TE/Implant OVER pectoral Can exercise, comfortable &NO RIPPLES!
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hi all,
haa anybody had their pre pec implants removed
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I posted this on the March surgery thread but wanted to post here as well -
Hi surgery sisters, wanted to say, Happy Thanksgiving (to those who celebrate Thanksgiving). I'm so thankful for this site and all of you. I don't know how I would have gotten through this past year without each one of you. I found here, a place of belonging, encouragement, & comradery. I have a wonderful family but being able to share and relate with others walking through the same thing (generally, if not exactly) has been very helpful because you get it. Thank you for your encouragement & support. I hope each of you are doing well and are moving forward and getting back to "normal" life. Bless you all!❤
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Happy Thanksgiving Sitti, and to all the beautiful ladies here, thank you for your kindness and warmth. It really does mean so much to me and I am truly grateful for the support from this community!!
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I am very glad to get to know all of you women. Hope everyone had a good Thanksgiving
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Re-asking kae md99’s question...has anyone with pre-pec implants found them painful (like below the muscle implants) and chosen to have them removed?
I know Icontinue to have severe iron bra even with the swap...
Thanks.
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Mine are not painful, nor were my sub-pecs. Some people get post mastectomy pain syndrome, even without doing any recon. It might be worth exploring that and it's treatments before removing your recon.
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Veggal,
You couldn’t have known, but I’ve been researching and trying everything for the past 2 1/2 years: PT, Botox, nerve blocks, spinal epidurals,acupuncture, ointments and oral meds. The pre pec swap was my last hope. Terrified of removing the implants entirely and STILL having constant pain and of course there are never any guarantees.
All my surgeons and oncologists thought this would work for me, too...
Have you heard of anything for PMPS I’ve not listed; would consider pretty much anything.
Thanks.
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Hi Klgnyc, one thing which has been used in a few trials for rads fibrosis and Capsular Contracture was Low Level Laser Therapy. I didn't see that you mentioned that, so that might be something to think about. It is also known as Cold Laser Therapy.
The Aesthetic ChannelCosmetic SurgeryCapsular contracture
Laser therapy for capsular contracture?
April 07, 2015
A new study suggests that low-level laser therapy may be the solution to capsular contracture, a troublesome problem associated with breast augmentation and reconstruction procedures.
According to the authors, fibrous capsular contracture is a common complication of those procedures, one that typically results in significant patient dissatisfaction. Surgical and non-surgical measures both are used to treat the problem, mostly with mixed results, though surgery is considered the best method for treating the more severe grades of capsular contracture.
For this study, two osteopathic physicians and a plastic surgeon, all from the Philadelphia area, conducted a study involving 33 patients with grades III and IV capsular contractures. For six weeks, patients underwent one weekly 10-minute laser treatment with a 904 nm laser over a 2-cm2 grid pattern at one minute per area. Patients were asked to complete a post-treatment survey to determine their level of improvement and satisfaction.
The research team found that surgical intervention was avoided in 93.9% of patients with grade III and IV capsular contraction. Of the patients who avoided surgery, the laser improved breast stiffness by an average of 43.6% and improved comfort by an average of 48.2%.
The researchers conclude that low-level laser therapy is a promising alternative treatment for grades III and IV capsular contracture.
"This study is the first to look at using low-level laser treatment for capsular contracture," study author William L. Scarlett, D.O., of the Philadelphia College of Osteopathic Medicine, tells Cosmetic Surgery Times. "The technology is promising for non-surgical treatment of capsular contracture. A larger study needs to be done looking at the protocol, frequency of treatment and long-term follow-up."
The other authors are Jason D. Johnson, D.O., also of the Philadelphia College of Osteopathic Medicine, and Paul M. Glat, M.D., of the Drexel University College of Medicine.
The study appears in the March issue of the American Journal of Cosmetic Surgery.
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Thanks so much, macb04. My RO didn’t think I had much fibrosis at all, and the pain is uniform across both breasts which supports her theory, but I suppose contracture could be an issue. My surgeon didn’t mention it, though he did say the original implants were rotated when he went in.
I will definitely do research on this.
So depressing...I really thought I was finally going to be fixed
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Andra and 2FUN, funny you should mention the coldness of the implants, because I didn't really notice it so much with the TEs but now that I have my final implants I'm noticing that BIG TIME. I walk a lot (try to do 5-6 miles per day at least five days a week) as long as the wind chill is above 10 degrees F and, DAYUM, those puppies get COLD. I told my husband that if he ever rolls over in bed and grabs one of my foobs and thinks I'm dead to check another body part before panicking! LOL!
Well said, Sitti, and a belated Happy Thanksgiving to all.
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Hi Klgnyc, I wish you were done enough for comfort too. Just sucks, really.
Raven, you made me laugh. Mine is not too cold actually. I think I had enough grafted Fat stick to warm things up.
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Hi ladies, I had my revision Wednesday. My ps switched my implants from Inspira SCX 470 (xtra full projection) to Sientra smooth round 440cc full not xtra full. They are wider at the base. With the Inspira line, the more projection you have the narrower the base. This made the implants "top heavy". If you hold one in your hand you can see how easily they can flip over backwards. I always thought my implants were too narrow. They just stuck straight out forward from my chest and my sides were completely flat. My original equipment had some projection out to the side laterally (side boob) which I thought looks better.
