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Desperate Need of Advice

Old 07-26-2020, 08:50 AM
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Desperate Need of Advice

Hello My Breast Implant Sisters,

This post is long, I知 sorry!

I知 so upset, for those of you that remember me, I had allergen silicone breast implants - style 45 (500ccs) in 2012. I had to have another surgery in 2014 due to CC & my implant was ruptured that was an extracapsule rupture. I had style 45 again with 800ccs silicone placed now under muscle. Now fast forward to 2020, I致e been having severe pain and inflammation of my left breast area amongst many other issues. After an MRI this week, it was now discovered I have ANOTHER extracapsular rupture. How can one person have two ruptures with allergen implants? My primary med physician at Kaiser is sending me to a specialist in Sacramento for consult as it looks like gel is migrating and also causing extreme pain & inflammation. I don稚 know what to do?? I love my breasts but now really questioning silicone. I知 prone to cc and what if I swap to saline & develop cc on my other side that finally accepted the implants. I called my original PS and he said would do a capsulectomy on both breasts. Why would I have a capsultomy on the breast that is not ruptured? I知 not sure why I can稚 do an just exchange for saline on the good breast & capsulectomty on the ruptured side? These are the questions I plan to ask the surgeon kaiser is recommending I consult with. I知 scared, stressed and at a loss. For those of you that have had ruptures, cc and other issues, Please let me know what I should be asking. Thank you.
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Old 07-27-2020, 08:20 AM
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I thought I remembered that saline implants are actually more prone to CC, but I could be incorrect. The biggest factor in developing CC besides personal anatomy and immune system is the size of the implant. The bigger the implant, the bigger the risk of CC usually. I know it's a bummer, but maybe your body can't tolerate larger implants?

I've also heard that the main cause of ruptured silicone capsules is surgeon error and accidentally puncturing the implant during surgery. This would not be noticeable for months at least. There's an episode of Botched where the two surgeons bought an implant to try and "trash" and it was a allergan natrelle. They slammed it in doors, threw it on the ground, stomped on it, and ran over it with a ferrari, and it was unscathed.

Plus, saline implants are even easier to rupture. Sure, you won't have the issue with an inflammatory reaction to silicone, but if something is causing ruptures to happen post-surgery and not due to surgeon error, that's going to happen even easier with salines.
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Old 07-30-2020, 06:01 PM
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Larger and higher profile implants dont equate to a higher chance of CC its moreso to do with how small the implant pocket is for the implant along with surgeon technique, and immune system response. At its highest, up to 20% of women experienced CC regardless of texture or type of implant and the highest variances were surgeon technique. From not dissecting the pocket well enough or damaging too much surrounding tissue before or during implant placement, causing an "angry" reaction to aggravated trauma or prolonged healing. The invention of textured implants were supposed to help curve CC but it didnt. Now the board of plastic surgery chalks it up to individual surgeons and patient immune system.

Keller funnels, under the muscle, aged under 40, and infra-mammary incisions have the lowest rates of CC so thats a clue, but still not a cure all. Some surgeons have as low an occurrence as 2% regardless of differing factors so thats something to think about when choosing doctors.

And another thing to consider is that surgeons can only accurately inform you of the rates of CC at their own clinic. Conventional reports help everyone, but surgeon rates are most important to us as patients. Not every surgeon uses large or saline, and most those that do use them still have low rates of CC, so thats often a surgeon guessing rather than accurately reporting. Most accurate analysis is what the board of plastic surgery and implant manufacturers Allergan an Mentor share. Surgeons generally only know CC from what they experience everyday at their own clinic. Best to call and ask around although some can lie and a percentage of patients never report back to their surgeon.

Below is a link to a study done on risk pattern rates associated with different complications including CC (I spaced out the link in case this forum automatically blocks it.) It tells you what i stated above.

https://journals.lww. com/plasreconsurg/Fulltext/2017/01000/Risk_Factor_Analysis_for_Capsular_Contracture,.1.a spx

If it doesnt work ill upload the study fact sheet results to my photo gallery
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