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TinaW's avatar
TinaW
Member
8 years ago

Removal of implants

Hello. It's been a few yrs since I've been on here for advice and support. I'm currently on my 3rd set of implants after my diagnosis and double mastectomy in 2013. Unfortunetly my left implant is again causing me a lot of pain and I have a 2.5cm lump which the scan shows it as a possible haematoma. It constantly gives me pain which is getting progressively worse along with the seroma around the implant. It's been again confirmed as capsular contracture. My options are to replace the implant with another although I've already got a polytech textured implant in, have the fat etc removed from my tummy or back to create a new left boob or remove them both. After 13 surgeries over the last nearly 4 yrs I've thought long and hard and decided to get them removed. I have a few questions if anyone can help. I believe it's still quite major surgery plus drains...has anyone had this done? Also I contacted a local support group on the Gold Coast for advice on what to expect and prosthetics/just simple day to day managing without boobs if that makes sense but no one got back to me so any advice would be great thank you. I'm 45 and work in an office so just the practicalities etc. thank you
  • @TinaW good luck with it all and come on here and natter or vent or whatever, we are here to help you air those frustrations without judgment.  Take care and wishing you great success with surgery!
  • Thank you all :) I didn't sleep a wink last night thinking about it all.  Zoffiel its sad to hear you are also having major issues with your implants.  I absolutely love my surgeon and trust him 100%.  He gave me so many options and also explained that I could still experience pain without the implants but after weeks of consideration I still feel like I want them out for good.  My understanding is that i wouldnt really have any pockets left and thats why the surgery takes so long as they take time to remove everything, which then leaves you really flat but im ok with that.  Whilst the other surgeries will give me my boobs, the boobs have almost become insignificant, its more the thought of more surgery years down the track and every year im getting a bit older and the risks higher.  I had a pulmonary embolism in 2010 from surgery and it frightens the life out of me every time I go under. This way. whilst nothing is 100% guaranteed, its certainly the lowest risk for the need for further surgery.  Yes my surgeon was also reluctant when I told him I wanted to go with the removal of both implants, I think he thought Id go for the tummy tuck option as I am carrying some extra love handles around my mid section haha and if this had have been given to me after my first set started heading north then I would have gone for this option, ive always wanted a flat tummy!  I just cant bear the thought of such major surgery again, I really feel like enough is enough.  Onemargie, I hope you get a date soon.  I went private and due to my out of pockets being quite small weve been able to manage, again that's down to my surgeon and anaesthetist, who have been just great.  It sounds like I need to explore the chicken fillets...thanks ladies for all your posts, im booked in for the op a week today so its going to be a long week.

    Much love to you all xx

  • Holy shit. I’m still at least a year away from seeing a surgeon in the public system for reconstruction in Brisbane and I had a double mastectomy last year. I have the chicken fillet prosthetics from Tracey G on the Sunshine Coast but I’ve found them a bit hot and sweaty in the summer so I have these cute little crocheted ones that I got given through my local bc support group and prefer them. They are softer and a lot lighter. I just use the Kmart sports bras as they are the most comfy for me. I hate the bras specially made for the prosthetics. I’m still procrastinating about whether i want more surgery, pain, and discomfort and yours @TinaW and @Zoffiel posts make me think twice about it all again. Although I know there’s been some really good success stories too. I certainly don’t mind now not having boobs and am fine with the prosthetics and i never wear them at home and only wear them out so I don’t get the pity stares. Of course I would of rather still have my own boobs but I’m in two minds again about the recon. I think if I’d already had that many surgeries I’d be getting them out for good too. Margie x
  • Hi @TinaW doesn't it piss you off, just when you think you have got it sorted out and you have problem after problem.
    I am down on the waiting list for a DIEP flap reconstruction (right side only) 
    I have a friend who has just gone through this operation.
    You do need to see a plastic surgeon and be assessed. You will need a CT angiogram to see where the blood vessels are in your abdomen to see if they are suitable.
    Whether you can do two breasts with your skin and fat depends on how much you have in your abdomen, I never thought having a saggy belly would be an advantage!
    My blood vessels are a bit high and a bit small, so mine will have to take a bit of the muscle too. The PS says he hopes not too much but won't really know until he gets in there.
    It does mean quite some time off work, 7 days in hospital, but my PS makes sure the drains are out before you go home.
    Recoverywise, no driving for 3 weeks, no excercise except walking for at least 6, and you will be unable to do stuff like carry washing baskets and hang out washing or cleaning for a while, due to the stomach stitches. Bonus is that you get a nice flat tummy.

