Those risks now include a very rare immune-system cancer caused by breast implants, called implant-associated anaplastic large-cell lymphoma. Breast cancer activists are working to fill the knowledge gap and destigmatize what they call “going flat.” Using social media, seminars — and vivid photos and videos of women baring scarred chests — they are declaring that living without breasts is neither unfeminine nor misguided. Rebecca Pine, 41, of Freeport, Long Island, who decided to go flat after her second mastectomy in 2013, launched an online project called the “Breast and the Sea: Transforming Our Scars” with Bucks County photographer Miana Jun.
This weekend, Pine is to lead a workshop on reconstructive decisions, body image, and self-acceptance at the annual meeting of Living Beyond Breast Cancer, the Bala Cynwyd-based advocacy organization.
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“For me, it’s been a process — not just overnight acceptance. But life changed, and this is who I am now.” Obstacles to reconstruction are well-documented.
Women who are low income, less educated, minorities, or live far from hospitals are less likely to have restorative surgery.
Lost in such data, however, are the women who just didn’t want artificial breasts.
Lee, a plastic surgeon at Ohio State University’s Wexner Medical Center, who led the study, which was published in August in JAMA Surgery. Food and Drug Administration and plastic surgeons’ groups issued warnings about it early this year, experts say awareness remains low.
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“The whole system has assumptions that you are going to reconstruct.
And there’s a lot of pressure to conform to the conventional standard of beauty,” Pine said.
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