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POSTED UNDER Breast Implant Removal REVIEWS

60yr Old with Original 28 Yr Old over Silicone Implants. Anxious to Lighten my Load!

ORIGINAL POST

Thank you all so much for sharing your stories,...

dh60
Thank you all so much for sharing your stories, worries, wit and of course pics! When I think back about making the decision to get BA I'm aghast at how little info I was armed with. I was a 32B+ with some sag and wanted to have the option of going braless. In no way did I want to be bigger, higher was my goal. After BA of course I was bigger but not higher and much to my disappointment still had some sag...never did get to go braless :( Even so, up until age 52-53 I kept with and was pleased with my stable dimensions...5'3, 105, 32C+...and then, hello menopause! I do need to back tract and tell you that my husband and I (at age 50) adopted a special needs baby. Between 50-60 I was so busy with MD appointments, arsenal of therapies, home schooling, ...one day I just noticed that my breasts were enormous! Thankfully, I've never experienced any illness or problems with my implants but 7 yrs ago I had MRI which showed right had beginnings of a leak. I thought, no problem they're saline, and I was always under the assumption they were, even my friend who was with me for the procedure remembers me assuring her they were. Well a month ago I found out that was unlikely...so that, coupled with the problem of a progressively worsening cc (baker 3 now on right only) was what started my research on explant. I might also add...In the past year my right breast has really hardened and shifted upward to the point where it's obvious even with clothes on and I'm talking big sweaters and the like. I'm an RN and probably more neurotic about finding the right PS but reading the blogs and seeing some of the explant results has my radar on full alert...5 consults over the past two weeks and still undecided. I live in Southern NJ close to Cherry Hill so any recommendations on a PS would be much appreciated. I'll close for now but will return later to discuss more about these consults.

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Replies (23)

