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Safiya’s NF1 Journey

21 July 2025

 

“Finding Confidence in the Unspoken”

 

My NF1 Journey – A Story I Never Expected to Tell 

2014 was the year my life changed and I had no idea why. I’d always wondered about the marks on my face and arms that began appearing during my teenage years. Every time I asked, I was told it was normal,  that skin can sometimes look like that. So, I carried on through most of my twenties, thinking it was just part of me.

It wasn’t until November 2013, when I went to see a gynaecologist because of heavy periods, that things slowly started to unfold. I was told I needed surgery due to an abnormality that needed to be checked more closely. The results thankfully came back benign, but I was referred to neurology, and from there, I was sent to a genetics clinic.

 

In 2014, I was told I had a genetic condition called Neurofibromatosis Type 1, something I had never heard of before. I didn’t know what a neurofibroma was. I didn’t even know a condition like this existed. I sat there hearing terms I didn’t fully understand , pregnancy complications, increased risk of breast cancer, learning difficulties, no cure, no treatment and none of it really sank in. It felt like too much to process all at once.

After testing, I was told that no one else in my family had the condition, it was just me. I remember feeling numb, confused, and very alone.

"After testing, I was told that no one else in my family had the condition, it was just me. I remember feeling numb, confused, and very alone."

I was referred to plastic surgery, where I was told that any tumours that grow large or become uncomfortable could be removed. Over the years, I’ve had several taken off my face and body. With every procedure, I was left with scars, but every scar I have carries a story behind it. Some are reminders of the physical side of NF1, others of what I’ve been through emotionally. They all tell a part of my journey.

Over time, more tumours appeared and grew, which affected my confidence more than I wanted to admit. I started to develop anxiety around my appearance and how others would see me. I’ve also had to deal with comments, things like “Try acne cream,” “Go to India  they might have a cure,” or “What are those marks on your skin?” As an Asian woman, those words felt heavy. There’s still so much pressure around how a woman should look, and the judgement can come quickly especially when people don’t understand.

But what I’ve come to realise is that NF1 does not define me. Yes, it’s something I live with but it isn’t all that I am.

"But what I’ve come to realise is that NF1 does not define me. Yes, it’s something I live with but it isn’t all that I am."

I’ve been lucky to have a supportive network around me  from family and friends to the people I work with. Their support has helped me through some of my hardest moments, especially the times I didn’t want to see myself in the mirror or when I constantly felt the need to explain myself.

For a long time, I stayed quiet about NF1. I used filters on photos and often felt like I wasn’t good enough. But in 2023, I had tumours removed from my face  and when the scars healed, something shifted in me. I looked in the mirror and saw someone who felt beautiful again. I felt like myself. And for the first time in a long time, I felt enough.

That feeling made me want to help others who may feel the same way I once did. I started distance learning and completed several courses in mental health and wellbeing something I’m really proud of. I know how anxiety feels, and I never want anyone else to feel alone in it.

I came across Nerve Tumours UK through the NHS website under the NF1 section. I reached out simply because I just wanted to speak to someone who understood. Since my diagnosis, I’d never met or spoken to anyone else with NF1, and often felt misunderstood. It’s been difficult trying to explain a condition that even many medical professionals openly admit they don’t know much about. That’s why I truly believe that more treatments, more support, and more awareness need to be put in place for those living with NF1.

I was introduced to Rebecca, a nurse from the charity, and she was so kind and reassuring. She supported me through my first mammogram earlier this year (2025), after I found a lump. Thankfully, the results were clear. But for anyone with NF1, a lump never feels normal there’s always worry. That’s why regular check-ups and guidance are so important.

"I was introduced to Rebecca, a nurse from the charity, and she was so kind and reassuring. She supported me through my first mammogram earlier this year (2025), after I found a lump. Thankfully, the results were clear. But for anyone with NF1, a lump never feels normal there’s always worry. That’s why regular check-ups and guidance are so important."

Since then, I’ve started to speak up more about my journey  through Instagram and TikTok  to raise awareness, and to connect with others who may feel unheard. This year, I also took part in the 5K Race for Life, which I proudly dedicated to all NF1 heroes.

