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POSTED UNDER Breast Implant Removal Reviews REVIEWS

Explant on 5th October: 17 years of subglandular plus 5 months of submuscular.

ORIGINAL POST

I had a breast augmentation revision 4 weeks ago...

birene
WORTH IT$2,926
I had a breast augmentation revision 4 weeks ago in London after 17 years of implants from the age of 23. I don't know what my bra size was before the implants, I didn't need a bra, but you can see in my pictures from the first pre-op surgery. My current surgeon says I was an A cup. I had 270cc Hydrogel subglandular, I was never happy with them but I could cover them up and make them look natural enough in clothes. I buried the whole shameful affair and told nobody, not even my partner of 17 years after that. I had the revision as the implants were dangerously old and the rippling had become very visible, also I'm doing IVF treatment and thought that if I am going to conceive, that I should sort this situation out fast. Sadly I didn't do my homework. I did what I did at the age of 23, I was hasty and scared and just put my body in the hands of the most expensive surgeon I could find. I was very wary of how he seemed reluctant to make me smaller but we had many conversations and he seemed to understand, we also had my existing implants as a realistic measure of how small I could feasibly go. Anyway, 245cc anatomical 'teardrop' Mentor memorygel 'gummi bears' submuscular later, and I really hate them. They are bigger and higher and the scars are wider, all typical of this implant apparently, but not something he warned me about. He told me on two occasions that the scar would be the same size, when it seems normal for a cohesive gel shaped implant to require a wider incision, but he wouldn't give me that possibility. In our follow-up yesterday when I asked, he said he 'didn't know' if the new incision was bigger, he 'didn't think so'. So I am afraid that I can't trust him. He knows I want to explant and will do it as part of my package, but very reluctantly. He wants me to wait for them to settle; again, these textured implants do their best to grip to the tissue and they don't drop much. But all of my research and questions are dismissed by him as 'trash on the internet', he 'has done thousands of these implants' etc. I got upset in his office, not so much out of my own situation anymore, but for his dogged insistence that his implants for me were 'textbook' and right for me. I felt drowned out by his own sense of being right.

My sensation was always reduced after the first implants, which bothered me a lot and got in the way of intimacy. But I had some at least. My surgeon knew I was afraid of losing more and now I am completely numb from the top of the implant at armpit height, to underneath. I have a tiny bit of sensation in one nipple. My main distress about this revision is the possibility that I could perhaps have breastfed a baby with what I had before the revision. My surgeon told me it was unlikely, so I had the revision thinking I had nothing to lose, but I wonder now if I could have managed. It's all a bit late and I'm ruminating and obsessing.
But what I want now is to explant and to get these massive balloons out. I may still be numb but the offenders will be out of my body and this cycle of implanting will be finished.
I am looking for someone to do this, but wary of cost to myself financially and emotionally. I had time off work for the revision and the discomfort of going submuscular meant more time off than planned. I've been very emotional and distracted and I can't tell a lot of people why. I'm doing a cycle of IVF treatment right now, and the embryos will be frozen. My partner and friends don't want me to explant, as they think I'm in the wrong state of mind, that I should accept what I have now and focus on my fertility treatment. My partner is already hesitant about me even having an embryo transfer as he thinks I'm not up to it emotionally. So I made a terrible mistake by having this revision when I did, how I did; I didn't consult with any of my friends or my partner, I just went and did it as I was so afraid and ashamed. It's only since the revision that I have opened up and told any friends at all; they're amazed to know I had implants all this time.
There are a few good doctors in the UK that explant, but they all implant as well, so I'm not going to get a Dr Melmed or Dr Feng. I have spoken to Dr Melmed on the phone and by email. He asked me about symptoms, and I said I have severe persistent sciatica and recurrent yeast infections, but I didn't associate them with the implants. He believes they are. But given my situation, he does not want me to fly to Dallas to be explanted by him. The other surgeons here will consult with me gradually over the next month, but I can't be sure about their attention to removing all the capsules. My new implants will not have formed a capsule at least, but I am worried about the old capsules, and how much my surgeon really did remove, as I don't feel I can believe much of what he says. He tells me that he left the capsule closest to the skin as I have no breast tissue, that he cleaned the pocket out with water and hydrogen peroxide. The old implants were not ruptured, but with a thin bleeding shell, so there must have been silicone in the pocket. He has closed the pocket, and I don't know how disruptive it will be to my remaining sensation to have the pocket re-opened to check. The only surgeon who might do that is Dr Feng in Ohio. I will speak to her secretary soon, but I don't think I can afford her or the trip as well as IVF.
My surgeon will remove them for free but tells me that I will just have empty pockets, loose skin. That I have NO breast tissue at all, that implants can rub away the old breast tissue. I will be an AA cup instead of my previous A cup. In short, he is giving it all the scare stories. Dr Melmed said I would be the same as pre-implants, and that breast implants can encourage breast growth if anything?! My surgeon says it will be quick and easy to do, a day-case, 20 mins to do!? I wonder about drains, as these usually stay in for a few days; he used them for the revision BA. I am worried he is rushing it and that I shouldn't use him, but I am tempted by the locality and that I won't have to borrow money or travel far and wide. I wouldn't have a lift with any of the other surgeons anyway, so as long as my POS removes them, will I be okay and my results will be much of a muchness? I won't have a capsule to worry about. I made a mistake the first time, I don't want to make it again. I will ask Dr Melmed, but I don't want to go through this and feel no peace of mind, eventually travelling for further surgery to be sure. I am pretty sure I won't get the sympathetic aftercare that a dedicated explant surgeon would give, but as long as they are safely removed, then the rest is up to my body? I hope to do this in one month, I would really appreciate any advice or support, I feel so out on a limb. Thank you.

