Getting Another Chance to Fix Problems

It's been 6 years and 8 months since my last revision surgery. For the most part the animation settled and I was finally happy with the outcome. However, in April 2023 I noticed minor changes. My breasts started to harden and rise up on my chest resembling a ball. I saw a local PS who thought I had capsular contracture and prescribed Singulair (an off label treatment for low grade Capsular contracture). After a few months things got worse not better. PS ordered an MRI. It took several months to get authorization from health insurance, but finally had MRI in Sept 2024. MRI showed ruptured left breast implant and possible rupture in right breast implant. I researched and found a local doctor in network with my health insurance which covered implant removal for ruptured silicone implants. I am having revision surgery on 11/29/24 to remove the ruptured implants, capsulectomy, and replace implants. I currently have mentor memory gel 400 cc High Profile. My surgeon will decide in surgery on same implant or change to 350 cc Moderate plus memory gel or 350 cc moderate plus XTRA. I can't believe after all my surgeries I am at this point, but I have to remove the ruptured implants, and I am not mentally ready to explant. I will start a new post under new surgeon Dr Brian Chang.

Things got worse not better. You be the judge. Symmastia. Muscle window shaded above implant still despite changing to subfascial/sub glandular, the animation is still obvious. But the loose skin on my sternum is the worse!

Unfortunately the implant displacement/mild symmastia has returned and left muscle window shading is obvious high on chest wall and above implant despite being back in front of muscle. I am overseas and recently saw a friend’s reconstruction breast surgeon to get a second opinion. She confirmed window shading muscle caused by over-dissection / release of muscle from sternum which can probably never be fixed! The only way to improve is to change to high cohesive tear drop implant that will sit on top of muscle essentially hiding it plus a breast lift or a breast lift with fat transfer. She didn’t recommend changing implant site because of the number of surgeries and already damaged muscle. She said given all my surgeries things may not be better with more surgery. My 19 year old subglandular saline’s were so much better then where I am at now. My left muscle still aches constantly, I have a indent across the top of my breast with any flexion and it appears as if the implant is hanging off, and I still have to tape or wear thong bra to keep my breasts separated. I am really trying not to stress about them but they really get me down and make me feel unattractive. I think about explanting but I will still have muscle animation deformity from window shading and symmastia with all this loose skin that was lifted off my body during first revision surgery in Oct 2015. I am talking to Dr Krau about more surgery. My friend asked why would I keep going back to same Dr when the problems are not getting resolved, but I feel he knows what has been done and the surgeon here said in subsequent surgeries he has taken appropriate steps. It just sucks that I keep experiencing problems.