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Revision 19yo saline overs to silicone unders

UPDATED FROM SalSilBR
1 year post

Revision with Krau

SalSilBR
$10,000
6 months post revision. Issues getting worse. Left breast crosses midline with any pressure to outside of breast. I cannot wear any bras that push breasts together otherwise they lose any separation in cleavage. I traced the left breast and took pictures. You can see how much the boobs crosses over. Animation is worse and pec muscle on left side aches constantly. My issues after surgery with Krau are so much worse then I ever had with my 19 yo subglandular saline implants. I regret doing surgery with him. He has not responded to my emails and has offered no follow up care. Nothing! Further I found lumps in both breasts - worse on right. I emailed him a couple of times asking what to do and he did not respond. I went to primary care doctor who ordered ultrasound. The radiologist could not explain the lumps and advised to discuss with PS since only he knows what he did! I have tried but nothing! No response. If this does not demonstrate a complete lack of professionalism and duty of care then I don't know what does! Girls please don't just look at all his good reviews like I did. If there are ongoing problems you are on your own and likely need to find another surgeon and spend a lot of money (I was quoted $16-17k with no guarantees) to fix it! I feel so violated and upset with myself for not just being happy with the minor issues I had before. Don't believe a doctor when he says you will look awesome yet he did not even spend a few minutes marking me before the surgery because i quote, "I do a lot of these, I know what I am doing" . Had he spent the time taking measurements and marking me up maybe he would not have influenced me to put in a larger implant then appropriate for my body, and would not have had to over dissect my muscle to fit the implant! I trusted him because of all the good reviews. My advice to anyone considering surgery with Krau - don't do it!

SalSilBR's provider

Ary Krau, MD, FACS

Ary Krau, MD, FACS

Board Certified Plastic Surgeon

4.5 | 651 Reviews
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Replies (4)

December 11, 2016
In so sorry you're having so many problems. Have you considered having the implants removed and being DONE with surgeries? Many of us have done that and love it . Hugs to you - and remember your value - has nothing to do with breast implants. You're beauty comes from within!
December 11, 2016
Thank you so much. After my first revision I considered explanting but if I do I will still have major animation deformity and because of my minimal breast tissue, wrinkled saggy skin from having implants for 20 years (today actually!). I think I would feel worse. I know they don't define me, and i count my blessings because I have many. I appreciate your support. Thank you!
December 11, 2016
You'll have to deal with it some day! Sooner is better! Our bodies are so amazing I had giant implants for 20+ years and I'm pretty sure I was an A cup before that. Now it's taking a little longer for them to snap back then the 30 something's with normal sized implants but it's happening and you know what - it's super uplifting to not have to hide behind those things! There will be things to get upset about in life - a saggy or wrinkly breast isn't one. If you have them out for 6 months you'll get to see - then see what else might help - lift - fat transfer etc.
December 11, 2016
You might be surprised. I sure am.
April 16, 2017
Hello, I Too am a fitness instructor and suffered at the hands of what I now consider incompetent and inconsiderate ps. Had a lot of animation and deformity. Until my husband found Dr Mandell-Brown in Cincinnati Ohio. While they're not perfect they 100x better and he's still working with me to create the look I desire. I wish you all the best and hope you find peace in whatever route/decision you make. God bless you
June 15, 2017
Hello. Thank you for posting. I am hearing more and more girls have animation issues. Did you you change to over the muscle? I am seeing lots of surgeons and looking for some answers. Thank you so much for your good wishes!
June 15, 2017
Yes I went over the muscle. Still tweaking some of the kinks. But even if left just like they are he's done an amazing job to get me back to feeling confident about my breast. He used Seri to help give me extra support
April 21, 2018
Hi I had another revision March 2018 and went back to sub glandular. 3 week’s post feeling much better! I updated my other review if you want to check it out.
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June 15, 2017
Hello, Your story makes me so upset, there are so many doctors out there that shouldn't be performing plastic surgeries but they do because it's all about money, money, money but they don't consider they're dealing with someone's life. I have just had a revision surgery, luckily my doctor is amazing and Im over the moon with my results, but it makes me angry what happened to you because I know how it feels waiting for you revision with high hopes it's gonna improve your standard of living. Sending you love and support from London [RS bleep]
June 15, 2017
Thank you for posting. I am so frustrated by my experience and my doctor's unprofessionalism and disregard for the issues created with surgery with him. He is upset that I implied he did something wrong. I was just repeating what his peers told me on RS or consultations! I am continuing my search. I know I can never be completely fixed but hopefully I will find a surgeon to at least get me in a better place.
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June 15, 2017
Keep looking love and follow your gut feeling because if there's one thing that I have learnt is to listen to what your body and instincts are telling you! I keep my fingers crossed that you will find a surgeon that will fix your problems :) [RS bleep]
June 16, 2017
Thank you! That is great advice!
June 18, 2017
Hi! I'm very sorry you had to go through such an emotional roller coaster! How are you now and what happened since your last post? Could you please update? Hope you're happy now or feeling much better at least!
June 18, 2017
Hi I actually started another review which I have been posting. No change and have constant muscle pain on left side. Dr Krau abandoned me after more revision surgery and outcome is worse. I am looking at $16k to address and apparently it is so complicated that I can never be fixed! I am really disappointed and frustrated.
June 19, 2017
Sorry to hear that! Have you thought about explantation? I've been thinking about it all the time and have seen some very good results on RS. Sending you my best wishes for the best possible outcome whatever you'll choose. Good luck!
June 19, 2017
Apparently the animation will still exist so I am kind of stuck
July 10, 2018
How are you meanwhile? I'm 19 weeks post explant (no lift) now and my breasts look much better than with implants and they feel so nice! Very happy I'm explanted - should have done it much sooner (decades ago). But it wasn't an easy decision after I was told by 6 PS I would look deformed without implants. In fact, I looked deformed with implants... Only downside: an ultrasound revealed silicone in my lymph nodes despite the fact my implants were removed intact. Good luck for you!
UPDATED FROM SalSilBR
11 months post