birene's provider

Andrew Fleming

Replies (35)

May 28, 2016
Hi I had my saline implants for 16 years. They were removed in March. I´m very happy with this decission. I never had own breast tissue and I was afraid, that my breast is saggy and a lot of skin. But I was wrong. The implants were removed (350 cc) and now I have an AA cup (or less). No saggy skin.
I had drains for 24 hours and I had to wear a special compression bra for about 6 weeks.

Best wishes for you.
May 28, 2016
Thank you for your story Implantless. I feel less afraid of being flat and tiny than I do about deformed skin and nipples and the possibility of permanent numbness, but I know I won't miss these water balloons. I was content enough with my old implants which looked quite conservative, none of my friends ever guessed. But for any of us to have ever agreed to implants was to deliberately turn a blind eye to the future and to the reality of what they do in there. All the best to you too now.
May 28, 2016
I was a small "A" before getting implants at the age of 29. I had them replaced at age 40. At 49 I had them completely removed. I thought I had 300cc, but at explant I learned they were 400. I had drains for 5 days and was back at work within a week. I told no one. I haven't any stretch marks or loose skin. I was amazed that everything went right back in place. I wore and continue to wear a molded bra that shapes and keeps everything in place. I have very little breast tissue, but I love my natural body. It is the best decision I've made. It has been 7 months.
Good luck to you, I hope the best for you.
May 28, 2016
Hi Hummingbird, you look stunning in your photos, it's hard to believe you had implants for 5 minutes, let alone 20 years! And very alarming that they were bigger than you were made to think. Did you have an under crease incision? My PS is less than understanding or sympathetic, but if they are still very new then hopefully capsules aren't an issue and I will save myself time, travel and more money by having him remove them. The old implant capsules worry me more. Surgeons and friends think I'm being impatient, but I think when you know, you just know, there's no point wasting more of our lives putting up with these foreign objects. Thank you for your support.
May 28, 2016
Gah, just realised I was looking at the profile of another member who had an explant, I think you previously commented on their post, so my reply to you makes no sense! I'm really sorry, I spend way too much time on realself looking at explants now...I seem to have a pair of breasts on permanent display on my iphone these days too.
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May 29, 2016
Hi Beautiful, hey I think you'll be pleasantly surprised and I went through anguish wondering if my implants, which were most likely ruptured inside the capsule, have poisoned my two children as they both have autistic traits, whereas my other two don't... But whether it was that or other things only God knows, but yes I'd DEFINATELY recommend getting them out asap... And yes size truely doesn't matter when you realise what Hess are doing to people's health, and especially what they could do to your baby's health... I personally know someone who couldn't conceive perhaps due to implants, and another that had miscarriage after miscarriage... You could look into the facebook groups for women who have had implants, they are the encouragement that you need to validate the instincts you are having!... It's not going to come from the surgeon and you could ask him to photograph the proceedure, that there's nothing in your cavities, no old scar tissue, make sure he removes it all?!... Hey check out my photos, there's none worse than me since I fed two babies with these in... I will do an update again soon to show my scars... Hey if he's a good surgeon and your partner is supportive do it before n get it over n done with!... It's not easy but you'll be more relieved luvy!... And may be able to feed too... I'd wait at least six months or a year before trying to support another life though, give your body time to heal, detox and build stores again ok?... Xxxx sending you a ginormous hug from NZ! [RS bleep] ;)
May 30, 2016
Hi 40, pleasantly surprised would be just lovely! I don't hold out much hope, Dr Melmed says to be fatalistic then wait and see! I am having some serious talks with my PS about the explant, but regarding my revision I did the same and I feel that he brushed it all aside and did whatever anyway. I'm worried that my loss of sensation is not just due to stretching, but that nerves have been cut, his reassurance doesn't hold much truck with me anymore. I shouldn't have an explant done with him, but I need a laparoscopy before I can continue my IVF treatment, so I am planning on doing both in the same timeframe in London. I'm sorry to hear about your two babies post-implants, it's such a shame you have to wonder if it was because of that. I will look out for your updates, this site is really a lifeline for me right now.xx
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May 30, 2016
Oh true don't go with the same surgeon, that's so sad and yes my sensation was diminished too, weaker so there are nerves stretched out, as well as cut with revision, fortunately I put on a bit of weight which perhaps padded them so mine cut thru fat not too much nervy tissue?!... Sad how these things damage us and yes, it has been a lifeline for me too, at 2 and 4 am to see how well most turn out...and to learn ways to detox... I shared as much as I could but there's other groups on Facebook you can join too if you want more steam and info?!... :) [RS bleep] all the very best with it all luvy! Xxxx we are here if you ever need us just message us if you need more ok? [RS bleep]
May 29, 2016
Hi. So sorry to are going through all this worry.
I am in the UK, southwest, and had the same mentor gummies as you but 400cc (!!!). I breastfed 2 children with them; it was hard going to start with but I think that's normal, and I think it was more difficult getting a good latch as the skin was so taut across my breasts. But I don't know why your surgeon said you couldn't breast feed. Mine always said it would be fine, and he was right. I had loss of sensations from just below the nipple downwards. Sensation loss is just to do with nerve endings, I can't see why that would affect breastfeeding. So try not to worry about that :)

