POSTED UNDER Breast Implant Revision Reviews
Second Revision - 2 Years, 3 Surgeries, $15,000
UPDATED FROM MissTheCleavage
1 year post
It’s been a few months since my last update...
I’ve been going braless more... not sure that good for my implants but I think my cleavage is a little better. My nipple height looks better I think. I do wonder sometimes if I have CC in my left. I get this uncomfortable sort of stabbing pain in the are on top of my left. Other than that, nothing new to report. No revision planned yet. Will update you when and if I do commit to a 4th surgery. Still on the fence...
Replies (2)
Hi hun happy holiday and New Years! I’m sorry you’re still dealing with issues, but to be honest they look good! scars healed up nicely, and they’re pretty much symmetrical. However I’m only looking from your photos posted. Hope 2019 will be your year! I just had a revision 6 days ago both breast capsulrrhaphy, scar revision and areola . Take care and thanks for updating! I’ve been horrible at updating !
Thanks Rosey! I’m just biding my time until I can afford to get my left one fixed....I checked out your revision! Looking good girl! They look even now and looks like your areola are smaller too! Please be sure to post updates! It’s gives us girls with less than satisfactory results hope!!! Xo!!
UPDATED FROM MissTheCleavage
1 year post
Just posting some comparison photos
Lara47 is a recent patient of Dr. Pelletierie. He performed a medial capsulorrhaphy and fixed her cleavage. We have similar issues with our implants merging together and rippling. My breast are more floppy than hers as you can see when bending over. But check out Dr. Pelletierie’s work. You can see he does beautiful work. Dr. Diaco literally caused further issues. He ruined my cleavage, not repaired it.... you shouldn’t be able to see the sutures from the outside. It pulled and lifted my skin.
Replies (3)
My "before" epic, cone-looking smooching implants lol they were embarrassing. Its upsetting how ur doc caused more issues. Did Dr Chris tell you if you should go under the muscle? Now when I bend over without or with bra the implants no longer merge but since I am over the muscle I see some light tenting (not like ur current tenting tho) like the after pic I have in my review leaning forward. Thats when you stay over the muscle and i suppose some of that tenting goes away in time. But I did go larger so theres pressure there. Couldnt even sleep on my stomach from the median pain for 6 years. Now thats gone whew. Dr Pousti said they have no way to adhere the skin back to the sternum. I notice both docs fix symmastia going submuscularly -DrChris insisted that this is a solid repair- I suppose this minimizes the tenting as well. I insisted on staying over. But no rippling anymore no merging no "kissing" of the implants and I now have definition there that normally only the subpectoral placement gives(i knew that you get a more defined cleavage like that just cant stand that the muscle moves the implant so much)
I just wanted to wish you good luck on your revision. When are planning your revision?
Girl’s having her explant in Jan. I have no set ate for a 4th surgery.... I just can’t afford to spend anymore money on my boobs right now. I still beat myself up for spending $15,000 on two surgeries and not having a good result.... when I do decide on a surgeon and have a ate I will do another review for sure!
Hi my Tampa friend ! Not to be disrespectful but have you though about simple explanting ? I’ve had so many issues , 3 surgeries within 7 years and can’t wait for January 16 for my explant . This is the last time I’m spending money on my breast . All I want is to be natural , capsular free . With 2 breast lift I’ll be full of scars and left with empty bags but dealing with implant issues for the past years were terrible. Good luck to you !
No offense taken my sweet friend :) and YES I have thought about explanting.... I looked at lots of reviews and I don’t think I’d be any happier. I’ve looked at reductions too because I think my boobs look like I’ve had implants for years... especially my cleavage. Mine are very similar to women with large breast that need a reduction I think.... one breast is saggier than the other, etc. I can’t afford to do anything right now though so I just try not to think about them and I don’t come here as often because it’s depressing....
