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POSTED UNDER En Bloc Capsulectomy REVIEWS

Implants making me sick. Many symptoms gone first day after explant, no lift or new implants! Dr. Feng is the best.

ORIGINAL POST

Implants are 23 y.o. Capsular Contracture on Rt....

healthynewme
WORTH IT$7,650
Implants are 23 y.o. Capsular Contracture on Rt. side Baker's grade IV, Lt. side soft and squishy, likely ruptured. Found a lump at 17 and had my first lumpectomy (of benign fibroadenoma tumor) by a general surgeon, (large Lt. lateral scar). 2nd large tumor grew back, same place, age 23. Not thrilled about being left with 1 1/2 breasts, decided to get b/l silicone implants at time of 2nd lumpectomy by plastic surgeon, this time: periareolar incision, subglandular (over the muscle), McGhan textured, round, silicone implants July 1991. Went from size 34B to 34C, very natural looking, no one knew. Rt. side became hard and round within a few years, but no big deal. (now hard and painful) Love my breasts, always have. I did lose some nipple sensitivity, and nursed my four children with a fair degree of difficulty. Lived with random chronic symptoms for past several years, but thought it was just aging. Symptoms progressed rapidly over last yr. Started aggressive treatment to restore my immune system and heal my body naturally w/ Gerson Therapy (juicing 10x a day/coffee enemas & intense supplements to push the thyroid, support the liver and kidneys, etc) It worked so well that my body tried to remove these foreign objects on it's own! (I was warned that it might do this) It was so painful, I had to stop. I began researching implant removal. When I saw the list of symptoms from others with implants, I fell over. 90% of my issues were on that list. I felt crazy when I actually sat down to write them out for the Gerson coach, but these were the symptoms I had listed: (severe foggy brain, high pitch ringing in my ears, joint pain (toes, knees, hips, shoulders, elbows, hands), bottom of feet hurt, muscle pain/weakness, cold/blue hands & feet, can't get warm, shocking pain down arms, TMJ (jaw locks up), sinus pain/pressure, glands sore & swollen in neck and jaw, teeth hurt, ear aches, eyes painful, burning & red, vision sharply declining, headaches, back of head painful, neck pain (vertebrae catches/locks), fatigue, dizziness, exhausted with minor activity, hair falling out, colon sluggish/poor elimination time, foul urine odor, bladder inflamed& painful, pain &fullness across liver area, red pattern across nose & cheeks, breasts & underarms swollen & painful, stabbing chest wall pain, nodules on thyroid scan, fibroid cysts on ovaries & breasts, (same on uterus, had removed). They sounded like symptoms of hypothyroidism, fibromyalgia, possible MS, but at least some sort of auto immune disorder. Hair samples and a cheek swab showed high levels of silicone dioxide deep within my tissues. I don't know how many of my symptoms are due to silicone toxicity, but I expect the breast pain to get better, and I can at least then proceed to restore the healing mechanisms in my body to take care of the rest. I am researching explantation with b/l capsulectomy, en bloc, no replacement implants, no lift, excision of all silicone granulomas diagnosed with ultrasound mapping. I hope to do this soon. I will update with my decision and a surgery date.

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Lu-Jean Feng, MD

Lu-Jean Feng, MD

Board Certified Plastic Surgeon

4.5 | 109 Reviews
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Replies (52)

