Treatment Provider

Ary Krau, MD, FACS
Board Certified Plastic Surgeon
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12 months post 4th revision

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!

4.5mths post disappointing results

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.

Another photo

This frontal photo looks better!

Provider Review

Board Certified Plastic Surgeon
1143 Kane Concourse, Bay Harbor Islands, Florida
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I have a long history with Dr Krau since my first revision surgery from overs to unders in Oct 2015. Surgery resulted in window shading, muscle animation deformity, symmastia and bottoming out. Needless to say after 3 more surgeries with him, much communication, lots of stress and anguish about my outcome. things are greatly improved. IMO Dr Krau is a great surgeon and he really did care about my outcome and genuinely wanted to help (eventually) but I wonder if things were done differently in my first surgery with him if I would not have needed 3 more surgeries to correct? At the end of the day he provided a fourth surgery at no charge in Mar 2018 in attempt to fix my breasts, which I am very grateful for.