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POSTED UNDER Breast Implant Removal REVIEWS

It's all over Red Rover. (It's an Australian thing)

ORIGINAL POST

Up until the last few months, my experience with...

juliemaree
WORTH IT$10,000

Up until the last few months, my experience with the implants has been completely problem free. I have love having womanly breasts, although since putting on weight over the years, I now consider that they make me look a bit matronly. I'm only 5ft tall and I suspect Dr Tonks used a little artistic licence with the size of implants. I wanted to be a C. I turned out to be a D and am now a DD, with the left breast a little larger than the right. I was a AA at the time of implants and quite thin. Looking back at photos, they looked just right. That was in 1993, then aged 33. I don't experience any pain or discomfort; my breasts are heavy but I'm not the sporty type so that doesn't concern me either. The problem is capsular contraction, with the left breast beginning to "slip off" the implant (Left side). I can tell the right side is beginning to harden also. 

I am now to have an MRI to determine if there is a rupture, as the ultrasound report indicated there was a 50/50 chance that they had (whatever that means?). I have seen two surgeons so far, Dr Kim Taylor and Dr Natasha Van Zyl. Very different approaches and costs. I won't be going with Dr Taylor for a couple of reasons. While I was waiting for my appointment, one of the reception staff announced that she had a "really annoying patient" on the phone and was asking advice from the other staff. That sort of thing doesn't make one feel valued as a patient. I was kept waiting while Dr Taylor saw another Dr's patient. OK, not feeling warm and fuzzy quite yet. Dr Taylor was pleasant and professional and I explained that I wanted the implants taken out, along with a lift. 

That all seemed straightforward to her and I was then photographed, including photos for their imaging program (Vectra). As it turns out, the photos taken for VECTRA weren't necessary, as they are only used when increasing breasts, not reducing them. I received the quote some days later and hastily put a deposit on the surgery, wanting to just get it over with. I did not feel comfortable, so I withdrew the deposit and sought the advice of another surgeon. It was like chalk and cheese. The second surgeon took a much more serious approach and explained, in great detail, what the procedure could/would entail. She explained various procedures and why she would use a particular one in my case. She would not even consider going ahead until we had at least 2 visits, as there were many issues that needed to be discussed, including risks. Her primary concern was about my satisfaction with the result and she made that very clear. She discussed the challenges for her as a surgeon in relation to the complexities of the surgery and was totally honest with me, so that my expectations are reasonable, with no surprises. 

One concern in particular, which was not mentioned by Dr Taylor, was that of tethering, where the remaining breast tissues adhere to the chest wall during recovery. I have since seen photos on this website of where that has occurred. Another aspect of breast explant surgery that is now clear is this VERY IMPORTANT awareness - taking out a breast implant does not put your body back to it's starting point. During the process of implantation, the pocket that was created still remains. That didn't really become clear to me until after my visit with the 2nd surgeon. I have a much clearer picture now of the realities of breast explant surgery. My current thinking is that I will only get them removed if they are shown to be ruptured on the MRI. In other words, if it ain't broke - don't fix it. Worrying about looking overweight and matronly now is on the same plane as worrying about looking flat chested, as I did before. My only mistake was succumbing to the social pressure in the first place (along with the taunting of family and complete strangers alike). A few years on and alot wiser, I won't be worrying about what anyone thinks of my body, or my decisions about it, ever again. One last word, if you find that your Dr is light hearted, or flippant, or makes surgery seem like a pretty straightforward thing to do - keep looking. Good luck everyone and thanks so much for contributing to this site and to the founders of this site. It's one of a kind. [RS bleep]

Replies (6)