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January 20, 2015
I had my implants out January 16, 2015 and still have the drains. They were put in 27 years ago (1987). Both of mine were ruptured and the doctor had to do a lot of scraping to get out the silicone. He said it had been like that for quite some time. After reading this, I have had most of these symptoms. I am so thankful that I had them removed. I will add to this comment in a few months to let you know if I see a change in my health.
January 20, 2015
Thanks for sharing. I too am having health issues with my silicone implants. I have my removal January 23rd! I'm hoping my health improves too! Good luck!
January 20, 2015
Wow! Thank you for sharing your update just 4 days post op. Hope you heal quickly and resolve the chronic health issues. Keep us updated.
January 20, 2015
Very awesome. Who is doing your surgery? Best of luck with a speedy recovery.
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January 20, 2015
Great! It's a piece of cake. I am getting my drains out tomorrow morning. Mine have not hurt since surgery.
January 20, 2015
Well that's awesome news!
January 20, 2015
Who did your surgery salmonclark?
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June 21, 2016
Hi, I'm about to have my implants removed! I've had them for nine years. Last April I started getting very poorly. I was diagnosed with an under active thyroid. My symptoms have been horrific! I was told last week that its my implants and I've booked removal ASAP! I was just wondering how you were? Kindest regards Kathy
January 20, 2015
Hi i also will have en block removal on 2 nd of Feb! Hope everything will be ok with the operation and it is goid decision..
January 20, 2015
Oh, thank you for sharing. Who did you choose for your surgery?
January 20, 2015
I am living very far....in hungary;-) tamas karvasz..here people do not ask explantation just BA and doctors is not willing to do it..
January 20, 2015
Oh wow. Sorry to hear that.
January 20, 2015
I also have old silicone implants (1990) and have been having various vague complaints that I intermittently blamed on the implants. 5 years ago I had an increase in chest wall pains and also a hair analysis that showed "off the charts" silicone....so I had an MRI and at that time ,according to the mri, they were intact so I talked myself out of removing them..fast forward to November of this year...again I had increasing pains and vague ailments and this time the MRI showed bilateral ruptures (within the capsules) !! So I have been researching the heck out of all my options and reading as much as I could on this site and other breast implant forums and also researching doctors. I considered Dr Feng...I liked many things about her practices and reputation but she is in Cleveland and I am in NY. Also i cannot find ANY info about her US mapping technique anywhere. Her assistant explained the procedure and how it works briefly but is she the only one using this and if so why. Everything I've read states that MRI is the gold standard in terms of detecting ruptures and I can find no literature that refutes that. I do like her explanation of the anesthesia she uses and the fact that she has her own facility to control every aspect. I am also unconvinced that I will have any kind of good result w/o a lift. I am having my explant done in early February. Another thing, In regards to excision of all silicone granulomas those would be those in the breast and breast tissue itself?..... I do not know if she removes any silicone that has escaped into armpits/lymph nodes etc. This is such a tough decision for me still but I am more or less committed at this point. I looked at some of the questions you asked and they were good ones!! I saw a few decent responses but feel some were not fully answered by most of the PS on this site. I plan to take a few photos within the next few days and start my own "story"
January 20, 2015
It was my understanding that she removes silicone granulomas from all surrounding areas, as far up as the collar bone, and, yes, around the axillary lymph nodes. (not just breast tissue) Linda said that Dr. Feng will discuss removal of lymph nodes with me when I come for the consultation, once the ultrasound mapping is done. The radiologist draws on your skin to mark the physical location of the granulomas. It sound like it depends on a few things wether or not she takes the lymph nodes, but this will be discussed with me before hand, weighing the best option for my situation, I guess. I agree that many of the doctors were hesitant to fully answer my questions. I don't know how it works. I didn't pay attention to know if there was an option to choose the doctors you wanted to answer your questions or if it is just random and they pick and choose which ones they are interested in. Some of them seemed to get rather irritated with me by the last question and I thought perhaps they are getting all of my questions every time I asked. So I just stopped asking. I think I have gathered enough information, even with some of their ignorant answers. It helped me know what I don't want. Keep in touch.
