title: Comfort, control, or conformity: women who choose breast reconstruction following mastectomy.
abstract: Following breast amputation women commonly are presented with two choices: to wear a prosthesis or undergo reconstruction. Breast restoration is assumed to allow a full emotional and physical recovery from a breast cancer crisis. Surgical reconstruction is offered to women as the final step in regaining a sense of complete womanhood, enabling a sense of optimism that both body and self will "get back to normal." This article examines 5 women's accounts of breast reconstruction and asks how breast reconstruction figures in the remaking of self following mastectomy. Issues pertaining to the reasoning behind seeking out the procedure, experiences of finding the right surgeon, and how women feel toward their reconstructed postsurgical body are examined. In conclusion it is argued that a number of contradictory expectations are held by women seeking reconstructions. While women suggest that reconstruction will restore lost femininity, sexuality, and normalcy in most cases it is not the procedure that enables this but the elimination of the hassles of prostheses. In contrast to the complete sense of self they expected to regain through reconstruction they articulate a restoration that is simply pragmatic. It is only once women have undertaken this last bastion of hope that they are forced to renegotiate their sense of themselves as women with or without breasts.
authors.affiliation: National Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australia. samantha_crompvoets@telstra.com
authors.forename: Samantha
authors.initials: S
authors.lastname: Crompvoets
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001943:Breast Neoplasms / Q000523:psychology / Q000601:surgery; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016462:Mammaplasty / Q000523:psychology*; D015409:Mastectomy, Radical / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D033262:Narration; D011788:Quality of Life; D012925:Social Conformity; D011795:Surveys and Questionnaires; D016387:Women's Health