February 3, 2015
As we age, it becomes a challenge for our bodies to,not only accept the implants but deal with the ramifications of a surgery. While you are young, you will heal more quickly. Later on, not so much. No matter how you slice it, putting in implants was not the greatest decision we ever made. I don't know how financially well off you are but, if you don't like the result of the explant, you might consider a fat transfer. This procedure is not cheap but I am in the process of getting one done and I am told it will remedy the negative results of the explant. Out is good-in is not. God Bless whatever your decision..
February 4, 2015
Hi and thanks for contacting me. I'm not working at the moment so this whole episode has come at just the wrong time. I'm in Australia and fat transfers aren't approved here. I was planning to do a fat transfer following Explant but then found out I can't. Still very much on the fence.
February 4, 2015
In the US, many ladies have had fat transfer to the breast right after explant. My PS said to wait at least 4-6 months before doing one. Still, waiting is not a bad idea since the results some of the ladies have after explant are very pleasing and surprising to them. You may be one of those. God Bless....
July 24, 2015
Good afternoon Julie
I am in the process of interviewing surgeons for my explant procedure and came across your story and you look amazing post op! May I ask if you also had a capsulectomy or did you just have a straight removal? I am terrified to be honest and have been told I will need a capsulectomy by one of the surgeons.
Thank you so much in advance
Kindest regards
August 23, 2015
Hi Julie! :)
I was wondering who you chose got your surgery as I need to have mine out as well but not sure who to go with! I live in Melbourne :) and did you have a Capsulectomy too? Shannon x
August 27, 2015
Hi Shannon, I saw Natasha van der Zyl. She is fantastic. Yes, I did have a capsulectomy. The drains were only in overnight and I had a trouble free recovery. I couldn't be happier with my result. Best of luck you you Shannon.
UPDATED FROM juliemaree
1 month pre

All over the shop...

juliemaree
Every time I talk to my friends or partner I start thinking about my options again. Must remember I know myself better than anyone else does. I've already though had a rethink about just leaving them alone for now if they're not ruptured, given the contraction that's occurring. It seems from other reviews that the more advanced the contraction, the more difficult the implant is to remove. I think my next decision making point will have to be about elements of risk. Even though I am terrified of tethering and being disfigured, I need to make A decision sooner or later. The risk of tethering Is lower than the certainty of further hardening of the capsule. If only there were some reliable statistics about this sort of thing. OK, I'm officially recording this hour's decision as completed removal, massage to try to prevent tethering, and crossed fingers. Also, I neglected to mention that the surgeons recommendation is that I get the implants replaced with the same size, to use the existing pocket. She thinks I would be very unhappy with taking them out and leaving them. The BIG UNKNOWN. If only I could stop thinking about this!

Replies (6)

February 3, 2015
Won't your body just reject them again by capsular contracture??
February 4, 2015
Hi there and thanks for your interest. Yes, I think that would happen again. I'm weighing heavily on my original thought to have them removed and not replaced, but I'm worried that it's not what the surgeon recommends. She's a specialist in breast reconstruction so trust her judgement. That's the dilemma for me. Today I feel like cancelling everything and just doing nothing. Thanks again for your comment. Juliemaree
February 4, 2015
I honestly would find another surgeon. It sounds like your surgeon isn't very supportive of explanting and there are tons out there that will be super supportive! Even though she is a specialist in breast reconstruction her idea of what is a 'good' result can be different than what your idea is. So many time women are told they will be disfigured or deformed and then they explant with a different surgeon and end up with gorgeous results. If a drs ideas of a a 'good' result is minimum scars and full and round that wouldn't be the dr for me. I wanted small sloped Natural boobs. I picked a surgeon that had the same vision as I did.
February 4, 2015
Yes I see what you mean. What I'm planning to do when I see her for a 2nd visit, is to take some photos along of outcomes that I would be happy with (taken from this site). I understand that nobody can guarantee an outcome, but perhpas we can get closer to a shared understanding. If shes' still not supportive of my choice, I guess I'll need to see someone else. The choices are pretty limited here though and her cost is half that of the glitzy "corporate" surgeon I saw initially. Thanks for your advice, it's much appreciated.
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February 4, 2015

This is definitely a big decision! I'm sorry you're preoccupied (think it's be strange not to be), but I'm glad you're giving it a lot of thought. Keep researching and follow your gut. We're here for you!