January 20, 2015
Great to hear you are healing well. I am having my 22 year old Saline implants removed in a few months as I have a leak. After reading this I am so thankful mine are Saline. They are Mentor with a Silicone shell though. I found Dr Kolb and watched her YouTube talks than went to her website. Even Saline implants can cause health issues. I started having a lot of health problems out of the blue last year and ended up in the ER twice and on the Cardiac floor overnight! Found out I have a Thyroid Nodule, elevated Thyroid numbers, mild Mitral and Tricuspid Regurgitation, I was dizzy, passed out and fell down, tingling up my arms from hands, sharp chest pain. I wonder if the Implants caused the Thyroid issues and how my heart valves could become leaky? I am 54 and was never told anything was wrong with my heart. I had my second consultation yesterday and asked the Dr. She said the people who post that are crazy and Implants are safe, especially since mine are Saline. I asked about En Bloc removal for me. She said since I have no hardness, etc I would not need that. The encapsulation is the scar, very thin and sometime when they do En Bloc they have to take breast tissue also and it can deform the breast. I quess if the Dr does not have the experience then that could happen. I am going to get several more consultations. I was going to do Fat transfer to my breasts but now not sure about that. So much to figure out. I also have to have clearance from a Cardiologist and regular Dr before surgery. I have no insurance at this time so this will be a very expensive mistake I have to pay for. Wish I had never done it. Oh well, must move on and figure things out. Thank you for your posts as it is very helpful and good luck on this journey.
January 20, 2015
I hear your frustration. I was concerned also about the capsulectomy en bloc taking too much of my own tissue but I also read that it is necessary if the implant is thought to be ruptured, which mine are (hard capsular contracture is a risk for rupture and should come out en bloc, but it's not required if capsule is not hard and diagnostic imaging reveals that they are intact, not leaking). Also, I read that if you do remove the capsule that the fresh breast tissue has a better chance of healing back together, although there may be less of it. So, I don't know, either.
March 19, 2015
Mentor saline implants ruined my health at the age of 21. I was always perfectly healthy until the saline implants when I developed HORRIBLE insomnia, light sensitivity, noise sensitivity, arthritis, foul smelling urine, severe pain and muscle stiffness in my neck back and head and many other symptoms. The doctor who told you we are crazy is the crazy one and needs to do his/her research. This is happening to MANY MANY Women. Dr. Susan Kolb , a plastic surgeon herself, wrote a book explaining how saline and silicone both cause disease. She knows because it happened to her. She explains that a certain percentage of women have a certain gene that does not allow their body to detox toxins as well as the rest of the population and they are the ones who get sick. *Although I know its been proven silicone causes cancer rates to go up* She has a book out called "The Naked Truth about Breast Implants" that is awesome. It explains it all. I also saw Dr. Melmed who explained to me that he stopped putting implants into women because he saw too many women with the same horrible symptoms and he knew in his heart that it was wrong to keep implanting women so now he only does the explants. Anyway, yes its the implants doing this and no, don't expect a "mainstream" doctor or even a typical plastic surgeon to admit this. They are sadly brainwashed that the fda is trustworthy and that the implant companies are honest. The studies are there for anyone to see that silicone causes autoimmune disease and many other abnormalities in women. My urine odor went away , the DAY after my explant but I have continued to get worse. I will look into silicon detox because saline implants have micogoblets that go all over the body and cause autoimmune reactions. Many women do get 100 percent better after explant though.
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January 20, 2015
Brad Nanigian, plastic surgeon at Kaiser Permanente, Northern California
January 20, 2015
Sounds like he did a good job, salmonclark. I'm glad you're happy with it. That would be way too far for me to go. Keep us updated on how things go. Best regards.
UPDATED FROM healthynewme
22 days pre

