41 Years Old Breast Augmentation Revision - Virginia Beach, VA

I am 10 days out from my breast augmentation revision. My original surgery was May 2012 with a second surgery to release a capsular contracture in my right breast a year later. Since then I have developed another grade 2 capsular contracture and a spot of very thin skin that is bluish in color and I can feel the implant.
My upcoming surgery is by a different doctor (I was satisfied with my first sense of urgency or his seeming lack of desire to perform a revision surgery). My new surgeon diagnosed the CC and said I have an impending extrusion. He said that I had about a year before the implant would poke through my skin. That's enough convincing for me!
I got for my pre-op appointment in 5 days (it's so close to the surgery date because they really worked with me to get me into surgery as soon as possible to accommodate my schedule. So..here I am, about to go at this all over again. This time I will have a full revision- replace implants (current Mentor Spectrum Round Smooth Saline 525cc left, 555 cc right) with gummy bear implants. I'll get those specifics at the pre-op. He will also address the impending extrusion and CC.
Not happy at having another surgery but I am happy to have a doctor who puts me at ease and is very proactive.
I'll keep you posted and pictures to come soon.

Original surgery was May 2012 where in addition to a neck lift and chin implant I had breast lift and augmentation. Under muscle Mentor Spectrum Round Smooth Saline implants- 525cc left, 555 cc right. In my before and after pictures from my first surgery you can already see the difference between the two. My right side is much lower and you can’t tell by the pictures but the upper pole area was extremely tight. My scars were kind of jagged, which was concerning to me, but my doctor offered several free sessions of pixel treatment as standard care for his patients. (it worked great)
After this surgery I went through the whole emotional roller coaster I see other patients have gone through. The bruising and numbness of my face and the pain from recovery, not to mention drains and bandages really had me questioning why I would do this to myself. Today- even with the complications I would do it all over again because I feel fantastic! But back to the story-
A year from my first surgery I went in for a correction. My doctor released the tissue in my upper pole area and sewed me back up. (there was no charge for the correction surgery). The area felt better immediately and recovery wasn’t that bad either. I few months later at a post op visit I pointed out to him the tightness on the outer portion of my right breast. I also pointed out an area at my breast flap where I could feel the implant (he said that’s not abnormal). He also agreed it felt tighter but suggested that it was probably better to live with a little tightness than to go through surgery again. So I have lived with tightness.
A few months ago I started noticing another problem in my right breast. Wearing under wire bras because painful and I noticed a spot that looked bruised and where the implant was palpable. During a skin treatment session with the nurse aesthetician at my doctor’s office I asked her to take a quick look to see if it looked like anything I should be concerned about. She looked at it and then went to go ask my doctor to take a look. I told him about the underwire issue. When he looked at it he seemed perplexed. He said it was odd and then told me to wait 6 weeks and then come back for another evaluation. He also said he wasn’t exactly sure how he would treat it because making an incision in that area could puncture the implant or just make the situation worse. He also said an option might be to go in and move the position of the implant.
So I went home set on waiting 6 weeks to go back. But the longer I waited, and the more I thought about it, the more worried I really became. The pain wasn’t going away, and sleeping wasn’t comfortable anymore either. I started researching extrusions and saw nothing but horrifying pictures of implants popping out through the skin- yikes! I decided to get a second opinion.
My new doctor listened to me discuss my problems and before he did an examination suggested I might have a “blue window”, which is the precursor to an extrusion.
On to the physical exam- he said my left implant (not my problem side) was sitting on top of my breast tissue and it appeared it had never really settled, that’s why I had so much fullness in my upper pole area. On the right side I did indeed have a blue window with an impending extrusion (rough estimate of about a year before we could see it start to push through my skin). I also have a grade 2 capsular contracture on that side. He was amazing at telling me what my options were and what his approach would be to the revision. We decided to go back in, replace both implants with Allergan Gummy Bear Implants, remove as much scar tissue as possible, and repair the thin skin. I was sick when I heard how much the whole thing was going to cost ($8100), but nothing that is quality is ever cheap.
I was so depressed when I went home. I really just felt sick over the cost (I paid for my first surgery in cash), and was upset that this one was going to have to go on some form of credit. I felt defective. But, as it gets closer to the surgery I am really just excited at the prospect of having something close to two breasts that look the same.
At this point this no longer feels like an elective surgery. It definitely feels more urgent than that. My original consultation was July 30th. On August 3rd I scheduled my surgery (3 hours) for August 18th with my pre-op appointment on the 13th. I was really trying to time my surgery during a time when my son was on vacation and the office was great at helping me do that. (My son is a worrier and I really don’t want him to see me in that post-surgery condition).
And so here I am. Of course since I got my diagnosis I have started to have the paranoid delusions that my implant is going to fall out any day now! Irrational! I also have mixed emotions about my first surgeon. My face is great! And I am so grateful that my first correction was free. I really just feel like he didn’t want to do another surgery on me and maybe wasn’t ready to admit that something he did wasn’t perfect.
Now we wait.