Silicone Lymphadenopathy and Fat Necrosis

cattledoglv

I’m not sure if I’m posting on the correct thread so forgive me if I’m in the wrong place. I have a couple issues I’m hoping someone can shed some light on. I had implants for cosmetic reasons until May. I have had a DX of ADH in both breasts. Due to the ADH, poor imaging going forward due to the implants, and silicone lymphadenopathy, I chose to have the implants removed and a breast reduction. I just had my follow up MRI where they realized I now have a fused together “cluster” of lymph nodes on the left side, whereas before there were only 3. My surgeon wants them out since she said were I to develop BC or an infection, my nodes would not work properly. She wants to take out the cluster of probably 5-8 nodes since they’re so inflamed that they can’t even see exactly where one begins and the others start. What can I expect from this? She explained everything very well and was very sweet but I’d like to ask those who have been there. What is the post surgery like? She said it’s much more painful than my previous breast surgery.

Second, my right breast continues to cause a lot of aching and weird itching and almost like a “let down” feeling every so often and there are several large lumps which I have assumed were fat necrosis. No issues came up on my MRI from several weeks ago. They did not mention any necrosis on the report. My right axillary area has also been achy. She did mention I have a few larger nodes on that side as well but US doesn’t show the same silicone issue. Just normal looking larger nodes. They’ve been this way for about 9 months now. She attributes this to silicone but that side was not ruptured like the left. Is this normal for six months post reduction? I didn’t mention this at my appt yesterday because I figured if it was something to worry about, they would have mentioned it. I did ask her if I could wait on my mammo coming up due to some tenderness still and she emphatically said no, that MRI isn’t as good at picking up DCIS as mammo is. I’ve been placed in her high risk clinic so she can “stalk” me every six months she’s said. What do you think?