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POSTED UNDER Breast Implant Revision REVIEWS

34 Y.o. Breast Implant Exchange, Bilateral Capsulectomy and Mastopexy - Houston, TX

ORIGINAL POST

Dr. Vitenas and each member of his staff have made...

alliecat1116
WORTH IT$21,500
Dr. Vitenas and each member of his staff have made me feel at ease from the beginning and continue to do so. I was born with a tubular breast on my right side and my breasts were uneven. I had a breast augmentation in 2005 from another surgeon who placed saline implants above the muscle and put them in through my navel. I was pleased, but over time they began to harden and the right one started moving up toward my collar bone which made my nipples increasingly uneven. Pain began a few months ago to where I was unable to continue exercising. Dr. Vitenas told me I had developed capsular contractures. He informed me of his treatment plan, which included pre-draining of my implants (which terrified me, but understood the reasoning and trusted his judgement), then surgical removal of saline implants, removal of scar tissue, implant exchange from saline to silicone under the muscle, placement of strattice, and a lift, as I wanted smaller breasts. To me, this was a lot of surgery and I was so scared, but was comforted by Dr. Vitenas and all his staff. Surgery went well and I am recovering well. Pain was very much controlled and removal of drains was not as bad as I had imagined. I could not be more pleased with the symmetry of my breasts, nipples, and the scars are not an issue with me. I am not even 3 weeks post-op and feeling good, pain is minimal, just a little tightness at this point. I know the best is yet to come. I highly recommend Dr. Vitenas and his staff.

alliecat1116's provider

Paul Vitenas, Jr., MD

Paul Vitenas, Jr., MD

Board Certified Plastic Surgeon

4.6 | 196 Reviews
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Replies (15)

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July 22, 2014
I'm so glad your revision went so well! How long were you in surgery?
July 23, 2014
Thanks, they tell me about 3.5 hours.
July 22, 2014
I would love to see some post op pics. I am 3 weeks post op. I had implant exchange, alloderm, capsulectomy,,left side lift,and went from over to under. Heard I was under 3 1/2 hours. It's been a long recovery although I understand a lot went on. I posted pics on my profile. I wanted natural looking breasts with emphasis of my age (56) did not want 20 year old boobs as I really wish this to be my last breast surgery (my 5th) in about 34 years with implants. At 3 weeks not sure what to expect as I think they look "funky". They also look big and flatish?? Really scared of lift scar....
July 23, 2014
The scars don't bother me at all. I have other scars from removal of pre-cancerous moles all over my stomach though, so I am kind of used to them. I call them battle scars, or you could say you were in a knife fight...and lost. lol I think mine are a little different, but think they will look even better with time. Keep a positive attitude :)
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July 23, 2014
I'm in Houston too and had a revision with a new surgeon for me, dr Boynton with Strattice to prevent my cc from coming back also (and moving the implants from overs to unders). Congrats on your successful revision!! I love how with Strattice you can't feel the bottom edges of the implant at all, and it feels great to go bra less now!!(7 weeks post op)
July 23, 2014
Congrats! Are you back to your normal activities at this point? What are/aren't you able to do? Full range of motion? Any tightness or soreness?
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July 24, 2014
I can't yet do all the yoga poses I was doing before (I'm a teacher and daily practitioner), but I'm able to do most poses these days. No tightness or soreness, perhaps a little pain along my sides in really deep forward folds. I could do downward dog finally last week and even high plank and side plank this week without any discomfort. My doc advises against low plank(push-ups) and lat pull downs, because he says your chances of messing things up will always be there. I'm not sure if he's being super cautious because I've read differently, but it makes me concerned.
July 24, 2014
At 3 weeks I'm just now reaching full range of motion. I pray in 4 more weeks I can do a little downward dog! Thanks for the info!!
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July 24, 2014
Oh yes, 6 weeks is that magic number it seems!! I couldn't lie down and extend my arms up by my ears until the last few days, and I've still been sleeping elevated until last night!! It takes a while for the pockets to heal, and I don't want to mess anything up. Each day you get stronger and you can do more without any strange sensations.
July 25, 2014
If only I felt comfortable sleeping in another position besides my back! I am usually a stomach sleeper and am so ready for some change. I actually woke up with my back and shoulders hurting. I will be doing some light stretching today with a little hot pack. I also will be getting a quick massage (obviously not face down). :( so ready to feel better! I know it's coming slowly, it's just difficult for me to rest for this long!
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July 25, 2014
I bought a wedge pillow for this revision and used it for weeks after surgery, so no back pain this time. Hope it feels better soon for you.
July 23, 2014
Hey there, When I saw your post I was a bit perplexed as your story is almost the same as mine! I too had a BA aged 25, I am now 34, and have just had the same surgery as you - implant exchange, and mastopexy, although the surgeon did not remove the capsule in the end. I would love to see your photos if you would be willing to share? I get my dressings off today, so no photos as yet, but I did have a look earlier, and I am devastated. I look a total mess and not a nice shape at all :(
July 23, 2014
It does look scary, I told people it looked like a shark attacked me. lol. Mine are a little different shaped, but they are so much better than before and I am sure they will continue to look more natural and not feel as tight as time marches on. Good luck and hope the photos help.
July 24, 2014
I had mine done 3 weeks ago. I have progress pics on my profile... Had implant exchange, went from overs to under, capsulectomy, left side lift.... Hoping it gets better as I heal...I hope urs do too..
July 24, 2014
Msvs. I think i had what you had too. Plus alloderm. I had surg on July 1st. Have been posting weekly updates and progress pics. Allicat's incisions look way better than mine. I really can't see what it looks like around the areolea but the vertical scar looks scary and yucky. Hers look nicely closed. Would love to see your progress pics too! Good luck I hope they look better with each passing day!
UPDATED FROM alliecat1116
21 days post

