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5 weeks post Revision Capsulorrhaphy Surgery for Lateral Displacement - Pittsburgh, PA

Brian Vassar Heil, MD

Yesterday I had surgery to repair lateral displacement for my right breast and a slight bottoming out for my left. I am posting this because when I was doingnmy research I couldn't find much about the surgery. My surgery went very well as far as I woke up feeling good and for the most part I am 31 hours out from surgery and while I'm swollen, I can manage the pain very well with percoset. I did do a detox of no alcohol or soda and tons of lean protein and FIGI water the weeks leading up to my surgery. That helped me process the anesthesia and should help me heal faster. I take the wrap off tomorrow to shower and will update how it looks. My original surgery came out amazing and looked totally natural so I hope this repair goes the same. The good news is that pain so far is way less than I read it would be.
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  "nativeDate": "February 23, 2013",
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      "title": " 5 weeks post Revision Capsulorrhaphy Surgery for Lateral Displacement - Pittsburgh, PA",
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      "body": "<p>\r\n\tYesterday I had surgery to repair lateral displacement for my right breast and a slight bottoming out for my left. I am posting this because when I was doingnmy research I couldn't find much about the surgery.</p>\r\n<p>\r\n\tMy surgery went very well as far as I woke up feeling good and for the most part I am 31 hours out from surgery and while I'm swollen, I can manage the pain very well with percoset. I did do a detox of no alcohol or soda and tons of lean protein and FIGI water the weeks leading up to my surgery. That helped me process the anesthesia and should help me heal faster. I take the wrap off tomorrow to shower and will update how it looks. My original surgery came out amazing and looked totally natural so I hope this repair goes the same. The good news is that pain so far is way less than I read it would be.<br /><br/>\n<br/>\n<i class=\"gray\">Updated on 26 Feb 2013:</i>\n<br/>\nUpdate: It's 4 days post surgery from my surgery. I'm less groggy. So basically what he did was put sutures internally to fix lateral displacement and bottoming out. Right now I am feeling pretty good. The pain has been minimal taking percoset. I can manage pain with 1 pill now and I am being extremely good. NOT using my arms at all. No lifting, pulling etc. I am very swollen in the middle of my breast to the point where the cleavage is raised up (but not painful) and it visually creeps me out. I took one shower and my breasts look like squares with how tight they are so I'm going to do a sponge bath and wash hair today - keeping myself in the compression bra. I have this $60 Under Armour bra. I highly recommend it. It's sized at 34D and you can control the compression. I have it on the tightest setting so that I literally don't move at all. that with the wrap and I can move without anything shifting so I think that helps with pain and I have zero bruising so far on day 4. My husband looked at my scars and they aren't even bruised which makes me happy. I do have gurgling and gushing sounds in my right breast which needed the most repair (and I'm right handed). For anyone considering this type of revision surgery FOR ME it has been way less swelling, was less painful and visually I am smaller and can hide the surgery a lot better. The hardest thing with 2 young kids is TAKING IT EASY. I really cant' use my hands and sleeping is tough trying to stay elevated but overall I am feeling pretty good. I will keep you updated on this recovery for anyone with lateral displacement freaking out over the reviews on how painful and awful it is- right now I'm saying its' NO where near the first surgery. :)<br /><br/>\n<br/>\n<i class=\"gray\">Updated on 26 Feb 2013:</i>\n<br/>\nWell I took off my sports bra tonight and I felt like crying. My nipples are extremely low on the breasts and wide pointing to the sides, the incision area seems like it's \"pinned\" in and the breast looks like Frankenboob. My sternum is also very very raised and bruised. :( I couldn't stand to look at it and put the compression sports bra back on. I worry this bra could be too tight and making me have the issues but I can't imagine that would be the cause. So I'm researching and feeling sorry for my deformed self. I am praying this is NORMAL and it'll all settle in the end. Sigh..........does anyone know if wearing too much compression can be harmful?<br /><br/>\n<br/>\n<i class=\"gray\">Updated on 27 Feb 2013:</i>\n<br/>\nWell I called my surgeons office this morning and they had me come in. Turns out I had the mesh wrap too low and it was pushing my breasts UP and creating excessive swelling which is why my nipples look the way they do. He adjusted the mesh wrap and I feel a thousand times better. He also took off my steri-strips and said I look just as I should BUT I do need to take it easy. I have taken it very easy but even little things like opening a pill bottle contribute to swelling so I'm really going to focus on doing the least I can.