Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

Tubular/constricted Breasts: Revision with a Breast Augmentation and Lift: Kayla's Story - Bavaria, Germany

ORIGINAL POST

My family and I live in Germany, due to the...

User Avatar
kayla55
WORTH IT$8,000

My family and I live in Germany, due to the military. So finding a good doctor was my #1 priority. I had known since puberty that my breasts were different. I had asked my OBGYN and midwife as to why i couldnt fully breastfeed my daughter.. and they didnt see a problem. I was always self consious with my husband. and it wasnt fair to either of us. I researched my tubular shaped breasts online and found the answer! I continued, hoping to have normal, pretty, even breasts! After going through many doctors and getting referalls to be seen here in germany, I was given a doctors name who specializes in breast surgeries, but apon my consult,i found he had never done a revision of tubular breast's.

The answers to my questions were what i wanted to hear, He wanted to place two implants under the muscle, and then reduce the size of my areola's while lifting them. also he wanted to put in a permanant purse string suture, to prevent my areolas from expanding after surgery. I was excited! The one thing I thought he should do was release the tight muscle/tissue that was causing my tubularbreast deformity, but unfortunatly, our langauge barrier gave me the wrong idea. and i dont think he knew to do that. And only after my surgery, i could still visibly see the tight infamammory fold.

The breast implants I have are textured silicone, with 380cc in my right and 420cc in my left. before surgery, i was B cup in my right, and an A cup in my left. (HUGE DIFFERENCE) So now, i am a good C -sometimes-D cup. But for my height (5'7") and weight(165lbs)-they match my body type pretty well. I was in surgery for about 2-3 hours, and they put drains in both breasts to keep the fluid out. (THE WORST PAIN!) On the second day after surgery, I was able to see my boobs, and the drains were removed. My first reaction was, "my areolas look like they are going to die, like they werent attatched to me anymore!" but i LOVED the volume of them and i hoped my impants would drop down and fill out in the bottom. I had bruising HORRIBLY because the doctor said he had to do alot of "stretching." Which another outcome to that -is, I still ( 5 months after surgery) have NO feeling in my areola's or on the left side of my left breast. I dont expect to ever get feeling back in my nipples, but that is a risk i took. :( I stayed in the hospital for 6 days! They do things differently here, and i appriciated the care and attention they gave me.

I was wrapped tight, to keep the implants from healing too high in my pectorals. I was given 800mg's of ibeprophen, and sent home with a post op app for 2 weeks out. I had made 2 extra post op appointments, because #1- about 4 weeks after surgery, i hadnt heard of anyoone still having open wounds! but i did! and they kept forming! i didnt know how or why, because i was very gentle with myself, i made sure to keep them dry in the shower, and cleaned! Then my surgeon gave me wet gauze to layer on them to help the skin heal. It took about two weeks for my wounds to scab over and finally heal. then, #2--about 7-8 weeks after surgery, about 1-2 weeks after being "healed of all wounds" I started to get tiny wounds! then I saw a SUTURE, coming out of the sore area! I made another emergency app with my doctor. When i got there, I had to point out to him the clear stiches that were being rejected from my body! I was scared they were the purse string that he had left in there permanatly, and it was coming out! He told me they were the dissolvable stiches that hadnt dissolved, and then he pulled them out with tweezers.. that hurt a little bit. I was shocked because, to me, it meant my body was trying to heal around the dissolvable stiches, so it wasnt dissolving them, which caused ALL of those wounds! which now, has lead to HORRIBLE scaring around my areola's!

Thus far, i have had a pretty bad time healing. and a less than satisfied result because of it. it has been almost 6 months since my surgery, I still have a tid bit of constriction of my left breast. my right breast is very droopy/saggy compared, and my areolas look very large and scared because of the expansion and scaring. my implants are PERFECT sized,and they are in a good position. Last week i went and saw my doctor, he wants to go back in in 6 months, see how my scars have lightened.. and he said, if they are "white" we will take the scars away so new skin can form. he doesnt agree with how uneven my breasts look side by side, along with my greevences, and wants to re-lift both areolas. but the one thing i am really unsure of, is he wants to do a lolipop scar. I was so happy i only have scaring around my areolas! Now- i will have a large line down my boob? I understand if it is nessisary.. but my question is, couldn't re go back around the areala and take more skin off to tighten it?

I would go see another doctor to get their advice, and i plan on figuring out how, because dealing with the military, and my insurance paying for it, it is sort of their call who does my surgery. I like my doctor, but I would prefer a surgeon who has delt with my case before. My doctor said, this next time, He wouldnt use the same dissolvable stitches, but he would have to manually take them out :/ OWCH!! but if that will help prevent from further scaring, i will deal with the pain! Other than that, my breasts are doing great! i have some twinges of pain here and there, and i work out about 3 times a week! i try to take care of myself and eat healthy.

Replies (22)

User Avatar
February 3, 2012

First of all, thank you for posting your story here on RealSelf. Secondly, I'm sorry you've had to go through this pain and have had such a hard time healing. You should seriously consider consulting with another doctor or two and getting their opinions on what's going on and what kind of revision can be done.