I had my explant 6 days ago it it went fine, I am really happy with my results. My surgeon specialises in breasts (I think he does a lots of mastectomies and reconstruction, etc). He never tried to push for me to have new implants, and was totally on board with what I wanted to do and was just a lovely bloke. I would highly recommend him, if you decide to explant in the UK.
Check out my review if you'd see pics :)
xx
May 29, 2016
Oh also, my scars are way wider than many other peoples, because of the type of implant. Your surgeon is lying if he says the gummies don't need a bigger incision :/
My explant incisions still have dressings on so I don't know how they look now. As I had expressed concern over the appearance of my scars, my surgeon said he would try to make them as thin and neat as possible and used a new sort of glue that gives good results apparently. I really would recommend him! :)
May 29, 2016
Hi Scorah,
Yes, had I gone on here before the revision I might have been encouraged by the number of women who have had successfully breastfed with implants. He made me feel there was no hope, so I went through with the procedure. I am now 4 weeks and completely numb from the top of the implant to the bottom and inside, with just a bit left on the outside. I think it is the main reason I want to explant, but I'm afraid to have nothing but loose skin, scars and no feeling, that I will struggle to feel like a woman. But I will see the explant through anyway.
Your results look good and I'm glad you found a nice surgeon, that's so important. Who is your Dr Hawkins exactly? Now that my PS has offered to explant, I am tempted to get it over with, but he doesn't reassure me that he will take much care with it as he is so against it and has damaged pride. He gives me concern with his dismissing of the incision size disparity, amongst other arguments. I think if I expressed worry about a new explant incision, that he would shrug it off as my problem for changing my mind. I am taking a gamble I suppose. I was considering a local anaesthetic so that I could at least be awake, not that I'd be too assertive in that situation!
xx
May 30, 2016
I totally understand how apprehensive you are feeling. My pre-BA size was just like yours, we had almost the exact same frame! But I definitely have more breast tissue now than I did back then. Remember that so much time has passed, your body changes over time, so you might find they have grown slightly since your initial BA.
My surgeon is Mr Simon Hawkins at Ridgeway Hospital in Wroughton, near Swindon. It's a BUPA clinic and the care is excellent.
It sounds like you really don't trust your current surgeon, so my advice would be to go on a few consultations with other surgeons and find one you trust. They can take a look and give you an idea of how your results may look. My explant took about 2 hours under general, so he was very thorough. 20 minutes under local doesn't sound like he would give you the time and attention you need and deserve. Find someone you trust and like and who is more sympathetic and understanding :) xx
June 3, 2016
I agree completely! Well said :)
May 30, 2016
Hi Birene,
