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"Why I Gave Up My Breasts"

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When Margaret W. Smith -- mother, wife, soldier, and marathoner -- had a double mastectomy at age 29 as a preemptive strike against cancer, she chose not to reconstruct. She says it was the smartest decision she ever made.

Margaret's Story

I always had big boobs. I would wear two sports bras and my breasts would still bounce when I ran.

That changed on June 2, 2009. I walked into the army's Walter Reed Medical Center with D cups that morning; by afternoon I was flat chested, wrapped in gauze and sobbing. The loss was tremendous. But mostly I felt overwhelming relief; a physical and emotional burden had been lifted.

For 17 years I'd been carrying around breast cancer baggage. My experience with the disease began in sixth grade. While other kids were snickering at the word boobs, I had to face the harsh reality that my mother had lost one of hers. I would get so embarrassed whenever I spotted her on the sidelines at my soccer games, her prosthetic breast floating all over her chest as she cheered me on. It was 1992, the year the pink ribbon became popular and breast cancer was coming to the forefront of social consciousness. But for me, the disease was the bully I could never really shake. About nine years later it came back full force, taking my mother's other breast and, eventually, the life of her sister, my Aunt Christine.

It seemed to run in the family, and, indeed, my mother tested positive for the hereditary BRCA2 gene mutation, which puts a woman's chance of getting breast cancer at as high as 80 percent, and ovarian cancer at 15 to 40 percent. Her results meant I had a fifty-fifty chance of having the mutation too. If I did, I would be faced with the decision of whether to have both of my breasts surgically removed to drastically diminish the scary odds or to take my chances and hope I didn't get the disease.

At the time we learned that my mom had the BRCA mutation, I was 25 years old and about to be deployed to Iraq. Overseas duty prevented me from getting the gene test done right away. In fact, four years passed, during which I met and married my husband, Patrick, and we had our daughter, Emily, now 4. Those years were rough, though. Not only was I constantly playing the "what ifs" in my head, but I also had a severe case of postpartum depression after Emmie was born. I'm not proud to admit that I turned to alcohol in order to cope. It was a dark and familiar place: I'd spent the early part of my twenties, during my mother's illness and my aunt's death, in a self-induced haze.

When I finally got tested and learned that I did have the same gene mutation, something in me just clicked. I knew I needed to take control of my health and my life; I had to be there for my daughter, and living with the threat of cancer was no longer an option. A month later I had the double mastectomy. It was a very difficult decision but one that I had already been grappling with for years.

When you choose to have this surgery, the first thing doctors mention is setting you up with a plastic surgeon for reconstruction. It's practically unheard of for a woman at my age to say "No, I don't want it." I had seen my mom cope really well without reconstruction, and in a lot of ways I admired her for that. Meanwhile, my Aunt Chris had had an awful time with an infection after reconstruction.

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carmncj wrote:

It is great to read of someone who did this without doing reconstruction. I get so tired of how it is assumed a woman will do reconstruction when really why should she? Way too much emphasis on boobs and how a woman should look. I say it's far more important to be healthy and fit, which Margret shows she certainly is!

10/14/2013 07:17:05 PM Report Abuse
teresaecke19241 wrote:

I feel Margret is just amazing. What a strong women to overcome what she did and her being here alive...breast free is wonderful. Her family should be very PROUD of her, I know I am.

10/9/2013 09:45:19 PM Report Abuse
NPTIFitness wrote:

Amazing story. For that you must have a strong mind and thinking. I think not any other women can do that with this strength.

11/17/2012 01:28:38 AM Report Abuse
gap221 wrote:

yleynova do you mean psycho lol

10/24/2012 08:37:28 PM Report Abuse
yleynova wrote:

"I would get so embarrassed whenever I spotted her on the sidelines at my soccer games, her prosthetic breast floating all over her chest as she cheered me on." After that I do not have respect to this lady. Poor your mom. How she feels after reading of this statement?! She wants to be accepted as a brave women. I accepted her as a phsyco.

10/23/2012 10:48:17 AM Report Abuse

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