The experience of having both of your breasts removed is hard to describe. On December 4, 2008 I can still clearly remember the ride to the hospital that morning. We merged into rush hour traffic, and as I glanced at the passengers in the many cars around us, I found myself wondering what kind of day were they going to have? Surely, it had to be better than what I was going to have! I envied that some would stop at a local coffee shop to get their morning dose of kava; yes, even a simple cup of coffee would have provided immense comfort to me at that moment in time. And I thought about all the women who would return home from work that day, and without even thinking about it, would remove their bra, and let their breasts relax, as they either changed into their workout clothes, pj’s or took a bath/shower. It’s a ritual that I knew I would never again do, and sadly, was going to miss.
My husband was silent beside me; he was hurting, and nothing I could say would help. I was numb, keeping the emotions locked down deep within, yet I knew my life tomorrow and each day after were going to be profoundly different. My greatest fear was how to deal with any raw emotions when waking up from surgery. I whispered, “Dear God, don’t let me cry or carry on when I awaken, knowing full well that underneath the corset now is only two square blocks of gauze, covering each side of my chest, which now showcases nothing more than a row of neat stitches.
When I awoke, I hoped the bra type corset would have a feminine pattern on it, or some type of pretty lace, but it didn’t. However, I was pleasantly surprised to see two little bumps; the stretchers had also been inserted during the many hours in the operating room, and saline solution put in them to give me some type of semblance of what used to be there. I was glad I had chosen to have both procedures done at the same time; it was almost unbearable for me to think about how sad it must be for other women who don’t opt for reconstruction, and go home with nothing, but a flat and very swollen chest. I imagined they felt a hollow, empty feeling, similar to how a soldier feels when losing a limb(s), acutely aware that a part of them was gone forever.
We had arrived at 7AM, and by 7PM that night I was in my private room. It had been a very long day, and now a relatively quiet night, interrupted only occasionally by a nurse to check my blood pressure, pain level, etc. It was barely 6AM the next morning when my plastic surgeon stopped by to check on me. His eyes were warm and compassionate, and he spoke to me in a soothing and quiet tone. I knew we were Allies now – I would work on resting and healing, while he would work on re-constructing my upper chest area back to what again would resemble a female, feminine body. I was so grateful that I had picked Dr. Daniel Sherbert – he had done a fellowship in breast reconstruction, and was deeply respected by his peers and patients alike. But more importantly, it was obvious he really “liked” women, and had a deep respect for their strength and resolve when facing adversity. Let me digress here for a moment; there are many men in this world who love but don’t like women, they see us only as a means for an end, which is to satisfy their own needs! However, a truly mature and wise man is able to look beyond this, and also recognize and admire the many attributes that women bring to the table. He is secure in what and who he is, which means he is not threatened by a strong woman, but instead finds her refreshing, though sometimes a challenge. I’m very lucky, for I’m married to one of those men who really “likes” women, and I knew it was a pre-requisite I wasn’t going to back down on when deciding upon which male plastic surgeon would do my reconstruction. The doctor I chose had to be a person who deeply respected and liked women as a whole. It was important to my mental healing, which brings us to the other side of recovering from breast surgery – the emotional side.
You can’t describe to any one, (especially other women who still have their breasts), the anxiety you begin to feel after going through this procedure. You wonder whether you’ll ever again feel like you are physically attractive to the opposite sex, (regardless if you are married or in a serious relationship). The weird dreams you start having only validate your newfound insecurities and feelings of raw exposure. Seven months after my initial surgery, I had to have one of my stretchers removed, and let the incision heal for a minimum of two – three months before we could start the process again. It was my worst nightmare – looking down now everyday, and seeing nothing but a flat flap of skin with a straight dark pink scar where the stitches had been – I can only describe it as an area that looks very angry. I started having frequent dreams of being naked in public, and searching frantically for some piece of cloth or clothing to cover me. I also had vivid dreams of being sexually intimate with old boyfriends, even an ex-husband, etc., and wondered why I wasn’t dreaming instead of my own present husband? Then it hit me – the A-HA moment: I wasn’t dreaming of my husband because I felt he had an obligation to still act like he was sexually attracted to me, (and even if he wasn’t, I was sure he could fake it pretty good), so unfortunately, he couldn’t serve as validation for me that I was still sexually attractive. It had to be another man, one I felt comfortable with and trusted to be honest. When these feelings start coming out in every women varies, it can happen right after surgery, or six months later like mine did. You tell yourself, it doesn’t matter and in the scheme of things, it really isn’t important, but then you realize that losing both of your breasts really does do a mind game to your head! So in case you are wondering, no, I don’t plan on going out and having any affairs to validate my sexuality is still alive and well. And yes, the dreams have stopped now that I’ve acknowledged the feelings, and worked through them.
This isn’t just a male/female issue either – you also get a lot of curious inquiries from the female gender: I’ve had women ask me, “why did you chose to remove both your breasts when only one was diagnosed with cancer? “are you sure you want to go through reconstruction?” “Do you know what size you want to be?” “I think you are big enough now – you aren’t going to go any bigger, are you? “Are you going to go through the bother of also reconstructing your nipples?” “Do you really want to risk silicone implants – what if they break and leak? Remarkably I feel no obligation to answer any of their questions; I understand most women have no base of reference, and the women who do know better than to ask.
So Dr. Sherbert – thank you for choosing a field where you help women recover from a traumatic surgery both physically and mentally. We depend on you to make us feel whole again, and incredibly when we look in the mirror, we start to smile!