Anyway, enough about me! You’re getting your explant soon! I’m excited for you! I do hope you’ll do a review! Who is doing your explant?! Please keep me posted , even if you don’t do a review, PM me! Wishing you the best my friend! Hope you have a wonderful holiday! Xo!
Anyway, enough about me! You’re getting your explant soon! I’m excited for you! I do hope you’ll do a review! Who is doing your explant?! Please keep me posted , even if you don’t do a review, PM me! Wishing you the best my friend! Hope you have a wonderful holiday! Xo!
UPDATED FROM MissTheCleavage
1 year post
1 Year Post Third Surgery (Second Revision)
Hey all! Can’t believe I’m 1 year post my third surgery. Next month will be 3 years post my first surgery. Crazy!
Dr. Pousti thought it might be best to wait until I was a year post and now that I am, I contacted his office yesterday to get an idea of days of the week, etc. that he does consults. Once I have an idea, I’ll start checking airfare. I won’t be able to go out to San Diego until probably December or January though. And it will be a quick trip - maybe even there and back the same day if flight times work out. I’m anxious to see what he has to say.
In the meantime though, I did an email consult with Dr. Pelletierie in Chicago. I saw a gal on RealSelf with similar issues - mild symmastia, rippling, asymmetry, etc. He did a beautiful job fixing her malpositioned implant and symmastia. You can’t see any of the work on the outside (no funky suture like my cleavage has). All the repair is internally and she has a nice, smooth flat space between her boobs, symmetrical nipple height and no rippling when she bends over. When she bends over they don’t merge together. So I contacted him, sent all my photos and info. Rather than typing out his plan to fix my issues, I will just cut and paste his response. I like his plan.
“From what I have discerned from your emails/ pictures/ notes, our plan should be as follows:
1. Bilateral revise the NAC (nipple areola complex) size to a smaller/ more proportional size
2. Decrease the left breast nipple to fold distance by removing some skin from the lower pole along the breast fold. This would help make the NAC heights more symmetric
3. Left breast medial capsullorhaphy/ lateral capsulotomy. This would reinforce the sternal area to help prevent the implant from coming over like it does now. Opening the lateral pocket internally would allow the implant to sit over a little more as well, taking the pressure off the medial repair area.
4. Keep your same left implant if at all possible. Since those are only a year old, there should be no reason why we couldn’t use your same implant. I would have a backup available just in case I were to find a tear in the shell when removing it from the pocket. This would be rare and would be covered under the implant warranty if that was the case.
The hardest thing is trying to get skin that has lifted off to stick back down to the chest wall. Sometimes, no matter what you do, it tries to do it again. A symmastia / tenting repair is usually 90% successful and 10% recurrence rate. We can increase the success rate by adding a biological dermis (Strattice) internally over the symmastia repair, but that adds a significant expense to the surgery (additional $1500)
As far as costs, without using Strattice on the left side and using your existing implant, the cost would be $6500.”
I like that he is willing to fix my left one rather than re-do the entire lift like two other surgeons I consulted with in Florida wanted to do. AND he’ll reuse the implant if it’s not damaged. The surgeons I consulted with previously in FL want to use new implants. I think $6,500 is reasonable to get my cleavage fixed and have smaller areola!
The photos I’m posting are just outlining the problems with my left and my cleavage. they only way to describe how my left one feels is like it’s slipping out from under the muscle and then there is like two components, 1. My nipple/areola is one part of the breast and then this other rippling area is this bulge of the implant. It’s hard to explain, but it leaves me with a “pulling” sort of sensation (very un-natural feeling) when I bend over to pick something up or bend to the side.
I’m sure its due to the pec muscle being over-dissected. Sometimes I wonder if Dr. Diaco hadn’t damaged my nerve and if I actually feeling in my lower left breast rather than it being totally numb, would I have pain?? Maybe having nerve damage is a blessing as weird as that sounds. I would not want to have pain in my lower breast and cleavage area that is for sure. I’ve read reviews where ladies have pain from symmastia. I am thankful I don’t have any pain.
