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POSTED UNDER En Bloc Capsulectomy Reviews REVIEWS

56 with 25 Year Old Implants ~ Want Them Out!! LONG STORY - California, CA

ORIGINAL POST

I am 56, in good physical shape, take no...

doublerocks
WORTH IT$7,650
I am 56, in good physical shape, take no medication, and am physically active. My implants are both as hard as rocks (capsular scar contracture, mentioned again below). After exploring this site, I have decided that I want and need them out, using the en bloc method. And no replacement, thank you very much!!

When I went into my files to find the exact age of my implants, I was saddened and angered by the comments from the doctors I had seen and from my recollections that have now surfaced regarding all this.

I was very small chested (AA) and boyish looking in my opinion. After having my child and divorcing, I decided I wanted implants to improve my self-image. I received two 240 cc silicone gel implants, placed subglandular through an inframammary approach, thus a scar underneath both breasts. These were McGhan Medical Corporation implants, thus not covered under the Dow lawsuit for explant or rupture claims, only long term disease.

In looking at my initial surgery history, two things stand out in the doctors notes:

"...Also discussed were the potential complications associated with this surgery in terms of drug reactions, abnormal bleeding, infections which would require the removal of the implant, and capsular scar contracture. The last was mentioned as the most common of the problems and this was totally unpredictable. Treatment of this contracture problem by closed manipulation was discussed."

"A final mention was made of silicone implants and its relations to breast malignancies. She was advised that we have no specific knowledge of silicone implants causing a higher instance of breast cancers. She was advised that an ongoing study is still taking place but that data available to date has been favorable. Overall, I felt that she had sufficient understanding of this problem to render a properly informed decision."

Red flags should have been slapping me in the face but I proceeded to have the implants anyway.

I recall returning to the doctor once after they were implanted and reporting that they were tight. The doctor said it was due to the scar tissue and he proceeded to put a massive amount of pressure onto my breast, stating it was to break up the scar tissue. Looking back, this must be the "closed manipulation" he referred to in the initial notes. I have got to say it was some of the worst pain I have ever experienced. I literally screamed, got light headed and was near fainting. I don't think I let him do the other breast. This appointment did not show up in his records. :( (I had pulled all my records after the Dow lawsuit was filed in order to find out what type of implants I had)

Per my files, I returned back to another doctor for re-evaluation of an exchange in October 2003 (13 years after the implants were placed) as the original doctor had retired. The report says that I had developed some firmness which has caused the breasts to appear kind of narrow and overly projected, I had upper quadrant fullness as the scars around the implants have contracted a little bit. He goes on to state that I probably had a 2+ capsular contracture bilaterally. He then goes on to state "About 3 weeks ago, the patient noticed some pain or discomfort along the upper quadrant of her breasts that was not associated with any particular type of movement nor injury. It is possible that some of the sensory nerves or deep tissues nerves are adjacent to the scar capsule, and these may be stretch a little bit with the patients routine movements." "We had a lengthy discussion about the need for a breast implant replacement. I told the patient that it is a personal lifestyle decision, and that it is unlikely that the decision would be associated with issues pertaining to her health". He suggested removal of the implants, partial capsulectomies and the reinsertion of gel implants into a sub muscular position. I decided not to do anything and now 12 more years have passed.

Sometime after 2003, one of my breast implants moved into a very abnormal position. I discussed it with my GP, but never followed through with doing anything about it. Eventually it went back to how it was.

I have now decided that I want them out. I have never liked them and never do anything to display them clothing-wise. I am like may others on this site who hate hugging ~ I can't even imagine how they must feel to someone else. I have spent hours on end reading stories shared on this site that have helped me come to this conclusion...thank you all! I am terrified of surgery, but need to proceed. The uncomfortableness of these hard breasts and the knowledge that they are toxic inside me (and likely ruptured) can not be ignored any longer. There is longevity in my family and I don't want to play roulette with that by keeping these in any longer ~ plus I can't even fathom being 81 with 50 year old implants or 91 with 60 year old implants!! =;-O

I live in Northern California and am considering possibly seeing Dr. Jae Chun in Newport Beach. I would be going alone and would stay in a hotel. I have also considered seeing Dr. Feng in Ohio or Dr. Kolb in Georgia, but the further long distance travel really complicates things in my opinion. I do like the thoroughness of Dr. Feng, especially the pre-surgery MRI's that I have read about. I'm sure I must have ruptured implants, at least the one that got the "closed manipulation" and that I later observed movement moving into an abnormal position.