February 15, 2015
I am going through consults now to choose a doc. I, too, have found inspiration and courage from all the gals on this site. Good Luck with your journey!!!
February 16, 2015
Yes...it's a necessary evil! Thanks a bunch!!
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February 16, 2015
Hi dh60......I am formerly from your area!! I can recommend a wonderful surgeon in your neck of the woods....in the Philadelphia Tri state area.....Dr Theodore Katz....He did my BI surgery over 30 yrs ago....and daughters reduction in the early 90's...I would trust no one else with her.....he did my surgery at Beaumont military hospital. Years later when he left the military I tracked him down....at that time he had a center city Phila. location....I am originally from the Phila/ South NJ area....I too need to have an exlpantation...I am in my sixties. I live in Al now and don't like flying....Please make time to consult with him....he has patients from all over the country who seek him out. I believe you will end your search when you see him. I myself have been given serious thought to a car trip up for my exlpantation..... Best of luck to you....keep posting your journey. He is here on Real Self.....check his bio out.
February 16, 2015
Hi Avery! Thanks so much for the recommendation. If he's in Phila. I think that would be a deal breaker as in the event of complications I want someone more local. Of course if he has significant experience with explant, I might consider him. Will definitely check him out! Since explant involving cc necessitates dissection around capsule and sparing as much breast tissue as possible this is a specialized skill set that requires expertise. I'll let you know if explant only is a strong suit for him! Thanks so much for the info!!
February 16, 2015
You might want to check dr. Susan kolb in Atlanta for explant..very good reputation. Good luck.
February 16, 2015
Thanks so much but I'm in NJ :(
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February 16, 2015
Hi dh60....my darn battery on this iPad went out....I was just about finishing a reply to you....here goes again.... We share the same concern....distance if in the event of complications. I appreciate you letting me know whatever you find out. From what I recall Dr K expertise is reconstruction among experience in all types. He is in hissixties and has seen it all... There is a PS in my area who also does reconstruction and explantation. I will get a consult soon. He also does lots of reconstructions. Then there is Dr. Susan E. Kolb in Atlanta....that would be a two hour drive....still not close enough.....ugh! Could stay in Atlanta for a bit...I guess. But then I think of Dr K ....he is no more than an hour from a relative ......but I hate to impose. I think If my final answer is Dr K.....I would get set up with an accommodation through his clinic.....for 2 weeks??....and just cough the expense up to this whole mess of an ordeal. I guess I could stay w/ a relative for any time over?? I just have such confidence in him. But I do know within the doctor community as well as the surrounding areas my local PS is highly regarded. I feel I would be in God care with him. I will have a consult with him and take my battery of questions. Thank you so much for bringing up some very important concerns.....I have been making up my questions based on all your concern...some of the things I certainly did not know to ask about. For now....God luck to you and thank you for posting. All the women on this forum have helped me so much to gain the courage to face this situation head on.....I tried to ignore it for too long and never, ever got any encouragement from all the former Primary care doctors I have seen over the years. I fired each one! They forget we hire them!
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February 16, 2015
Oops! I meant good care not God care.....funny I guess that could be right too.....better believe I need God to oversee this!
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February 16, 2015
Ok this is crazy...read through and said God luck instead of good luck....okay....He must be tuned in... tee hee....
February 16, 2015
That's ok Avery because it really is "God" care as He is the great Physician! I'm finding PS's with plenty of experience in breast reconstruction, lift, and BA but not explant only. From all that I've read on this site explant only with complication of cc ramps up expertise necessary for favorable outcome. That's not to say that the right PS guarantees a pass on deformity, asymmetry, infection and the like but that shouldn't keep us from due diligence in our search. Thanks again!
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February 17, 2015
Gosh yes....it has to be! As for me...I'm dealing with double lumen with both saline and silicon....over six years ago I learned the saline is ruptured completely was told the silicone was still intact and surgery not necessary at that time....but the shape and hardest has dramatically changed since then so I know the silicone is likely ruptured. Two years ago a PS told me on a scale of 1 to 10.....my cc were. 9. Must now be a 10. But he wasn't the PS for me...life happened and it went on my back burner. Listening to Dr. Susan Kolb on uTube is making me think about consulting with her also. I will be diligent in my search as we all should be.....thanks so much. :)
February 16, 2015
I am a 65 year old woman with a similar situation, i.e. 25+ year silicone implants with stage IV CC in right breast. If you have found a surgeon with whom you are happy, I'd really appreciate hearing from you. Thanks much and good luck! helenemasiko@gmail.com
February 24, 2015
Hi Helene, I sent you an email, not certain you responded because we weren't getting email msg through the last few days since. In addition...RS is having a problem getting notifications through so I'm not getting anything from the site in my email...so frustrating. I wanted to let you know that I saw Dr. Garber for the 2nd time yesterday. It wasn't a consult, he had me bring my PCP referral and MRI for the purpose of getting approval from my insurance company to cover explant. I spoke to him about having explant with lift in one procedure and why he recommended the staged approach. I am convinced that his advice is sound so I've opted to take his advice. He said I should have an answer to the coverage question in about a week but I've never known insurance companies to work that quickly and I just want this over with! Anyway that might be something for you to pursue in the future. And by the way, I think I've finally decided on Garber for my explant, he spent the least amount of time with me but at this juncture I trust his judgment more than the others. Take care and give a call!
March 25, 2017
If you have not found surgeon, dr. Christopher Schaffer in Birmingham, Alabama is best of best. I am 67 with 40 yr. plus saline implants. Have had cc left breast for years and may replace.
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March 8, 2015
Wow, I hope I look as good as you at 60! I'm waiting on my PS to let me know if insurance will pay for my explant as well. Congrats! I'm sure you're going to feel amazing after explant! I can't wait!
March 10, 2015
Thanks a lot, we're definitely harder on our own bodies than others are but just the same I notice dramatic changes believe me. Can't wait to get these implants out of me...I'll settle for halfway decent after explant, just want to get through without any complications!
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March 10, 2015
You are in phenomenal shape for your age, and how wonderful of you and your husband to take care of a special needs baby. Plus what pp forget is the implant itself is made of silicone even if they're filled with saline. I can't wait for my removal, I like you research top to bottom and back again for the precise PS. Good luck in your search and removal.
March 13, 2015
Thanks so much! And so true...wasn't tuned into all the ramifications going into BI that's for sure, then again...no information highway back then!! Hey...what's your story??
UPDATED FROM dh60
18 days pre

60 yr old with 28 yr old original silicone implants. Anxious to lighten my load!

dh60
It was a banner day!! I received a call from PS office...insurance approval for explant and...I have an OR date set for March 25th. My husband picked up my scripts for EKG and CBC which I've scheduled for next week. This weekend I plan to give the house a good cleaning and make a few more meals I can freeze. Bone broth is simmering on the stove top. I decided on Dr. Brett Garber who although does not possess the coveted ABPS was the PS recommended by my PCP and a breast specialist I had recently seen. He does a lot of breast work...50% cosmetic, 50% reconstruction. His nurse assured me that he has a lot of experience with baker III cc which I have on the right side. I also called 2 of the surgical centers he is affiliated with and was able to speak with an OR nurse supervisor at one and a scrub nurse at the other. Without mentioning his name, he was the one both of them recommended for technique and expertise. He was the only one out of 5 PS that recommended the staged approach ie...explant...wait 3-6 months for healing, restoration of blood flow, settling /retraction of breast tissue...lift. Among the advantages are optimal lift results and decreased risk of infection/complications. In addition, this methodology allows for opportunity to determine if lift is necessary. There's plenty of discourse on both sides of the explant/lift vs explant/wait/lift debate but I'd rather err on the side of caution and proceed in a more conservative manner. Okay, enough bantering for one day!