It’s taken me time to accept this condition and speak openly about it, but now I do so with more strength and confidence. My journey with NF1 hasn’t been easy, but it’s shaped me into someone who’s resilient, compassionate, and determined to make a difference 

Masterclasses in NF: Ophthalmologic Findings & Orthopic Eye Examination in NF1 and NF2-Related Schwannomatosis

Ophthalmologic Findings & Orthopic Eye Examination in NF1 and NF2-Related Schwannomatosis

Prof. Dr. Berthold Pemp

OT Sabine Koinig

Masterclasses in NF: Plexiform Neurofibromas in NF1 - General Course and Neuroradiology

Plexiform Neurofibromas in NF1 - General Course and Neuroradiology

Assoc. Prof. Dr. Gregor Kasprian

Dr. Hector Salvador, MD

Masterclasses in NF: The Patients’ Perspective: A Masterclass on NF Care Held by NF Patients

Masterclasses in NF: Treatment Strategies for Vestibular Schwannomas: When to Treat? How to Treat?

Treatment Strategies for Vestibular Schwannomas: When to Treat? How to Treat?

 

Michel Kalamarides MD

Masterclasses in NF: Management Of Plexiform Neurofibromatosis in NF1- Rianne Oosterbrink, Justus L Groen, Karine Lascelles

Masterclasses in NF1: 1.Management Of Plexiform Neurofibromatosis in NF1

Rianne Oosterbrink MD

Justus L Groen MD

Karine Lascelles MD

Masterclasses in NF: Constitutional Mismatch Repair Deficiency Syndrome as Differential Diagnosis to NF1/Legius Syndrome - Prof. Dr. Katharina Wimmer

Constitutional Mismatch Repair Deficiency Syndrome as Differential Diagnosis to NF1/Legius Syndrome

Prof. Dr. Katharina Wimmer, Medical University of Innsbruck

Masterclasses in NF: Rare NF1-Associated Tumors in Adults - Eric Legius & Prof. Ellen Denayer

Masterclasses in NF: Rare NF1-Associated Tumors in Adults

Eric Legius, MD, PhD, University Hospital Leuven

Prof. Ellen Denayer, University Hospital Leuven

Masterclasses in NF: Optimising Hearing Outcomes in NF2-Related Schwannomatosis - Simon Freeman

Masterclasses in NF: Optimising Hearing Outcomes in NF2-Related Schwannomatosis

Simon Freeman, MPhil FRCS, Manchester Royal Infirmary and Salford Royal Hospital

Masterclasses in NF: NF1 Dermatological Manifestations - Pierre Wolkenstein, Laura Fertitta & Sirkku Peltonen

Masterclasses in NF: NF1 Dermatological Manifestations

Pierre Wolkenstein, MD, PhD, Hopital Henri-Mondor, Paris, France

Laura Fertitta, MD, Hôpital Universitaire Henri Mondor

Sirkku Peltonen, MD, PhD, University of Gothenberg, Sweden

Masterclasses in NF: Breast Cancer in NF1 - Gareth Evans

Masterclasses in NF: Breast Cancer in NF1

Gareth Evans, MD, University of Manchester, UK

Masterclasses in NF: Pain in Non-NF2-Related Schwannomatosis - David Pang

Masterclasses in NF: Pain in Non-NF2-Related Schwannomatosis

David Pang, MD, ChB. Guys and St Thomas' Hospital NHS Trust, London

Masterclasses in NF: Distinguishing Non-NF2-Related from NF2-Related Schwannomatosis - Clinical and Genetic Approaches - Said Farschtschi

Masterclasses in NF: Distinguishing Non-NF2-Related from NF2-Related Schwannomatosis - Clinical and Genetic Approaches

Said Farschtschi, MD, University Medical Center, Hamburg-Eppendorf, Germany

Masterclasses in NF: NF1 Pre-Implantation Genetic Diagnosis - Eric Legius & Prof. Ellen Denayer

Masterclasses in NF: NF1 Pre-Implantation Genetic Diagnosis

Eric Legius, MD, PHD, University Hospital of Leuven, Belgium

Prof. Ellen Denayer, University Hospital of Leuven, Belgium

NF2 Working Together: from a tentative diagnosis and beyond

Understanding the impact that a tentative diagnosis has on a parent. Information and access to the existing NTUK and Specialist Nerve Tumours medical and non medical care network.

NF1 Working Together Part 2: from a tentative diagnosis and beyond

Understanding the impact that a tentative diagnosis has on a parent. Information and access to the existing NTUK and Specialist Nerve Tumours medical and non medical care network.

NF1 Working Together Part 1: from a tentative diagnosis and beyond

Understanding  the impact that a tentative diagnosis has on a parent. Information and access to the existing NTUK and Specialist Nerve Tumours medical and non medical care network.

