Episode 137: Dr. Aly Cohen

Lacey Marie's journey highlights the challenges faced by women seeking aesthetic flat closure after breast implant illness. Despite her persistent efforts, she encountered medical professionals who removed all but the implants she believed were making her ill. When genetic testing indicated a risk for breast cancer, an oncologist suggested removing her breast tissue while keeping her implants, prompting her to advocate for her own health choices. This episode explores the often-overlooked option of aesthetic flat closure and the systemic biases that limit awareness and access to this procedure. It discusses how factors such as dense breast tissue, implants, and genetic markers complicate surveillance and treatment options. The conversation also addresses the misconceptions surrounding flat closure, including why some surgeons leave excess tissue "just in case" patients change their minds. Additionally, the episode delves into the emotional and psychological aspects of reclaiming femininity and sexuality without breasts. Geographic location and healthcare disparities are examined as barriers to receiving comprehensive information about reconstruction options. Through Lacey’s experience, the discussion emphasizes the importance of patient advocacy and the right to make informed decisions regarding post-mastectomy reconstruction. This episode aims to shed light on the systemic issues impacting women's health choices and encourages awareness of alternative surgical options. Resources and additional content are provided for those interested in learning more about breast implant illness and flat closure options.