Any suggestions (pro or con) regarding doctors who perform en bloc would be greatly appreciated.

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Lu-Jean Feng, MD

Lu-Jean Feng, MD

Board Certified Plastic Surgeon

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Replies (35)

July 13, 2015
You said that you have health issues. Is it just pain? I can't even imagine the manipulation! It seems so midieval and I'm so sorry that you had to go through it. How many years ago was that?

Your story kind of reminds me of organicgirl. She was so sick and had hp implants put in. Her post has really helped me.

Anyways- I'm following your journey! Xoxox happy
July 13, 2015
Hi HapECamper ~

My biggest concern is getting them out before I have some of the health issues that others have posted here and before I get much older. I am pretty sure that they are ruptured or extremely compromised after all these years. As far as health issues, I have periodic bouts of extreme fatigue, but that could be my age. The hardness of the breasts is just annoying more than anything. Once or twice a year I get a deep tissue massage, and I have to position rolled up towels by my shoulders and down the sides of my chest to keep me from getting pressed down flat on the table. And, of course, sleeping on my chest is never an option.

The manipulation was performed maybe a year after I had the implants. I find it interesting the the plastic surgeon didn't note the appointment in his records. He sure noted everything else to cover himself. :(

In organizing all my records this weekend, I found more information that I should not have turned a blind eye to so long ago. In 2000, I went to a specialized breast imaging office in town known for doing mammograms for women with implants (which is no longer in business). One of the paragraphs reads: "An ultrasonic mapping of the right implant shows a number of curvilinear coarse echoes medially that cannot be confirmed as representing a closed intracapsular failure, but instead my represent the shadows of implant wall folds." 15 years have now passed since that report.

I contacted my current health provider, Kaiser, regarding a MRI and this was the response:
"I can refer you to plastic surgery and they can determine the appropriateness for an MRI. However, they require that you get a mammogram. You can walk into any Kaiser radiology to have this done. Once you have this done then I can put in a referral." I responded back that I just want the implants removed, not replaced. I knew it wasn't his call, but I don't feel a mammogram is appropriate if you feel there might be a rupture.

I am now pondering a handful of plastic surgeons. I would love to go to Dr. Feng first and foremost. I love that she has a solid reputation, does a MRI pre-surgery and has a 0% infection rate. I would like to see Dr. Kolb because she also has a good reputation and also for the detox elements she is known for post surgery. However, I would be travelling far and alone, which really complicates this for me in my mind...being alone in another state, getting luggage home and a long plane trip post surgery, etc. I would also like to have a surgeon that I don't have to have my followup with via email. I would like to have my surgeon closer to home, especially in the event there were complications or concerns.

I did look at organic girls story and found it helpful. She had the en bloc, which is what I want as well. I am in Northern California, so now I am considering looking at a surgeon in Southern California. I know I want the en bloc removal done. I am still pondering if I will want to get a lift at that time if I need one.

Where are you at on this journey? This is such a great site for information and support.

Thank you for taking the time to comment!
July 13, 2015
I wish we could preview on this site before posting. I'd like to clean up typos and redundant sentences, but that's just me! :)
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July 14, 2015

Wow, how eye opening. Sorry for all you have been through. Thank you very much for starting your story on RealSelf. I do hope you will keep us posted through this removal journey! We are here for you. :)

July 14, 2015
Thank you, Angie! This forum is a life-saver (literally). Not many people who know me know about my implants ~ although I'm sure they "know" when I get a friendly hug. It is so nice to have found a forum for women who have the same concerns that I do and to follow their journeys. I see myself in each story I read and it is giving me the courage that I need to move forward. Also, just knowing that there will be highs and lows and everything in between is helping me to know and prepare for what to expect I hope to be able to help others as I go through my journey the way that I have been helped by reading about others . Thanks again! :)
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July 16, 2015

You are so welcome! I just love this community of women. :)

