POSTED UNDER Breast Implant Revision Reviews
Getting Another Chance to Fix Problems
UPDATED FROM SalSilBR
8 years post
Ruptured implants 6.5+ years later
SalSilBRNovember 23, 2024
$10,000
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.
SalSilBR's provider
Replies (0)
UPDATED FROM SalSilBR
2 years post
12 months post 4th revision
SalSilBRApril 7, 2019
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!
Replies (1)
UPDATED FROM SalSilBR
2 years post
4.5mths post disappointing results
SalSilBRAugust 13, 2018
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.
Replies (5)
August 13, 2018
I haven't been on this site as much lately... I've had family stuff and other things going on which I would like to say has been a blessing, because it's kept me from obsessing about my boobs, but it hasn't all been good unfortunately. Anyway, when I see you've updated or posted, I always come back to reminder you YOU ARE NOT ALONE!
I know how incredible hard this has been for you. Because it has been for me also. We share some of the same issues. And I know me from Adam, but I absolutely share the same thought as your friend. You know that I went back to Dr. Diaco after he did my first surgery... Most surgeons if not all surgeons say to go back to your original surgeon... but that is where I whole-heartedly disagree if you have SIGNIFICANT issues - which we both did.... and still do. Don't make the same mistake I did and go back a third time! He's not going to be able to fix it. I'm sorry if you don't agree or if I'm confusing you further... but I just don't think you'll be happy. If there is any way you can afford to go see Dr. Pousti in San Diego, I think that is your best bet. Heck, maybe we can both go together and share travel expenses and maybe he'll give a "multi boob job discount"!! :) It's one thing for him to "take the appropriate steps" but if he can't pull off the execution and do a good job with those steps, then you need to see someone who can and Dr. Pousti can.
Dr. Diaco has completely fucked up my left breast and my cleavage. He has no clue how to fix the deformity that he's caused. You've been to Dr. Krau twice now. I've seen his work... he does good work - we've all seen it. But for whatever reason he didn't do a very good job with you and I strongly feel you should see someone else for your revision. Yes, it will cost you more than it would going back to Krau, but trust me saving money and having a third surgery you are not happy with will make you feel worse.
Anyway, I am so sorry, I really truly am. It sucks seeing so many who are so happy and we're not. Its hard to stay positive and upbeat. I keep telling myself my boobs do not define. I didn't do this to me, Dr. Diaco did. Try and remember that you are STILL you despite your boobs. I'm going to continue to pray for you my friend. Hang in there and don't make any rash decisions.... xoxxxoooxxxoxoxoxoxoxxoo!!!!!!!
I know how incredible hard this has been for you. Because it has been for me also. We share some of the same issues. And I know me from Adam, but I absolutely share the same thought as your friend. You know that I went back to Dr. Diaco after he did my first surgery... Most surgeons if not all surgeons say to go back to your original surgeon... but that is where I whole-heartedly disagree if you have SIGNIFICANT issues - which we both did.... and still do. Don't make the same mistake I did and go back a third time! He's not going to be able to fix it. I'm sorry if you don't agree or if I'm confusing you further... but I just don't think you'll be happy. If there is any way you can afford to go see Dr. Pousti in San Diego, I think that is your best bet. Heck, maybe we can both go together and share travel expenses and maybe he'll give a "multi boob job discount"!! :) It's one thing for him to "take the appropriate steps" but if he can't pull off the execution and do a good job with those steps, then you need to see someone who can and Dr. Pousti can.
Dr. Diaco has completely fucked up my left breast and my cleavage. He has no clue how to fix the deformity that he's caused. You've been to Dr. Krau twice now. I've seen his work... he does good work - we've all seen it. But for whatever reason he didn't do a very good job with you and I strongly feel you should see someone else for your revision. Yes, it will cost you more than it would going back to Krau, but trust me saving money and having a third surgery you are not happy with will make you feel worse.
Anyway, I am so sorry, I really truly am. It sucks seeing so many who are so happy and we're not. Its hard to stay positive and upbeat. I keep telling myself my boobs do not define. I didn't do this to me, Dr. Diaco did. Try and remember that you are STILL you despite your boobs. I'm going to continue to pray for you my friend. Hang in there and don't make any rash decisions.... xoxxxoooxxxoxoxoxoxoxxoo!!!!!!!
