Hi Amazonia, I haven't had any of the complications that you mention but I did have a skin & nipple sparing mastectomy with immediate reconstruction using silicon implant (no expander). I didn't have any issues with this apart from my drains. The drains were to be removed after two consecutive days at less than 20mls - to stop seroma's occurring. I was in hospital for 6 days and my first drain was removed 4 days after that. Second drain hung on for 8 weeks and was removed due to levels not falling. Surgeon said she thought that the drain itself was causing irritation. As far as major tightness due to the implant I didn't really have any pain associated with immediate implant possibly a very slight tightness but nothing that caused me any issues. My surgeon actually apologised before the surgery and said she had measured me incorrectly and that I was in fact going up a size - I didn't have a problem with that either. So my experience is all good. The implant is now 6 months down the track - looks fantastic and has softened incredibly and now feels like a breast. I am looking at having surgery to match my other breast to my new anti-aging anti-sagger and surgeon has said that is likely to be a smaller implant with the possibility of a reduction to match the perkiness :) Too good!!! If I can help you in any way let me know. Wishing you all the best. Xx Cath
