u/Neurotic-Me

It seems like most reconstruction stories and before/after photos are from women with, say, more raw materials going in. A lot of talks of being satisfied with reductions, etc that just don't factor in to anything that could happen on my journey.

Where are my petite ladies who have had a lumpectomy (my goal) or SMX (extra scared) and how did your surgeons handle it?

Interested in both looks and function (sexual health related sensation).

I'm doing neoadjuvant chemo to try to minimize surgery but if I can have a decent lumpectomy, radiation always follows. My brain has been working as a flow chart of "what if' and one of them, if that happens, is what if I had a recurrence since radiation really effs up the skin, blood vessels, etc and increases necrosis risks if I had to get a mastectomy with reconstruction in the future.

Has anyone had targeted radiation or proton therapy instead of whole breast radiation? Curious about feelings on risk vs reward there.