I'm doing this! Explantation details for Dr. Feng patients.

healthynewme
After much deliberation, I have made a decision and scheduled the explantation of my 23 y.o. silicone implants with Dr. Feng for Feb. 27, 2015. I feel confident that she is my best choice.
Here are all of the details to help others better understand the process and gather information to ask informed questions.
I live 7 hours away from Cleveland, Ohio so I will arrive one day prior to surgery, meeting Dr. Feng for the first time during a 90 minute consultation, followed by pre-admin testing (EKG, bloodwork, urine)
I will be having bilateral capsulectomies en bloc through the inframammary fold incision and excision of all silicone granulomas. Dr. Kahn at the Cleveland Clinic will do the Ultrasound mapping (one day prior, just before my consultation with Dr. Feng an pre-admin testing). He will draw on my skin to indicate the exact location of any silicone granulomas from under my arms, across my chest wall up to my collar bone. Dr. Feng will take four hours to do the procedure the following day. She will use drains that will come out in 2-3 days, depending on how much fluid is still draining into the bags. She has her own surgical facility and employees her own anesthesiologist, not a nurse anesthetist. They use fast acting anesthesia that leaves the body in six minutes so you wake up quickly without the hang over feeling. She sends vitamin supplements for you to take before and after. ("Recovery Support Program" by VitaMedica, formulated by an anesthesiologist to enhance would healing, support the immune system, prevent infection and minimize inflammation using vitamin A, C, zinc, copper, selenium, bioflavonoids, bromelain and quercetin, taken 2 weeks before and 2 weeks after. Also, Arnica Montana 30X is given right after surgery and until bruising or swelling subsides.) You will stop all supplements of your own during this time. There are certain foods and medications that interfere with the body's ability to clot properly after surgery that you will discontinue one to three weeks prior in preparation for surgery and three weeks after. I think that this is all very well thought out and makes sense to get your body ready to undergo surgery and gain the best outcome. Her office sends a detailed packet of information outlining everything you need to do, where to go and when, and how you will pay for it.
The breakdown of her fees may help you plan accurately if you decide to go to her: Dr. Feng's surgery fee is $4,000. (It may be different if you do not require b/l capsulectomies. I don't know.) This fee will not change no matter how many granulomas she has to remove or how much extra time may be required. It is a flat rate and includes her consultation, surgical fee, and all post-op visits forever, they said. Her facility fee (also non-time dependent) is $3,650 and includes all pre-admin testing, vitamins, anesthesia,O.R. time, etc. (She is known to have success getting your insurance to pay. You would still have to pay $150 up front for the consultation. Then Dr. Feng will write a letter of predetermination to your insurance company, but only if she feels there is medical necessity for you to have surgery. Then you wait the four or so weeks it takes for insurance to respond. Even if they approve it, you will pay for everything up front and have to get reimbursed by your insurance company, but at least you will know if they will cover it or not.) If you do not want to wait and want to book a date with Dr. Feng, you will be required to give a $1,500 deposit when you schedule your surgery date. It is non-refundable, so don't schedule until you are sure that you are doing this, that you want Dr. Feng to do it and you are sure about the date. There is a fee of $575 to change the date unless due to medical or family emergency and can be changed up to one year from date of deposit. You retain 100% of your deposit if you cancel 30 days in advance of your surgery date, but only 80% if you cancel less than a month, but as least two weeks prior. (If you postpone or cancel your surgery within 2 weeks of the scheduled date, unless it is due to an illness or injury which would interfere with you having surgery, you will forfeit the entire deposit.) You can pay for the deposit with a credit card, but not the balance unless you want to pay an additional 3%. Pay the balance with Care Credit or 2 cashier's checks; one to Dr. Feng for $4,000 and the other to The Lu-Jean Feng Clinic for the balance of $2,150. You will also need to be prepared to pay around $500, I'm told, for the ultrasound mapping done by Dr. Kahn, paid to the Cleveland Clinic and between $300-$400 for pathology, also paid to the hospital. The hospital will bill your insurance, but if it is not covered, you will need to plan for this additional $800-$900 in your budget.
My surgery is on a Friday, so I will plan to stay in the area until Monday or Tuesday, but that is not required. You can drive back home and return to have the drains removed, if that is more convenient.
My post-op instructions are "Do not push, pull or lift for 2 weeks". If I comply, I should be okay to return to normal activities, I'm told. (Maybe not lifting small children, if you have young ones. I do not.)
That is what I know right now. I hope that I got the details right. I took them from my information packet, but you might ask her staff personally, as some things may change or be different for your situation. I'm just going by what the paperwork says and my experience. I do not have insurance that will cover it, so I have not had that exact experience.
I will post more info as I go.
Hope this helps.

