Disappointed after Exchange Surgery

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tamkay123
tamkay123 Member Posts: 56
edited September 2018 in Breast Reconstruction

I had my exchange surgery in March. I have to admit I'm disappointed. In terms of symmetry and visual appearance when I'm standing up straight, they look very nice.

HOWEVER...

*I have a lot of rippling when I engage my chest muscles. I work out quite a bit so I'm not sure if I'm making it worse. I spoke to my doctor and he said this was normal and I actually had relatively mild movement.

*They just aren't as large as I wanted. When I had my TEs they felt huge and my doctor actually went a bit larger with the implants but they still feel "small"

*When I lay down, I feel like my breasts disappear almost.

I called and spoke to my doctor's nurse and she basically said I didn't have any options. I have an appointment with another doctor in a couple of weeks but I don't want to get my hopes up.

Comments

  • SanFranKitty
    SanFranKitty Member Posts: 145
    edited September 2016

    It's a long process, so to feel unhappy with the results is a huge bummer :(. You could always go under the knife again. But what about some type of fat transfer? Maybe that would be a simpler way to get a bit more size. In the meantime a good bra? Not that it will solve the problem but at least you might feel better in the short term. I hope you are able to figure something out at your appointment.

  • Meow13
    Meow13 Member Posts: 4,859
    edited September 2016

    The nurse probably just wants you to go away. I would think either larger implants or fat grafting. It has been 4 years since my DIEP and I need to get a tweak by fat grafting. Maybe this winter.

  • leftduetostupidmods
    leftduetostupidmods Member Posts: 620
    edited September 2016

    Talking about them disappearing when you lay down, I think a big thing is having an Alloderm "sling". It's like an internal push-up bra of sorts. I have one and my foobs are still up if I lay down.

    If you're not happy, get a revision to replace the implants with something bigger. Insurance will pay for any revisions for 2 years following the mastectomy.

    The "breast animation" is a common side effect, the capsule gets stuck to the pectoralis major and the breast will move every time you do a push/pull motion.

    But what you have to think through all this, is that your reconstructed breast will NEVER move and feel like a natural one. I am sorry, and I know it's a harsh truth, but the sooner you get to accept it, the happier you will be.

    On the other hand, think of the silver lining. You'll be perky even when you'll be 90. I know it sounds like a bad taste joke, but I'm running with it.

  • macb04
    macb04 Member Posts: 1,433
    edited September 2016

    If you are willing to have another reconstruction procedure, getting PrePectoral implant reconstruction is another way to go and not have any animation defect issues. I have a Thread going about OVER Pectoral reconstruction, I had it done that way myself and I have no ripples and can't see the implant edges. I am pretty active, and recently did a Rowing Class. It is considerably more comfortable Over Pectoral, also known as Prepectoral in the current research. Long story, but had it both ways, a TE under my pectoral, hated that, just hated it. It was so very tight. Lots more comfortable after had implant moved to PrePectoral. Also a faster recovery. Look us up. There is at least one MI plastic surgeon who does the PrePectoral implant reconstruction in a list I have of PS's who do that method.

    Good luck and hope it gets better, one way or another

  • SanFranKitty
    SanFranKitty Member Posts: 145
    edited September 2016

    I just read somewhere that saline gives better projection. I have saline and I do feel I have decent projection so far. Maybe you should consider them. Also one advantage will be that if it ruptures you know right away and your body can absorb it with no issues.

  • Sassa
    Sassa Member Posts: 1,588
    edited September 2016

    You are only about six months out from your exchange and only at the start of the process of what the final appearance of your implants will be. It does take time for the implants to "drop and fluff" to their final shape. I found the process continued for several years after my exchange (I am now almost six years out). At this point, my bilateral implants look natural. People think I am just wear a "really good bra" and do not realize they are implants unless I tell them. My husband (the expert) says they feel natural.

    You said you work out. In addition to strengthening the chest muscles, it is important to regain flexibility by stretching them. The strong and flexible muscles will support and allow the implants to come out. Like you I work out. I have actually regained some jiggle and a slight mammary crease under each.

    I also have a party trick where I can contract the muscles to move the breasts up and down. Never fails to turn the men red.

    What size were you before your mastectomies? I was over endowed and wanted to be much smaller. I did go smaller, but now that my distorted view of my pre-mastectomy breast size has become normal, I realize that I am actually still "busty." It took time to adjust to the new me.

    Give yourself some time.

  • JennL86
    JennL86 Member Posts: 5
    edited September 2018

    Hi tamkay123. Just curious if you ended up getting a revision? How did things turn out for you?

    I'm in the same boat you were in. Ripples galore, weird shape, and not what I was expecting in terms of size.

    Today at my plastic surgeon's office I burst into tears, not once but twice. I feel so silly being upset over something like this. I know I have so much to be grateful for and that my "foobs" shouldn't bother me, but they do.

    (Also, still embarrassed about crying at the PS and blubbering to her how I'm single, 32, and who would want me like this😬Not sure I can go back to her now!Lol)

  • NotVeryBrave
    NotVeryBrave Member Posts: 1,287
    edited September 2018

    Jenn - As one who has broken down in many a doctor's office, I completely understand the embarrassment! Trust me - they get that a lot.

    When was your surgery and what type did you have? I ask because I was pretty unhappy with my results in the beginning and now things are so much better - without any further surgery.


  • Dm39
    Dm39 Member Posts: 32
    edited September 2018

    ultra high profile silicone will give you the projection you want. Over pectoral is more comfortable. I would wait to see if they grow on you. Maybe a good push up bra will help. I felt mine were too small after surgery but am glad now I didn't go bigger. Good luck!

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