DOC TALK- with my Reconstructive Breast Surgeon

I was not afraid of cancer, I was afraid of the unknown. There are so many questions the come up when you are diagnosed- “Will I survive?” “Should I get a mastectomy?” “What will I look like?”. We look to other women and men who have been there before to get a glimpse at our possible future but every case in unique and some read more like horror stories that leave you awake at night. 

There is a point when you have to stop googling and go talk to a real expert. Dr. Christopher Low with Vanguard Aesthetic Plastic Surgery (VASPFL.com) was kind enough to let me interview him with some of my biggest breast reconstruction questions. He was also my outstanding reconstructive surgeon. You can see his work in my “Top 5 Weird Reasons I LOVE My Mastectomy” and “Mastectomy Photo Series”. 

Hopefully this will help ease some of your fears about the unknown world of reconstruction that you are heading into. 

 

Here is my list questions and you can hear all of his answers in my VLOG, “DOC TALK with my Reconstructive Breast Surgeon”:

  • When is the best time to get a Plastic Surgeon involved?

  • What is the difference between Silicone and Saline?

  • Will Silicone make me sick if it leaks?

  • Tear drop vs. Round?

  • Bras?

    • Can I go without a bra?

    • Any special type of bra?

  • Nipples, what are my options?

  • Expanders, Why did I need them?

  • Why are your fingers blue?

Fear keeps us focused on the past or worried about the future. If we can acknowledge our fear, we can realize that right now we are okay. Right now, today, we are still alive, and our bodies are working marvelously. Our eyes can still see the beautiful sky. Our ears can still hear the voices of our loved ones.
— Thich Nhat Hanh

What are some questions you wish you asked when you started this process? Comment Below.

 

The best place for soft, comfortable, inexpensive, front closure sports bras for after surgery was Walmart. They were the only place that had them. Here is a link for the ones I used. 

Mastectomy Photo Series

Have you ever googled mastectomy before and after photos? It’s a heartbreaking array of faceless women’s maimed breasts under florescent lighting.

In 2014, I was planning a preventative bilateral mastectomy to reduce my risk of breast cancer due to the BRCA1 genetic mutation. While "planning" I was diagnosed with Breast Cancer. The Woody Allen quote "If you want to make GOD laugh, tell him your plans" comes to mind.  

Before removing my breasts I wanted photographic evidence of what they looked like, but I didn't want mug shots of attempted murders. I wanted a photo that captured how I felt. So I decided to do a photo series that would express the emotion in each stage of the process.  

I wanted to change the images that women saw of mastectomies. No more Before and After photos. I wanted them to see the Evolution, the Life, and the HUMOR in this dark situation. 

Blast 'Em Photography enthusiastically got on board from the very begining, having worked with them as a model before “cancer”. 

MUA/Hair by Nicole Patterson Model- Aniela McGuinness Photographer- Blast 'Em

MUA/Hair by Nicole Patterson Model- Aniela McGuinness Photographer- Blast 'Em

A year later we are ready to share the photo series with the world, just in time for Breast Cancer Awareness Month!

Each image represents how I felt during the mastectomy, chemo, and reconstruction process. 

Photographer- Blast 'Em MUA & Hair- Aniela McGuinness Model- Aniela McGuinness

Taken a week prior to my mastectomy, an ode to the iconic Rosie the Riveter image, and a memorial to my original breast. My goal was to capture the "We CAN Do It" spirit going into the biggest battle of my life.

 


Photographer- Blast 'Em MUA & Hair- Brynn Berg Model- Aniela McGuinness

A couple of weeks after my mastectomy, with the expanders in, we captured our Bride of Frankenstein shot. Brynn Berg did make-up and hair and blew it out of the water. She created the wig and put such detail into the special fx makeup. Each stitch on the chest was hand tied. The only real wounds in this shot are my breasts. 

 


Photographer- Blast 'Em MUA- Tiffany Alfonso Model- Aniela McGuinness

The end of chemo, with my expanders fully inflated, I felt like a Mannequin. My eyebrows had to be airbrushed on and false eyelashes attached to just skin. Every hair on my body was gone. Tiffany Alfonso, from Beauty to Bloody, brought this concept to life. 

 


Photographer- Blast 'Em MUA & Hair- Aniela McGuinness Model- Aniela McGuinness Prosthetic Nipples by Pink-Perfect

Four months after chemo, two months after reconstruction and cancer-free, we finished the series with tear drop shaped gummy silicone implants and prosthetic nipples

 

The (censored) compilation.

In the last year…

I had a skin-sparing double mastectomy with a sentinel lymph node biopsy and expanders placed under the muscle on October 24th, 2014. In December 2014 everything was put on hold for chemo. Chemo ended April 2015, followed by a complete hysterectomy in May 2015, and finally reconstruction June 29th, 2015.

For now, I have decided not to get my nipples reconstructed or tattooed because I enjoy the jokes and freedom I get from not having them. You can see what I mean here “Top 5 Weird Reasons I Love My Mastectomy”.

  • Were you worried about how your breasts would look after your mastectomy? How did you deal with it? Please comment below.

 

It’s breast cancer awareness month! Please share this post to raise awareness to check your boobs. 

 

Do you like my boobs? I have to give credit to my doctors. Dr. Eli Avisar at UM did the skin-sparing mastectomy and Dr. Christopher Low at vapsfl.com, was my outstanding reconstructive surgeon.

A very special thanks to the make-up artists, Brynn Berg, on the Bride of Frankenstein photo, and Tiffany Alonso on the mannequin shoot. They helped expand the concept and make it art. Michelle and Chris Diamantides for lending the wig on the Frankenstein shoot. Alexa and Ellie from Blast Em' for put their heart and soul into this project and reminded me that collaborations make everything better.