As 40andabouttobefree mentioned there are some great fb groups out there, with a whole lot of ladies sharing great info esp about breast implant illness. I know the UK ladies are just in LOVE with a surgeon in Manchester? Perhaps that is a better option for you than travelling to the US? I believe dr feng is now booking surgeries for October(!!), that's a loooong way out if you are also doing IVF? Dr Melmed is a pretty straight shooter, I would be paying attention to the advice he offers. I would be really hesitant to explant with your current ps, as he seems to have his best interests, not yours, in mind??
Just my 2 cents hun, all the best xx
May 30, 2016
HI Missfish, I think I know the surgeon, is it Gary Ross? He has been brilliant at answering my emails, while the others will only consult with me face to face. He is a lot more expensive and further away in time and space for consult and operation. I know I sound like I'm rushing into a bad choice, but I found out today that I will need a laparoscopy before taking IVF any further. I am very tempted to explant in London with my old PS, who is being a total douchebag, but is at least local, so I can bundle the recovery time together. I hope that doesn't sound really careless. Dr Melmed is so straight-talking like you say. He encourages me not to go very far and 'just get them taken out', assessing how I feel in 9 months time. Good to know about Dr Feng's diary, that might be why I haven't had a call back yet! Thanks for being so on it and giving me much more than 2 cents worth.[RS bleep]
June 2, 2016
Hi honey, no I'm referring to Mr David Whitby in Manchester. Also consider Dr C C Kat in Birmingham? Shoot me a pm if you like, I'll share a list of questions to ask potential drs?
June 3, 2016
Hello, I'm a bit all over the place with consultations booked a bit far and wide during work time that I can't actually make... Really feeling like I'll end up going with implant doctor to make ur easier for when I do the laparoscopy around the same time. He isn't answering my questions as he's trying to convince me to keep them in. He will do the explant but rather reluctantly. I need to think hard and fast or find someone not too expensive that I can see soon or even chat with first. I will see where I get to with dr Kat and still Whitby. Thank you Missfish.x
June 3, 2016
All the best hun :)
UPDATED FROM birene
29 days pre

Nailing down a date for explant with implant PS

birene
So I must be a sucker for punishment, but I'm probably returning to my nightmare surgeon for the explant. A number of reasons; financial, logistical, all things that aren't enduring so I should probably throw everything I have at it for the best long term result. But I found out yesterday at an IVF scan that I will need a laparoscopy in order to go ahead successfully with embryo transfer later in the summer. That will be with my gynaecologist in London, and as I need two weeks off work for that, I am imagining I can do the explant before or after by a few days. It will be horrendous, I did this before with the revision, thinking I could manage to do that I between IVF cycles, with no thought for it going wrong and having this emotional impact on me. I've pretty much checked out, my partner has too. My PS just wants to make a consultation for a months time, presumably so I maybe change my mind. I am terrified of taking them out, but having them in is like a weird limbo. I think I would be less afraid if I had some sensation in them. I am afraid to be left with numb deflated pockets, but the big numb balloons are such a reminder. I asked Dr Melmed and he doesn't seem to think 20 mins is too outrageous for the explant. Maybe I'm writing myself off here!

