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POSTED UNDER Breast Implant Removal REVIEWS

61 Yr Old, Having my Hardened Silicone Breast Implants Removed 23 Yrs Later! - Santa Clara, CA

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I had my breast implant surgery when I was 38...

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Petunia53
WORTH IT$250
I had my breast implant surgery when I was 38 years old. My silicone implants hardened after two years, but I lived with that because I felt sexier and more womanly. Fast-forward many years later and the hardness factor became more annoying and painful to me. I also developed fibromyalgia along the way and I feel the implants contributed to that. My implants are so hard, I hate them! I just want these foreign objects out of my body! Reading everyone's posts on this web site has been very helpful, because it's somewhere to discuss my experience, fears, ask questions, find the support I need and where I can hopefully help others, too. I started looking for a plastic surgeon in 2007. I belong to Kaiser and my primary physician told me that Kaiser would remove my implants for free or at very little cost. Yay! I saw two different plastic surgeons at Kaiser; the first one in 2007 & the second one in 2011. I had issues with both of them; nothing awful, but to save time, I won't go into detail. Mostly, I was too worried about the end results to go ahead with the surgery. So, I waited. About six months ago I started experiencing more pain in my left breast. That worried me, so I started thinking about getting them removed again. Now, after researching other plastic surgeons at Kaiser, I made an appt for a consultation with one in Santa Clara, CA which is about 30 minutes from my home. This plastic surgeon is the Chief of Plastic Surgery, who specializes in breast reconstruction and he has great credentials, etc. I am a VERY OCD person when it comes to being well-informed about my doctors as well as any procedure I'm considering. I spent two days, perusing the Kaiser web site to read about every plastic surgeon in my area, for starters, then I compared each one and made sure they were board-certified in plastic surgery, plus I wanted one who specializes in breast surgery. I saw him on Friday, 2/8/14. I had a LOT of questions written in my little notebook! First, we talked a bit, then he had me stand up while he examined my breasts. He told me to get dressed, because "people tend to remember details better when they're comfortably clothed and not sitting in a gown". I loved that! How considerate and he was right! LOL. First, he explained the procedure he recommended for ME and explained why. He was calm, factual and not rushed in any way. After he explained what his recommendations were, I told him I had a lot of questions for him and he said that was fine by him and encouraged me to ask away! First, I asked him about his credentials to confirm everything I'd read online, I asked if his anesthesiologist was also board-certified and the answer was "yes". He told me that ALL of Kaiser's plastic surgeons are required to be board-certified, and the anesthesiologists are too. I will have the surgery in the OR as an outpatient, with general anesthesia. He said this surgery should take about 2 hrs. My left breast is harder than the right, especially along the bottom of the breast. They are very firm. To me, they feel like hard oranges/grapefruits! Some days they feel like baseballs when I hug someone or lie on my tummy for a back massage. Embarrassing and uncomfortable! The plastic surgeon said that he will first check to see if my implants have ruptured (he looked at my mammo X-rays and he said they look intact--the left side
MAY have a small rupture at the bottom from what he saw) while he makes the incision. He said he'll be looking for any gel from a rupture and if he sees any, he'll be sure to remove the entire capsule, to ensure none of the gel escapes into my body. He will also carefully remove any excessively-hard scar tissue. If there's no rupture, I think he said he would keep the capsule in, which is part of my body, so I would be able to retain as much breast tissue as possible, so my breasts would not be as sunken in or flat. That's only if the capsule is thin and not hard. If it's hard or too thick, he'll remove the capsule. He explains that the capsule is a normal response to the body whenever a foreign object is put inside of our bodies. If it's a thin shell that was formed, it's our own tissue, so nothing left in is toxic, which is what I was worried about. I want anything toxic to be removed! I really feel that this doctor is an excellent choice for many reasons, besides his credentials. He was factual, but friendly, very approachable, kind, patient and he had a sense of humor, which is something I need. He never made me feel stupid and I didn't feel rushed in any way. He said this time with him was for ME and that he wanted to be sure all of my concerns and questions were answered. I really liked HIM and that part is huge to me, especially when I knew his credentials as well. I told him of my fears and concerns. He addressed every one of them. Okay, now for what I can expect for MY results...I think he honestly gave me the worst-case scenario, so I wouldn't get my hopes up. I am not expecting great results; NOT because of his expertise, just because of the way my breasts are, to begin with. My breasts were always small and I didn't have a lot of breast tissue on the bottoms of them. My nipples aren't the kind that are up high or even in the middle. Not the cute, perky kind of nipples, in other words, darn it! If they were, I probably would have been okay with smaller breasts. Maybe. Sooo....he said my breasts may not end up being symmetrical, one side may be more concave if he has to remove more scar tissue in that side. With implants, the breast tissue stretches out, so I should expect loose skin and droopiness. Oh, goody! Ugh...but that's what I've been expecting. He, of course, will be striving for the best possible outcome for me, but he has to be sure he's removing anything harmful, too. I will get to go home about two hours after the surgery. He said he's going to insert a drain in each breast that usually stays in for a week, but it could be longer if necessary. I'll be wearing two Ace bandages, snugly wound around my chest for a week, so I can only take a sponge bath. He said I could very carefully take a bath in shallow water to wash my bum, if I want. I'll have to measure the fluid in the bulbs at the end of the drains left in and empty it afterward. Yeah, kinda gross, but I can handle that. Then, he'll see me a week after my surgery, if all goes normally. I'm discouraged about how my breasts may look after surgery, but I still want to go ahead. I have a lot of aches in my body, not a lot of energy, brain fog and I feel like all of these symptoms began two years after I got the implants. I hope and pray the symptoms disappear eventually once the implants are gone. I am feeling good about this surgeon and that's the very important first step in this whole process. A few days later...I have been freaking out a bit about being disfigured. What if I am? Can I handle that? I've enjoyed having boobies and being able to wear sexy bras! I love knowing I have some cleavage to show if I bend over and someone may have a little peek of "boobage" instead of a flat chest. LOL. Little moments of pleasure and confidence I didn't used to have. Oh well. I'll just deal with it. My surgery is scheduled for April 11th and I know I'll still struggle with the loss of my normal-looking breasts, but I feel like I'm making the healthiest decision for me. I'll post before pics soon. Sorry this is so long!!