<br />\r\n\t<br />\r\n\tI think I'm going to wean off the percoset now that I am on day 5. I have only taken one during the day and one at bed but am going to switch to Tylenol and see if that does the trick because my digestive system is still slow and not working optimally and that makes me feel blah and fat.<br />\r\n\t<br />\r\n\tI don't know if this is being posted anywhere. I can't seem to find it anywhere but if people can comment to let me know I appreciate it.<br />\n<br/>\n<i class=\"gray\">Updated on 28 Feb 2013:</i>\n<br/>\nDay 6 - well today I am feeling good. I stopped all percoset and only took Tylenol last night. I woke up this morning pretty swollen at first but when I took my bra off to shower I look better already. A lot of the swelling went down and my digestive system FINALLY kicked in and I feel so much better after having used the bathroom several times this morning. I may have lost like 5 pounds seriously!!! I wanted to share with you all a bra that has made my life so much easier:http://www.dickssportinggoods.com/product/index.jsp?productId=12565219</p>\r\n<p>\r\n\tThis bra is expensive but it holds you completely compressed and makes pain so much less. It's definitely worth checking out if you are considering surgery. I'd buy the size you think you will end up. Meaning if you are going from a B cup to a C/D buy the D and the band size around your rib cage. I might suggest going up a size around the ribcage (say from 32 to 34) because you will experience swelling. My sternum is very swollen. Heck, everything is swollen right now.</p>\r\n<p>\r\n\tI did eat a can of pineapple last night and I think it helped with my swelling :) Pictures to come tomorrow.</p><br/>\n<br/>\n<i class=\"gray\">Updated on 1 Mar 2013:</i>\n<br/>\n1 week post surgery - well one week post surgery and I am already looking really good.  I am supposed to be \"massaging\" the breast but there isn't much flexibility going on right now. The sutures are all along the outside tissue so everything is very \"tight\" and bruised along the edges where I need to massage. I plan to post a picture tomorrow of the 1 week post op for you all.   Right now overall my breasts are nicely pulled inward and I have excellent cleavage now that the swelling is going down.  The nipples are also moving back towards where they below and I have some sensation in them which I didn't have after my original BA.  <br />\r\n<br />\r\nI have taken zero pain medication today and am doing OK. The hardest part is remembering NOT to lift my arms, push, pull stuff because it doesn't hurt while I am doing it but engages my pectoral muscle which by the end of the day throbs from being used.  <br />\r\n<br />\r\nOnce I post pictures you can get a better idea!<br/>\n<br/>\n<i class=\"gray\">Updated on 7 Mar 2013:</i>\n<br/>\nWell yesterday was 1 1/2 weeks mark from surgery and I met with my surgeons office.  As you can see from the updated photos in just a few days I am already starting to drop into place.    I started massaging (no downward massage, just upward and inward).  The nipples should start to move into place a bit better and the incisions will heal up and not tug so much (especially the one side). I was cleared to do cardio (walk on treadmill) but no  swinging of the arms, pulling, lifting etc. Nothing that will strain my pectoral muscles.  I am still in pain at night. My left armpit is what aches........... it throbs. So I am taking 1 pain pill at around 10 PM to get me through the night. PLUS I am a side sleeper and it hurts to sleep on my side so sleeping on my back is making it so hard to fall asleep and stay asleep. The good news is that most of my swelling has gone down and I think I'm starting to look more normal.<br />\r\n<br />\r\nWhat do you think?  Please leave a comment.<br/>\n<br/>\n<i class=\"gray\">Updated on 10 Mar 2013:</i>\n<br/>\n2 weeks and 2 days post surgery and I'm starting to have a little more pain at night than I was having. I am going to attribute this to the fact that I have 2 young kids and a busy life and I have to use my arms. Be that carrying a basket of laundry, reaching for this or that......... and by the time I lay down it really hurts.  Things are softening up but I definitely am in a transition time for shape. My nipples are still not where they should be and I'll probably drop quiet a bit but overall things are good.  I look a lot smaller than I was before but I think its because they are up high still and need to fall/round out.  I can't sleep without my pain pill currently because I have to sleep on my back and thats not a natural/relaxing position for me (my side is).  I am very pleased with my surgery so far though. I think it's going to look great.<br/>\n<br/>\n<i class=\"gray\">Updated on 12 Mar 2013:</i>\n<br/>\nI'm feeling pretty good a 2 weeks and 4 days. Although I'm upset about the nipple on my right breast. It is way further to the right. Also, my incision is also way further to the right of my breast. The original scar was dead center in the middle and nipples were totally in the right place. I'm going to assume that as I continue to heal this will correct itself but I definitely look funky without my bra on. I'll update pictures. Please note I'm wearing a very strong compression athletic bra so it leaves marks on me....but keeps things in place.