Ps said when she took the Inspiras out, she noticed the left side had an appropriate amount of Alloderm that had incorporated into my tissue. But the right side only had a tiny piece of Alloderm. This may have contributed to the flipping too. So she injected a bunch of fat between the skin and the pockets, added a sheet of Alloderm to the right side, tightened the pockets to accomodate the smaller implants, and tightened the exterior skin anchoring them to my chest wall better. She said my right IMF was 2cm higher than my left. She fixed that too.
I really like the looks of them so much better than the Inspira SCX. They look much more natural, not jutting out abruptly from my chest. Ps said when she sat me up in the OR with the Sientras the 2 nurses in the OR said they want those boobs!! The fat grafting I am in love with!! She did the upper poles, but also over the entire surface of the implants. Completely got rid of the cold clammy feel of the implants beneath my skin, which was very important to me. They are soft(er) the Inspiras were very firm because they have such a high fill ratio. The new Sientras are nice and warm like real breasts with that fat covering them. She said I could have another round of fg as early as 6 weeks from now. But I think I will wait 3 months, give the swelling a chance to subside.
Did I mention before that had I seen her 1st I probably would have been able to keep my nipples? I think the first ps took them off because it is easier for him. Gave him a clean canvas, thats what the Nurse Navigator told me. So I am pretty annoyed about that. But the new ps will make new nips for me down the road.
I am pretty sore from the fg, but not as bad as I was expecting. I am definately up for more fg in the future. If I had my way I wouldn't have implants at all, just fat. The crazy thing is, Ps said I don't have to sleep on my back! But I have been anyway. all propped up on pillows. I am going to do everything I can to let these babies get stable in their pockets.
Macb04, great article on the cold lazer. That sounds very promising!
Klgnyc, have you considered doing away with implants and replacing with a flap or even autologous fat? Sorry you are so uncomfortable. I hope you get relief soon.
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rdeesides- I had direct-to-implant with pre-pectoral placement. My understanding is that since I did not want to go larger and could do nipple-sparing, there would be no need for tissue expander. I am pretty happy with the results. I had a single mastectomy and I think it matches as best as could be expected. My implant side is firmer but otherwise looks very similar to the non-cancerous side. I am very relieved to not have to go through another surgery.
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congrats rokel on being done!
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Shoregirl and rokel, so great that you're happy with your results. Good for you!
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That is fantastic news Shoregirl - the procedures went well and you are happy with the results! Hope the soreness from the fat grafting continues to be OK - that tends to be the worst part (super sore donor areas).
- xo
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hi all,
i am 6 weeks post exchange. complicated with frozen shoulders. i feel as of my implants are plastered to my chest and on the heavy side. i cannot do stretches due to frozen shoulders. hard to sleep and sleeping on one side is almost impossible. i am on PT... My PS said give it time . i am really miserable. any advice?than
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what are you doing in PT, and what are you doing for a home program?
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doing the pendulum and raising arms and isometrics at home. PT stretches and massages my shoulders. i also work on my pecs at home as taught by Pt..
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kae, sound like u r on the right track. Don't forget goid sitting posture and lots f deep breathing to keep your rib cage mobile. Hang in there, it will get better!
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Thanks Raven & Andraxo. The lipo areas were super sore, but already much better. I am actually going out for date night w/my fiance tonight! My energy levels are much better this time around. I think the 2 months of PT for my back and hips in a saltwater heated pool really helped strengthen me so I am recovering quicker. Plus drinking a ton of water, eating pineapple, taking Milk Thistle to get rid of the anesthesia. Now to find something to wear that will hide my drains!!
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shoregirl. I embraced flow oversized shirts and it seemed to hide my.drains. when you have them it seems like you'll never get rid of them, but they will be gone soon!
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2fun,
thanks, my other problem is that my implants are too big......and i havent found any bra that is a good fit...
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kae, have you been to a bra/mastectomy fitter? This is such a PITA, no?
I used to wear knit tops mostly, and I switched to button up blouses as they have more shape with a collar and button band up the front. I find it is better camouflage for the uneven breasts and sport bra/camis that I now wear. Not what I prefer. But whatever. (Sorry I am sounding really cranky) try something that you would never have worn before. It may work!
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i havent been... but i cannot tolerate a bra... its a PITA... by the end of the day i am already tired carrying these bricks... i honestly want them out... i hope someone who had their pre pecs implants out share their experience..
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Great for you Shoregirl and Rokel. I am so glad to hear that this is working out for you. It gives people hope to hear your good results.
That's such a mess if your implants are too big. I can see why you would want them out. What size do you have now, and what size do you think you should have had?
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415 cc and its way bigger than what i was.... i was really small... ps said i will get used to it but i honestly doubt it at this moment..
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kae, that is a really crappy and ,to me, unethical attitude by the PS. It is your body. Part of me thinks that is the kind of stuff patients need to report to medical associations
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2 Fun,i will have a follow up next month, i will ask him to explant if i still feel the same, i am just afraid,anoher surgery will trigger LE as i have some swelling in my hands now...i cant live like this for the rest of my life..
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Kae, is your PS in the list? Should I take him off for being unable to listen, as he should, to his patient? I definitely don't want to list a bad PS, even if he is able to do Prepectoral Reconstruction.
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