Petunia53's provider

Dr. James J. Orman

Replies (3)

October 19, 2014
You look great! I love Kaiser! Just had mine removed in Sacramento! Best PS I've ever met :)
October 19, 2014
You are fortunate to live in the Bay Area and have Kaiser. I moved away and now live in South Carolina where health care is very behind the times. I was in an auto accident a few years ago and ruptured both implants (I'm 73 and implants have done well for 38 years, no problems ever). Now I have a hard mass of leaking silicone in one breast making it hard and mis shaped. Medicare will not pay to have them removed and I can't afford it. Plastic surgeon says it won't leak anywhere else in my body, but I'm not so sure about that. Wish I were back home in California so I could get Kaiser again.
December 5, 2014
I have information that Medicare will pay to remove ruptured silicone implants. They won't pay for replacements, but will pay for explantation only. I would check on that if I were you. I believe most doctors would tell you that ruptured, leaking, 38 year old implants should be removed.
UPDATED FROM Petunia53
1 month pre

Should I have this done?

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Petunia53
I've been thinking my implants have been causing me to have health issues, mostly with auto-immune issues, that I decided to get them removed. It's not fun having hard boobs that hurt, either, especially the left side. It has started hurting more lately and something just feels "wrong", besides the hardness. But, I almost feel like I'm volunteering for a mastectomy, because that's what I feel like my breasts will look like after I have them removed, other than the big scar that a mastectomy causes. Maybe it's better that I just live with my normal-looking breasts and cope with the hardness! I'm very worried about how they'll look after surgery. What if I look disfigured and lopsided? I'm really starting to second-guess myself! I feel like I found a qualified surgeon and I was already to go, but now I'm really worried about how I'll feel post op.

Replies (18)