Doctor unresponsive - 3 mths post revision

SalSilBR
So sad that my doctor is either too busy to respond or is ignoring my requests for information on what can be done to fix the issues that were created in surgeries with him. I have been professional albeit a little upset in my correspondence and I feel completely dismissed. I really thought going to one of the best PS in the US would improve my look. Instead I feel disfigured and have to tape my breasts apart to maintain any separation. I thought going behind the muscle maintains some gap in cleavage? I am not sure if I have symmastia but if I push my breasts together the implants cross over the sternum, and the skin raises or tents off my chest with no gap. If anyone has recommendations for doctors who fix these problems and care about their patient's outcomes please pass them along. I continue to see awesome results on this site and I have faith that my issues can be fixed!

Replies (5)

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September 16, 2016
So disappointed to see the bad results. Why can't he fix this? He's really good at revisions. I'm sorry you're not happy.
September 16, 2016
He is not even responding to my questions and photos showing the outcome let alone working with me on a solution! I went to him because of all the wonderful results but I guess he is better at fixing other doctor's mistake then he is his own. I am so frustrated and saddened by my situation.
September 18, 2016
So sorry you are going through this. I don't know where you live but dr Scott spiro in nj is the best. Check out his web site. He's pricey but he gets it right the first time.
September 19, 2016
Thank you - I am searching for another surgeon, and will look him up.
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October 6, 2016
I'm so sorry for everything you're going through . I'm very dessapointed with Dr. Krau . I think will be wise to heal and find another Dr. check Dr. Revis he fix me up. I hope things will get better soon and you can get back to yoga to help through this difficult time.
October 6, 2016
Thank you. I consulted with two PS yesterday and today. One would not even contemplate trying to do this revision, and recommended the other Dr who I saw yesterday. All I need is at least $17K and even then will not know the outcome until he gets inside to see what is happening with the muscle. After already spending $10K on surgery and $3K on flights / accommodation, at this point I think I have to live with what I have. So very sad, but I appreciate the support.
October 7, 2016
Hi, so sorry to see this happened. Please look up window shading complication with sub muscular implants. It looks like that is what you have. I've read another review of this doctor with the same complication and she said the same...that he did not address it. While looking for another surgeon, ask if they have a lot of experience with this complication. It is from over dissecting the muscle. Good luck!
November 4, 2016
Thank you for the help. I have researched this so much and I agree with you. This problems is caused by over dissecting or releasing the muscle. Unfortunately my Dr never agreed with me, and attempted to hide the animation through a failed attempt at fat transfer as opposed to fix the problem. It is so wearing and I wish I could forget it until I see the animation and feel the constant dull pain in my left pectoral muscle. It is a difficult and expensive problem to fix which maybe why I am not hearing from my Dr.
November 4, 2016
I hope you are able to find someone that can help you. I know all too well how costly and emotionally draining revisions can be. I went to Dr Geldner for my revisions after being botched twice by other surgeons. Maybe you can reach out to him to see what he says. He's located in Chicago. I wish you the best, and remember, even though this is terrible to deal with right now, you will be able to fix it unlike some complications that can be permanent. Thanks for sharing your story. A good doctor would never disregard a problem. A truly good doctor doesn't just get great results but will also address problems when they arise.
November 5, 2016
Thank you so much for your words of support. It is this type of encouragement that really helps get through the emotional downs!
October 7, 2016
So sorry you've had these issues. How awful, expensive and emotionally draining too I'd bet. Good luck hun - big boob's aren't always the goal. Our emotional well being makes us much prettier.
November 4, 2016
Thank you for your support. My goal was never for big boobs, but just to provide some shape and address rippling from salines I had for 19 years. Hindsight is 20:20 I wish I accepted the minor flaws I had, since it is way worse now.
UPDATED FROM SalSilBR
10 months post

