I had my initial breast augmentation by a Board Certified Plastic Surgeon in the Pittsburgh area on May 16, 2012. Six weeks later my right breast implant bottomed out and required corrective surgery. My left breast always sat high on my chest wall and I had tremendous black and blue bruising in my abdominal and hip region after the initial surgery. Eventually I was diagnosed with a capsular contraction in the left breast. Although the left was contracted, I had a lot of pain in my right breast, especially laterally for months.
My initial surgeon said it was scar tissue and that I should take 600-800mg of Ibuprofen 3-4 times/day for 1-2 weeks, but it was fine. He was upset that I refused to let him perform a closed capsulotomy on the left contracted breast and said that I should have an open capsulectomy and "move on with my life." At that point I got a second opinion. That surgeon was most concerned with the pain in my right breast and ordered an MRI. The MRI revealed a ruptured Allegan Silicone Implant and would have to be replaced. He also suggested that I may want to consider removing them for 6-12 months to heal and start over. He could not really explain the pain and sometimes you just have to admit defeat and start over.
In summary, it wasn't even a year and I was looking at a third surgery or removing them entirely. He suggested I get another opinion from a teaching hospital where "many smart surgeons are in one place and can review your complicated case." He recommended UPMC. I met with one doctor that I truly liked, but he said that the surgeon to best correct my complications was Dr. Shestak. He was right. Dr. Shestak said he could help me. He could not guarantee no pain or that a contracture wouldn't happen again, but trust me, he did everything in his power to give me the results I always wanted.
He performed a 5 hour surgery on me himself (beware, some surgeons let their PA's or nurses put one in as a time saver!) In the right breast he removed two stitches in the lateral spot that caused me the most pain and folded and placed a piece of strattice there in addition to another piece laterally to support the implant and avoid another bottoming out. The implant was replaced. In the badly contracted left breast he removed 100% of the capsule. This is not only necessary to create a virgin space, but it is complicated and delicate. He placed three pieces of strattice in that breast. If you have a capsular contraction you want to find a surgeon who is capable of working with strattice as it is your best bet to avoid another contraction.
I had a drain in each breast for 10 days. Yes, it's early, but my experience has been 500% different in every regard in comparison to my first surgeon who performed 2 surgeries on me. In each of those surgeries he wrapped me for 7-10 days in an ACE bandage, followed by a velcrow strap. I was in so much pain and was bloated for weeks. Other than the 2 hour ride home, I was not wrapped at all. My only discomfort was near the drain sites and my throat was sore and produced a cough from my airway being opened for 5 hours during surgery. My breasts look incredible for the first time and I am confident and optimistic that they are healthy INSIDE and out. They look entirely different, they feel different, and my recovery was truly a breeze in comparison to my last two. Board Certified Plastic Surgeons are capable of making poor decisions. Poor decisions lead to poor outcomes. Dr. Shestak repairs other surgeon's mistakes with a masterful approach to details and art. If you are looking for a plastic surgeon to perform an initial breast augmentation or if you are unlucky enough to have experienced complications, you MUST let Dr. Shestak care for you. I talked to my original surgeon maybe twice on the phone in one year, even with all the complications I had. I talked to Dr. Shestak every day for 5 days following my surgery. Would I do it again? With Dr. Shestak, yes! He gave me another chance to have the breasts I've always wanted and they look spectacular. I settled out of court with my last surgeon so I can not reveal his name, but if I can guide another woman to Dr. Shestak I feel that I will have accomplished something. Choosing the right surgeon to make your dreams come true is crucial. I can not recommend Dr. Shestak enough.