Will update you all again once I make my plans to fly out to San Diego! Until then, happy healing all. Good luck on your upcoming surgeries! And ladies with issues, you’re not alone and stay positive. Things will work out eventually! Love to all! Xo!
Dr. Pousti thought it might be best to wait until I was a year post and now that I am, I contacted his office yesterday to get an idea of days of the week, etc. that he does consults. Once I have an idea, I’ll start checking airfare. I won’t be able to go out to San Diego until probably December or January though. And it will be a quick trip - maybe even there and back the same day if flight times work out. I’m anxious to see what he has to say.
In the meantime though, I did an email consult with Dr. Pelletierie in Chicago. I saw a gal on RealSelf with similar issues - mild symmastia, rippling, asymmetry, etc. He did a beautiful job fixing her malpositioned implant and symmastia. You can’t see any of the work on the outside (no funky suture like my cleavage has). All the repair is internally and she has a nice, smooth flat space between her boobs, symmetrical nipple height and no rippling when she bends over. When she bends over they don’t merge together. So I contacted him, sent all my photos and info. Rather than typing out his plan to fix my issues, I will just cut and paste his response. I like his plan.
“From what I have discerned from your emails/ pictures/ notes, our plan should be as follows:
1. Bilateral revise the NAC (nipple areola complex) size to a smaller/ more proportional size
2. Decrease the left breast nipple to fold distance by removing some skin from the lower pole along the breast fold. This would help make the NAC heights more symmetric
3. Left breast medial capsullorhaphy/ lateral capsulotomy. This would reinforce the sternal area to help prevent the implant from coming over like it does now. Opening the lateral pocket internally would allow the implant to sit over a little more as well, taking the pressure off the medial repair area.
4. Keep your same left implant if at all possible. Since those are only a year old, there should be no reason why we couldn’t use your same implant. I would have a backup available just in case I were to find a tear in the shell when removing it from the pocket. This would be rare and would be covered under the implant warranty if that was the case.
The hardest thing is trying to get skin that has lifted off to stick back down to the chest wall. Sometimes, no matter what you do, it tries to do it again. A symmastia / tenting repair is usually 90% successful and 10% recurrence rate. We can increase the success rate by adding a biological dermis (Strattice) internally over the symmastia repair, but that adds a significant expense to the surgery (additional $1500)
As far as costs, without using Strattice on the left side and using your existing implant, the cost would be $6500.”
I like that he is willing to fix my left one rather than re-do the entire lift like two other surgeons I consulted with in Florida wanted to do. AND he’ll reuse the implant if it’s not damaged. The surgeons I consulted with previously in FL want to use new implants. I think $6,500 is reasonable to get my cleavage fixed and have smaller areola!
The photos I’m posting are just outlining the problems with my left and my cleavage. they only way to describe how my left one feels is like it’s slipping out from under the muscle and then there is like two components, 1. My nipple/areola is one part of the breast and then this other rippling area is this bulge of the implant. It’s hard to explain, but it leaves me with a “pulling” sort of sensation (very un-natural feeling) when I bend over to pick something up or bend to the side.
I’m sure its due to the pec muscle being over-dissected. Sometimes I wonder if Dr. Diaco hadn’t damaged my nerve and if I actually feeling in my lower left breast rather than it being totally numb, would I have pain?? Maybe having nerve damage is a blessing as weird as that sounds. I would not want to have pain in my lower breast and cleavage area that is for sure. I’ve read reviews where ladies have pain from symmastia. I am thankful I don’t have any pain.
Will update you all again once I make my plans to fly out to San Diego! Until then, happy healing all. Good luck on your upcoming surgeries! And ladies with issues, you’re not alone and stay positive. Things will work out eventually! Love to all! Xo!
Replies (4)
I hope it works out well for you. Can’t believe you’ve been on this roller coaster so long.
