48 yrs old with poorly controlled diabetes and lupus ,RA, sjogrens disease and raynauds. what are my options for reconstruction after a bi lateral mastectomy for IDC? I am insulin dependent and take plaquenil and imuran. I would like reconsruction (what type?) but my team of doctors are very concerned with infection and healing. What are the risks and percentages for success?
Hi Hilarie - Unfortunately, this is much too complicated a question for us to answer. We're not medical professionals; just women who've had breast cancer. I do know that having an autologous (body tissue) reconstruction is very iffy if your circulation isn't in excellent shape; if any of your conditions compromises your circulation, you shouldn't be considering autologous reconstruction, but rather an implant of some kind.
Bottom line: schedule an appointment with a plastic surgeon, preferably one who specializes in mastectomy reconstructions. Lay out all your issues, and discuss your options with him/her. Your surgeon should be able to give you statistics on successful reconstruction for someone with your type of health challenges. Good luck - PJH
I just wanted to add that Lupus can affect whether or not you would qualify for implants, since it is an auto immune disease.
Though you suffer from these medical conditions, only a qualified plastic surgeon can assess what kind of reconstruction surgery will work for you.
It never hurts to seek a consultation and learn your options.
Best of luck to you !