Choosing Not to Reconstruct

‘Cause One is the Loneliest Number

Because breast implants freak me out on every level and because I’m too thin (wow, did I really just write “too thin?” see, cancer is good for your self-esteem) for a TRAM flap–that’s when a plastic surgeon cuts a thick slab’o fat from your caboose (or elsewhere) and slaps it onto your chest –I found myself left with two stellar options: uniboob vs. no boobs.

Let’s talk about the singleton. I know plenty of women do and more power to ’em, but I just can’t image going solo. For starters, the asymmetry would drive me bonkers. A dozen years of non-stop yoga has left me freakishly in-tune with my body. What does that mean? Trust me, it’s not as fun as it sounds. Basically, my brain is constantly calibrating my body’s position, checking to see if things are centered, and gauging whether or not I’m using both sides evenly. (Yes, vacuuming is a bitch.) But before you judge me freakier than I really am, you should know that such hyper-awareness was borne of necessity. It’s my way of micro-managing the aches and pains of scoliosis.

Because my back curves in umpteen different directions, every day is a fruitless search for center. Until last month, my messed-up back was my “thing.” ‘Cause everyone needs to have one sucks-to-be-you health thing, right? Except me. Now I have two. Shit. Well, the point is that my obsession with symmetry means you won’t see me rocking the uniboob.

Oh, and before you talk to me about a prosthesis, keep in mind that handstands are vital to my sense of well being. Think about it. Fake boob. Tiny yoga top. Upside down. It ain’t pretty.

One Week and Counting

I’m scheduled for a double mastectomy a week from today: Tuesday, March 3rd.

I’m guessing some of you might be asking yourself: how does a self-described indecisive person make up her mind? isn’t a double mastectomy a little drastic?  but my [insert name of sister/neighbor/friend here] had a boob-sparing lumpectomy…why in the world would catherine choose to cut off her breasts? Here’s the scoop on how I came to decide on the big “double M.”

To know me is to know that I am a small-breasted woman. I love my breasts. I love all breasts. What I didn’t love was the mental image of what my itty-bitty titty would look like after half of it was scooped out and the other half was nuked for six weeks. Aside from the potential side effects of radiation, such as bone-numbing fatigue, scarring, skin texture changes, and, in some cases, cancer (just what I need), I didn’t like what I saw. I envisioned something between a prune and a raisin–an unseemly picture the plastic surgeon did not contest.

What he did do was offer to slice a muscle from my back (or abs), thread it up into the cavity that was my breast, and wrap it around a nice, new implant, like a bow on a present. He presented this idea with a wink and a smile, like I was crazy not to jump at the chance.

Okay, let’s get this straight. I’m supposed to sacrifice muscle for a nipple-less lump of half flesh, half silicone (oh, and by the way, that implant will need to be replaced every 10 years). Hey dude, I’ve worked way too hard for those muscles for you to carve them up and rearrange them into boob-like shapes. Not to mention, I’d rather use my muscles for rock climbing and handstands. Um, thanks but no thanks. I’m going to need all the strength in every one of those muscles to get me through this and whatever else comes my way.  

To be continued…