<br/>\n<br/>\n<i class=\"gray\">Updated on 15 Mar 2013:</i>\n<br/>\n3 weeks mark today!  I'm feeling pretty good......and things are getting better every day. I do feel a bit of concern that the incision on my right breast was too far to the right and is the cause of the nipple being pulled to the right......... I'll post a picture of that scar and you'll see just how close it is to the edge of my rib cage.  But, overall I will say that I am MUCH happier than I was.  I think I may be down to a C cup as well now that the breasts are sitting closer together but I haven't tired on any of my 32D bra's. I'll do that once the scars are a bit better. I think I\"m going to go spend the $50 on the scar cream my surgery center sells. I used it last time and had no scars visible a year later.   Also, I apologize for the marks on me in the photos. I tend to do these right after I wake up and I'm still wearing a compression sports bra which is getting loose which is why I think I'm shrinking down to a C.<br/>\n<br/>\n<i class=\"gray\">Updated on 21 Mar 2013:</i>\n<br/>\nTomorrow will be 4 weeks!  I am doing very well...... for the most part I don't really have much pain unless I over exert myself. I'm doing the massaging in the morning but everything is already softening up and starting to look more natural. I feel as though they still need to drop a little bit into place but I feel a lot better. I feel less bulky than I did before I had this revision which makes me really happy.  Sleeping on my back at night is probably the hardest thing. I can't remember whether I'm supposed to keep doing that or not so I just am. My concern would be doing anything to mess up the pockets in my sleep!    I'll post pictures tomorrow :)<br/>\n<br/>\n<i class=\"gray\">Updated on 4 Apr 2013:</i>\n<br/>\nWell 5 weeks post surgery and things continue to heal. I can sleep on my side now without pain - I really don't have any \"pain\" period. I'm just very careful not to lift any heavy object and to be careful putting my arms above my head etc.  My scars are still a little ruddy as you run your fingers over them but they are healing. I bought BIO-OIL and have begun using that which I really like.  The surgery has definitely created some nice cleavage and the breasts now sit on the \"front\" of my chest vs all that side boob and big gap in the middle.   My only concern is the lax nipple skin area. It was not this way prior to the surgery and it sort of \"hangs\" a little bit on the right breast. I\"m not sure what would have happened to cause that. I'm guessing they have some type of issue during surgery because of the incision being so far to my \"side\" of the breast and the way they sutured it maybe affected it. It's not bothering me enough to get it \"fixed\" anytime soon but does make things less symmetrical.  Check out the 5 week post op photos.<br/>\n<br/>\n<i class=\"gray\">Updated on 30 Sep 2013:</i>\n<br/>\nI thought it would be nice to post a 7 month update and some photos.  For the most part things look really good. A lot of sensation is starting to come back although my incision area is very TENDER still. It's been one area that actually hurts and doesn't seem to be healing as fast as before. The scar is also very dark and isn't healing with nearly the speed my original surgery did. I find this to be really odd.  Anyway, overall things look good as you can see. One nipple is still off to the side a little bit but nothing worth doing surgery over and if I massage things it pulls back towards the middle. I did very little massaging which is probably why I'm still high but I am almost 43 and gravity will pull everything down so I'll just let it happen naturally. I do love that things are now nicely in place and I don't feel so huge because of the side boob!<br/>\n<br/>\n<i class=\"gray\">Updated on 22 Sep 2014:</i>\n<br/>\nI wanted to update everyone. Everything healed very nicely with the revision. All the sutures kept everything in place. No side boob and no drooping. They are nice and soft and look very natural.  My scars are almost completely gone although the area at the incision is very sensitive. My nipples are just NOW starting to get feeling again and nerve regeneration but it's happening.  I would highly recommend a revision to anyone who isn't happy. Also, my boobs used to look gigantic because they were so far apart (I have a fairly narrow frame) and now with them staying put in the front I look 5 lbs thinner just because they don't stick way out on top.  I have been training for a marathon and have zero issues running with them too which makes me happy..",
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      "created": "2013-02-23T17:16:32-0800",
      "created_date_relative": "13 years ago",
      "author_modified": "2014-09-22T06:54:45-0700",
      "author_modified_date_relative": "12 years ago",
      "title": " 5 weeks post Revision Capsulorrhaphy Surgery for Lateral Displacement - Pittsburgh, PA",
      "body": "Yesterday I had surgery to repair lateral displacement for my right breast and a slight bottoming out for my left. I am posting this because when I was...",
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1 year 7 months post revision

