as the challenges, both physical and emotional, that have followed.

Online direct insurance For a recent video created by wisdo.com, a social media platform, and widely shared on Facebook, Ms. Canadian direct insurance reviews Bowers and her friend Marianne DuQuette Cuozzo, 51, removed their shirts to show their scarred, flat chests. Direct insurance contact And Paulette Leaphart, 50, a New Orleans woman whose clotting disorder prevented her from having reconstruction after a double mastectomy, walked topless from Biloxi, Miss., to Washington this summer to raise awareness about the financial struggles of cancer patients.

Since then, breast reconstruction has become standard care. Direct auto insurance careers More than 106,000 reconstructive procedures were done last year, a 35 percent increase since 2000, according to the American Society of Plastic Surgeons. Doctors direct insurance While it is not known exactly what percentage of women opt for breast reconstruction after a mastectomy, one study found that in 2011, 63 percent of women who were candidates for the procedure chose to have it. Phone number for direct auto insurance In some parts of the United States, the number is closer to 80 percent today. M direct insurance Continue reading the main story

In promoting the surgery, doctors cite studies that suggest breast reconstruction improves a woman’s quality of life after cancer. Direct insurance tennessee But some women say that doctors focus too much on physical appearance, and not enough on the toll prolonged reconstructive procedures take on their bodies and their psyches. One quote direct car insurance Up to one-third of women who undergo reconstruction experience complications. Auto direct insurance services A systematic review of 28 studies found that women who went without reconstruction fared no worse, and sometimes did better, in terms of body image, quality of life and sexual outcomes.

“That’s the dirty little secret of breast reconstruction: The risk of a major complication is higher than for the average elective surgery,” said Dr. Canadian insurance direct Clara Lee, an associate professor of plastic surgery at Ohio State University who performs the procedure.

Ms. Direct auto insurance headquarters Cuozzo, who appeared in the Facebook video with Ms. Nevada direct insurance company Bowers, spent a year having her breasts rebuilt after a double mastectomy, but after four infections in five months, she had the implants removed. Dial direct online insurance quote The reconstruction, she said, “was getting worse than the cancer.”

While some states, including New York, now require physicians to tell women about the availability of breast reconstruction, women say they often are not informed of the option to remain flat. Direct life insurance company “I was never told there was a choice,” Ms. Direct auto insurance no credit check Cuozzo said. Quinn direct car insurance number “I went from the breast surgeon to the plastic surgeon, and they said, ‘This is what you’re going to do.’” Continue reading the main story

But it is that kind of talk — suggesting that a reconstructed breast is an improvement on a woman’s natural breast — that enrages many women who have undergone mastectomies. Direct auto insurance 1800 number For starters, a reconstructed breast is often numb and can no longer play a role in sexual arousal. Canadian direct insurance alberta It often lacks a nipple, since the nipple is usually removed in a mastectomy.

After looking at photos of reconstructed breasts, “I was slightly horrified,” said Charlie Scheel, 48, of Brooklyn, who decided against implants after a double mastectomy. Auto direct motor insurance “You don’t have nipples and you have scars everywhere.”

Rebecca Pine, a cancer survivor from Long Island who co-founded a photography and writing project called “ The Breast and the Sea,” said, “It’s a tremendous amount to put your body through, and it’s not like we’re going to get our breasts back.”

Ms. Insurance direct sale salvage Pine, 40, had reconstruction after her first mastectomy, but had the implant removed later when she had a prophylactic mastectomy on her other breast. Auto direct insurance phone number “They don’t look or feel, in most cases, like our breasts,” she said. Canadian direct auto insurance bc “The nerves are cut, so they’re not receptive to feel or touch.”

Dr. Open and direct car insurance dungiven Susan Love, author of a best-selling book about breast health, said that doctors aiming to expand access to reconstruction may have become overly enthusiastic about the surgery.

Dr. Direct auto insurance claims number Marisa C. Canadian direct travel insurance bc Weiss, founder of breastcancer.org, said doctors should not assume every patient wants reconstructed breasts. Direct insurance services preston “I’ve had go-go dancers who do not want reconstruction and nuns who say, ‘I need reconstruction,’” she said. First call direct car insurance Continue reading the main story

“When I woke up from anesthesia, I was in shock,” said Ms. Direct national insurance Stapleton, 58, who is now facing additional major surgery to correct the first procedure.

Geri Barish, president of the Long Island advocacy group 1 in 9, said a doctor had chided her when she opted against reconstruction. Direct insurance florida “One doctor said to me: ‘How can you walk around like that? You look deformed,’” she recalled.

Support groups and social media have allowed women to share stories about the realities of reconstruction. Insurance services direct “A lot of the women in my support group had infections, and they were surprised at how many surgeries were involved,” said Alicia Staley, 45, who stayed flat after a double mastectomy. Direct insurance company nashville tn “As I compared notes, I wondered, ‘Why are all these women doing this to themselves?’”

Coming to terms with a flat chest after breast cancer can be difficult. Auto direct car insurance reviews While some women wear a prosthesis in their bra, it is not uncommon for them to stop using it. Direct auto insurance corporate office “They’re heavy, they’re uncomfortable, and they’re in a sensitive area where you have scars,” Ms. Access direct insurance Pine said.

Women say they take many of the clothes they wore before surgery to Goodwill and begin wearing scarves and long strands of beads to hide their flat chests. First car direct insurance Others try to embrace their new form by having elaborate tattoos inked where they once had breasts. Canadian direct insurance Ms. Direct insurance number Pine has a lotus flower tattoo on one side and a dragonfly on the other.

Sara Bartosiewicz-Hamilton, 39, a technical writer in Kalamazoo, Mich., tried two types of implants but had a constant burning sensation and got rid of them. Direct general insurance reviews She then started a virtual support group called Flat and Fabulous. Insurance direct autos “We’re not anti-reconstruction,” she said. Direct choice insurance reviews “But many women never feel it’s part of their body.”

For Kate Cloudsparks, 64, a farmer in southern Iowa who has been flat since a preventive mastectomy 21 years ago, discovering the Flat and Fabulous Facebook page this year led to her first communication ever with women who had made the same choice.

“I didn’t know anybody else like me. Canadian direct insurance inc I was carrying it around for 20 years without having anywhere to share it,” she said. Pay direct auto insurance online “Finally, I had an opportunity to talk about what it’s been like to live as a woman without breasts.”

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