Replies (10)

June 1, 2016
I had to respond to this. I have my apt with the NHS re: explant tomorrow as I have PIPs, don't have issues apart from rippling as they are 15 yrs old but I want them out as I'm not bothered about bigger boobs now. I had first cycle of IVF last year, then a laparoscopy 3 months after first cycle and 2nd round of IVF straight after that. Everyone is different but don't under estimate the laparoscopy and the strain it puts your body through. Having another operation on top of this would not put your body in a good settled place for another round of IVF. Be kind to your body and let it settle before another operation. Or have op and wait to do IVF. Do things in stages so your body can recoup. It took 4 weeks for me to feel back to normal after my laparoscopy. Emotionally I shouldn't of gone straight into second round. The thought of having an explant on top of this would be way to stressful to the body and risk of IVF failure. Take your time and be kind to yourself. [RS bleep]
June 1, 2016
Thanks Natural. I'm listening, I have to stop this destructive drive I have! Your story and experience will help me make the right decision.xx
June 1, 2016
I just had my last egg collection today and I had half the eggs I previously delivered from the last two cycles. I'm blaming the BA revision I had 4 weeks ago and the depression I've felt since, I also haven't been active and didn't do any acupuncture this time. Self-blame is the enemy here, I already feel so much regret for the loss of sensation in my breasts following this. Hopefully there will be a good number of embryos that develop, some positive thoughts wouldn't hurt!xx
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June 1, 2016
Hi Sweetness, hey you have made the best decision for you at this time, at least they will be out!... I'm hopeful this doctors wrong and you'll be able to feed! :) As for numbness, mine lost some putting them in but getting them out that numbness has gone away...sensations returned and even heightened!...but I'm told it takes 12 weeks to heal properly... And as for the old scar tissue, at least he took some?!... Many women have none taken... So just rest with your decision... I'm small but seem to have happiness about my little boobies! :) I hope you give yourself time for pregnancy... And please consider colonic hydrotherapy to help detoxify, I'm doing it and it's great! I can feel the difference after my third one!...I went for my first 4 km jog! ;) ...then take teas and things that clean the liver and flush with purified non fluoride water!... since most infertility is linked with toxicity...and since all implants bleed to some degree it will be good to stop the poison trickling into your fragile system!... Especially to avoid miscarriage give your little body time to heal and detoxify, you might be mthfr... A condition that means it's harder for you to detoxify, and need methylated vitamins and a good naturopath should know about this and be able to help support your body so it can flourish to welcome your children into the world!... :) [RS bleep] love and hugs to you precious as you take these steps to becoming a healthy, happy Mummy! ;) [RS bleep] ps, I was an aa and went to a double d each time I fed and had tons more milk than when I last fed with implants!... ;) xxxx my doctor said I'd have nothing too because he had to "cut through what very little tissue I had since I demanded total capsulectomies"... I'm happy with my little Shloompies as i affectionately call them, and my hubby enjoys them even more, because they're truely me and he knows my health is safer... Those that love you will be supportive! :) Im not surprised you are emotional sweetheart, you've been through a LOT!...so I hope you give yourself plenty of rest afterwards, housework can wait... Mine did! Lol... Healing is priority especially since you plan to conceive! ;) xxxx more love n hugs!... Xxxxx
June 10, 2016
Dear 40, thank you for your kind and helpful message. I haven't been on here so much as I have been wrapped up in my anxiety of late. I received the results of my last egg collection for the third and final stimulation cycle, and I only had one embryo frozen, compared to four for each previous cycle. This was one month post breast aug revision, I was very depressed an inactive during that time. I am also very cut up about the large areas of numbness that continues in the implant areas, I am very inhibited intimately now and am terrified of being touched there. I wonder how I will feel with no 'breasts' there as well as no feeling. But you report some sensation returning on your explant, so perhaps there is hope. I have a tiny bit of sensation still in my nipples, so I hope this will be enough to breastfeed, if I am lucky enough to conceive and have a baby. I will try to follow your diet and supplement suggestions. Lots of love back to you.xx
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June 10, 2016
Aw sorry to hear it's been a struggle for you luvy... Hey I thought I'd feel weird too having less up there, but hubby enjoys me in my new form, and when you detox then get pregnant you'll have more space to see those boobies grow and do their job! ;) I think they have to give you worst case scenarios, I don't see why you can't feed, and sensation has nothing to do with it!... Hey just an idea, which would probably be poo pooed by any doctor, but naturaful claims to help create new cells, and balance hormones, so I think logically, that'd give you a better chance of feeding AND boost your size! Plus, it smells good and feels nice and the massage might even do something too! Lol... Other than that, concentrate on getting the poison source OUT, and detoxing asap to hold onto your precious embryos... I'm gonna tell you how brave you are too, I know it's not easy luvy!... And a statistic I came across reassured me we are strong!... Did you know that ladies who have implants are 4x more likely to commit suicide than others?!... Gawsh, these poisons really have a lot of neurotoxins in them, and degrade our feel good chemicals!... So that could be half your problem sweetheart!... So you've got this! ...don't worry about how you'll look, that's not who you are, but how you feel... Think about yourself as the goal person, and don't be hard on yourself!... I'm sure you'll get a list together that will remind you of what you've got to offer!... You're likely so kind, thoughtful, caring, hard working, generous, gentle and so much more!... Hey and remind yourself, we all look pretty bad at 80 ...and I had the worst case scenario, so you'll look better than me! Lol... ;)

