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POSTED UNDER Breast Implant Revision REVIEWS

Breast Revision/Lift through Areola with 505ccUHP Sientra Implants 10/27 - New York, NY

ORIGINAL POST

I had my original breast augmentation done in...

SassyGal
$23,000
I had my original breast augmentation done in 10/2003. They looked and felt very real and soft. In fact my ex couldn't believe it when I told him they weren't real after a few months of dating.

Since the augmention I had two kids, both were breast fed. My breasts held up pretty well considering, very soft and you still couldn't feel the implant.

After a car accident in 9/2009 my right breast started to get capsular contraction. I put off surgery until this year when I realized the right breast was becoming misshapen because of the hardened implant and it actually shifted position closer to the armpit. It was also becoming increasingly painful because it was completely hard like a rubber ball and it was tugging on nerves.

I researched and found a surgeon who has performed capsulectomies and who I trusted to correct any damage done in the breast.

After it was ruled out that there was no rupture we decided to use Sientra implants, HP instead of the medium round ones I had because we felt that I would need some fullness in the upper pole region since I opted out of getting a Breast lift and there was a little bit sag to my breast. Also bc of the smaller width of the HP implant we increased the size from 285 to 375 to help with creating more fullness to the breast. My original implants were periareola and over the muscle and I wanted them placed the same as before. I worried that if the new ones were placed under the muscle my real breast would have the 'double bubble' look bc of the decision not to have a life (I didnt like the vertical scar)

July 17,2014
I had the surgery and everything seemed great. The left breast seemed more swollen than the right, both were very sore and painful. The doctor told me that the surgery was a success. The right breast had a significant amount of scar tissue that was successful removed. He didn't remove any breast tissue he rearranged and stitched up the tissue and told me I needed to take it very easy because I had a lot of stitches to correct the placement of the implant. The left implant had no scar tissue or capsular contracture but was removed and replaced with a new implant.

I was in a lot of pain for a couple of weeks after surgery and couldn't lift my arms without feeling pain, I figured that was due to all the stitches that were put inside to correct the placement. My left breast was bigger than the left from the first day but I didn't worry right away since each breast reacts differently to surgery. Although I found it strange that the right one that had the extensive scarring that needed to be removed was reacting better than the left that had no issues pre op.

I continued to take my Singulaire for two months post op to minimize chance of capsular contracture. I wore my surgical bra and approved sportsbra 24/7. I felt the left breast soften up and start to drop but the left continued to stay hard, it actually got harder up top on the upper pole region and towards the cleavage area. Now three months later and the right is completely drooped, much lower than preop and almost tubular in shape. Toward the outer breast close to the areola I continue to have pain and every so often I see what looks like a welt but its actually something pushing outward from inside my breast - possible the seam of the implant that has moved out of place??

Im so upset and depressed because of this bc even covered completely its very noticeable difference in size and shape even with clothes on. The left looks at least a whole cup size larger than the left one.

I went to see my surgeon and he sent me for an MRI to rule out implant leakage since that is what it looked like even though it seemed unlikely. MRI came back fine no leakage.

There is no doubt something is definitely going on with the right droopy breast but until he can operate he wont know for sure. The left looks high but since there seems to be capsular contracture its hard to tell if that placement is too high. After discussion we agreed surgery is definitely needed! (pretty obvious, right?)

He want to go in and release the capsular contraction from the left side and he is going to reposition the right implant and put stitches to hold it in place. I will meet with him once more after I schedule the surgery for the end of the month.

Im trying to stay optimistic but I just feel hideous and deformed in the time being :(

Replies (2)

October 21, 2014
UPDAte; October 21,2014 Yesterday I went for my preop with my surgeon. I really feel that I am in excellent hands with him. He is very reassuring and took his time to discuss all my options. He told me his professional his opinion but didnt pressure me at all. Initially he wanted to make a new incision under the breast to release the contracture on the left and reposition the right implant. I didnt like the idea of having new scars. My original incision is around the areola and they faded pretty nicely. He said that since we had to do this second surgery we should go all out to make sure they were going to be the best they could be and really felt I would benefit from a lift but again I didnt want the lollipop lift scars. But I did agree that since I was having this surgery again to address other issues as well, the slight sagging and the one lower breast and the areola size. After much discussion we decided on doing a lift (I forget the name) that will have the incision only around the areola. He will make the areolas similar in size and the right side will be lifted a little to make both nipples even. Since we are doing this lift he recommended going with an Ultra high profile implant for projection and getting a larger size to give me the fullness that I wanted. So he will be putting a 500ccUHP Sientra implant in both sides. To be honest I was scared going that size, it sounds alot but its only about half cup size larger than what I have now. Ultra High Profile was met with a little resistance too but after he explained that it was mainly to do with my small frame and that increasing the cc of the implants will also increase the width of the implant. So a 500cc round implant is much wider that a High Profile implant and a 500cc HP is much wider than a 500cc UHP . when comparing the different implants in front of me I was surprised that the rounds actually looked the biggest even though they were all the same cc. Im nervous and excited all at the same time. My surgery is scheduled for Oct 27, 2014!
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October 27, 2014
Congratulations on your revision!!!!
UPDATED FROM SassyGal
3 months post

CORRECTIONS: (With two little kids fighting for my attention I mixed up my right and left!!!) lol

SassyGal
CORRECTION:
** My left breast was bigger than the RIGHT BREAST from the first day but I didn't worry right away since each breast reacts differently to surgery.

** I felt the RIGHT BREAST soften up and start to drop but the left continued to stay hard, it actually got harder up top on the upper pole region and towards the cleavage area.

Replies (5)

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October 9, 2014
Oh this must be frustrating for you. If only it didn't show in your clothing. Hoping you're not in discomfort while you're figuring out the next step. Here a few members that come to mind that are seeking or have had a revision. Hope you find them helpful: Violet1234shellysmall, and DirtDames. Please keep us posted and thank you for taking the time to start a review with us on RealSelf!
October 9, 2014
You cant even imagine, its hard to hide. I cant pad the smaller droopy side bc that will make it more painful. My surgeon makes me feel confident that he will be able to fix these issues. So Im trying to stay positive. But until they get fixed I cant help but feel ugly and deformed :(
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October 13, 2014
Ugh, so you can't even put padding underneath the smaller side due to the pain? Do you have a revision surgery date scheduled yet? I know this takes a lot of your time, but if you can, go and get a few more opinions on what other doctors would advise for your revision. It can't hurt and sometimes this can be extremely helpful. 
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October 21, 2014
Sorry that you are going through such a frustrating revision. For your cc did you also try vitamin E and did your doctor suggest a dermal graft to prevent it happening again? Wishing you well.
October 21, 2014
I didnt try vitamin e. I will ask him about it. He is going to perform surgery to release it and he is going to suture the other side to correct the placement of the implant. I was taking Singulair for two months which was supposed to help prevent it. Maybe Im just one of the unlucky ones!
UPDATED FROM SassyGal
3 months post

Surgery Completed 10/28/2014

SassyGal
I had my revision surgery yesterday. Feeling pretty good today. Been resting since I got home after surgery.

Even though its only one day I notice they are even and perky ! Yaay! I hope they keep getting better looking as they heal and drop! So excited!

I havent taken pictures yet but I will upload them as soon as I do.

Replies (2)

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October 30, 2014
sorry you've been through so much! I'm hoping this time everything turns out well for you! I myself have 550 UHP Allergan silicone. I for the most part love them. Hopefully you will too! Hope your healing goes well.
October 30, 2014
Can't wait to see your outcome! Happy healing!!