Breast Implant Revision Following Infection

My surgery with Dr. Dubrow will be in 2 weeks, so I'm creating a RealSelf review page to document my experiences.

Procedures:

1. Breast implant revision
2. Fat necrosis removal
3. Capsulectomy

For context, I previously underwent a breast augmentation in London UK on Harley Street and contracted a rare infection (NTM). Reason is contentious, but it's likely due to improper sterilisation of equipment given that the infection impacted all areas that were operated on. I won't disclose the surgeon's name here as I don't want to contaminate this review with that incident, but I'll create a RealSelf review of the other surgeon once this my procedures with Dr. Dubrow are done & dusted.

My Stats:

Height - 163cm
Weight - 51kg
Chest Width - 11.5cm
Starting Size - 32 AA

I flew to LA from London for an in-person consultation with Dr. Dubrow on May 2025. Spent in total about 1.5 hours with Dr. Dubrow, Jacqueline Brambila (Physician Assistant) and Kim (Surgical Co-ordinator). We went through my medical history, examining my wounds and discussed recommended procedures.

In terms of implants, we've earmarked Motiva Ergonomix between 300cc to 350cc. I previously got 275cc Mentor Mod-Plus and in hindsight were too small. For wish boobies, my new north star is EmRata. I'll discuss with Dr. Dubrow on the day how close he can safely get me there.

On impressions, Dr. Dubrow has a confident but down-to-earth energy (similar to what we see on Botched). I really like Jackie - she was my first contact over the phone and clearly a very sharp person. My decision to fly in was largely because of how impressed I was dealing with her.

On the administrative side, it was messier than I liked. Communication with Kim was really spotty and the vibes were off (maybe we just don't jive well). Eventually I was handled by Maryam. I believe she's a Nurse but covering for Kim. Maryam's lovely and she's been working with Dr. Dubrow for over 25 years.

With payment, I was given 2 different business bank accounts - 1 for deposit and a different one for the remaining balance.

I gotta admit that had Dr. Dubrow not had the reputation he has, the initial spotty comms and strange payment process would've scarred me off. But I reminded myself that no way a surgeon as high profile as this guy would be running a scam without getting called out and I was going to him for his skills with complicated cases, not how smoothly his team handles the paperwork.

I'm certainly nervous, but his team have been reassuring. It sounds like I'm one of the 'easier' cases which I'm happy to hear.

Other things to note:

- They recommended weekly check ins with an Infectious Disease specialist, which I've engaged
- Also Hyperbaric Oxygen Therapy post-op
- My post-op check ups will mainly be with Jackie, with Dr. Dubrow on Day 6

On location, they were previously based in Newport Beach but have very recently relocated to Beverly Hills. I'm glad they moved to LA because NB was not my vibe.

That's all I can think of sharing for now. I've included photos of my breasts so you know what the starting point is.

Op day was yesterday. Still feeling groggy, so this is just a brief update. I feel pretty good overall and the drains aren't as bad as expected. Most importantly no strange symptoms, unlike my primary where I experienced continuous bleeding and fluid secretions pretty much straight away.

I'll post detailed reports on Pre-Op, Op Day and follow ups when I'm past peak soreness and have more mobility/freedom with my arms & chest!