July 17, 2015
Thank you for sharing story! I am 50 years old and had silicone implants 325cc in 1987. I discovered a lump about three weeks and had my explanation 2 days ago. MRI showed both ruptured . I feel such relief and did not have any replacements put in. Like you, I was aware of the Dow Corning lawsuit, but never had any problems until now. Having had my implants for 28 years, I am sure most people who know me will be quite surprised, but I plan to let everyone know that current literature states that implants only last 10 to 15 years. Praying for a minimally painful and quick recovery for you and for me!
July 17, 2015
Congratulations on your 2nd day of being implant-free! You must be so relieved having the implants OUT, especially after finding out they were both ruptured. I'm sure getting our "mammies grammied" puts a lot of stress on implants, along with the fact that they are in our bodies moving with us, not sitting on a shelf. That is great that you took such quick action after finding the lump. Was the lump part of the rupture?
Sending quick and successful healing wishes your way!!
July 18, 2015
Yes, hopefully- will know more next week when pathology comes back
July 18, 2015
I'm so glad that the lump and the implants have been removed. Now you can focus on your recovery, ensuring you rest and move as your body needs. Be sure to keep yourself fueled with good food and plenty of water, and keep your thoughts in the positive and try not to worry. I have a good feeling that everything will be fine. Please keep me posted!
July 18, 2015
Thank you! My husband is being an awesome nurse and cook ❤️
July 18, 2015
I will look forward to your update at the end of the month. Prayers for pain free full recovery. I am feeling very good - at day 4 - but cant wait to get these drains out on Monday - they are irritating and gross
July 18, 2015
That makes me happy to hear ~ it sounds like he is a keeper!! :)
July 18, 2015
Monday must seem far, but look have far you've come! It only gets better from here!! Can't wait 'til I am on the other side with you! Hope your weekend breezes by!! :)
July 19, 2015
Hi doublerocks! You are such a kind and loving source of support for others! I have just finished reading a thread between you and a 60 yr old explant patient. What struck me the most is how much positive energy you have and I know that your own journey will be a good one!
July 19, 2015
Thank you, rcobb...that is so kind of you to say, and I'm hopeful it will be a good journey for me! When it gets to be bumpy, I sure know this is the place to turn for support and guidance. I am so grateful to have found this board when I did ~ the help and encouragement between everyone is truly special. No one understands what we are going through as well as our sisters here on this board.
Hey, just one more day until your drains are removed!! You can almost do the happy dance!! :) Wishing you much luck tomorrow!
July 17, 2015
Yes! Ultrasound for implants -No mammograms. My family physician ordered the ultrasound and then MRI- had both done on the same day - before ever meeting with a plastic surgeon.
July 17, 2015
You're lucky your family physician did that for you. I am running up against a wall with Kaiser, or maybe in a loop is more descriptive. I asked for a MRI and my doctor emailed me back and said I needed a mammogram first. I told him I was concerned about a rupture and didn't want a mammogram because of that. I wanted a MRI to see if there was a rupture. He all but ignored that request and wrote back the following:
"I can send a referral to plastic surgery - but they don't want to consider anything unless they know that there is not something else going on.
The MAMMOGRAM is not for the implants but to make sure you don't have a tumor or cancer since they will be considering surgery.
Once you get that then I can put in a referral."

So in essence, no mammogram, no MRI. I didn't come out and say it, but I didn't plan to go to Kaiser for surgery anyway. I had hoped they would pay for the MRI as it is part of a preventative procedure in the long run ~ getting the implants out before they become symptomatic.