You're going to make a wonderful Mummy!... And feed too I reckon!... Get some good kind supportive people around you!... I'm here for you the whole way through if you need me I'm happy to be supportive sweetness! Just message me anytime! [RS bleep] All the best luvy! I'm looking forward to hearing how a visit with a naturopath goes, mine heals couples who couldn't conceive and month one or two they fall pregnant! Lol... It's all in detoxing she tells me! ;) so... So much to look forward to, and yes, sensation may get much better with Explant, because the poison bags press on nerves too!... And give it all time... It all takes time... Healing happens externally first and internally second, but if you remind yourself of the reasons you want to get them out, you'll be strong and emotionally healed through it all too... [RS bleep] love and hugs beautiful! Xxxx
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June 10, 2016
Ps, I was told and so was my husband warned that I had nothing but a boys profile too but the nurse and surgeon!... :/ and look at my photos! So either the naturaful did a great job, or they can get it wrong!... So don't listen to those who want to only give you worst case scenarios luvy!!!... Research for a good UK surgeon and even if you do end up smaller than before, as I was told I would be, there are other options for growth now, and even fat transfer later on... I think it's wise getting the capsules out if you can tho, then you'll be glad the poisons not leaching anymore, and be healthier for being a Mum in the long run!... [RS bleep]
June 14, 2016
Thanks again 40. I dont think fat transfer is an option for a year before wanting to have a baby, and I must concentrate on that. I am increasingly concerned about the possible outcomes of how much sagging or deformity I will have, there are so many different results on here, and perhaps it depends on the surgeon. Do you know what the ladies refer to when they talk about scar adhesions and the problems they have with that? I will see my PS on Monday, although this is the PS who implanted, so his ego is damaged by my swift denial of his work....Better out now before the 'textured' shells adhere to my tissue I reckon. And the numbness is making me very anxious. I reckon so about the suicide rate in women who have this procedure, it's such a ticking bomb.xx
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June 14, 2016
Hey luvy I know you're doing the best thing for you and your babies!... :) [RS bleep] hey just try not to have too tight compression, ask him to quarterise things when they billed to prevent seromas, and did you say the scar capsules were taken out already?...since those have the poisons in them... That's important... Otherwise, yes adhesions can happen to anyone but especially with strong compression and drains in too long I see, so it's good to have a little fluid in there to prevent sticking...it's finding that balance... Oh just tell him it's about detoxing more than anything since you want to have children...and as long as he does a good job of the Explant you'll not speak badly of him... ;) if you think he can take that?!...only you know...lol... Well, keep us informed about your date!... ;) xxxxxx
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June 14, 2016
Bleed not billed lol
UPDATED FROM birene
15 days pre

Pre-revision pictures after 17 years of 270cc hydrogel subgladular (over muscle)

birene
Finally got some pictures of the old implants from my revision PS, but not sure how useful they are to understanding my explant outcome. They were lower and more sloped than these new so-called teardrop numbers, but also rippling badly. New PS reviser brought 'me in' to be less lateral, but I'm just bursting out of my ribs now. I want to be explanted before I stretch the skin under my arms any further. Also hoping to regain some newly-lost sensation, which comes all the way up to the top of the implant, and all the way into my sternum. I saw a spider crawling across my breasts in the mirror the other day, but could feel nothing, horrible!

Replies (1)

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June 15, 2016
Gawsh yes, that's creepy!... Glad you're getting explanted, hope the sensation improves, mine has a bit! Woohoo!... :) [RS bleep]