March 4, 2014
Hi Petunia53. I'm there with you with 32 year old implants and I'm 56 years old. I'm going for consultations soon and have a lot of mixed emotions also. I do feel like the right thing is to get these silicone things out (one ruptured). So stressed about finding the right dr. Please keep us posted and thanks for sharing your story!
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March 5, 2014
Hi bigmistake82, it was great to hear from you! You're right, there are a lot of mixed emotions about this big decision, because of the unknown factors. One minute I know I'm doing the right thing by having them taken out, then my emotions change because I'm afraid of being disfigured after the surgery! I am hoping that my left implant isn't ruptured. Dr. Orman looked at my mammogram x-rays and he didn't think it was. How long ago did yours rupture? Because I have Kaiser insurance, it's easier for me to look through the physician directory, then pick a city near me and search the plastic surgeon's credentials. I was having a hard time at first, because I didn't have any recommendations from someone I knew. When I had my breast implant surgery done, I knew two other people who had used that surgeon (a different one), so that set my mind at ease hearing they had good results. I was so careful about doing my research before I had my implants done, so I thought everything would work out fine! It really sucks when our bodies "reject" the implants and harden. It kind of feels like a crapshoot; some implants harden in some people and some don't. It doesn't seem to matter whether they're saline or silicone, it just depends on each individual person's body. I'm going to email my doctor today and tell him that I'm having more pain in my left breast and some numbness under my arm and pain around my back. I'm hoping maybe he'll do an MRI to rule out the possibility that I'm having other health issues and not just breast implant issues. I've been having a funny feeling that goes from my left breast up into my neck area a little bit and some pain that feels like it's coming from inside my body under my left implant. That's been happening only for the past month or so. I just don't want any surprises when he's doing the surgery such as finding something more extensive than he was prepared for. Dr. Orman assured me that I can email him any time, for anything. I'll let you know what he says. Good luck with your search! I know exactly how you feel!
March 6, 2014
I think I would contact doctor, too. Sounds like something is definitely going in in there. Maybe you should have an MRI. I found out last Jan (2013) that my right implant was ruptured. I had my yearly mammogram and received the letter saying they found nothing abnormal from the hospital just like always. Then my primary care dr called me and said radiologist found a rupture in one implant. She asked me if my ob/gyn had ever mentioned it in the past. He had not!????? So I don't know if I've had a rupture for 1 year or 10 years. Makes no sense does it? My rupture is supposedly contained inside the capsule, but I guess we won't know until they get in there. My implants are not really hard like many women complain of, but I feel that they are there. I'm ready for this to be over.
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March 6, 2014
I emailed my doctor today, so I'm just waiting for his reply. That's terrible that you're not sure how long your implant has been ruptured! It is pretty discouraging when we feel that something has been overlooked by someone down the line. I mean, that's why we have mammograms in the first place! I feel that someone should've caught it, but what can you do? Now you know and you're doing something about it. That's the important thing! What is your surgery date?
March 7, 2014
I have consultations on March 25 and March 31. I'm stressed about finding the right doctor. I have talked to several other doctors offices, but didn't feel good about them for one reason or another. Hoping to have surgery early in June. I will let you know how my consults go. I want to feel great about the doctor I choose. Thanks for being there to talk to!! Keep in touch!
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March 7, 2014
I know what you mean about wanting to feel great about the doctor you choose. I saw my first doctor in 2007 and then one in 2011. How bad is that? I just didn't like either one of them and when I saw the second doctor, my insurance didn't cover the surgery, so I would've had to pay $4000 to have them removed. Now I have better insurance and I only have a co-pay of $250. I finally found a doctor I really like, thank goodness! I can't wait until April 11. It will be so nice to have all of this behind me and on my way to healing. Good luck on your search for the perfect doctor. Make sure to keep me updated, okay? Hang in there!
March 7, 2014
Oh $4000 sounds great to me. My out of pocket for Dr Kolb I think would be around $10,000 because she is out of network with my insurance. She is really the one I want to see. I do have a consult with another Atlanta dr who is in network, and does a lot of reconstructive breast surgery. I want more than a regular PS because there may be a mess in there when they go in :( I'm sure I will end up paying several thousands for him also. I really wish I had been wiser at a young age and I wouldn't even be dealing with this right now. I would really rather remodel my kitchen with that $. Ha Ha!!
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March 7, 2014
Yep, $4000 is certainly a heck of a lot better than 10,000! You've got the right idea seeing a plastic surgeon who does reconstructive breast surgery. I'm glad I found the right doctor for my surgery, as well. He is the Chief of the Plastic and Reconstructive Surgery Dept. at Kaiser, so I feel better about having him do my procedure. I'm afraid my breasts are going to be a mess when he gets in there too. I have a lot of hardness on the bottom of my left breast, so I fear that he's going to have to take out a lot of scar tissue, especially on that side. I'm afraid I'll be really lopsided after the surgery. I wish I could've been happy with my smaller breasts, too. It really hasn't been worth it since my implants hardened. They hurt and I don't like that it feels like I have baseballs in my chest when someone hugs me. I always wonder if they can feel how hard my breasts are. Yeah, it's always much more fun using our money for something we really want instead of something like surgery!!
