Breast Implants Removed After 20 Years

After I told my doctor about the pinching in the lower alveolar area, he asked me to come see him (ahead of my August 3rd appointment). Today was 4 weeks and 3 days post-explant. The minute he looked at me (and felt the area), I could tell he wasn't the slightest bit alarmed. He told me he's seen this many times, and he's sure it's not tethering. I asked how he knew, and he demonstrated by moving the tissue back and forth in that area. He said if the scar was stuck to internal tissues, my breasts would not move much when he moved the build-up in that area back and forth. He said this sort of tightening is often to be expected with new scars because they tighten the area. He said they will soften over time and seemed sure the pinching would go away. He told me to massage the area to help soften and flatten the scars. He said it could take months to fully subside. That's fine by me. Just knowing this isn't permanent really put my mind at ease, even though I was getting ready to accept it.

My boobs are shaping up rather nicely. However, something unexpected happened. Namely, there's a pinching in where the PS went in (lower alveolar) in both breasts, especially my left breast. I posted a question about this here on RealSelf, and a doctor replied, "You're suffering from a scar contracture in this area. Regular massage may help soften the scar and correct it somewhat. However more than likely releasing the tethered scar will be necessary. This can be done with local anesthesia in the office."
Yikes! I wasn't expecting this. I read in other places that it's too early, or that massage is the answer, but I can't seem to find instructions on just how to massage (just the scar area or the whole boob), how long to massage each day, etc. I'm going to see my PS on August 3rd, but I was curious to know if anyone had any thoughts/experience with this.
By the way, the photo makes it look like one boob is higher than the other, but it's not. I must have tilted the camera (or my body) slightly when taking it.
I am still very happy. I was never expecting perfection but got a little greedy when everything looked pretty good at first. Sure there was some sagging flesh, which was quite visible when I bent over, but even that looks better now.
Thank you, wonderful, brave ladies!

My doctor removed the strips and band-aids under my nipples today. As he was taking them off, he told me, "We were able to remove those ugly scars. It's true. My last surgeon left slits that looked like knife wounds. I had asked him if there was anything that could be done before the surgery, and he said he thought this was possible. So I still have black stitches there, which will dissolve, but I can tell that the ugly slits are gone or at least greatly minimized! I'll have a better look when the stitches dissolve and will post photos then.
He also told me the sagginess (from the stretching all those years) might improve over time, depending on my own body's elasticity, and he told me I might go down half a bra size once the swelling goes down, but that everyone is different. He said I healed remarkably well and had no sign of infection (fluid build-up under the breast, etc.).
And then on the way out, I ran into someone whom I will call Miss Bummer. I met her during my first consult two months ago. To protect her identity, I won't say if she was a nurse or a physician's assistant, but she seems to know her stuff. When I first saw her, she looked at me sympathetically and said, "How are you?" It was as if I had a limb amputated or was just diagnosed with a terminal disease. I told her, "Great, and the doctor said I might even improve over time." To which she emphatically replied, "No, you won't." She even said I might look more saggy after the swelling goes down (I don't even see a whole lot of swelling). Then I started to worry, just a bit, that the wrinkles I saw under my nipples on Day 1 were my end result. In other words, maybe the swelling is smoothing out the wrinkles. We'll see. My follow-up appointment is in 6 weeks, and Miss Bummer told me there will be no improvement after that. In other words, what I see in 6 weeks will be what I will look like forever. I sure didn't get that impression from my doctor, and why would he mislead me? He already has his money.
Okay, what to make of Miss Bummer. She actually seemed a bit angry. Why? All kinds of thoughts went through my head. Was she angry with the doctor for giving me unrealistic expectations? Was she angry just because she's against having breast implants removed without a replacement (she kind of hinted at this when we first met)? She told me she has breast implants, so maybe the whole idea of removing them is foreign to her (what? you want to be flat and saggy!). She's young, too (30 something), so maybe this has something to do with it. Well, I like to think people have good intentions, so maybe she felt I needed to hear this.
I was a little bummed for about 10 minutes afterwards, but then I was happy again. I thought, "Come what may. I am still very happy I did this." To be continued...