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5 months post op..doing great!!
Enbloc capsulectomy and choosing a surgeon
A surgeon who says this has probably not been pleased with his skills of reshaping the breasts and correcting the problems caused by the implants.
I came across the following interesting information on a site called "healingbreastimplantillness.com”
"THE REAL REASON PLASTIC SURGEON’S AVOID EN-BLOC EXPLANT"
“Some plastic surgeons argue against a Total Capsulectomy and En-bloc style removal saying it is unnecessary as they do not believe implants cause illness, or unnecessary due to thin capsules or it carries undue risk to the patient. If you’ve had your implants for twelve months or longer you will have capsule tissue and if you are symptomatic, it should be obvious that your breast implants have contaminated the surrounding tissue capsule and a Total Capsulectomy with En-bloc style removal is necessary. The real reason some plastic surgeons avoid Total Capsulectomy and En-bloc style removal is because it takes a more skilled surgeon with experience and it takes extra time and requires a general anesthetic which carries more risk than a local anesthetic. Your placing plastic surgeon will not make much money from the removal of your implants and so they prefer to do a short 20 minute procedure, in their office, under a local anesthetic simply cutting you and pulling out the implants leaving the contaminated capsules in your body. Easy for them. Bad for you! Leaving the capsules in your body whether thin or thick means all the contamination within the capsules will be left behind and eventually taken up into your body which results in a longer and more severe illness for you. Some plastic surgeons even rupture the implant while removing it causing additional contamination. Some plastic surgeons will argue that a Total Capsulectomy with En-bloc style removal could result in disfigurement of your breast but this is mostly untrue. A skilled and experienced surgeon should be able to avoid further disfigurement than the disfigurement already caused by implantation.
Six weeks post-op explanation and lift
Since my explant the burning pains are completely gone! The numbness is all but gone...it is reduced by 90% and for now the IC is in remission!
I have just started to use Cordran tape on my incisions and it will hopefully prevent the scars from forming keloids which I am prone to. It is a clear steroid impregnated tape that can be cut into very thin strips and placed precisely over the scars. I am using it in the pic I posted...you can barely see it. It is a prescription item and rather pricey...time will tell if it is useful.
In regards to bras I am loving the Genie bras with the removable triangular "modesty" pads. I was a 36 DD before. I am now a 36 small b. I realize that in the pics they appear larger...I guess because they are close-up shots. The Genie bras apparently come in different styles...I purchased one that had shapeless round pads that made my breasts look blob-like, then found the ones with the triangular pads which give a nice shape under clothes. They run very small...I am 5 feet 7 inches tall, 135 pounds and 36 small b. According to their size chart I am a medium but for me the extra large fits great.
One more thing in relation to healing post explant. It depends on so many factors such as your bodies innate healing abilities but also on exactly what you had done. A saline implant that is being removed through an infra mammary incision without a capsulectomy and lift will have a very different recovery time from a ruptured implant capsulectomy, muscle repair and full lift. Age is also a factor .
I am very happy with my surgeon Dr Christina Y Ahn and have provided a review for her below. I wanted to wait a full 6 weeks before reviewing to give a fuller picture of my experience with her.She is a top notch surgeon and I highly recommend her without reservations.
Provider Review
Dr christina Y Ahn is a gifted, truly talented surgeon that will do her absolute best to make sure your breasts look good after explant and she has the skills necessary to be able to do so! This is important as there are specific skills to removing implants, especially OLD silicone implants! Many surgeons can remove them but most are just good at putting them in which is infinitely easier than taking them out...I learned this through my research. She is an expert in removing them “enbloc” which is removing the implant and the surrounding capsule in one piece. She can also expertly repair the muscles and rearrange the breast tissue to give you the best possible outcome. She has an artist’s eye which you will realize when you meet with her where she does a very thorough exam. In selecting a surgeon my first priority was safety and Dr Ahn is extremely concerned with safety from both the pre-op to the post-op experience. As a registered nurse myself I am very aware of what constitutes safe practices and Dr Ahn does not cut corners. My second concern was aesthetic results. I have seen countless horrid results both on this site and on others and I did not want to be one of them. I felt confident in her technique as she explained it to me, plus viewing photos of her work that she shared, and her credentials are impeccable. From seeing women with similar breasts to what I had pre-op I can truly say I do not think I could have gotten a better result. I had ruptured implant removal enbloc, a lollipop lift and muscle damage repair from capsules adherent to the chest wall. I also had rearrangement of my breast tissue to a higher plane which gave a more pleasing result than even my original pre-op breasts! Last of all I just plain liked and trusted her! I am a big believer in following your instincts and going with your gut and from the moment I met her I felt her dedication to what she was doing and knew she was the right doctor for me. I still explored some other options just to be thorough but returned to Dr Ahn and I am glad I did! I am now about six weeks post-op and am happy with my results, with my level of healing, and with the post op care thus far. Dr Ahn’s staff is also great, very accommodating and always pleasant.