I wanted to update everyone. Everything healed very nicely with the revision. All the sutures kept everything in place. No side boob and no drooping. They are nice and soft and look very natural. My scars are almost completely gone although the area at the incision is very sensitive. My nipples are just NOW starting to get feeling again and nerve regeneration but it's happening. I would highly recommend a revision to anyone who isn't happy. Also, my boobs used to look gigantic because they were so far apart (I have a fairly narrow frame) and now with them staying put in the front I look 5 lbs thinner just because they don't stick way out on top. I have been training for a marathon and have zero issues running with them too which makes me happy..
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  "title": "1 year 7 months post revision",
  "body": "I wanted to update everyone. Everything healed very nicely with the revision. All the sutures kept everything in place. No side boob and no drooping. They are nice and soft and look very natural.  My scars are almost completely gone although the area at the incision is very sensitive. My nipples are just NOW starting to get feeling again and nerve regeneration but it's happening.  I would highly recommend a revision to anyone who isn't happy. Also, my boobs used to look gigantic because they were so far apart (I have a fairly narrow frame) and now with them staying put in the front I look 5 lbs thinner just because they don't stick way out on top.  I have been training for a marathon and have zero issues running with them too which makes me happy..",
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      "comment": "They look great!! What size implants do you have?",
      "comment_with_embed": "They look great!! What size implants do you have?",
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    {
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      "comment": "They look awesome!!",
      "comment_with_embed": "They look awesome!!",
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    {
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      "comment": "thank you so much for sharing your story!  I'm 41 and considering a capsulorrhaphy.  My breasts 32D fall to the sides when they aren't supported by a bra, so frustrating.  I'm a narrow frame.   Would love them to stay closer together without a bra. Your's looked like it turned out great",
      "comment_with_embed": "thank you so much for sharing your story!  I'm 41 and considering a capsulorrhaphy.  My breasts 32D fall to the sides when they aren't supported by a bra, so frustrating.  I'm a narrow frame.   Would love them to stay closer together without a bra. Your's looked like it turned out great",
      "replies": []
    },
    {
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        "reviews": [
          {
            "topic_id": 1207494,
            "uri": "/review/messa-miami-doctor",
            "author_modified": "2023-09-18 07:20:05"
          },
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            "topic_id": 1207494,
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      "comment": "Thank you of posting your experience b/c I just had my 2nd surgery due to a capsular contracture.  He performed a full capsulectomy on my left and we exchanged both implants and my right breast is so tight (I do like how firm and hit it sits) and my left bottomed out so now I need a revision and he was talking about this internal capsulorrhappy.  I appreciate your post!",
      "comment_with_embed": "Thank you of posting your experience b/c I just had my 2nd surgery due to a capsular contracture.  He performed a full capsulectomy on my left and we exchanged both implants and my right breast is so tight (I do like how firm and hit it sits) and my left bottomed out so now I need a revision and he was talking about this internal capsulorrhappy.  I appreciate your post!",
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Source reply

