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30yrs, 5'8.5", 130lbs, 9 mo PO (385HP) need revision for lateral over dissection and pain, downsizing to 310 moderate Inspira

ORIGINAL POST

Long story short - I had an endocrine problem that...

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kbelle1248
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Long story short - I had an endocrine problem that destroyed my breast tissue, so I decided to have the BA (Sept '16 - see my full review) and get implants to reconstruct the loss. I used another doctor at Austin Weston, but there have been some significant issues healing. The RT breast had problems starting immediately following surgery - scary incision issues and placement, as well as pain throughout the breast when any pressure was applied (tight sport bra/top, getting hugged, or laying flat).

As time went on it became obvious that there was too much space laterally, the pocket was just too big and the implants kept migrating over. I didn't do ANY upper body exercises, lifting, or even daily upper body activities for 2 full months after surgery (even longer than the required 1 mo). The pain has me freaked out, could the implant have been defective from the beginning?? Either way, I came to an agreement with the previous doctor that Dr Sigal would do the revision.

I didn't get any real assistance in choosing a size, they just took measurements and said pick any of these - the consultant emphasized that almost all women wish they'd gone bigger, but I kept saying I only wanted to restore the volume I'd lost (was a full C cup) through the medical ordeal. Ultimately I had NO clue what would get me to the desired outcome, and I got no help. I kept saying I definitely do NOT want to be a D cup, but I ended up having to pay additional money to downsize before my original surgery, and I still ended up a 32DD(*NOT in VS, but every other brand) with 385HP Inspira. The consultant also didn't know what Inspira was, nor did they have any to try on, I had to ask for them and go blind- I'm sure that's part of the sizing errors. I'm now downsizing to 310 mod Inspira. Hopefully this will be closer to the size I originally wanted, be more proportionate and less likely to cause further issues.

Dr Sigal feels that downsizing is a good idea, and all the other PS's that I consulted with agreed that the original implants were the wrong size and profile for my issues/desired outcome. They also felt that the implants contributed to the result, but ultimately felt the pocket was just too over dissected, so the implants fell way too far to the sides. Specifically rhe RT falls entirely off the chest wall and hurts terribly - they think the nerve is caught up and being tugged every time I lay down or press on it. I started wearing soft bras 24/7, Bc otherwise sleeping is too uncomfortable.

Surgery is in less than 1 wk, and I'm ready to get it over with but slightly terrified of possible complications. I've seen some horrific things are this sight, but hopeful that this will rectify far more issues than it causes. Any other women who have gone through a BA revision, please write in!!! How bad is the recovery?? I've heard mixed things! Especially any women that have downsized!! It's harder to find.

My stats:
30yrs
5'8.5"
130lbs
Orig bra size - 34C (before medical issue)
Pre BA size - 32A (after medical issue)
Orig BA- 385HP Inspira
New bra size- 32DD (*not in VS)
Revision Implant - 310Mod Inspira

kbelle1248's provider

Robert K. Sigal, MD

Robert K. Sigal, MD

Board Certified Plastic Surgeon

kbelle1248

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Replies (5)

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June 21, 2017
Good luck with your revision surgery!
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June 22, 2017
Thank you!! I'm fairly calm, but definitely ready to be done with the surgery
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June 22, 2017
I hope everything went awesome this morning!!! Happy healing doll.
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June 23, 2017
Thanks so much ladies!! Last night was really rough once the good surgery drugs wore off lol ~ but we're getting it back under control.

Saw Dr a few hours ago for post-op check, he said everything looks great - have gained a lot of sternum swelling vs yesterday tho. I'll post a review update/pics once I wake from one of these spontaneous naps! Thanks again! xoxo
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June 23, 2017
Oh good!!! I've been checking back every few hours going "where is she where is she" lol. I'm glad you're doing ok! :)
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June 23, 2017
Thanks again for all the support ladies!! Been knocked out sleeping all day, Dr said I probably needed the rest. Will post pics this evening! Xoxo
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June 30, 2017
Hey lady where are you? I hope recovery is going ok!!
July 5, 2017
How are you feeling? I hope you are happy with your revision surgery. Best wishes!
July 12, 2017
I'm wondering how you are doing? I had a bad experience with Dr Sigal. I hope your result is satisfactory
August 3, 2017
Did you have a revision? How are you?
UPDATED FROM kbelle1248
1 year post

Revision on breast reconstruction ~ Fantastic!!!

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kbelle1248
Needed a revision on my breast reconstruction, and Dr Sigal did an amazing job!!!! I’ve gotten so many compliments. They look incredibly natural, and it really restored my confidence from what I’d lost. He’s also an incredibly caring person with an unbelievable bedside manner, which is really important to me when choosing a doctor. Anyone would be lucky to use his services!!!

Replies (2)

November 13, 2018
Can you post pics of the revision?
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January 15, 2022
Love to see pics from your revision