Body Image After Mastectomy

Dealing with Body Image After a Mastectomy

Body image after mastectomy is difficult for many women. I went through this myself after a bilateral double mastectomy. It is my own definition but I define women who live with mastectomies, “hidden amputees”. No one sees that you are missing body parts when you wear prosthesis. No one feels what you feel each time you see a reflection of yourself in the mirror or try to pick out something that will look feminine or sexy when you want to step out for a social event. No one truly understands the desire you have to just magically want the clock to turn back before you had to have your breasts removed due to cancer. No one, that is, unless you’ve lived with this yourself.

What was your personal choice?

How did a mastectomy change your body image and how have you dealt with it? Did you decide to have reconstruction, wear prosthesis, cover your scars with artistic tattoos, or go “flat and fabulous”?  It is a personal and individual decision and I respect each one that is made.

Femininity restored after Mastectomy

I decided after a double mastectomy, waiting on test results for treatment options and finally getting clearance from my doctors, that I would move forward with reconstruction. For me, it was the right decision. My femininity, my curves, being able to choose clothing that made me feel sexy again for both me and my husband was important. I also missed those body parts as strange as that may sound to some. I felt out of balance.  I seemed to get cold easier lacking the added insulation from my breasts.  The “divots” left from my mastectomy were a constant reminder of what I’d been through.

Plastic Surgery and Balancing Out Your Body

Having DIEP flap surgery made me feel as if it was all me after reconstruction and in fact, it was all me. I used my own body parts and the plastic surgeon I chose was a master at his skill, an artist, a visionary. Definition of bra sizeHe balanced my body out and I had more of a figure at 59 than I had in my entire life. I was never well endowed “up top” but did the best I could with bra purchases and trying to enhance what I lacked before I had a mastectomy, push-ups, pads, you know the drill. We’ve all been there to help “the girls” out.

Before picture the day I got my prosthesis.


My little sister, who helped me recover from both phases of my DIEP flap surgery, once told me that I would be able to wear clothes without a bra someday. She is a nurse and has seen many breast surgeries.  Still, at the time she told me that, I just smiles and siad, “Really, no bra?” Guess I was the doubting Thomas.  She took this picture of me the day we went out to pick up my prosthesis about a month after my mastectomy with no breasts on the chest!


Going Bra-less

FullSizeRender(8)Well, true story: I still wear a bra every day as support for my newly reconstructed breasts.  I did buy one dress that I could wear without a bra. I didn’t think one night without one was going to cause any undo damage.  I tried it on before I bought it to make sure it would look OK sans the bra. I chose a night to wear it when my husband and I went out to dinner on a beautiful summer evening. He complimented me in the dress which validated my purchase. I was feeling great, liberated! We went out with friends who were both younger than we were but really great fun to be with.

We were sitting outside that evening on a patio overlooking the landscape and it was just breathtaking. All of a sudden, one of the straps on my dress broke and I came very close to having a “Janet Jackson moment” and a certifiable wardrobe malfunction. Keep in mind that you have numbness in your breasts after surgery due to nerves being cut.  I had some sensation restored but not in the top part of my breasts above the nipple area, so I was lucky that I even felt the strap break and the dress begin to fall right off of my breast! I was able to catch the dress falling before I went in to full exposure mode!! My friend looked at me and smiled and said, “I have safety pins in my emergency bag in my purse.”

Safety Pins to the Rescue!

We stood up after my wardrobe malfunction, I held the broken side of my dress to remain covered and we went to the restroom for repair. We were both laughing as she got to work with those safety pins. I said to her, “I feel like telling my plastic surgeon I almost gave him a free advertisement moment!”

I do feel better about my self-image and I wouldn’t trade for one minute my decision to have breast reconstruction surgery. I just know now that in my emergency bag, I’ll be adding safety pins to the mix.  I will also be donating that prosthesis.



References made to my surgical group, surgeon and healthcare team are made because they are aligned with my values and met my criterion after I did research of their practices and success rates. Any other healthcare provider that displays the same skill, compassion education and outreach to patients will be given consideration and recognition on this website.  The information contained on this website is not a substitute for or should be construed as medical advice. Please consult a licensed physician for medical advice.

4 Replies to “Body Image After Mastectomy”

  1. Alene Nitzky

    No matter what choice someone makes around reconstruction, feeling comfortable in your own skin is such an important part of being grounded in who you are. Wardrobe malfunctions included!

    • Terri Post author

      Can you say, SAFETY PINS??? Thanks, Alene. Being grounded after BC and reconstruction is so important! Cheers!

    • Terri Post author

      Thank you dear friend! I will never forget that day and the tears, hugs and support! Onward to better times. 🙂

Comments are closed.