Cohesive Gel/Gummy Bear Various Sizes

  • desinparis
  • Los Angeles
  • 3 years ago

I had a double mastectomy (cancer only on one side), chemo and radiation.  I will soon be having my exchange surgery.  I am scheduled for the gummy bear implants with a doctor authorized to use them under the study.  I will be a medium B cup but I'm not sure which of the three profiles to choose from.  Does anybody have any feedback to help me understand the differences?  Additionally, a friend who had the same doctor had the gummy bears and didn't like them and, after 6 months or so, she exchanged them for regular silicone.  I need some help and direction.  Thank you. 

Comments (13)

Sort by

Thank you Beverly. I am on Medicare(I am 73 now)! I want to get this done before the next changes in Medicare, happening after January 1. My original surgeon is in Florida and probably retired. Haven't started looking for a surgeon yet- Don't know whether I will get it done here (Texas) or Florida.
  • Reply
Desiree,
Wow, 15 years since your mastectomy, that is so inspiring! Are you considering the revision on the remaining breast? So many options are available for women who are interested in restoring their femininity. Love to hear your thoughts. xo, Beverly
  • Reply
Hi Beverly-I'm Andrea!

I am considering having an implant in the remaining breast- I asked about it at the time of the original implant, but my PS didn't think I needed it at that time. I had the remaining breast lifted to match the level of the implant, but, of course, It has sagged. I waited a year and a half after the mastectomy to get the first implant- it was supposed to last only ten years, but it has been there over 13. When I had the permanent implant put in, he made the nipple at the same time, from skin from my groin.

Andrea
  • Reply
Hello Andrea,
Have you stayed in touch with your plastic surgeon? The Women's Health Act was passed in 1998 which provides specifics on what is covered by insurance pre and post mastectomy, including mandates for women who choose reconstruction. For those who have had unilateral mastectomy, the remaining breast may be altered to provide symmetry. Check with your insurance carrier as well as your provider for coverage if your surgery was before 1998. It is a personal choice, but in my humble opinion, providing you are a good candidate medically, why not give yourself the gift of a beautiful restoration? The technology has advanced since your surgery. It sounds like you heal well so you can expect a lovely result. Let me know... xo
  • Reply
Hi Desiree:
I agree it's so important to get more than one opinion about any Plastic Surgery, especially implant after radiation, which is not recommended. Look in the Q and A section for doc's comments on this. I saw three Plastic surgeons before finding one who would do what I wanted, a simple implant! They all wanted to do a flap and I had no radiation. From what I read here, the DIEP sounds like a good option. That was not available when I had my surgery.
I am 15 years out from my single mastectomy, and needing a revision due to extreme sagging on the remaining breast. The implant, however, is doing great. Bathing suit season is not my friend!

Best of Luck on your surgery. Let us know what you decide

Andrea
  • Reply
Hi Beverly.

I appreciate your input regarding a second opinion and will definitely do that. I will also heed your advice on doing my homework of all the different options well in advance of the exchange. Thanks for your wisdom, common sense and good wishes!

Desiree
  • Reply

We must make lemonade from lemons Desiree!

Here for you always,

Beverly

  • Reply
Hi Beverly.

Starting to feel good after radiation ended about 5 weeks ago. I haven't decided on the implant yet since my exchange surgery will be in 3-5 months. My doctor is at UCLA and participates in the silicone cohesive gel study (gummy bears), so my choices will be limited from what I understand. We went through it a little in the beginning, which I don't remember so I'll need more info as the time gets closer.

Desiree
  • Reply

Hi Des,

Thank you for keeping in touch and I'll bet you are glad the radiation is over. How did your skin react to the radiation?

I am concerned about your thoughts of not having much choice in the decision of which implants you will have.

Yes, your doctor is participating in a study with the cohesive gel implants, but that's her choice, not yours. It is true that we must rely on the wisdom of the doctor we choose to advise us on our individual situation. This however, is a partnership. You always have a choice. Please educate yourself about your options (all of them) by seeking another physician's opinion. Doctors will usually advise you on the options that they can provide. That doesn't necessarily mean that those are all of your options.

You may indeed be limited based on the type of surgery and treatment you have had. Please make sure that is the reason you are limited by verifying with another doctor.

Wishing you the best!

Stay well and in touch,

Beverly

  • Reply

Hi Des,

Just checking in to see what you have decided. Still feeling well, I hope. Please consider sharing with us what you have learned by  writing a review. It will get you lots of love from the community.

Beverly

  • Reply
Thank you Beverly for your feedback. It's been discussed with the doctor and he's terrific, and at this point, I'd love to hear how actual users feel with what they have.
  • Reply

Have you decided on a type of implant?

Personally, I started out with mentor saline, wasn't happy, did not feel natural.

 Rough edges could be felt through the skin.

I needed a revision for an encapsulation and elected to use silicone. I worried about FDA'a prior removal of them from the market but after researching, I felt comfortable using them and they feel very natural.

Mine were done two years ago and all is going well.

keep us posted.

Beverly

  • Reply


Hi Des,



My name is Beverly and I want to welcome you to RealSelf's breast reconstruction community. It is our intention to support you through your breast restoration. When visiting our site you will notice we have members who are experiencing similar concerns. You may find some answers in our Doctor Q&A. Try typing some keywords into the search bar and you will be provided with posts that address your questions.



Just as women all have different shaped breasts, there are implant shapes to address a woman's desire to create the most natural look for her body. Each of the different styles of implants will produce a different projection for your body. Your surgeon's office should be happy to have that discussion with you.Personally, I chose implants that were lower profile so as not to "stick up" or be too high on my chest wall. I am a petite woman and decided it was a more natural look for me. You may also elect to change the shape of your breasts by choosing a different profile. It is all about managing your expectations and informing yourself about your choices with your doctor's guidance will result in your best possible outcome.



Please let us know how it goes for you. I am sure your experience will serve to help others in our community.



Best of everything to you,



Beverly

  • Reply