August 14, 2018
Do not go back to Krau. That is a waste of time. Maybe getting them out now is your best bet. The muscle can be repaired many times fully. Ive seen a lot of ladies have their flex deformity fixed or lessened. A fat transfer or two will do the rest. Things will not improve iver time, especially after overs... You wouldnt believe how damaging they are to your breast skin and tissue. You think you have problems now... You cant imagine what can happen with ten or twenty more years of overs. Your chamces of preserving a healthy breast shape are best now. Strongly consider explant with fat transfer. There are many talented surgeons. Do not use Krau again. He will want to put another implant in so he can get a nice present from his implant rep and insure he will see you in a few years for another fix.... And agsin, and again... Sorry, but healthy and smaller is way better than big amd deformed. Im so sorry youve had to experience all of this. Like it has beem said many times, boobs dont define you. Anyone who would want you to keep suffering like thos isnt someone youd want in your life.
September 5, 2018
Hey girl hows it going? we talked a bit back in June I believe before my surgery. So ure having new issues now? :( I had my (mild) symmastia repair and lateral displacement repair with Dr. Pelletiere in IL last Wednesday 29th. Everythings well so far besides a terrible rash from the adhesive. Why dont you send Pelletiere a message. I trust his opinion.
September 5, 2018
Hi Lara - I have similar issues to yours. I checked out the question you asked and saw your before photos. I have medial displacement on my left causing symnastia, Dr. Diaco tried to fix it and paced a suture in the middle of my chest and because if the weight of the implant it drags it down and is visible.
When I can afford to I will go out to San Diego and consult with Dr. Pousti. I’m going to check Dr. Pelletiere out too, but are you planning on doing a review with before and after photos? It would be super helpful to gals like me. It sounds like so far so good with your repair! I hope all continues to go well!! Xo!
Hopefully SalsiBR will post an update soo, but I know she’s still a little disappointed .... over all though I think her revision is much better than before, but I certainly understand and sympathize with her.... I’m hoping she is feeling better these days. It’s an emotion mind f#&$%ck to say the least....
When I can afford to I will go out to San Diego and consult with Dr. Pousti. I’m going to check Dr. Pelletiere out too, but are you planning on doing a review with before and after photos? It would be super helpful to gals like me. It sounds like so far so good with your repair! I hope all continues to go well!! Xo!
Hopefully SalsiBR will post an update soo, but I know she’s still a little disappointed .... over all though I think her revision is much better than before, but I certainly understand and sympathize with her.... I’m hoping she is feeling better these days. It’s an emotion mind f#&$%ck to say the least....
September 5, 2018
Ill eventually post more pics and a review as soon as i get rid of that rash i got from the tape adhesive, thats my main headache now lol. I did my best to gather 12k for this procedure given im a foreign student and id hate to have to spend more on my boobs.
I had 550cc with Victor Ferrari - those prudish NC doctors man smh. I told him UHP!!! he said NO. He thinks natural means flat. Mom has nice big natural boobs (im jealous) and theyre as projected as an UHP implant! He didnt even talk about implant dimensions with me, i talked with his nurse. He overcharged, didnt care to communicate, bossy, arrogant. Terrible. Its like he tried his best to give me symmastia and thank god i have a broad chestwall and didnt get a uniboob. He made the pockets way too large, scraped my skin off my sternum and i was in pain (had 0 sensation above my boobs and under my armpits for 6 years and when boobs migrated there id get an itchy rash). The base of the boobs moved everywhere. The top part created cleavage only when the base was pinned down by some sticky bra. Plus he used some cohesive firm implants 14.8 wide 4.2 projection LOL.
Dr. Chris Pelletiere told me the implants looked wider than 14.8 when he took them out! I talked to Revis, Pousti and a few others and Dr Pelletiere gave me the most detailed answers and implant options, pros and cons. Hes very approachable in person, not too old where they start treating patients like a number and perform 4 boobsjobs a day. Very attentive guy.
I got the xtra profile 14.1cm and 6.5cm projection at 700cc Gel Mentor. I didnt get the traditional UHP at 12.6cm too narrow for me,and since those are best for under the muscle they have too much rippling . FINALLY idont have pancake boobs.
He fixed symmastia (i hope my tissue gets stronger and the results last) with strattice placement there and "on the top of the muscle insertions on the sternum" which means when now i move my arms to the sides they separate as if theyre submuscular but in time i hope it wont be too crazy, its only a week post op now.
He made the pockets tighter to restrict the implant and I suppose my skin will stretch and adapt. Only complaint i have is the left lateral suture on the left boob distorts the implant a bit and makes it oval and the incision suture there is a bit "thicker" so kiiinda looks like a double bubble to me at this point given i have dense breast tissue, always did, but he said it will relax and stretch in time. i measured the distance from nipple to incision on both breasts and its at 3" on both, so he did it right. He also raised my right implant in the pocket cuz my nipple sits higher and looked bottomed out. His incisions are tiny. The previous docs butchered me and made the incisions like 2" from the nipple :/.
