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silicone implant

Hi, I want to get my silicone implant of 16 years removed due to contractures and pain. I recently had a MRI due to finding a lump, but it turns out it is the implant that I can feel. It is uncomfortable all the time and cold. I am considering going flat afterwards and have mixed feelings about appearance. No real good options and not really looking forward to wearing a prosthetic. I do not want to do flap surgery due to using my right arm for competitive sailing and muscle changes that would occur. My other breast has seemed to have gotten larger, and I have had a reduction on it before. I don't know if to do a total removal there also? I would love some advice or experience of someone who has done this before. Thank you

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