Mutilated Breast Reconstruction (Diagnosed with BC - Bilateral Mastectomy, w/ Immediate Reconstruction) - Oklahoma City, OK

I was diagnosed with extensive BC in the right breast and opted for skin-sparing (and left areola and nipple sparing) bilateral mastectomy, with immediate reconstruction (path showed DCIS, LCIS, ILC and ICC, Stage IIb N1aMX, ER+/PR+/Her-). I wanted to have same size of breasts, and the entire procedure to not be longer than 5 months, as my insurance is ending on April 2010 (reconstruction is fully covered).

The plastic surgeon I have seen recommended double latissimus dorsi flap with direct implants. I have told him at the first visit that I am a smoker and due to the stress caused by the recent diagnostic I am not sure if I can quit smoking. I was told that the procedure will require about 6 weeks of recovery, and will bother me only if I would want to do professional tennis or swimming.

To make things short - I lost the areola/nipple to infection (Dr. took me off antibiotics the week after surgery) caused by blistering from cauterization. The right breast formed a huge seroma on the bottom (I had complained that I was way too swollen in that area).

I had a revision done one month after the initial surgery, with replacement of left implant and repositioning of the muscle.

I am extremely unhappy with the result. 500 cc implants were set in. That is way larger than my breasts were. The mass removed at pathology was 400g, that would make about 375cc. I need to wear an elastic bandage to "push" the implants down. I feel like I am trying to squeeze a grapefruit in the peel of a tangerine - and it hurts a lot. I have lot of puckering and divots. A lot of pain as well. My back hurts between the shoulder blades. The LD incisions are around 10-11" long. On the left side where my drain was coming out it was towards the abdomen - there is a numb portion and I cannot even suck in my abdomen, I look like I am 8 months pregnant. I had extensive seromas on my back that the PS never aspired, said they need to go down by themselves.

I am now 7 weeks out of the first surgery and 3 weeks out of the revision - and cannot go back to work until the end of January due to restrictions of weight lifting. Except for now being able to get out of bed or lay down without help, I do not seem to get any better. The LD was not de-nerved and the movement of the breast is totally freaking me out. I can barely do every day chores. I strongly doubt that I will be able to do the work I used to do, ever again. I asked about PT, massaging, I was told "you don't need massaging or physical therapy, just do some stretching".

My chemotherapy date has been pushed further due to all these complications, so it was decided that I will go in for revision after chemo, lymph node and possible radiation will be finished - and that is roughly 5-6 months from now.

I do not trust this plastic surgeon anymore and I would like to find someone else.

Photos are before surgery and 2 weeks after revision.

Nevermind. I can see that I will never get an answer on this website.

Could you recommend a plastic surgeon in Oklahoma City to repair a very messed up reconstruction?