10 weeks post third revision

SalSilBR
I am now 10 weeks post second and third revisions to address muscle animation deformity and bottoming out, and downsize from 500 to 400 cc. I think the bottoming out procedure has been effective but muscle animation deformity on left breast has worsened. It does not appear this issue was addressed at all despite discussing it with my PS. It all started with my first revision surgery. I knew something was wrong when I saw my breasts the day after. My breasts were so low and wide, not the high look I expected when implants placed under the muscle. There was something wrong with my left side. There with so much swelling medially and it appeared that my left cleavage was compromised. As I healed my left breast crossed midline of sternum, and I felt a 1-inch lump on the left side of my sternum. Although not symmastia something was wrong. I had no space between my breasts when pushed together. I thought this odd since I always had a gap with my first augmentation which was above the muscle. I thought breast augmentation under the muscle retains the natural gap due to implant being under the muscle which is attached to the sternum. From the beginning I felt the muscle either ruptured or was over released during surgery when doctor tried to place 500 cc implant. I discussed this with my PS and he said that the muscle was still attached to the sternum, and that the lump was due to my first surgery (which is untrue since I didn't have it before first revision surgery). He also said that my pectoral muscles are so strong and the muscle animation deformity would have been much worse if gala flex wasn't used. I am right handed so my right pectoral muscle would be stronger. This issue is on my left breast.

I can tell you that I regret having the revision surgery as I went from ok to way worse. I gave my PS $10,000 and spent another $3000 on flights and accommodation. I can cope with the money spent, but the physical and emotional trauma is much worse. I have spent 6 months of my life in recovery thus far, which is challenging for someone who is active and took yoga 5 times per week. My left pectoral muscle aches constantly and any flexion creates this unsightly deformity. I have followed doctors post surgery instructions perfectly. I have not worked out at all and been mindful of not using my chest muscles. I am so disheartened. I researched revision surgery for years and believed I found the best surgeon. I have not heard from my PS since the revision surgeries on June 9th and 13th. No follow up whatsoever. I decided to wait to email him to see if things settled over time. I will send him an email with photos and ask what can be done to fix it. I also posted a question to doctors on this site asking the same.

Replies (2)

August 21, 2016
I'm so sorry. I was hoping you were healing well and while they are beautiful at rest the animation deformity is still so obvious. I'm just heart broken for you since I read you are very active in yoga and all of the surgery and healing time in the last year. Do you think maybe it's the old overs pocket causing the animation and have you gotten any other opinions on a possible fix? I very much understand the emotional aspect as I've had issues since my first surgery with another Dr in 2013. Once again I'm so sorry and I hope and pray there's a fix for you.
August 21, 2016
Thanks for the update I've always wondered about your case. Your result looks good relaxed. Such a shame about the deformity! What response are you hoping from Krau? I'm 9 months post (3rd sx) and I don't know if I can go thru the recovery again after two in one year. So I feel you about the recovery. I don't want to settle but I may have to.
August 30, 2016
Hi Daphj - I sent Dr Krau a long email with lots of photos but he is on vacation so will have to wait to hear from him. I want him to fix the problems that he created. I am so depressed by this outcome that I wish I never had the revision in the first place. While my salines were far from perfect they never made me feel bad or impacted my ability to work out or look good in bras, sports tops and bathing suit. These implants have no gap between them when pushed together looking flat and wide with no shape, and the animation deformity is so high it is visible with any movement. I tried to look at your review but couldn't find it but read through your questions to Drs. I couldn't see he photos but it sounds like you have a lot of issues too. I am sorry you are also experience multiple issues. The recovery period sucks but I am not sure I can live with these issues and want my old look back!
August 31, 2016
I know I'm sorry I cropped them to make the pics go away. I should of just left them for feedback. I don't think my issues are as bad as you. I have issues but I can work my way with them. Just a slight ripple, can't wear push up bras and close my eyes when I lift my arms lol. Other than that I guess they not SO horrible. i just don't trust there will be major improvement and am afraid the surgery will be a waste.
I am so curious what in the world did Krau do to [RS bleep] it up. I would Want the sx recorded but i so doubt he'll agree to that. oh I do pray your issues can be fixed. Please keep us updated.