March 8, 2014
I also notice hardness on the side of my right breast. It sort of feels like something is pulling on that side and that scares me. When I think about it, it seems like it's been that way for years. I guess I was in denial that I even had implants, much less that something might ever be wrong with them. One thing that I do feel good about is that my implants are small and so I won't have to go from huge boobies to flat ones. I'm a B even with implants, so I'll just go flat again when they are gone! But first I need the right doctor and then I think I will feel much more at ease!
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March 8, 2014
I'm more of a C, sometimes a D, but usually C. After my implant surgery, I remember waking up and thinking my breasts weren't much bigger. I don't know the exact amount of cc's, but I think they are just over 400-450. I was overweight when the surgery was done and now I'm even heavier, since last year. Ugh--I'm going to work on that! But, the implants made my breasts fuller on top and they're firmer, so at least my breasts weren't flattened down in a swimsuit any longer and I had some cleavage with a bra on. I have no idea what to expect, post-op. I'm just hoping they aren't caved in; that's my fear! But, after awhile, I've heard they usually fluff up again, or at least a bit. I've been feeling scared about getting them out, today. My emotions are like a see-saw! I really hope you find a doctor you feel completely happy with!
March 8, 2014
Are you considering a lift? I am so unsure about that surgery and really don't understand a lot about it. I sure pray I won't need one, but I can only imagine how disgusting I'm going to look! It's amazing that Kaiser is only charging $250 to remove yours. Is it because they realize the health issues that are really associated with implants (unlike many doctors admit)??
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March 8, 2014
No, I'm not going to do a lift. I don't want any more surgery done on my breasts other than to remove the implants. You can google breast lift surgery to see what it is, as well as watch videos online, showing the procedure. I've watched a few videos showing them removing implants. Kaiser will remove any of their patient's implants for any reason if they are causing problems. I've read that many insurance companies cover explantation if there are health issues. Have you checked with yours to see if they do, too?
March 8, 2014
Yes I think mine will especially since they are silicone and have a rupture. I'm amazed at the number of plastic surgeons that won't file insurance at all. I talked with one yesterday that seemed really good until the topic of insurance came up. They only do one insurance case per month and it will be Sept before I could even be considered. Reason being they like to be paid by the patient and don't even have to deal with insurance companies! So that is now going to be among my first questions! And as far as the lift, I feel like you do. I really don't want any more done than I have to, but can't imagine how bad I will look after 32 years!
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March 10, 2014
Hi bigmistake2, I replied to your post about trying to find a plastic surgeon who takes insurance, but I think I posted it in the wrong place because I don't see it under your post here. Maybe you'll have to scroll up to see my reply; sorry!
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March 25, 2014
Well, today is your consultation!! Let me know how it goes, okay? I hope all goes well and you walk away from the consult feeling you've had all of your questions answered. Keep me posted!
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March 25, 2014
Well, today is your consultation!! Let me know how it goes, okay? I hope all goes well and you walk away from the consult feeling you've had all of your questions answered. Keep me posted!
March 26, 2014
Good morning Petunia53. Thanks for remembering my consultation yesterday. I can't even describe how relieved and thrilled I am after dr visit! Dr Diane Alexander is an answered prayer for me. She was so encouraging and down to earth. I felt like I have know her and her staff for years. I was totally amazed at how kind, friendly and helpful they were. She is a PS and reconstructive surgeon recommended by one of my other drs. My doctor recommended her on Monday afternoon and I called. The next apt was the end of April so I booked it then the office called back and said they had a cancellation the next day! So I cancelled the appt I already had and saw her instead. It's amazing just how God is always right on time! She will be removing my implants and capsule and all silicone through the original incision which was around the nipple. So I won't be dealing with a new incision. When I asked about a lift, she said she really felt I would be fine without one because my implants are very small and I do have breast tissue!! That made me soooo happy! She said if I want a lift to come back and she will do it later. Another encouraging thing that she told me was that it was amazing how your body can heal on it's own without a lift! Now her office is getting the surgery approved from my insurance - she said it should be covered because of the ruptured implant (I had an MRI one year ago) That was certainly great news! And she really reassured me that this surgery won't be as bad as I have feared and that she will take care of me. I just can't express how great I feel now that I've found a dr that I feel so good about. I think this is a huge step forward. I just want to thank the Lord for opening the right doors right on time!! Hugs to you!
March 23, 2015
I understand.. I had one implant removed because it started to reject. The other one is still in. I want them out but I don't want to be an A cup.
UPDATED FROM Petunia53
1 month pre

