28yr.old silicon implants over muscle are ruptured- experienced PS recommends replace in same pocket. Any suggestions?
Byon 03 Nov 2012
I am a very athletic, active 59 year old, 5' 4 1/2", 125lbs. My upper chest is flat. I wear a 36 C bra and don't fill out the top part well. My current implants are 250 cc old Dow Corning silicon over the muscle. Both sides have some painless capsular contracture. Have had them for 28 years. I always knew I would get them replaced someday and was waiting for something greatly improved to hit the market. I recently had trauma to one breast -it went soft immediately. Gyn doctor recommended not doing anything-his opinion -silicon does not harm the body. Had a mammogram which confirmed the rupture. Then I began having a strange itching rash. I started looking before scratching and I have red streaks that flare up-itch like crazy then goes away--mostly on my forearms and wrist. Other times I get a red blotchy rash anywhere on my body that itches like crazy and goes away. GYN doctor said it was my worry and imagination causing it. I decided to go to 30 year experienced Board Certified PS. Took pictures and showed the rash to the PS--he said it looked like my lymph system was effected. Needless to say I am getting the implants out. PS recommends replacing with round high profile implants over the muscle in same pocket. He likes Allergan Natrelle implants. The younger PS in the same office recommended take old ones out, leave out for at least a month and then put new ones in under the muscle. Experienced PS says the pocket won't heal right. He thinks best results for me are over muscle, especially because I am athletic and my job requires lifting. He would consider using the newly FDA approved Sientra Silimed High -Strength Cohesive Silicone Gel smooth rounds he recently learned about at a conference. He expects to get them soon- has never used them yet but he said they feel natural and less contracture rate. I read they keep their shape, I am afraid I will have balls on my chest when I lay down. He recommends go slightly bigger or at least go the same 250cc size. My main concern is the high rate of capsular contracture though-- I don't have the finances to have repeated revisions and no company warranty covers that. I wish I never had them in the first place--my breast were totally deflated after breast feeding three great kids for average one year each. Implants were the rage back then. If I leave them out both PS and my new husband (married one year now) thinks I won't be happy. I didn't have health problem before the rupture. I have thought about going to a bigger city 3 hours away for another opinion. Anyone have this happen to them? What did you do?