I met with my plastic surgeon today.  I had an exam and my last fill (50 cc).  (I now fill out a C cup like a pro.)  My exchange surgery is set for May 14th.  I am so ridiculously excited about this.  On that day, she will replace the tissue expanders with implants and do some fat grafting.  She is very optimistic about the final result.

I have a decision to make regarding what kind of implant I want.  The choices are: saline, silicone gel, or highly cohesive silicone gel.  Saline is out for sure.  The highly cohesive silicone gel implants are relatively new, but my surgeon thinks they will give me the best result.  I have done some research, and I think I agree, but I’m still nervous for some reason.  The highly cohesive silicone implants (aka gummy bear implants) are slightly firmer than regular silicone, but give a more natural looking result.  They also reduce the risk of rippling, which is apparently a big problem when placing an implant into a thin person.

There is something fun (and funny) about sitting in a surgeon’s office and squeezing implants.  The silicone is going to feel so good compared to these horrible expanders.  OMG I can’t wait.

After this, it’s time to start thinking about what to do about nipple reconstruction.  I could have my surgeon create nipples.  I could get a 3D nipple tattoo.  I could get something else tattooed over my mastectomy scars or I could do nothing at all.  I kind of like not having nipples, actually.  I can go without a bra all the time.  Decisions, decisions.

It’s a strange feeling to have become so comfortable with talking about (and showing) my boobs.  Oh the life of a breast cancer patient.

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