February 5, 2015
Thank you Angie. I appreciate your taking the time to message me. I must say that it is a really good feeling knowing someone is listening to me. My husband is getting annoyed with me talking about it and showing him pictures and I don't want to go on about it with friends, yet my mind is consumed. It's so good to have an outlet and some support. Thank you.xx
UPDATED FROM juliemaree
30 days pre

Update On Implant - Rupture or Not?

juliemaree
Well, yesterday was the pinnacle of frustration for me. I decided to ask a few more questions about that initial ultrasound report where I was advised there was a 50/50 chance of a rupture. Turns out, that the nurse from my GP practice had put her own spin on it. The report actually said (I asked them to read it to me verbatim) "there is sub capsular fluid evident, the implant is folded and there is a probability of implant rupture". I feel really cranky about that. Then I decided to double check what my medical insurers information was about my cover for the operation and turns out I had been given the wrong information! I was told I wasn't covered which meant I had to pay for everything and that if had a higher level of cover it would have made all the difference. Completely wrong according to the person who took my call today. What the ??? So, I've emailed them asking for an answer in writing and to clarify exactly what my cover entitles me to, and also why I was given such inaccurate information. I was a real cranky pants yesterday. Today I'm feeling calmer and I think it's because the uncertainly of whether I have a rupture or not is clearer. That's helped me to make up my mind to definitely get them out, sooner rather than later. MRI is tomorrow and next surgeon appt is on Tuesday. I'm going armed with pictures from this site about outcomes that I have in mind, then I can see if the surgeon and I are heading in the same direction. Onward and upwards!!!!! Thanks to those who are taking notice of my rants and raves. You really are making a big difference to me. xx Thank you to the ladies whose boobs I have borrowed to take to my GP, I hope you don't mind, but I think you all look terrific.

Replies (3)

February 5, 2015
Oh my! I dont blame you on being cranky pants at all. I would have been as well! I hope you get some very direct answers in the coming days.
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February 6, 2015
I hope your insurance is better than mine. Mine "covered" it but it was out of network, so maybe 1k out of the 10k will come back to me, IF that, on top of that, I got a letter today that said my dr billed an extraordinary amount of $7,400 and that they had to send it over to a 3rd party who reviews high bills basically because the 'reasonable" charge for that type of surgery is $3,400 :/ I know they didn't send the lift piece over, so I'm not sure what to think -other than my dr may be charging an awful lot for her 'removal' surgery....sigh. At any rate, we were prepared for insurance to flake and not pay and so it wasnt a shock like you had- Good luck. Sending good vibes your way :)
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February 6, 2015
So many stories are parallel experiences on here. I can relate to being led to believe there would be no concerns for a "lifetime" unless there was a car accident or trauma requiring removal. Now that a radiologist punctured one of mine, removal is my only option. I have been through many insurance battles in the past, including the refusal of screening by MRI -- mammograms have never shown sufficient results due to minimal tissue above my implants. Yet, every 3-4 years I faced the same issue, regardless of my record stating MRI was recommended. Fast forward -- I had a lump that was evaluated via ultrasound -- radiologist thought it was a fibro adenoma (benign tumor). I began to consider the possibility of removing them if it did turn out to be a solid mass. It was not, but the radiologist really didn't know what it was, and during the biopsy we both watched it shrink once it was probed. Again, fast forward to five days later, and I find myself with a deflating boob! I have been referred to a surgeon "in network" and will see what he says and what the insurance says about costs -- was told they would pay for removal -- but only removal of one boob! Are you kidding me? The financial counselor for the insurance said I may want to get an attorney. None of us need the added emotional stress of those issues when we are already under strain by facing an unexpected surgery to remove them. I go on Monday to the network doctor, and I will see what he offers for options, but I am getting a second opinion from a local PS also before I commit to anything. Please keep posting your story. I know it does help me to feel less alone with others willing to share on here -- thanks for that!