Personal essays, survivorship tips, and honest community from Nicole McLean — breast cancer survivor and founder of My Fabulous Boobies.

I Miss My Old Body, and That’s Not a Betrayal

There are days when I look at my body and feel grateful it carried me through breast cancer. There are other days when I miss the body I had before treatment with a tenderness that surprises me. I miss the familiar shape under a T-shirt, the ease of getting dressed, and the person I thought I would keep being without having to negotiate with mirrors, scars, swelling, or medical appointments.

Missing my old body does not mean I am ungrateful to be alive. It does not cancel the relief of finishing treatment, the love I have for my family, or the pride I feel when I remember what I survived. Gratitude and grief can sit beside each other. They can share a cuppa, argue over the last biscuit, and still belong in the same story.

Breast cancer survivorship is often presented as a triumphant return to normal. In reality, the “new normal” can be a body that feels both recognisable and strange. For many Australian survivors, it may involve a mastectomy, lumpectomy, reconstruction, a prosthesis, lymphoedema, early menopause, or a scar that changes how clothing rests against the skin. There is no moral prize for pretending those changes are easy.

The Body I Remember Still Matters

Before cancer, I rarely thought about my breasts as a separate part of my identity. They were simply there. I knew how clothes fitted, which bras were comfortable, and how my body looked in the bath or while pulling on swimmers at the beach. That ordinary knowledge had a quiet steadiness to it. Treatment disrupted it.

Now, getting dressed can become a small investigation. Is the neckline going to sit properly? Will the prosthesis move? Is this fabric going to rub against a scar? Can I lift my arm high enough to put on the jacket? What happens if the weather turns humid and everything feels swollen? These questions can make a supposedly simple trip to the shops feel like a logistical exercise.

There is a particular kind of sadness in missing something you once took for granted. I miss the body that did not require explanation. I miss being able to change in a fitting room without checking the lighting or wondering whether the person in the next cubicle will notice. I miss the version of myself who could buy a bra because it was pretty, rather than because it has a pocket, soft seams, wide straps, or a return policy.

Still, my old body deserves a place in my memory. Pretending I have moved cleanly from “before” to “after” leaves out too much. The woman I was before diagnosis has not vanished, and the woman I am now is not a consolation prize. Both are real. Both deserve care.

Grief Can Live Beside Gratitude

People sometimes respond to body grief with a reminder that survival is what matters. Of course survival matters. So does the emotional cost of getting there. A person can be thrilled to have clear scans and still cry when a scar pulls. Someone can celebrate being finished with chemotherapy and feel furious about losing sensation. A good pathology result does not make every physical reminder disappear.

Australian healthcare language can make this complicated. At a breast clinic in Melbourne, Perth, or Newcastle, appointments may focus on results, wound healing, medication, or surveillance. Under Australia’s Medicare system, the practical care is important and often excellent, yet emotional recovery may need to be raised deliberately. A GP can help with referrals, and BreastScreen Australia provides screening pathways, but neither a mammogram nor a discharge letter can measure how it feels to inhabit a changed body.

There is also pressure to be a “good patient”. We may want to seem positive, cooperative, and thankful to the breast care nurse who helped us through. We may worry that admitting regret sounds dramatic or that saying “I hate this” will offend people who supported us. But honesty is not ingratitude. It is information. It tells us what still needs tending.

Reading other people’s accounts can loosen the shame around these feelings. A funny, candid story can be as useful as a clinical leaflet because it gives language to the awkward bits: the lopsided bra, the dressing that refuses to stay put, the moment a stranger says something clumsy at the supermarket. I have found comfort in literary reflections because stories make room for complicated emotions without forcing them into a neat recovery timeline.

There Is No Single Way to Rebuild a Silhouette

Some survivors choose reconstruction. Some use an external prosthesis. Some go flat. Some move between those choices over time. Others are still deciding, or cannot access their preferred option because of medical advice, cost, waiting lists, work, caring responsibilities, or how their body responds to treatment. No choice is a referendum on courage, femininity, sexuality, or acceptance.

A prosthesis can provide balance, help clothing sit in a familiar way, and make leaving the house feel more comfortable. It can also be sweaty, heavy, itchy, expensive, or emotionally loaded. A reconstruction can feel affirming for one person and exhausting or disappointing for another. Going flat can be a clear and joyful decision, or it can involve grief, uncertainty, and a long process of finding clothes that feel like oneself.

