... And so, the countdown continues.
Only nine more sleeps until I will finally be walking into London's Royal Marsden hospital in Chelsea, for my preventative double mastectomy operation, due to my BRCA1 gene mutation (check out my first blog post for more info on that). I am ready. In my head, heart and body, I feel prepared for it... but I have a sneaky little suspicion that as the day draws closer, I might be headed for a slight roller coaster of emotions... so, be prepared, people!
As you well know, what I currently consider to be the greatest 'silver lining' of my whole genetic mess, is the chatting and reconnecting with all my much-loved friends and family across the globe... as everyone has been getting in touch to send me love and well wishes (again, thanks so much! Love you guys!). I noticed, however, in all these conversations, that there is one specific question that seems to pop up every time: "What happens during the operation?" ...and so, I thought I would sit down and outline this procedure for you guys today, just so you know what I'm heading in there for.
I'm no doctor, so excuse the layman's language, but here goes:
After being placed under general anesthetic, my surgeon (Dr. Gerald Gui) will make a long incision under the fold of my breast. This will allow him to 'flip open' the breast (bleh! sorry, if you get squeamish), so that he can remove ALL breast tissue. Luckily for me, as I do not currently have breast cancer, I am able to keep my nipples... as new research demonstrates a minimal difference in the occurrence of cancer with/without nipples, post-this preventative surgery. Dr. Gui will then scrape the underside of the skin and nipples (Ugh, bleh, sorry again) to ensure that the only breast material left is the skin and outside portion of the nipple; all glands, tissue, nerves will be removed. Leaving the breast 'sack' completely empty for the surgeon to refill immediately... so, the removal and reconstruction all occurs in the one operation. I have chosen to go with a similar-sized implant to what I am already. I am a small-breasted gal, so will be increasing by just 1 size, b to c... coz why the hell not?! I should allow myself to get some joy out of all this crap, right?! ...(Thanks to my ladies who have convinced me not to be so boring, and to go a tiny bit bigger, you know who you are...and I love you!)
Since my implants aren't going to be hugely different, they can be inserted immediately, no need for expanders. Ladies who choose to go significantly larger or who have had a double mastectomy due to a breast cancer diagnosis (so their nipples have been removed, leaving the remaining breast now considerably smaller), they will often need expanders to be put in first. This enables the doctor to slowly stretch the skin over a few months, before performing a second operation to fit the permanent implants. However, this is not the case for me, so I will be getting my implants put in straight away.
Based on the recommendation of my surgeon (and after ample "umming" and "ahhing"), I have chosen for my reconstruction to occur UNDER the muscle. This was a really tough decision for me. It is incredibly difficult to make a choice about something as complex and overwhelming as surgery. As knowing once I'm under the knife, my choice is final and I have no idea which I am really going to prefer or want without seeing or feeling it on me. I was given the option of over or under the muscle. Both have pros and cons. But in the end I have chosen under, as it is the more tried and tested method. This type of implant maintains a longer recovery time (an obvious con for me, being a yoga teacher, as I will be 'out of action' for a lengthier period)... but it seems to me that there is less wiggle room for aesthetic complications in the future. So, I'm going for it... UNDER the muscle.
To get the implant where it needs to be, the surgeon will lift my pectoral muscle and slot the implant in underneath (check out the diagram to see what I mean). He will then use either a piece of synthetic material or pig skin (which has been stripped of all of it's genetic elements, so its basically like leather) and he will create a mini hammock for the implant to sit in. Without this, the implant could pull or slip out of position, as my breasts will have no tissue to hold it in place. Once that is complete, he will stitch me up... et voila! One boob done!... and he will swiftly move on to boob number two, to do the same thing all over again. The full procedure will take approximately 4 hours.
So, there you go. That is what I will be doing in 9 sleeps time. As I said, right now I feel calm and collected.... lets hope it stays that way... watch this space!
Luv, Emma xx
Diagram credit: https://www.novanthealth.org/
It's nice to FINALLY meet you all!...I have been meaning to start this blog for months, but due to a little health glitch in my life I delayed writing...but I'll get to all that in a minute...
First, let me say THANKS! Thanks for following me and for all your love and messages along the way. They make me feel warm and fuzzy!... and for my new GJOTRock-ers, let me quickly introduce myself: My name is Emma Gabriel, I live in the glorious city of London with my little pooch Frankie. I am a certified health coach, a fully fledged yoga teacher, a model mentor and I am currently 1 year away from completing my 3 year diploma in naturopathic nutrition. It took me a long time to find my 'healthy' feet (I won't blether on with the details again, as you can check out my 'About Emma' webpage to know more) ...but now I'm here, in my world of healthy. I'm living my life mantra of HEALTHY WITH A HINT OF NAUGHTY...make no mistake, I don't claim to be perfect and I definitely still have my moments where that 'hint' can become more of 'big a dollop', but in general, I'm healthier, happier and more balanced than I have ever been.
So, enough of that, what's with the 'breast' talk, you say?! ...Well, this has been my, ahem, little health glitch. In August of last year I tested positive for the BRCA1 gene...the gene made famous by Angelina Jolie a few years ago. This gene increases my risk of contracting breast cancer by 65-80% and ups my chance of ovarian cancer by 40%....so, obviously it's NOT ideal. Don't worry, I have been tested and I am currently cancer-free, phew. However, after seeing many specialist, establishing my options and giving this all a lot of thought, I have chosen to have a double mastectomy now...and my ovaries removed when I am 40 (I am currently 35). I will discuss all my reasonings for these choices and more about the gene in a later blog post...but for now, I just wanted you to know, that this is happening. In fact, I specifically wanted to post this today, as my breast surgery is happening exactly one month from today. I am having a double prophylactic mastectomy on the 13th of September 2016. Yes, I am having both of my breasts removed...that is the first time I have written that down...and, wow, yeah, that makes it seem very real. It is a choice that I have made and it is a decision that I am comfortable with. I have received varied responses to this news from friends and family...but in the end it is my decision and I choose to be proactive with my body and my health.
I inherited this gene from the most courageous and inspiring woman on this planet, my gorgeous mum, Julia, who has undergone chemotherapy 3 times as a result of her having the BRCA1 gene. I feel grateful to have this knowledge of my own genetics, a knowledge which my mum did not have. Had she not have been diagnosed with cancer, I would never have known about my gene. So thank you, mum, for enabling me, so I can now choose to be proactive, and for demonstrating first hand how to be strong in times of adversity.
So, in this post, I wanted to introduce you to me...and to my breasts...and to let you know where we are at right now and what's been going on with us. To be honest, I had never really thought about my relationship with my breasts before all this. I had always just thought they were nice, small, well placed, normal....but when faced with a situation where you are told that you are going to lose them, well you start to think about what they mean to you. They are my boobs, they are part of my body, they are part of my femininity, my sexuality, they are part of me...and, yes, I am sad and scared to lose them. However, to me this is a no-brainer decision.
Over the next few weeks, as I lead up to my surgery and post-op, I will be keeping this blog, both as a cathartic exercise for myself and as a way for me to explain to you what it feels like to go through all this.
So, thanks for reading...pretty intense for a first blog post!
Chat again soon....
Love, Emma xx