Replies (22)

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February 5, 2015
wow, now that is a detailed review!! sending happy thoughts your way. sounds like you are in very good hands!
February 5, 2015
It's all of the stuff I wanted to know so I could know what questions to ask and what to expect if a surgeon claims to do this procedure. My local PS failed on every detail. I hope it helps other in their search.
February 5, 2015
Thank you for sharing all the info. I am trying to find a Dr who is as thorough here in Tampa. I may drive to Atlanta to Dr. Kolb. I want to make sure it is done right. Good luck to you and please keep us informed.
February 5, 2015
Thank you so much for sharing. Would love to get more of your post op instructions when you get them. Any suggestions on oils for massage post op?
February 5, 2015
I will let you know what they tell me. 3 weeks to go.
February 5, 2015
So you are not getting the lift? I just got off the phone with Linda and can only afford the explant. I am currently a 34 d and will maybe b and a loose a cup,afterwards. I am 61 ,live in Tn so,i too would be travelling up. How did you decide to do explant only?
February 5, 2015
Right, I am not doing the lift. As you know that adds another $7,000 or so. I don't have that, so that's pretty much how I decided. I don't want to wait around until I have $14,000 and I don't want to go to someone cheaper who is not skilled at proper removal of silicone granulomas. I am hoping that she takes some care to put it back as best as she can. That is what Linda sort of said, without making claims to doing an "internal lift" like some throw out but don't really explain what they mean. She said she will try to make it look nice. I want to get well. I will wait to see what my breasts do on their own. Some say it is best to wait and see if you even need it.
February 5, 2015
Can i ask your age? I have had a consult with dr.kolb kolbsshe seems to have a good reputation and will remove the involved lymph nodes. I am waiting on price quote using her and second surgeon. Initial price she gave was substantially less,than dr. Feng. It Is a hard choice for so many reason. Thanks for,posting pics as you look similar to myself.
February 5, 2015
I am 46 y.o. I'm not sure exactly what Dr. Feng's policy is on lymph nodes, but it sounded like she will discuss that during the consultation after the ultrasound mapping is done and she can see exactly how much silicone has migrated. It sounds like "it depends" on your situation if she feels the lymph nodes need to be removed, some or all of them. I felt like Kolb was maybe a little too aggressive about lymph nodes and Melmed in Texas was too conservative and does not even discuss removing any lymph nodes. I can let you know better once I have the surgery. Interested to see what she says about my lymph nodes.
February 5, 2015
Thank you again. Being 61 and having large implants..thinking maybe the lift will be needed. Are you aware of any major ramifications of removing the nodes? She seemed to think it necessary but indicates only 2.
February 5, 2015
Congratulations on making your appointment ..Dr Feng sounds like an excellent choice especially since you do not need the lift. (Your photos appear to me much less ptotic than mine were!) I am post op day 3 and feeling better...I will have the drains for 7 to ten days according to my dr. The pain is lessening today...the first two days were a bit rough but I was a difficult case.
February 6, 2015
Oh wow, drains for 7 days? I only made plans to stay in the area for3. Hope mine are ready to come out by then. I am glad you are feeling better at day 3. Thanks for letting us all know.
UPDATED FROM healthynewme
3 days pre