Replies (11)

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March 7, 2015
Wonderful news on the insurance!
March 8, 2015
Believe me I wasn't expecting it!! Thanks!
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March 8, 2015
I am hoping insurance will cover mine, too. PS said I'm Baker IV in both & suspects rupture in both (still have to have MRI).
March 9, 2015
Baker III here (no pain) had MRI that showed rupture. FYI...I think a lot depends on the office staff and how they handle the insurance company. One other PS office submitted to my insurance company and I didn't receive word one way or the other...I did however receive a bill for the consult to the tune of $275.00 because " I had not gotten a referral" but that was because I had no idea they were going to see if insurance would pay, PS mentioned it to the office staff before I left. I ended up calling the office and they waived the fee. Dr. Garber's office was the only one that followed the protocol...making me get a referral from my PCP and coming back with my MRI results.
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March 9, 2015
Hi dh60.....good deal you're all set for removal....sounds like your PS is the man for the job. Once again thank you for sharing more helpful information. I have thought long and hard and I too will do just the removal and wait and see how time heals and they settle. Since I have never been a fan of General anesthesia I prefer not being under for longer than it takes for the removal. I initially had them put in under local. I handled that quite well....I will see. The doctor at the time said he himself always ops for local. I guess it could depend on the type of surgery.....although my mdaughter's mother-in-law recently had a hip replacement surgery under local! In her case it might have been for med reasons. Sending positive thoughts and prayers. :-)
March 13, 2015
Thanks so much Avery! Wow you're a stud having your BA under local!! I too am fearful of general anesthesia but I'm terrified of pain!! Thank you for the prayers, the Lord is faithful regardless of the outcome :)
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March 10, 2015
It sounds like you have a wonderful PS. It is fantastic to hear the unsolicited referrals isn't it? A real confidence builder! Many happy wishes for you to have a wonderful result!
March 13, 2015
Thanks so much!! None of the PS I consulted with have much experience with explant only which would have settled my heart more but I wanted to stay local in the event of any PO complications. I feel I've done the best I can in choosing my PS for explant and thats more than I can say for my BA!!
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March 13, 2015
Wishing you lots of luck! X
March 17, 2015
Thanks so much!! 8 days and counting! Girlfriend you look great post op!!!!
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March 17, 2015
Bless you lovely , thank you. Just make sure you don't overdo it even if you feel fine.ive been a bit silly and took dogs out with my bf this morning.....came back in a right mess and had to sleep all day. Lesson learnt and will stick to resting now for a few days!!! Xx
UPDATED FROM dh60
9 days pre

Pre op tomorrow!

dh60
Oh dear, I've been having second thoughts about the staged approach and plan to speak to my PS during the pre op tomorrow. The reason is because I'm seeing so many of you coming out of your duel procedures looking great and free of complications. Also, as I have ample breast tissue I'm thinking this might work in my favor for a good result. I really don't know if I will be able to justify the risk of general anesthesia again for something that's not a necessity (even if I end up deformed). Just concerned about my right breast as there is probably going to be less tissue left by the time he finishes excavating that scar capsule! Any thoughts ladies? Let me switch gears to lighter subject matter...I wanted to give a review of sports bras... I bought several different styles, high end to low end, including Armour, Champion, Danskin Now, Fruit of the Loom and several others (names?). Brought them home so that I could do a good comparison, left all the tags on of course...in my estimation hands down the Danskin Now was the most comfortable, provided the best compression and was the least expensive at $12.94. For sleep, Fruit of the Loom...perfect! It has a front hook closure, 95% cotton 5% spandex providing just enough compression, and at $7.94 it's a steal! Purchased both styles at Walmart (gotta love Walmart!). 10 days to surgery and the jitters are setting in! Please keep me in prayer regarding aforementioned decision, thanks so much!