They look great!! What size implants do you have?
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Source reply

They look awesome!!
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thank you so much for sharing your story! I'm 41 and considering a capsulorrhaphy. My breasts 32D fall to the sides when they aren't supported by a bra, so frustrating. I'm a narrow frame. Would love them to stay closer together without a bra. Your's looked like it turned out great
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  "comment": "thank you so much for sharing your story!  I'm 41 and considering a capsulorrhaphy.  My breasts 32D fall to the sides when they aren't supported by a bra, so frustrating.  I'm a narrow frame.   Would love them to stay closer together without a bra. Your's looked like it turned out great",
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Source reply

Thank you of posting your experience b/c I just had my 2nd surgery due to a capsular contracture. He performed a full capsulectomy on my left and we exchanged both implants and my right breast is so tight (I do like how firm and hit it sits) and my left bottomed out so now I need a revision and he was talking about this internal capsulorrhappy. I appreciate your post!
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Source reply

Thank you for sharing!!! I am having the same revision done on Dec 11th. I couldn't find much on this procedure, so your profile has been very helpful. Your outcome is beautiful.
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Source reply

thanks heaps for posting. Their isnt much to read on subject. Im going for a consult for revision of correction for bottoming out and downsize. cant wait.

Source reply

Mishkamish I just had the same procedure done. I had severe bottoming out. I had it corrected & went from 300cc saline to 235 silicone. I posted a review- I'm 2 weeks post op

Source reply

Thank you for this post & updates!!

Source reply

Hi. Great results!! I had capsulorrhaphy revision in my right side too and Change the size of implant and just some revision on left. How many weeks or months u had pain after revision ?

7 months post surgery

I thought it would be nice to post a 7 month update and some photos. For the most part things look really good. A lot of sensation is starting to come back although my incision area is very TENDER still. It's been one area that actually hurts and doesn't seem to be healing as fast as before. The scar is also very dark and isn't healing with nearly the speed my original surgery did. I find this to be really odd. Anyway, overall things look good as you can see. One nipple is still off to the side a little bit but nothing worth doing surgery over and if I massage things it pulls back towards the middle. I did very little massaging which is probably why I'm still high but I am almost 43 and gravity will pull everything down so I'll just let it happen naturally. I do love that things are now nicely in place and I don't feel so huge because of the side boob!
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      "comment": "I was reading your post.   I had 425cc put in 3 yrs ago &amp; I feel they are to big.  They have bottomed out already.  I thought that when I had this done they would be up there where they are suppose to be.   I went back to the Dr today wanting to change to silicone &amp; go smaller.  He told me I would have to go 100cc bigger to get what I wanted.  They are to heavy now I couldn't carry any bigger.  Just wanted to know who u seen cause I want another opinion.",
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      "comment": "Thanks for sharing your story. I am having a revision in 5 days for lateral displacement. I am also going 125-100cc smaller and switching from moderate plus to moderate profile. I could not adjust to my big breasts and found it interferes with running, and boot camp. I am happy to hear it was a little less painful than the first time. You look great. I want mine to look like yours!",
      "comment_with_embed": "Thanks for sharing your story. I am having a revision in 5 days for lateral displacement. I am also going 125-100cc smaller and switching from moderate plus to moderate profile. I could not adjust to my big breasts and found it interferes with running, and boot camp. I am happy to hear it was a little less painful than the first time. You look great. I want mine to look like yours!",
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      "comment": "Thank you so much for this post!  I will be upgrading to larger silicone implants and will need a revision for lateral displacement.  You're right, it's hard to find info on this topic and I REALLY appreciate you taking the time to do this!  You're breasts look amazing, I hope mine turn out that good too!!",
      "comment_with_embed": "Thank you so much for this post!  I will be upgrading to larger silicone implants and will need a revision for lateral displacement.  You're right, it's hard to find info on this topic and I REALLY appreciate you taking the time to do this!  You're breasts look amazing, I hope mine turn out that good too!!",
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      },
      "comment": "Thanks for sharing because I also could not find much on this topic/surgery. My implants sat lower than they should have due to them falling through my breast tissue. I had to have internal sutures put in on a revision of my breast Augmentation to lower my nipples and lift my implants. My implants currently look \"odd\" at 8 days out, lower nipples and just odd so I'm hoping this revision goes well. I just took off my bandages at day 7 yesterday, I'm wondering if I have the same issue as you do since I wore my bandages longer than necessary and tight. \n\nThanks!",
      "comment_with_embed": "Thanks for sharing because I also could not find much on this topic/surgery. My implants sat lower than they should have due to them falling through my breast tissue. I had to have internal sutures put in on a revision of my breast Augmentation to lower my nipples and lift my implants. My implants currently look \"odd\" at 8 days out, lower nipples and just odd so I'm hoping this revision goes well. I just took off my bandages at day 7 yesterday, I'm wondering if I have the same issue as you do since I wore my bandages longer than necessary and tight. \n\nThanks!",
      "replies": []
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      "comment": "You look great.   I'm having the same issues with my breast I'm a little over a year post op and they sit way low and to the side.   How are yours doing now did the surgery last? I'm wanting to get it done also",
      "comment_with_embed": "You look great.   I'm having the same issues with my breast I'm a little over a year post op and they sit way low and to the side.   How are yours doing now did the surgery last? I'm wanting to get it done also",
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          "comment": "Hi Jenni_Lynne - Actually things are great. Everything stayed completely in place since the revision and although I have not posted any updated photos everything looks very natural. I can lay flat and they no longer fall into my armpits etc. They revision was WAY worth it. They look 100% better now.  I will say the incisions are still tender though but the scars are almost completely gone again.  I would go back to your surgeon because he can fix that issue and I suspect it will only get worse over time if you don't!",
          "comment_with_embed": "Hi Jenni_Lynne - Actually things are great. Everything stayed completely in place since the revision and although I have not posted any updated photos everything looks very natural. I can lay flat and they no longer fall into my armpits etc. They revision was WAY worth it. They look 100% better now.  I will say the incisions are still tender though but the scars are almost completely gone again.  I would go back to your surgeon because he can fix that issue and I suspect it will only get worse over time if you don't!"
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          "comment": "Thank you so much for your reply!!  I think yours look great and hopefully my PS will be able to fix although when I went 2 months ago he only suggested moving my left nipple to match the right which still wouldn't correct how low they fall and how far over they seem to go when lying down.  I'm just ready to be happy with them and fervent self esteem back.  Thank you again for replying",
          "comment_with_embed": "Thank you so much for your reply!!  I think yours look great and hopefully my PS will be able to fix although when I went 2 months ago he only suggested moving my left nipple to match the right which still wouldn't correct how low they fall and how far over they seem to go when lying down.  I'm just ready to be happy with them and fervent self esteem back.  Thank you again for replying"
        }
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Source reply