I like them more every morning and im glad when i bend over they no longer sink in the median. Also i have minimal pain, no medications at all just the antibiotic. Paid 9500 to the doctor and the 2500 to the hospital(top notch facility in Arlington Heights IL great experience).
I didnt know much when i was 23 and i gave Ferrari a good review smh, im logged out of my old account otherwise id change it to 2 stars. https://www.realself.com/review/charlotte-nc-breast-implant-revision-doctor-chosen#
I had 550cc with Victor Ferrari - those prudish NC doctors man smh. I told him UHP!!! he said NO. He thinks natural means flat. Mom has nice big natural boobs (im jealous) and theyre as projected as an UHP implant! He didnt even talk about implant dimensions with me, i talked with his nurse. He overcharged, didnt care to communicate, bossy, arrogant. Terrible. Its like he tried his best to give me symmastia and thank god i have a broad chestwall and didnt get a uniboob. He made the pockets way too large, scraped my skin off my sternum and i was in pain (had 0 sensation above my boobs and under my armpits for 6 years and when boobs migrated there id get an itchy rash). The base of the boobs moved everywhere. The top part created cleavage only when the base was pinned down by some sticky bra. Plus he used some cohesive firm implants 14.8 wide 4.2 projection LOL.
Dr. Chris Pelletiere told me the implants looked wider than 14.8 when he took them out! I talked to Revis, Pousti and a few others and Dr Pelletiere gave me the most detailed answers and implant options, pros and cons. Hes very approachable in person, not too old where they start treating patients like a number and perform 4 boobsjobs a day. Very attentive guy.
I got the xtra profile 14.1cm and 6.5cm projection at 700cc Gel Mentor. I didnt get the traditional UHP at 12.6cm too narrow for me,and since those are best for under the muscle they have too much rippling . FINALLY idont have pancake boobs.
He fixed symmastia (i hope my tissue gets stronger and the results last) with strattice placement there and "on the top of the muscle insertions on the sternum" which means when now i move my arms to the sides they separate as if theyre submuscular but in time i hope it wont be too crazy, its only a week post op now.
He made the pockets tighter to restrict the implant and I suppose my skin will stretch and adapt. Only complaint i have is the left lateral suture on the left boob distorts the implant a bit and makes it oval and the incision suture there is a bit "thicker" so kiiinda looks like a double bubble to me at this point given i have dense breast tissue, always did, but he said it will relax and stretch in time. i measured the distance from nipple to incision on both breasts and its at 3" on both, so he did it right. He also raised my right implant in the pocket cuz my nipple sits higher and looked bottomed out. His incisions are tiny. The previous docs butchered me and made the incisions like 2" from the nipple :/.
I like them more every morning and im glad when i bend over they no longer sink in the median. Also i have minimal pain, no medications at all just the antibiotic. Paid 9500 to the doctor and the 2500 to the hospital(top notch facility in Arlington Heights IL great experience).
I didnt know much when i was 23 and i gave Ferrari a good review smh, im logged out of my old account otherwise id change it to 2 stars. https://www.realself.com/review/charlotte-nc-breast-implant-revision-doctor-chosen#
September 6, 2018
i just posted my review. its one week post op. Check it out on Dr. Chris V. Pelletiere's page.
September 5, 2018
Hello girls, sorry I haven’t been back on here and responding! I am not focused on my boobs right now and seeing my glass as half full! I have a blessed life and will not let this situation ruin how I feel! At some point I will go see Dr Pousti (and yes MissTheCleavage we need to get a two for one discount!). My breaststroke are better then they were and in the right bras they appear ok and I can wear low cut tops without seeing muscle animation deformity so that is better then before! I really appreciate the support on here. We can all share and empathise and lend an ear or advice or moral support! I look forward to hearing awesome news from you and have great hopes we will all get what we hope for!!!
September 5, 2018
Youre right, we shouldnt obsess over boobs and let them ruin our life. Realself can make me go crazy sometimes so i try not to get on here too much. Theres no such thing as perfect. I contacted Dr Pousti and i was not happy with his attitude. He didnt even understand i wanted to go bigger. I think he has so many patients he forgets what each one wants. A lady had asked for medium size boobs and she woke up with 650cc or so lol. So be careful he remembers your case. He also gave me a 17k quote for my situation and I paid 12k with Pelletiere. They over charge cuz its Miami or Cali I suppose.
I wish you the best and that all our problems will eventually get fixed.