Replies (17)

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March 16, 2015
Good luck today.i hope you come out feeling clearer about which way to go. I've got my explant in 3 hours.nervous! X
March 16, 2015
Hey there just came off your blog and so glad you're an official member of "explant survivors"! Thanks for the well wishes!
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March 16, 2015
You're welcome. What a journey, but so worth it. Not long now until you join us :-) Please try not to worry about it, as its so easy compared to BA. xx
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March 16, 2015
Reading you story and knowing how you feel. I'm a day before you and I'm feeling like I'm going crazy. Like just wish I could not think about it or just sleep the next 8 days tell it's time for surgery. I will be thinking of you, you are in my prayers , hope the next 9 days for you go super fast. Lots of hugs
March 17, 2015
You have a good plan in place...the same one I signed up for...the wait and see plan. Can I just say that you are safest going that route. Allow your breasts time to rebound. You've had several lifts already and that will probably serve you well. You had said that you hoped you didn't need implants again in addition to your lift...if it comes down to needing a lift by no means will you need implants to look nice. Perhaps you're considering need for the implants to add volume but I want to encourage you to rethink that. Do you honestly want to face all this angst again down the road? Is it worth it? Keep reading the posts here on RS, in time I think you'll be cured of the desire for "big". Keeping you close in prayer as you consider all that's ahead. Hugs and Blessings
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March 17, 2015
You know when I started on RealSelf that is how I was thinking, but after reading so much. I just want these implants out and never want these bags again! 8 more days for you! Can't wait to see you on the other side xox
March 17, 2015
Preach it little sister!!
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March 18, 2015
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March 21, 2015
It's almost here linda 38 and dh60! You're gonna be thrilled.
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March 22, 2015
Thank you and yes we are both going be on the other side very soon xox
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March 20, 2015
It's coming up!!! I'm so happy for you. You are gonna love it. I got the Danskin Now for surgery and am still wearing them. They are great. Thanks for the tips!! Today is day 4 for me and I'm getting stronger. Days 2 and 3 are very weak days so lots of rest. Please try not to use your arms at all if you can for the first week. We don't want to stress the area and get fluid build up. Best to you!
March 21, 2015
There's a lot of Danskin now styles, a real nice selection and I tried a bunch of them on in the dressing room. I kept going back to the style that I ended up purchasing. My only complaint was that the selection of 36B's were seriously lacking in all the Walmart's I checked. I had to settle for a color I'm not thrilled with. I'll take your advice not to use my arms!! Funny because I was already planning things I could do in the immediate post op period. And speaking of seroma, my PS said he would remove the drains on Friday...that's only 48 hrs and too soon as far as I'm concerned! Thanks a million for your instruction!
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March 21, 2015
I had no drains at all - it really seems they all do it differently. I agree with all natural me - day 2 and 3 are the hardest. I went for a walk with my dogs the day after op and put myself in a right mess!! If you have some breast tissue already im sure you'll be really happy with your result.the waiting is definitely the worst bit but worth every bit for the result.good luck xx
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March 21, 2015
You will be fine with drains out after 2 days. I think you will be able to tell if you are slowing down with fluids by then. The body will do it's thing and get rid of the rest. Listen to your PS. He'll know what's best for you. I was worried about seroma but my PS said they are pretty rare. I got the Danskin Racerback 2 pack which comes in S M L. I got the large in black, white and grey. They fit fine with implants, very comfy and perfect after. I have a feeling I will be wearing these with everything. It didn't have a zip front though. My PS didn't require that. I'm sure you will want a zip since you have drains. It's day 4 for me and I already see a change in firming. It's a fun journey. I slept on my side and back and took off my bra at night day 2 and 3 and it was fine. My PS was more liberal with that. It feels so good to sleep on your back without implants compressing your chest and making it harder to breath!
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March 21, 2015
So true light,free and all me! The waiting is the hardest but it goes by fast and the other side is oh so sweet!!!
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March 27, 2015
I wanted to comment on your second thoughts. I did have both explant and lift on 3/12 and I LOVE my results so far. Even though I had Baker CC on both and extra scar tissue removed, capsules from both under and over, each day they look better and better. Today is Day 15, all the scabbing is gone, swelling has decreased even more. My PS said pre explant that I didn't have much breast tissue with all the procedures I had in the late 80's but I was SO HAPPY with my post outcome. I have nice boobs and not small. So far, I'm still able to wear my 34C pretty bras that I put away a while ago after menopause and contracture of both my breasts in the last 7 years. I am VERY HAPPY I did it both at the same time.
March 27, 2015
Hey There Saavy! A mute point now but I did bring the duel procedure up to my PS, he didn't think it was prudent because of the blood supply issue and I've only ever had the one procedure. I have to say...your lift looks beautiful, nice and high, perfect size...where on earth did he find the breast tissue to work with?? Granted pre explant, it looks like you have plenty from the pics, I'm just basing my question on the info you gave regarding bilateral cc etc. Glad you're finished with the aspiration procedures...I know they're probably painful! I went for drain removal today and hoping it wasn't done prematurely...certainly don't want any surprise build up of fluid!!!