How do you know you need plastic surgery? First, consider the distinction between reconstructive and cosmetic surgery. Some cases are clearly necessary, such as a baby born with a misshapen head or a cleft palate. Or when an accident breaks the bones of a girl’s face and gouges out a chunk of flesh, leaving a deep hollow. Such victims often suffer social ostracism that warps their self-esteem.
Similarly, the psychological impact of losing a breast to cancer only now is; being appreciated by doctors. Women who have had mastectomies overwhelmingly talk of losing their sense of being a woman and their sexual drive, of feeling somehow ashamed. Having the breast rebuilt by surgeons has made it easier for many of these women to cope.
Peggy Palmer, a former junior high school teacher from Tucson, at first did not want a breast reconstruction be-, cause, she says, “1 had to deal with the shock of having cancer.” But the prosthesis proved uncomfortable. Now, with her breast reconstructed, she wears a bathing suit with a plunging neckline. “I am so pleased,” she says.
And the latest development: In some cases, doctors start breast reconstruction during the surgery that removes the organ. The surgeon leaves the nipple and enough skin and muscle so that it is easier to add either tissue or plastic implants. Any woman facing a mastectomy should ask her doctor about this.
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