Thank you so much! I appreciate your support! I’m confident it will work out with a more experienced surgeon. Lara47 had the same issues I currently have and Dr. Pelletierie did a beautiful job fixing hers. I’m going to high jack one of her photos and show a comparison of Dr. Pelletierie’s work and Dr. Diaco’s. It’s night and day. Dr. Pelletierie does everything internally and you can’t see the sutures!
YES girl! im happy you got it figured out, i mean contacted all the good docs and got opinions! I like Dr. Chris' plan, sounds practical. I like that he tells the patient exactly what hes gonna do. Yes symmastia is painful, i dread that median pain. You know what ill say, go with Pelletiere, hes very detailed and honest, alot more affordable too. Dr Pousti is amazing too if you can travel to Cali.
Thank you Lara! So happy you did a review. I wouldn’t have know about him otherwise. There is another gal here who has had similar issues and I’m going to pass Dr. Pelletierie’s na,e on to her and have her check out your review! I’m also going to use one of your photos as a comparison if that’s okay with you. I want to show the difference between the way my surgeon does a medial capsulorhaphy and the way Dr. Pelletierie does! There is no comparison!
Glad I contributed to that and that you could also help other girls, I thank realself for not going to Dr Revis lol id have regretted it. I was about to book with him and then saw the scary stuff on here. Plus his work on his website is all revision material most very bottomed out :/ and uneven. Show the pic to Dr Chris you mean? Yes absolutely. Tell him greek girl from SC and he will know which symmastia repair,ours was the milder kind not the one pocket uniboob thing. Hes very humble and I am pleased, so I wanted to say a word for him. They say Dr Krau in Fla fixes such issues as well but I read reviews on yelp that hes caused symmastia to girls hah. God bless the internet for that info. Turns out every doc has a different method of fixing symmastia and i watched a vid of Dr Pousti on symmastia repair and Dr Pelletiere did exactly the same on me just didnt go crazy with the drawings on me lol but same exact method on everything lateral displacement, symmastia etc.
I’m glad there is a solid plan there and the dr sounds very confident and knowledgeable in how to fix your issues! Wish you the very best!❤️
(sorry for the essay)When you lift them up in the 2nd pic and both breasts are lifted and you say you might just need a lift. That occurred to me too. This I believed is caused by the subglandular placement. Now that I went bigger if I pull the sternum skin at the middle, my both boobs lift up more. But i did that test on my mom's natural boobs today lol (she has veeery saggy median, only a small strip of skin attached and the same happens to her..so maybe thats what happens with natural boobs too cuz theyre not under the pecs). I suppose if i had some more loose skin like my mom, id have more median tenting. Dr. Pousti had told me before my revision that he cant do anything about the skin being detached there :/. Its like our implants drag our skin down or something. But you got the pecs over-dissected, so maybe u cant go subpectoral right. What im saying is if someone has extra skin lifted from the sternum (i do after 6 years) they prolly be better off going submuscular or subfascial(like check out UnicornPrincess405 she has no symmastia I think because shes not totally over the muscle). I generally have overly tight skin thats why I went with overs but I still dont know what I should have done, i dont want tenting there in the future. My pecs are too strong for implants id run the risk of bottoming out from the pressure. On a positive note, my symmastia was WAY worse at 9 months post op (see 1st pic on my latest update) than how it was 6 years later. The tenting was alot less over the years. My other doc had told me that overtime your own tissue might strengthen and fight it off. Yours do look better in time I saw your pics from start to end again.





Did you see that I did an email consult with Dr. Pelletierie in Chicago?! I think he is spot on with his plan. He was honest.... he said it’s har sometimes to get the skin to reattach. I would be happy just having more space between my breasts and having them a little more symmetrical. Sometimes I think just correcting the bottom of the left with a capsulorrhaphy and double suture would do the trick. Make them look a little more like step-sisters and not like perfect strangers!! LOL!!
Keep me posted love! You know I’m rooting hard for you end up with a result that makes you say when you look in the mirror that you love your result!! Xo my friend!!