49yo, 510cc Implants to Be Removed, No Lift, No Replacement :-( - Fontana, CA
Hi Ladies, I have been following explant patients...
I have been following explant patients on this site for about a month and the letters and pictures have been so helpful. Now I want to share my own story as I near my surgery date.
I am 49 years old, and nearly 25 years ago, after two babies, I went to a plastic surgeon for breast implants because I was very unhappy with my sagging barely-B breasts. I told him I wanted an implant large enough to lift up the excess skin. I ended up with 600 cc textured silicon implants, putting me at a DD to DDD. To be honest, I have mostly enjoyed them all these years. I have received a ton of attention with them. Sad that it was important to me but I have body issues.
Over the past two years I have changed my life by becoming vegetarian, dropping 60 pounds, and exercising daily. I have grandchildren and an active life. I am tired of these heavy things on my chest. I am tired of cold, hard boobs and giving everyone a side hug. I am tired of indentations on my shoulders from my giant bra straps. My neck and shoulders and back hurt all the time. I love to run, but it is really hard on my chest and I have to wear 3 bras. When I look in the mirror, I see a really heavy woman with matronly breasts, but I am 5 ft 7 in (170 cm) and weigh 135 lbs (61 kg). Not skinny but not exactly obese!! Yet I feel HUGE.
In the past 2 years, my breasts have become harder, and I have a strange flatness under both nipples. Also, with the weight loss, I have hardly any tissue covering the implant, so a funny fold in the implant is visible on top of my breast, so I can’t wear any cute necklines without this strange shape showing.
I recently had a mammogram and was shocked by the size of the implant comparative to my own tissue. I had never seen my mammogram before. I was also alarmed by the fact that my implant pretty much masks everything on the mammogram. I mean, I could have a golf ball sized tumor in there and it would not be possible to view it. That’s alarming.
I have being going back and forth on one issue: do I explant only, or explant with a lift? If I go through Kaiser (my insurance-- based in California), they will only do an explant. I wasn’t sure if the cost savings was worth putting myself through 2 surgeries if I really need a lift. And I was sure that I would need a lift, since that was part of the initial reason for getting implants, and my body did not improve with age…
So today I went to Kaiser because I read on this site that they might do the explant for free. (I also have two more appointments with private PSs next week for their input.)
I was examined by the PS. She measured my breasts and reviewed my mammogram. She said I have some contracture. I told her about my issues: neck pain, hardness, shape changes. She said the mammogram does not show an obvious leak but there could be a leak within the capsule. She said I have almost no breast tissue and I will be flat-flat, like an A, and they will sag and hang LIKE FLAPS. I am envisioning a pancake. At this point in the exam I was thinking that’s it, let me just get a lift at the same time with a private PS. Then she said something that I have not seen mentioned on this site before. She said she does NOT advise a lift at the same time as explant in my case because I have such a small amount of tissue, such huge implants, and so much skin would need cut off that it would affect the blood supply to my nipples and I could LOSE THEM. !!!????? What the…?????? She said maybe a private PS might want to try it, maybe he has more leeway with the chances he can take… At that point, I knew I would not try to talk anyone into doing a simultaneous explant and lift. I am not risking losing nipples! Has anyone else heard this??? I am so glad I went to Kaiser first, because they seem to be conservative in their approach to everything and I like that.
However... I am grieving today. I feel stupid for ever getting these giant rocks in the first place. I look ridiculous. I am grieving for the pancake boobs I will soon have. I am not ruling out a lift in a second surgery, but now I am also thinking, who cares what my boobs look like. Really I could use a tummy tuck, thigh lift, arm lift etc etc it never does stop. Why do I need perky boobs when the rest isn’t perky? Mostly I want to be healthy and not worrying about leaks. And neck pain. And I don’t want to be planning another explant surgery when I am in my 70s so I am not considering a replacement.
I feel so sad. I am going to look like a man. No, much worse than a man. I am going to attach pics of my mammogram, and current pics of my enormous breasts. ? For some reason they want to flip upside-down after the upload. Sorry!
I want to say, thank you to all of you who posted 1 day post op pics and etc. I had really thought I would do the same thing for the next person in my shoes, but I don’t think I can bare to look at them. It is going to be horribly gruesome. Do any of you think, with a really good bra, like a VS Miracle bra, would I look somewhat ok? Is there any bra that can help? I’ll just never be naked in front of my husband ever again.
Ugh, sorry to be such a downer. Today was a hard day—slap to reality.
By the way, to anyone else in California—to get my implants removed, Kaiser is charging me $15 co-pay! That’s it!!! I LOVE KAISER!!! All I had to do is get my primary care doctor to refer me to plastic surgery, and it was approved today as a covered procedure. The surgeon is really respected and seems to know her stuff. She took her time with me and I feel as good as can be expected.
Replies (69)

My implants look fine but I feel they are too large (530cc and 420cc) I want them out and am not interested in downsizing to a smaller implant as some recommend. No more money on breasts :(