4 days Pre-Op

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Taking my supplements since 2 wks pre-op, now. Stopped all meds and foods with blood thinning properties (salicylates) like apples, cucumbers, tomatoes, pineapple, raisins, strawberries, grapes, garlic, ginger, etc. They send you a detailed list of what to stop and when. I start taking the Bromelain tomorrow that came in my pre-op package. (a powerful anti-inflammatory)
I feel pretty good about the surgery. My husband is super supportive and assuring. My friends and family all know and are also very supportive. So grateful. The kids all have families that are taking them for the week. We farmed them out to their best friends' for sleep overs. They're pretty excited about that.
I wanted to post some other important tips that I have found in preparation. Mainly just to ask the hotel for the hospital rate or special surgery rate if you are traveling to have your surgery. I am going to the Cleveland Clinic to see Dr. Kahn for the Ultrasound Mapping that Dr. Feng requires, so I mentioned the Cleveland Clinic to the hotel and they gave me a 20% discount for people coming in for testing or treatment. They didn't ask for details or anything, I just said, "Do you have a promotional rate for patients traveling to you for medical treatment?" and they gave it to me. My sister in law is a professor of nursing at a teaching hospital and told me about people coming in from out of town getting a special rate and that I should ask. What a savings. The Marriott "Residence Inn" in Beachwood gave me a code to use for booking online. (click on Corporate or Promotional Code when you are in "Find and Reserve" on Marriott.com, and enter P8J ) I think each hotel has it's own code. It saved me $50 a night!
Also, I don't think I mentioned that Dr. Feng and her clinic accept CareCredit as a payment option. Each doctor has their own financing plan. Her office offers 6 months with no interest, and 12 and 24 months with 14% interest. We were approved online for $1,000 and sent a CareCredit card. We will use the 6 months, no interest on $1,000 and apply it to the balance due for the Lu-Jean Feng Clinic fee. The rest we will pay with two money orders. Remember, she does not accept personal checks. Funds must be certified. No big deal, just be prepared.
We drive up on Wednesday, that's in two days. My appointments are on Thursday morning starting at the Cleveland Clinic at 11am, immediately followed by a consultation and pre-op testing with Dr. Feng at 1pm. She likes to do it back to back so she can see the markings Dr. Kahn makes on your skin indicating the silicone granulomas, and she can discuss the details of what she will be doing in your surgery.
The staff said that I don't need to purchase any special bras at this time, but just to wear a button up shirt on the day of surgery. They will send me home in compression dressing and some type of surgical bra that I will wear for a while. I was tempted to order bras online that everyone has talked about, but decided to wait until after the surgery.
I will post more info as I go to let you know what to expect.

Replies (3)

February 24, 2015
Great!! You sound well prepared...I also did a similar pre-op regimen, I had to stop all the things I use to keep the IC at bay and it flared right before the surgery but afterwards actually is improved without taking anything! I agree with not getting bras until afterwards because there is swelling initially and you may be advised to continue to wear the surgical bra. My PS advised continued use of the surgical bra and also a velcro fastened 3 inch adjustable band that goes over the bottom band of the bra....sort of an extra level of holding them up in the position they are in. You may not need that because you are not having a lift right? In my case my doc did a lollipop lift and a "rearrangement" of my breast tissue so that I would have some upper pole fullness and she advised wearing the band and surgical bra for 5-6 weeks to allow them to heal in the upper position although they still may drop a bit. I am happy with my result since I truly only had a small amt of breast tissue and she really optimized it! (in my email consult with Dr Feng she also stated I needed a lift for sure when I emailed her my photos) You do not look like you have that much sag and they are not as huge as mine were! The info about the foods to avoid is interesting. I had quite a bit of bruising even tho I took arnica and bromelain...altho I also had a lot of bruising when they went in. Anyway very soon you will be free of them...I am totally thrilled they are gone..I am small but I feel like I look younger and once I can start sleeping not on my back and more healing occurs I think I will be even happier. Best of luck with your surgery..I will say a special prayer for you. In regards to that a funny thing happened to me in the OR. I was extremely terrified of the anesthesia in the days leading up to the surgery and even more so on the morning of the surgery but when I was on the table in the moment before they started to put me to sleep I got a sudden overwhelming feeling that everything would be fine..I actually feel as if I literally heard those words in my head!!
February 24, 2015
You're so awesome! Thank you for sharing with me. I'm excited to get it over with.
February 26, 2015
Thinking of you tonight and praying all will go extremely well and easy for you. I talked to Dr.Feng office today and may do early MArch. Praying for guidanceon this. Looking forward to hearing you are well. best wishes.