Before implant removal surgery

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Petunia53

Replies (16)

March 5, 2014
I think you have to ask yourself what's more important? Feeling better physically getting them out..or perhaps feeling better emotionally keeping them in? I had mine for 12 years and had to get them out as one ruptured, but I did choose NOT to redo them with new implants. Enough is enough and I just wanted to quite thinking about them, worrying about them, and also knowing that at some point, I would have to make this same decision (remove replace, or just remove). If you have money, you could get a breast lift afterwards if you're really not happy with the explant results. Many have done that also... I do always think trusting your initial gut instinct is the best (as doubts always arise after you make a decision, don't they?) I think sometimes the hardest thing is to not make a decision, one way or the other. :) Good luck to you!!
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March 5, 2014
Hi DWM, I am with you, I don't want to have new implants put in ever again. A lot of women posting here have had their implants removed (who don't have excess internal scar tissue) and at first they haven't liked the way their breasts look. But then they wait a month and see improvement. Each month their breasts look better and the end result is that they're very happy they made the decision to have their implants removed. I've looked at a lot of Before and After pictures and most of the After pictures look really great! I will definitely keep the option of having a lift done later on, but I have a feeling I won't want to go back under the knife again. I do feel very confident and relieved that I found the best plastic surgeon for me. I think I just need to relax and put my trust in his credentials and his recommendations. Thank you – I appreciate your input very much!
March 5, 2014
Good for you! I too was just done going under the knife...and I did consider having a breast lift when I had the explant done. But after reading all of the possible surgical risks, necrosis freaked me out, so I just did the explant. I just figured my body had been through enough and it was time to give it a break (grin). Please keep us posted as to how things go for you! God Bless!
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March 5, 2014
I think you made a wise decision, DWM! Your "After" photos look awesome. I hope mine look just as good! I know if you look at my photos my right breast looks bigger. That kind of surprised me, because when I look at myself in the mirror they don't seem that much different in size to me. But they definitely do in the photos. I have a feeling that my left breast is higher because of the hardening (aka capsular contracture). I have a feeling that my left breast is going to be giving me the most problems after surgery. But, getting an answer from Dr. Orman will hopefully set my mind at ease. Thank you so much for sharing your experience! It really helps to have someone to talk to who has been through the same thing. This website is awesome! God bless!
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March 5, 2014
Thank you for starting your story on RealSelf! It sounds like these need to be thoroughly evaluated for rupture even if you don't have them removed...and will probably need to be replaced at some point if you don't remove them. Fat transfer after removal is an option.

I can understand your back and forth on this. It's a big decision. Please keep us updated on which way you decide to go.
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March 5, 2014
Thank you Angiemcc for the info on fat transfer options. I have my implant removal surgery appointment set up. So, I am almost positive I will go through with the surgery. I do want to have the doctor examine me more thoroughly or run some tests to see what is causing my other symptoms around the area of my breast and upper chest. At first I was wishing I had made an earlier surgery date, but this is giving me more time to consider what else might be going on around my breast and in my body. It will also give Dr. Orman time to do an examination and run any tests he deems necessary. I wish this could be easier! But I am looking forward to getting these implants out of my body!
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March 5, 2014
Is there anyway I can add a photo of my plastic surgeon, Dr. Orman? I've tried to edit the information I posted for him but it only allows me to change my comments, not add his photo.
March 5, 2014
My picture was posted automatically of my PS when I listed his name. I did not do it manually.
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March 5, 2014
*any way
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March 10, 2014
I'd forgotten about how PS don't really deal with insurance and have to be paid up front. When I chose to have my BA, now I remember I paid for mine by using their "payment program", Which means it was a line of credit that I made payments on. I received a credit card in the mail from the company I was making the payments to. I kind of laughed when I got that, because I thought it was funny I had a credit card that enabled me to have plastic surgery. Once I paid off the BA surgery, which in 1991 cost me $3000, that meant I could use my line of credit to have other plastic surgery if I chose. Now that I have Kaiser insurance, I don't have to do because they're not charging for the surgery other than my co-pay of $250. On the day of my surgery I'll just pay the same way as I do for normal office visit with my doctor, except, of course it will be $250 and not the usual fee. I hope you're able to find a PS who will take your insurance. I know it must be very frustrating when all you what is to find the best surgeon for your explantation and not have to worry about whether they take insurance or not!
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March 10, 2014
Oops, I made a few typos, but I think you get the gist of it.
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March 10, 2014
The above post was in reply to bigmistake2, BTW.
March 10, 2014
I guess the part that upsets me is that I am pretty sure that mine will be covered, but that PS office doesn't want to file insurance. Less paperwork! I'm looking at 3 that will file so that's good, but it does narrow your choices. I remember when I first had my BA I paid with a check, but not able to do that now. I will have to make payments to have something taken away :( Oh well.
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March 10, 2014
I mean bigmistake82. Jeez, it must be Monday; I'm not thinking very well and making mistakes all over the place! LOL!
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March 10, 2014
Yeah that really sucks! It's too bad that it has to be that way. :-(