Hi Karnick!! I am sorry for the delay in response :) Yes, I had my saline out first, I had mentioned to the Dr. that I was concerned with going thru too many surgeries and that at the time of explant, I would prefer to do the surgery and lift all at once if needed. He came up with the solution to remove the saline first, it barely hurt...just the prick of the needle! I did have a little pain for the first 5 days from the relief of pressure of the saline bags, getting used to having almost nothing up top, I wear a close fitting sports bra that connect in the front all of the time in hopes it will lift my itty bitties :)
I will go back in October for my explant, at the time of the saline removal my Dr. (Andrew Wolfe in Golden, Co ***- ***-**** ) had mentioned he feels I probably will not need a lift....I have recently read that waiting 6 months to a year is better for a lift....my breast do not look that saggy ( I was a B and went to a full C under the muscle ) and I feel with time they will heal. I have already returned to work and have started a little bit of weights to hopefully build up the pectoral muscles. I am not in California but I am sure there is a great PS that will work with your request of saline out first....I feel it will make the explant surgery so much easier, the body has a chance to heal a little at a time. Your choice to explant and rid of something that is not a part of you is going to make you feel so relived and happy....definitely scary for all of us but we are taking our lives back and will be healthier for it in the long run!!! I wish you the best of luck, I know taking them out is not an easy choice but a lot better than having the alternative ( back pain, nerve issues, neck pain, auto immune issues, sleeping issues, having to have replace over and over again....I think most of us will be happier putting on a cute tiny bra and exercising obstacle free and energetic :) God Bless :)





Coming to terms with this
So today, I took my daughter shopping and looked at tops. Girls with big bazookas don't wear a lot of ruffles on top-- it adds weight. Well, I was on a mission to find ruffly fluffy tops to hide my imminent flatness. I found some stuff, we shall see if it fits. Isn't it funny how an innocent top or sundress on a small busted woman looks [RS bleep] on a busty woman?! Well! I wonder what I will look like all flat.
Ok so here is a confession. I bought some breast forms/pads and pocket bras on amazon today. I am so stressed out about returning to work flat! I am a teacher (grade 8), and it will be noticed, by students and faculty alike. My friend says, so what, tell them you got implants removed! Who cares! In Southern California its the equivalent of dying your hair or taking off acrylic nails!! Or getting a spray tan! Everyone does it!! I don't know... I just can't come out and announce that. My mother, who by the way is doing cartwheels of joy over this decision, says tell them its none of their business! Because it isn't! I don't know... I was thinking wear super padded bras and breast forms, then slowly stop doing it.
So my students return to school about 2 weeks post surgery. I am not taking days off work for this. I am saving sick days for the important things in life-- travel. Hahaha
I got the new Ikea catalogue today in the mail. On page 320 is a woman sitting on a kitchen counter, wearing jeans and a loose tan sweater. She is thins and flat chested and, in my imagination, completely self aware and confident and smart and healthy. This woman never considered breast implants. This woman loves life and family and doesn't have a vain bone in her body. She is healthy, does yoga, is vegan and smiles all the time. I want to be her. I will be her!!
Replies (18)

How is that even legal, for a surgeon to discuss size with the spouse and take liberties with that. Why aren't husbands flipping out about their bodies, getting six-pack ab implants and penile implants, and having their wives confer with the doctors over size issues!!! This really irritates me. My friend said, "well this is a decision for you and your partner..." Excuse me! This is my body! I am not keeping toxic plastic bags of gel stuffed in my chest because he likes the aesthetics!!!! GGGRRRRRR!!!!! Sorry!


Oh wow! I love your comment. I agree that it is a decision for the woman carrying the implants only and not the freaking partner. Bah!






Second opinion day
So I went to a private plastic surgeon today for a second opinion. I'm glad I went because I was starting to think maybe I can put this surgery off, what's the rush... Well he said "Your implants are HOW old? 25 YEARS? WOW! That's really old!" Hmmm. Then he said the reason for my recent capsular contracture after so many years of no problems is likely a silicone bleed-- not a big rupture, but there is likely bleed going on in there. Ick. Ok, I want these out yesterday!!! He is very kind, the pictures of his "afters" were amazing, but he would charge $8000 for removal /capsulectomy and $12,000 for removal/ capsulectomy/ lift. Wow, that's a chunk of change.
So I am sticking with Kaiser (insurance). He said my breasts will be likely A cup and a lift would reposition the nipple, but he said "you look like an athlete. I bet you don't care about the appearance, just the ability to run?" Wow, that's pretty much true. I just want to r-u-n!! Without these giant obstacles! I am totally letting go of the appearance thing. And I no longer feel giant boobs are even attractive. At least not on me.
My pre-op for Kaiser is Wednesday. I am so excited. This time next week I'll be sitting propped up with bags of ice on my bandaged up flat chest. Hurray!!!!
Replies (9)





I was told by several PS before that my breasts would need a lift...but I would rather not take a chance on any other complications. So my doctor, Dr. Doezie did cover his reasons in NOT doing a lift along with my capsulectomy procedure; the lift could very well interfere in the healing of the explant. Just as you shared here, the incision around the areola and down could loose oxygen in the blood supply because the oxygen demand is shared and thus (may) killing cells which could affect your nipples! Thank you for that, hopefully, it will help others who may read your story. I will try and update my review to cover this subject too, just in case!
You're still young. First thing's first, plan your explant and wait for a little time to heal and allow your breasts to go back to its natural place! Your healthy lifestyle may surprise you and your body will react in a positive way.
I am beyond thrilled for you at Kaiser! Congrats! I had Kaiser over 20 years ago, about the same time I wanted to explant, but didn't. Foolish me! I go in in less that 3 days...a few months back, I thought of Kaiser again for financial reasons but that would mean I have to wait another 6 months or more. My contracture is uncomfortable and more pain is developing. With the way the Obamacare is going, Kaiser may not cover my explant in 2016! So, yes, for those of you readers who are in CA and are with Kaiser and considering an explant, just do it, see a PS now!
I will be following your story and hope you come up with a decision soon and have peace with it! God bless!
You are right. I have my health (so far so good), and a full life with great job and family. This should be a small thing. I am getting there.
And yes, this "nipple necrosis" issue is horrifying!!!
Good luck on your surgery! I can't wait to see your post pics, and I feel guilty that I am not going to post my post op pics only because if I remove the bandages I will probably look and faint.
See ya ;) Keep cool, hot days are coming!