I was reading your post. I had 425cc put in 3 yrs ago & I feel they are to big. They have bottomed out already. I thought that when I had this done they would be up there where they are suppose to be. I went back to the Dr today wanting to change to silicone & go smaller. He told me I would have to go 100cc bigger to get what I wanted. They are to heavy now I couldn't carry any bigger. Just wanted to know who u seen cause I want another opinion.
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  "comment": "I was reading your post.   I had 425cc put in 3 yrs ago &amp; I feel they are to big.  They have bottomed out already.  I thought that when I had this done they would be up there where they are suppose to be.   I went back to the Dr today wanting to change to silicone &amp; go smaller.  He told me I would have to go 100cc bigger to get what I wanted.  They are to heavy now I couldn't carry any bigger.  Just wanted to know who u seen cause I want another opinion.",
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}

Source reply

Thanks for sharing your story. I am having a revision in 5 days for lateral displacement. I am also going 125-100cc smaller and switching from moderate plus to moderate profile. I could not adjust to my big breasts and found it interferes with running, and boot camp. I am happy to hear it was a little less painful than the first time. You look great. I want mine to look like yours!
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Source reply

Thank you so much for this post! I will be upgrading to larger silicone implants and will need a revision for lateral displacement. You're right, it's hard to find info on this topic and I REALLY appreciate you taking the time to do this! You're breasts look amazing, I hope mine turn out that good too!!
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Source reply

Thanks for sharing because I also could not find much on this topic/surgery. My implants sat lower than they should have due to them falling through my breast tissue. I had to have internal sutures put in on a revision of my breast Augmentation to lower my nipples and lift my implants. My implants currently look "odd" at 8 days out, lower nipples and just odd so I'm hoping this revision goes well. I just took off my bandages at day 7 yesterday, I'm wondering if I have the same issue as you do since I wore my bandages longer than necessary and tight. Thanks!
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Source reply