I'm looking forward to having all this behind me. As they say, "the only way past is through"... :)
July 17, 2015
I am scheduled with Dr Feng July 31st. 2 weeks away. I did a lot of research, saw several Drs here in Tampa, made phone calls and read lots of posts on here. I am traveling from Tampa to Cleveland because I feel Dr Feng is the most professional and the best at this procedure. I want to do this one time and I want it done right. I just want them out and be natural again. Mine are 22 years old, Saline with a Silicone outer shell. I became very ill last year suddenly with all kinds of weird symptoms. I noticed my breast seemed smaller. It was leaking. All those chemicals leaking into my body. It is not just Saline, it is all kinds of chemicals also. No wonder I became sick. Dizzy, light headed,
vertigo, a weird feeling when I exercised like I could not quite catch my breast, weak, tingling down my arms, ringing in my ears. I became so ill I was afraid to even walk to the mail box, afraid I would not have the strength to make it back inside. Sounds crazy huh? My eyesight got weird and I would wake up with a almost gooey discharge gluing my eyes together and my eyes would take a long time to be able to focus after I woke up. I had pain in my chest and my heart would race and pound. I thought I was dying. A few times I told the lord if this is how I am going to feel for the rest of my life, he could just take me. I was miserable and scared. I did not know why I was so sick. When I realized my Implant was leaking I put 2 and 2 together, did research and found Real Self. Which led me to Dr. Feng. So thankful. I want to add that the Implant has leaked out and is kind of crumpled in their, but it seems all the saline/chemicals are out of the bag. My body sure had a hard time with it. I want them out before I could develop a leak in that one as well. It seems like it is looser feeling in my breast. Just want them out. I am living proof that a Saline Implant does not just immediately deflate, like a lot of the Drs on here say. Mine took months and I did not even realize it, it was so slow. Dr Feng will be able to do the En Bloc on my left breast but the right one with the crumpled BI will be tricky. I feel as not only a Plastic Surgeon but also a Micro Vascular that Dr Feng will be delicate and leave me as much breast tissue as she can while she is trying to remove the crumpled side. Go to,her web site, the Lu Jean Feng Clinic and watch a 5 minute video of her speaking and doing a En Bloc removal. After I watched that I felt better. She sure knows her stuff. Very good surgeon. Please contact me if you have any questions.
If you can make it to Cleveland, I sure would. You will need to have someone with you though. They will not release you unless you have a adult with you. Airfare was inexpensive also. And they have a list of Hotels and when you book you can ask for a discount, since you are her patient. Every little bit helps. :)
July 17, 2015
Thank you so much for sharing your story. I am strongly leaning towards Dr. Feng as she has an edge over the others in several areas, including: her experience, reputation and thoroughness in regards to the En Bloc removal, the MRI markup done pre-surgery, her surgical suite and staff, and her holistic approach. I think you are in great hands! I looked for your story, but couldn't find it, but I did read some of your comments to others and this one stood out to me: "I was told that once removed the BI are considered Hazerdous Material and after being analyzed will need disposed of properly. Hazerdous Material that has been in my body since 1993 and leaking for the past year." If that doesn't necessitate the removal of our implants, I don't know what would! Please check back in and let me know how your surgery goes! Wishing you a speedy recovery!
UPDATED FROM doublerocks
2 months pre

Decision to explant and sharing info with friends for the first time

doublerocks
I have been sharing my decision to explant my 25 year old silicone implants with friends for the first time. I had never discussed having implants with them before, so this was a big step for me. It is really liberating. I decided that my friends will be supportive (and they definitely have been), and if I become the subject of idle gossip from others who happen to hear about it, then it will be for a short while until the next big thing comes along for them to gossip about. I am too old to worry about such things anyway! I shared my implant story with one of my friends who has 10 year old saline implants and we had a lengthy discussion. She is very holistic, eats organic foods whenever possible, etc. She really understood and I think she will strongly consider explanting without replacement when she can financially afford to take any action. She fully understands she is at the change out point. She asked if I had talked to our other friend, who has had implants longer than her, and I indicated I had not yet. She said she was kind of steadfast about not doing anything about her implants based on previous conversations they had. Well, I saw that friend tonight and went through my story with her. She indicated she has had her implants for 15 years. She told me she went from an A to a DD under the skin. She said she has no issues ~ they are saline, are soft and had a "lifetime guarantee". I told her just a little about the valve and the mold issues and about the silicone casing, but she seemed confident she was just fine. She is strong willed, so I know all I can do at this point is to plant the seed and hope it sparks her curiosity to do further research. I asked her at least to have a checkup with the surgeon because I hadn't heard of any implants that had a "lifetime guarantee" as she said hers did. She indicated it was time to go in to have them checked, so I hope he corrects her understanding of how long implants last. He probably will and suggest that she do a replacement, so hopefully she will reconsider her options at that point. I did talk with her about age and not wanting to do any further surgeries as I got older, which re-implanting would require. She is a couple years older than me, so I've got my fingers crossed something I said sinks in for her.
I'm so glad I found this forum ~ the support and the knowledge gained has been invaluable in finally nudging me into action.

Replies (2)

July 31, 2015
You're a good friend! It's a tough conversation to have, but it sounds like you handled it like a pro!
August 1, 2015
Thank you! I'm retired, so I could have easily snuck away and had this surgery, then reverted to padded bras to look the same and not draw attention to myself ~ well, except that maybe those friendly hugs would be obviously softer, and no more side hugs necessary to avoid the rocks!! :)
Part of the reason I decided to share my story with them was I had hoped to help the two friends I mentioned in particular, then friends of their friends that I know (but not as closely) who also have implants. I almost feel an obligation to do so because I never would have gotten as far as I have in scheduling an explant surgery date had I not found the unwavering support and shared knowledge that I found on this site. As they say, "you don't know what you don't know."
If I can cause even a small ripple of change within my circle of friends, I am hopeful that the confidence that it is the right thing to do will spread outwards and make an impact. As I mentioned to someone in a PM earlier, I feel like breast implants are the new tobacco, very much protected by all the forces that make money from them. Right now we are our own advocates and just have to try to protect one another.
I will be forever grateful to all the brave women on this site who have shared their stories and have made an impact on my life and my future health.
UPDATED FROM doublerocks
29 days pre

Another reason to explant sooner than later...

doublerocks
I wish I had never implanted, but I definitely should have explanted years ago.