What may help What it can offer What can still be difficult
External prosthesis Shape, balance, and flexible day-to-day use Heat, weight, movement, skin sensitivity, and replacement costs
Reconstruction A possible sense of physical continuity Further surgery, recovery time, altered sensation, and uncertain results
Going flat Fewer procedures and a direct relationship with the changed body Clothing adjustments, social reactions, and mixed emotions
Soft camisoles or pocketed bras Comfort and gentle support Finding suitable sizes and Australian stock
Tailoring and adaptive clothing Better fit and more confidence Time, expense, and limited mainstream availability
Specialist physiotherapy Support for movement, scar tissue, and lymphoedema Referral pathways, appointments, and out-of-pocket fees

The first prosthesis fitting can be especially strange. You may expect a calm, empowering moment and instead feel like you are on a bad date with a piece of silicone. It may be too perky, too heavy, too unlike you, or simply proof that your body has entered a new administrative category. That reaction is allowed. A fitting is a practical appointment, not a test of whether you are ready to love your reflection. My own account of how a first prosthesis fitting felt captures the awkwardness that brochures tend to leave out.

In Australia, the cost and availability of products can shape these decisions sharply. Some people use private health insurance rebates, while others rely on public services, community organisations, fundraising, or careful budgeting. A shop in Sydney may carry something that is difficult to find in regional Queensland or Tasmania. Postage, returns, sizing, and hot-weather comfort matter when you live far from a major hospital or specialist retailer. Choice is meaningful only when it is genuinely accessible.

Care Is More Than Scans and Dressings

Body grief often becomes louder when the physical symptoms are poorly managed. Pain, nerve tingling, tightness, fatigue, sleep disruption, and medication side effects can make it harder to feel at home in yourself. It is reasonable to ask for help more than once, especially when the first answer is “that’s normal”. Common does not mean tolerable, and survivorship does not require white-knuckling through every symptom.

A GP can coordinate referrals to physiotherapy, occupational therapy, psychology, sexual health services, or a pain clinic. Breast care nurses may help with bras, prostheses, wound concerns, and local support groups. An accredited practising dietitian can help when appetite, taste, weight, or bowel habits have changed. These services may be accessed through public hospitals, private providers, community health centres, or telehealth, with costs varying widely.

Medication conversations deserve care as well. Strong pain relief may be prescribed after surgery, while some people later need help with persistent pain or medication dependence. Community chemists can be a practical, familiar point of support, especially when a pharmacist knows the patient and notices changes in prescriptions or routines. This discussion of community pharmacy support offers useful context for why pharmacists can be part of a broader care network.

It can help to keep a short record before appointments: where the discomfort is, what makes it worse, whether clothing or movement affects it, and how it changes sleep or mood. In Australia, My Health Record may hold parts of your medical history, but it will not automatically explain the lived experience of a scar that burns when you hug someone or a prosthesis that becomes unbearable on a forty-degree day. A few written notes can make it easier to speak plainly when the appointment is rushed.

Emotional support counts as healthcare too. Cancer councils across Australia offer information and support programs, hospitals may run survivorship groups, and local community groups can provide a place to talk without translating every detail. Sometimes the most useful person is another survivor who understands why buying a new swimsuit can feel like an expedition.

I Am Allowed to Dress for the Body I Have Today

There is no obligation to make the new body look invisible. Some mornings I want a smooth silhouette under a blouse. Some mornings I want soft cotton, no wires, and zero interest in looking symmetrical. Clothing can be a tool for comfort, self-expression, camouflage, celebration, or simply getting through the day. Its job is to serve me, not to prove that I have recovered correctly.

A pocketed bra may be brilliant for one outfit and completely wrong for another. A loose linen shirt can feel liberating in an Australian summer, while a structured jacket may restore confidence for work. Swimwear brands, mastectomy boutiques, adaptive clothing makers, and mainstream retailers all offer different options, though sizing and price remain uneven. Online shopping can increase access for people outside capital cities, but returns matter when bodies are tender and measurements do not translate neatly between brands.

Humour helps me reclaim some of the power that illness took. I can laugh at the amount of equipment required for one supposedly casual outing. I can call a badly behaved prosthesis a diva. I can admit that a bra fitting after surgery may involve more emotional processing than some therapy sessions. Laughter does not make the experience trivial; it gives me another way to hold it.

Community can make this less lonely. A survivor group, a trusted friend, a partner willing to listen without fixing, or a frank online essay can remind us that body image is not a private failure. Merchandise and small rituals can offer belonging too, especially when they carry a message that feels honest rather than relentlessly inspirational. Browsing the survivor shop can be a gentle way to find something that reflects humour, solidarity, and the right to tell the truth about recovery.

I miss my old body, and that is not a betrayal of the body I have now. It is a recognition that change can involve loss, even when the change saved my life. I can grieve the breasts, shape, ease, and identity I remember while learning what comfort, beauty, sexuality, movement, and confidence mean today. For the next seven days, I will write one honest sentence each evening about what my body needs, then take that list to my next GP or breast care nurse appointment.