Masterclasses in NF: Surgery in NF2 - Michel Kalamarides & Andrew King

Masterclasses in NF: Surgery in NF2

Michel Kalamarides, MD, PhD, Hôpital Pitié-Salpêtrière, Paris, France

Prof Andrew King, MBBS FRCS FRCS(SN), Salford Royal Hospital, Manchester, United Kingdom. Member of the MAB of Nerve Tumours UK

Masterclasses in NF: Cognition and Behaviour in NF1: Phenotype and Treatment Approaches - Shruti Garg, Andre Rietman

Masterclasses in NF: Cognition and Behaviour in NF1: Phenotype and Treatment Approaches

Dr Shruti Garg, MBBS, MRCPsych, MMedSci, PhD, Royal Manchester Children’s Hospital, United Kingdom. Member of the MAB of Nerve Tumours UK

Andre Rietman, PhD, Erasmus University Medical Center, Rotterdam, Netherlands

Masterclasses in NF: Emotional Challenges in NF1, NF2 and Schwannomatosis - Susie Henley, Thomas Pletschko & Verena Rosenmayr

Masterclasses in NF: Emotional Challenges in NF1, NF2 and Schwannomatosis

Susie Henley, DClinPsy, PhD, Guy’s and St Thomas’ NHS Foundation Trust, London UK

Thomas Pletschko, PhD, Medical University of Vienna, Austria

Verena Rosenmayr, Clinical Psychologist, Medical University of Vienna, Austria

Masterclasses in NF: NF1 Pediatric Management - Rianne Oostenbrink

Masterclasses in NF: NF1 Pediatric Management

Rianne Oostenbrink, MD, PhD, Erasmus University Medical Center, Rotterdam, Netherlands

Masterclasses in NF: Associated Glioma in Children - the Optic Pathway and Beyond - Amedeo Azizi

Masterclasses in NF: Associated Glioma in Children - the Optic Pathway and Beyond

Amedeo Azizi, MD, PhD, Head of the Paediatric Neurofibromatosis Program and Paediatric Neuro-Oncology Program, Medical University of Vienna, Austria

Masterclasses in NF: NF1 Orthopedic Manifestations - Eric Legius and Christophe Glorion

Masterclasses in NF: NF1 Orthopedic Manifestations

Eric Legius, MD, PhD. Head of Clinical Genetics Department of the University Hospital Leuven, Belgium

Christophe Glorion, MD, PhD, Department of Paediatric Orthopedic and Traumatologic Surgery, Hopital Necker-Enfants Malades, Paris, France. 

Masterclasses in NF: NF1 Malignant Peripheral Nerve Sheath Tumours - Rosalie Ferner and Viktor-Felix Mautner

Masterclasses in NF: NF1 Malignant Peripheral Nerve Sheath Tumours

Prof Rosalie Ferner, Consultant Neurologist and Lead Clinician for Neurofibromatosis, Guy's and St. Thomas' NHS Foundation Trust, London. Member of the MAB of Nerve Tumours UK and Trustee of Nerve Tumours UK

Viktor-Felix Mautner, MD, PhD. University Medical Centre in Hamburg-Eppendorf, Germany. Head of NF Outpatient Department

Masterclasses in NF - Neurofibromatosis Type 1: Cutaneous Neurofibromas - Pierre Wolkenstein and Sirkku Peltonen

Masterclasses in NF - Neurofibromatosis Type 1: Cutaneous Neurofibromas

Pierre Wolkenstein, MD, PhD. Hopital Henri-Mondor, Paris, France. Head of the Department of Dermatology

Sirkku Peltonen MD, PhD. University of Gothenberg, Sweden. Professor of Dermatology

INFER (International NF Educational Resources) is a series of online educational lectures for medical professionals by leading neurofibromatosis experts. The Masterclasses take place online approximately once a month, each on a different topic, and include real-time interaction between the expert presenter and the participants. The presentations are conducted in English, with real-time audio interpretation available in 6 additional languages: French, German, Italian, Portuguese, Russian, and Spanish. A recording of each INFER masterclass is then be made available online in each language for those who could not attend an event. INFER is an initiative of Children’s Tumor Foundation Europe, supported by an educational grant from AstraZeneca. https://ctfeurope.org/research/masterclasses-in-nf

BPNA Keynote Lecture - Prof Rosalie Ferner - Neurofibromatosis 1 in the 21st Century

‘Neurofibromatosis 1 in the 21st Century’

Keynote Lecture at the 48th British Paediatric Neurology Association Annual Scientific Meeting on 21st January 2022

Prof Rosalie Ferner, Consultant Neurologist and Lead Clinician for Neurofibromatosis, Guy's and St. Thomas' NHS Foundation Trust, London. Member of the MAB of Nerve Tumours UK and Trustee of Nerve Tumours UK