Over the years I thought about "replacement" and I never really considered explanting until I saw Melissa Gilbert talking about her explant on Dr. Oz. I think researching that may have been what led me to this wonderful site. I have spent many hours here, which is what propelled me forward to make an appointment for my own explant. My explant surgery is a month away, and it cannot come soon enough, although I do have the normal fears of surgery and beyond.

Today, I ran across this article regarding an actress who considers her implants the reason for her chronic health problems, as many of the women on the RealSelf site do: https://www.yahoo.com/tv/s/yolanda-foster-says-doctor-found-203200549.html

I am thrilled that this story came out from a celebrity. I didn't know of her, but the story still "found me". Stories like this will hopefully help women who are on the fence about their implants have them taken out promptly and prevent non-implanted women from implanting.

Not that I want to be on this journey, but I could not have found a better group to travel through this with than all of you! Wishing everyone healthy implant free futures!

Replies (10)

August 11, 2015
Omg Yolanda Foster saw Dr. Feng too you must be so excited!
August 11, 2015
Hi HapE ~ Absolutely; her message thanking Dr.Feng for holding her hand and leading the way definitely reaffirmed all the wonderful things I have heard about Dr. Feng!
August 12, 2015
Dr. Feng is the best! Omg...love Yolanda (on the show anyway) & wondered if she had implants & that they could be the cause...
August 13, 2015
I haven't watched the show before. I will have to see if the older episodes are on "On Demand" (Directv) and follow her story. I really appreciate that she made a public statement to bring attention to the immune issue diseases associated with implants. I feel like there is a slow growing movement underfoot with this issue that is gaining strength as more of us stand up and let the facts be known. I strongly feel that implants are the "new tobacco" and I really dislike how many doctors and surgeons try to discount the association of implants and illness.
August 13, 2015
I know! I just read two doctors responses to whether or not en bloc is necessary and one actually said "caught up in some fancy terminology to differentiate themselves." !!!!

I sweare reading these doctor answers is so frustrating!
August 13, 2015
I agree, HapE! Many of the answers I see might satisfy someone who is just beginning their research and has limited knowledge of the issues. For those of us who know more due to our diligent digging for, and sharing of, information, it is just frustrating to read their responses that are very protective of their field. They are very "lawyer-like" when they state that there is "no evidence" that implants cause any health issues and then they go on to suggest re-implanting after explant.
On a lighter note, this serious issue did give me a chuckle just now. I was going to say something about being knowledgeable through our own experience and educated through the school of hard knocks, and then I thought, no, it's the school of hard knockers!! :D
August 14, 2015
Hahahahahahah omg I'm going to start using that!
August 14, 2015
I might have to add that I quite possibly received the HIGHEST degree of education from that school after my hard knockers moved upwards towards my collarbone! ;D
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August 21, 2015
hey, thank you for posting a comment under my review. I understand it better now. Still undecisive as for what I do exactly, still calm , still feeling awkward in my own body.
August 21, 2015
You're welcome, Marmolada! You have found the best site to help you decide what to do. I have learned soooo much reading the stories here and feel grateful I have had not had more problems over the years with these implants, although there may be hidden health problems that I have yet to experience. Many of the women here have had to experience multiple revisions, infections, chronic health issues, etc. Continue to read and ask questions until you are absolutely firm in your decision.

You might want to look at your decision this way ~ your choices are:

Explant now ~ if you are happy with the results, you are done having surgeries. One and done!

Explant now ~ if you are not happy with the results, you can reimplant after your body heals, which will give you the best chance for a successful revision result.

Reimplant now ~ you MAY be happy with the result, but if you aren't, you will have to have an explant and/or one or more replacement(s) until you are happy with your results. Then the subsequent replacements every 10-15 years when they reach their expiration date, or before if you experience problems with them.

Fortunately, other than the fact that you are unhappy with your current implants, it doesn't sound like there is an immediate need to have them taken out. Take your time in deciding what to do and ask as many questions on this site as you need to to help you come to the best decision for you.

Wishing you only the best!