Four Weeks Post Op

A little about me - 41 year old, mother of two, saline implants placed under the muscle 11 years ago. No real problems but have had a "pull" in the muscle near my shoulder blade since the surgery (on the side that was overfilled due to assemetry).

Remarried in September of last year and in a completely different place in my life and I want to be "me" again. Very active with running and working out and they seem to hinder more than they help. Husband is supportive but apprehensive (he likes "the girls" and is nervous about me having surgery).

I decided to see a different PS (other than the one who did my original surgery) and I have mixed feelings after my first consult. First, the PS was focused a lot on my original surgeon and why I didn't have a lift to begin with. It seemed he wanted to put down my original PS, which I thought was tacky. This was before he had even examined me (so he didn't even know if I was saggy or not). He stated he would do the removal in one surgery (for $2,200....I'm in Iowa) and then wait 3-6 months and decide whether a lift was necessary (for another $6,600). This is consistent with what I've been reading, so I was comfortable with that.

He said he would remove the capsule and after examination, said mine was pretty thin and it shouldn't affect my own breast tissue. Then he sat me down and told me I had four options (four, huh? I was very forward throughout the consult that I wanted my implants OUT and not replaced). My four options were: replace my current implants with new saline (which he even said after the exam that my current looked excellent and they could last another 20 years).

I informed him I had NO desire to replace my implants with new implants and shook my head "no" the entire time he was talking about replacing them with saline. Then he went on, my number two option would be to replace them with silicone implants and he started in on his speel about how they feel, how much more natural they are, etc. and I cut him short and told him I had NO intention of replacing the implants - I want them OUT or nothing. My third option was to have them removed and then wait to see if a lift was necessary, and my fourth option was to do nothing and keep my 11 year old implants that he said were "fine."

He told me he hasn't done a lot of explants, simply because very few women want to go back to their pre-surgery breasts - reiterating that there was a reason I had them done in the first place. He did say of the straight explant surgeries he's done (without placing new implants), most had excellent results without needing a lift. SO...do I find another PS? I would be curious what my original PS thinks, although he charges for his consults, which is why I thought I would get some other opinions before going to him.