You look great. I'm having the same issues with my breast I'm a little over a year post op and they sit way low and to the side. How are yours doing now did the surgery last? I'm wanting to get it done also
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  "comment": "You look great.   I'm having the same issues with my breast I'm a little over a year post op and they sit way low and to the side.   How are yours doing now did the surgery last? I'm wanting to get it done also",
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      "comment": "Hi Jenni_Lynne - Actually things are great. Everything stayed completely in place since the revision and although I have not posted any updated photos everything looks very natural. I can lay flat and they no longer fall into my armpits etc. They revision was WAY worth it. They look 100% better now.  I will say the incisions are still tender though but the scars are almost completely gone again.  I would go back to your surgeon because he can fix that issue and I suspect it will only get worse over time if you don't!",
      "comment_with_embed": "Hi Jenni_Lynne - Actually things are great. Everything stayed completely in place since the revision and although I have not posted any updated photos everything looks very natural. I can lay flat and they no longer fall into my armpits etc. They revision was WAY worth it. They look 100% better now.  I will say the incisions are still tender though but the scars are almost completely gone again.  I would go back to your surgeon because he can fix that issue and I suspect it will only get worse over time if you don't!"
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      "comment": "Thank you so much for your reply!!  I think yours look great and hopefully my PS will be able to fix although when I went 2 months ago he only suggested moving my left nipple to match the right which still wouldn't correct how low they fall and how far over they seem to go when lying down.  I'm just ready to be happy with them and fervent self esteem back.  Thank you again for replying",
      "comment_with_embed": "Thank you so much for your reply!!  I think yours look great and hopefully my PS will be able to fix although when I went 2 months ago he only suggested moving my left nipple to match the right which still wouldn't correct how low they fall and how far over they seem to go when lying down.  I'm just ready to be happy with them and fervent self esteem back.  Thank you again for replying"
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Source reply

Hi Jenni_Lynne - Actually things are great. Everything stayed completely in place since the revision and although I have not posted any updated photos everything looks very natural. I can lay flat and they no longer fall into my armpits etc. They revision was WAY worth it. They look 100% better now. I will say the incisions are still tender though but the scars are almost completely gone again. I would go back to your surgeon because he can fix that issue and I suspect it will only get worse over time if you don't!
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  "comment": "Hi Jenni_Lynne - Actually things are great. Everything stayed completely in place since the revision and although I have not posted any updated photos everything looks very natural. I can lay flat and they no longer fall into my armpits etc. They revision was WAY worth it. They look 100% better now.  I will say the incisions are still tender though but the scars are almost completely gone again.  I would go back to your surgeon because he can fix that issue and I suspect it will only get worse over time if you don't!",
  "comment_with_embed": "Hi Jenni_Lynne - Actually things are great. Everything stayed completely in place since the revision and although I have not posted any updated photos everything looks very natural. I can lay flat and they no longer fall into my armpits etc. They revision was WAY worth it. They look 100% better now.  I will say the incisions are still tender though but the scars are almost completely gone again.  I would go back to your surgeon because he can fix that issue and I suspect it will only get worse over time if you don't!"
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Source reply

Thank you so much for your reply!! I think yours look great and hopefully my PS will be able to fix although when I went 2 months ago he only suggested moving my left nipple to match the right which still wouldn't correct how low they fall and how far over they seem to go when lying down. I'm just ready to be happy with them and fervent self esteem back. Thank you again for replying
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  "comment": "Thank you so much for your reply!!  I think yours look great and hopefully my PS will be able to fix although when I went 2 months ago he only suggested moving my left nipple to match the right which still wouldn't correct how low they fall and how far over they seem to go when lying down.  I'm just ready to be happy with them and fervent self esteem back.  Thank you again for replying",
  "comment_with_embed": "Thank you so much for your reply!!  I think yours look great and hopefully my PS will be able to fix although when I went 2 months ago he only suggested moving my left nipple to match the right which still wouldn't correct how low they fall and how far over they seem to go when lying down.  I'm just ready to be happy with them and fervent self esteem back.  Thank you again for replying"
}

Source reply

Omg don't go bigger. Find another ps. You will only end up with more issues.

Well 5 weeks post surgery and things continue to...

