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Third Expansion

Before her diagnosis, Debbie was an active young woman who visited the gym regularly and participated in Pilates and yoga. She took pride in her health. But for five months following double mastectomy surgery, she stopped exercising. With so much changing in her life - from losing her hair and breasts to postponing her wedding - and so much uncertainty in her future, she had trouble finding a place for physical activity in her new life.

Maintaining a healthful, balanced diet was difficult, as well, because the side effects of chemotherapy meant going from one extreme to another quickly - from no appetite at all to extreme hunger. She also gained weight from steroids she took to prevent nausea during chemotherapy. Debbie had become depressed about her weight gain and inactivity. She also noticed that certain muscles had begun to atrophy as a result. She was fortunate to have a surgeon who believed in a holistic approach to medicine - treating the entire body and the mind, not just the area that needs medicine. He recognized her unhappiness and recommended a physical

Physical exercise was important for more than vanity reasons, however; giving her muscles a workout also helped repair and lessen the scar tissue from her surgery and give her better reconstruction results. In these pictures, you can see Debbie's new exercise regimen beginning to show weight loss and greater muscle tone. These pictures represent Debbie expanded to a size C, following the partial removal of the saline at the second expansion. This meant that Debbie would only be a size B once her permanent implants were put in, one size down from her goal. Although Debbie could have gone through with the larger expansion she had hoped for, she felt her body was telling her that her surgeon was correct: She wasn't meant to be that size. Another factor that contributed to her inability to get to a larger size was her exercise regimen. As she lost weight, it showed in the muscle and skin around her chest, as well, decreasing the capacity for expansion. At this last expansion, her surgeon added 50 cc's, replacing what he had taken out following the second expansion.