    I have only just got my prosthesis and have only worn it for a week, I can't wear it at the moment as I am going through radiation, I am only wearing the soft one that came with the Berlei care kit.
    The real prosthesis is very comfortable, but then I haven't worn it in summer, some people say they are very hot. Not great if you are also having hot flushes and live in Brisbane.
    What I find an absolute pain is having to wash it every night and having to change it in the bras everytime. I only have 1, not sure if I could cope with doing 2. 
    The other thing that sends me into deep depression is having to buy the mastectomy bras.
    I have discovered a lady that has a wonderful selection of them and comes to the house to fit you, but they are expensive, none of this picking up bras on special or at the sales, and very few shops sell them.
    Dont try buying them online unless you have already had that brand and style as they are all different. Every style I tried on sat differently and I had various sizes.

    The advantage to 2 prosthesis, you can choose your size!

    Mine does look look very natural though and sits nicely.
    Though I have heard some people say they can move around and they are always hitching them back into place. Not sure if that was the bra they were using at fault there though.

    I have always had large breasts which I hated, so the idea of having a flat chest does not concern me especially as I am a horse rider and no bounce is a plus. But other ladies would hate the idea.
    Unfortunately though I still have one breast, so reconstruction is the best option for me.

    It is probably best if you see a plastic surgeon and have the CT scan before you go, they will give you all the information about the operation (about 10 hours for a double) and have a good look at the photos on the reconstruction group here.
    The results are different from implants, but if you still have your skin it might give you a nicer look.

    It is a major operation, and you might not feel like going there again.

    If you don't have to keep your skin for reconstruction, you can try the prosthesis for a while, Medicare covers the cost of them, and you can decide if you can live with it.
    You can have the DIEP flap at any time as long as you are suitable, you don't have to rush that decision, and if you are going public, you will have to wait anyway.

    Good luck finding your best option. Jennie



  • Heartbreaking for both of you @TinaW and @Zoffiel - can't think what to say to make you feel better without being soppy, and that doesn't cut it in this instance.  You need practical down to earth advice and hopefully there is someone out here that has been through similar and can let you know how they come out of it.  My implant is stable and I have pangs of pain but they keep reassuring me it is still the nerves settling.  I assume you mean the cavity will always fill and you'll need constant lymphatic drainage!  What a so and so!  Take care 
  • Hi Tina, 
    I'm on my third set. The first ones migrated to my armpits and the second set moved up and became so distorted and encapsulated they had to be replaced. These ones are also encapsulated and driving me bonkers, they have also been repositioned. Like you, multiple surgeries, in my case over ten years.

    I asked my surgeon about removing them when I had  surgery for a recurrence last year. He was pretty cagey about it. In the end it seemed that given the amount of scarring in the 'pockets' he was concerned about what my body may do to fill the cavities which will be substantial. I also do world class seroma.  He's not convinced getting rid of the intruders will stop the pain and thinks it could make things worse. I've still got my nipples, but gravity has dragged them down until they are hanging on the bottom of my foobs and the excess skin means I have more wrinkles on my chest than a bloody Sharpai dog. That would all have to be tidied up and the cavities debrided in the hope he can get them to stick together. Sounds horrible and I have no enthusiasm for it.

     I've got problems with disolvable stitches and some pretty disturbing scars -- even the one where my port was removed three months ago is still angry and lumpy-- so the thought of more reconstruction makes my blood run cold.

    Maybe I should go and get another opinion, but I'm just exhausted by the whole thing. Marg.