Please keep us posted.

February 4, 2012
Kayla, I'm in agreement with you having a second and maybe even a third opinion on what happened and what you should do next...later you may only need CO2 laser for scars and skin renewal if all else is ok?...check into this,as I've had the CO2 done for acne scars on my face and loved the result. I have also just had a tummy tuck, breast lift, extensive lipo, and skin removed beside my arm area 6 weeks ago, so it was pretty extensive surgery...I'm not a plastic surgeon, but I would wonder if the lolipop incision (which I had) wouldn't have been the correct procedure to round out your tubular breasts and give less pull on the nipple area as well as you went larger sized? Lollipop scars pretty much dissapear in time, and it will not hurt to have nipple sutures removed if you have this procedure done later.
I've also had difficulties with suture reaction and them spitting as my body was also not absorbing the disolvable stitches correctly (this is quite common actually), yet I am not having the same all 'over the breast' possible allergic reaction/inflammatory responce as you appear to have had....reactions to the dissolvable stitches are mostly where the knots are tied from anything I've read on the topic and it was so with me too. From your pics and story, that was a far from a normal responce and I would think that it should be more localized to the stitch (knot) area if it was just the stitches...are you sure you weren't having a reaction to the implants/silicone which would create such an inflammatory responce that would also make your body finally reject all the stitches in the end? I don't know, but maybe you were possibly having an allergic responce requiring antihistamines and other treatment or you were possibly having a bad infection requiring antibiotics? Some dissolvable stitches also contain an antibiotic and you may be allergic to that so it might be a good idea to find out what stitches were used and research them too, but as I said earlier, I wouldn't think the large inflammatory reaction you had was due to the stitches alone but that needs to be figured out...you may also be having more than one problem going on here.
I am taking oral antibiotics proactive (to prevent) and I have used a lot of benadryl (antihistamine) and also ranitadine (zantac) which is used for the stomach inflammatory responces but it also works systemically so also helps with the inflammatory responces elsewhere in the body, all recommended by the physician friends I work with. For two reasons I used the benadryl/ranitidine for the inflammatory responce I was having to the stitches and also because I had an allergic reaction to the antibiotic cream I had been using over the wounds but the inflammation responce was local to where the cream was applied and went away a few days after I stopped using the cream and used the antihistamines. I have been going weekly to have the offending spitted (raised) stitches removed (including one of the circular long ones around the nipple that it sounds like you had removed too) and now I'm healing perfectly...scars look good and I have feeling in my nipples and in every other area of my breasts.
You need to figure out what is/was going on, or the responce might continue or start all over again with any further surgeries. I see that you are happy with the implants, so this may make you less dissatisfied with everything else which may make you proceed with further treatment and cause yourself more harm...I would not be happy with any aspect of what you've had happen, but don't lose hope as there is lots that can be done to fix things. I would not do anything further until you get another opinion as that's crazy that you didn't get the revision that should have been done on your tubular breasts, and the numbness in so many areas is obviously from the inflammatory responce/scar tissue that was created afterwards or the nerves may even have been cut incorrectly???...you need to figure this all out. I also see the difference in the droop of the breasts from your pics so I can't understand how the PS you see can't see it. Did you check out this surgeon's credentials beforehand? My girlfriend recommended a surgeon to me and said he did an amazing job for her but after checking his credentials and patient reviews of the doctors (posted on-line in North america) I realized she was lucky she got a good job as he often botched others...I told her to quit recommending him and she has.
I wish you luck as no one should have to go through this kind of pain...you needed this surgery for your self esteem.
And many doctors won't want to see another physician's patient and especially if there are problems they may have to deal with or possible upcoming liabilities, so you may have trouble finding someone in a second opinion who won't just refer you back to your original guy. If it were me, I'd see if I could find a good female PS who would have maybe a bit more sympathy for my plight. You may also want to wait for quite a bit longer to have anything done as you will also want to ensure all the inflammation from the first surgery is not active. You may need to put out more $'s, but well worth it when it comes to your body and self esteem.
Good luck and keep us posted.
User Avatar
February 7, 2012
Good luck
February 24, 2012
Hi Kayla! I live in South Africa but am German and my family comes from Bavaria originally. Another thing we have in common is that I also realised very soon into puberty that something was 'wrong' with me, and after researching last year, finally realised that I had tuberous breasts. I finally decided to have a circum-arealoar lift/reduction in December WITHOUT breast implants(so I'm now 2 months post-op). I was so happy to begin with, and although my areolas also looked like they were falling off, everything healed really well, and my scars are narrow and already going white. However, in the last three weeks, I've noticed that my arealoas themselves are stretching out again, and my breasts in general are looking slightly droopy. I'm so scared that it's going to get worse, and I'll end up where I started again. Did you end up going back for another surgery? How much have your areolas stretched since you first had the op? Just looking for advice as I feel a bit hopeless... I really hope that it all works out for you. I really, REALLY know how awful it feels to be so ashamed of your most womanly features. All the best.