3 week Post op

alliecat1116

Replies (13)

July 24, 2014
Hey guys, so I saw my surgeon yesterday at 9 days post-op. He is pleased as the incisions are clean and dry, no signs of infection,phew. Now I just have steri strips on the scars. Again I only saw my boobs lying down. Later that day, I did have a look. Hmmm. I think actually, my left breast is gonna look pretty good, but my right side, where I had a tubular deformity, looks pretty weird to me. Not a nice shape :( My surgeon said to be patient, give it time for things to settle. I will see him in 3 weeks. However, I am not convinced that my right breast is ever gonna look normal without further surgical intervention. This makes me feel pretty low. Even though I was prepared for the fact that I may need more surgery, u kinda hope u don't right?
July 24, 2014
I feel the same that my left will look great, the right (tubular one) is a little more cone shaped than the other, but my nipples are even and I am trusting that it will look better over time. And I am pretty sure it will be unnoticeable once I am wearing a bra. Hang in there!
July 25, 2014
Wow allliecat1116,we are in the same boat then! Yes I too believe that my nipples appear to be at the same height. However on my right side,the nipple is not centered on the new breast shape,so it looks odd. I believe this relates to the distance between the nipple to IMF,as it seems much shorter on the right side. Yes time is all we have right now x
July 25, 2014
Always kinda hope that this is it the last surgery I'll ever have. You always want to "love what you see" and not have to wait and see to know if you'll love them or not???? Not sure I made sense...
July 25, 2014
I totally get u. I didn't know what exactly to expect, but I guess I did expect my abnormal breast to finally look normal. I kinda peeked again earlier,and actually I'm not even sure that my nipple is the same height :(
July 27, 2014
IMF? How have you been feeling? How long post-op are you now?
July 27, 2014
totally makes since! It has been so weird as I have literally changed breast sizes 3 times in a little over 3 weeks. With my initial implants, the deflation (4 days pre-op), and now my new size. I am getting more used to my new shape by the day! How are you feeling?
July 27, 2014
I will try and post a pic of me pre-op and show you how uneven my nipples were. I was so self conscious, now I am going without bras and wearing stripes! Big change!
July 24, 2014
Will try to get some photos this weekend x
July 24, 2014
Really glad to be able to share this experience with you all! It helps the mental recovery :)
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July 25, 2014
You didn't mention implant sizes from first and second surgery. How come you chose to downsize? Why not avoid lift and stay same size?
July 25, 2014
I was a very large D some bra places said I was a DD. I was around 330cc in left breast and 500cc in right breast. They always felt too big, cumbersome and kept me from being as active as I wanted, also clothes just never fit the right way. I am now a C cup and love the size.
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July 25, 2014
True and the scars will fade. I have some ptosis in R breast which I assume is from years of wearing my purse and one shoulder strap and on my R shoulder however due to my hypertrophic enlarged scars I refuse to do lift since it is not major droop
UPDATED FROM alliecat1116
25 days post

Pre-op

alliecat1116
I have been asked about my previous size and why I chose to go with a smaller size and lift. I found a pre-op picture taken just before my implants were deflated. As you can see, the capsular contraction on the right was moving up toward my collarbone and my nipple pointing down and to the side. The scars from the lift and my smaller size were definitely worth it to me.

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