Well 5 weeks post surgery and things continue to heal. I can sleep on my side now without pain - I really don't have any "pain" period. I'm just very careful not to lift any heavy object and to be careful putting my arms above my head etc. My scars are still a little ruddy as you run your fingers over them but they are healing. I bought BIO-OIL and have begun using that which I really like. The surgery has definitely created some nice cleavage and the breasts now sit on the "front" of my chest vs all that side boob and big gap in the middle. My only concern is the lax nipple skin area. It was not this way prior to the surgery and it sort of "hangs" a little bit on the right breast. I"m not sure what would have happened to cause that. I'm guessing they have some type of issue during surgery because of the incision being so far to my "side" of the breast and the way they sutured it maybe affected it. It's not bothering me enough to get it "fixed" anytime soon but does make things less symmetrical. Check out the 5 week post op photos.
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  "body": "Well 5 weeks post surgery and things continue to heal. I can sleep on my side now without pain - I really don't have any \"pain\" period. I'm just very careful not to lift any heavy object and to be careful putting my arms above my head etc.  My scars are still a little ruddy as you run your fingers over them but they are healing. I bought BIO-OIL and have begun using that which I really like.  The surgery has definitely created some nice cleavage and the breasts now sit on the \"front\" of my chest vs all that side boob and big gap in the middle.   My only concern is the lax nipple skin area. It was not this way prior to the surgery and it sort of \"hangs\" a little bit on the right breast. I\"m not sure what would have happened to cause that. I'm guessing they have some type of issue during surgery because of the incision being so far to my \"side\" of the breast and the way they sutured it maybe affected it. It's not bothering me enough to get it \"fixed\" anytime soon but does make things less symmetrical.  Check out the 5 week post op photos.",
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      "comment": "Lol you seem like a perfectionist remember your boobs are not twins but closely related sisters that get mistaken as twins and you got a nice pair \nCongrats!",
      "comment_with_embed": "Lol you seem like a perfectionist remember your boobs are not twins but closely related sisters that get mistaken as twins and you got a nice pair \nCongrats!",
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            "author_modified": "2013-07-27 13:18:23"
          },
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            "uri": "/review/saint-louis-mo-breast-lift-breast-implant-replacement-and-lift",
            "author_modified": "2013-07-25 04:46:23"
          },
          {
            "topic_id": 200,
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        ],
        "image": {
          "src": {
            "micro": "//fi.realself.com/micro/80edcf1e930ad1b23d0d1a9cb7944109/0/d/1/422612-2063162.jpg",
            "small": "//fi.realself.com/small/80edcf1e930ad1b23d0d1a9cb7944109/0/d/1/422612-2063162.jpg"
          }
        }
      },
      "comment": "Thank you for sharing your review. It is great to find someone that has went through a similar experience. When were you able to put your hands over your heads. My right arm especially hurts and I'm so stiff from not being able to stretch and do yoga. You look great!",
      "comment_with_embed": "Thank you for sharing your review. It is great to find someone that has went through a similar experience. When were you able to put your hands over your heads. My right arm especially hurts and I'm so stiff from not being able to stretch and do yoga. You look great!",
      "replies": []
    },
    {
      "id": 2718283,
      "parent_id": null,
      "content_id": 118943,
      "parent_content_type": "ReviewEntry",
      "user_id": 1172179,
      "created": "2015-03-24T19:07:43-0700",
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      },
      "comment": "I think ur scars are far to To the side as they where far apart now they are closer n same incision was used",
      "comment_with_embed": "I think ur scars are far to To the side as they where far apart now they are closer n same incision was used",
      "replies": []
    }
  ],
  "top_level_comment_count": 4
}

Source reply

Lol you seem like a perfectionist remember your boobs are not twins but closely related sisters that get mistaken as twins and you got a nice pair Congrats!
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  "comment": "Lol you seem like a perfectionist remember your boobs are not twins but closely related sisters that get mistaken as twins and you got a nice pair \nCongrats!",
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Source reply

You have wonderful results and look great!!!
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Source reply

Thank you for sharing your review. It is great to find someone that has went through a similar experience. When were you able to put your hands over your heads. My right arm especially hurts and I'm so stiff from not being able to stretch and do yoga. You look great!
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Source reply

I think ur scars are far to To the side as they where far apart now they are closer n same incision was used
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  "comment": "I think ur scars are far to To the side as they where far apart now they are closer n same incision was used",
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Tomorrow will be 4 weeks! I am doing very well......

Tomorrow will be 4 weeks! I am doing very well...... for the most part I don't really have much pain unless I over exert myself. I'm doing the massaging in the morning but everything is already softening up and starting to look more natural. I feel as though they still need to drop a little bit into place but I feel a lot better. I feel less bulky than I did before I had this revision which makes me really happy. Sleeping on my back at night is probably the hardest thing. I can't remember whether I'm supposed to keep doing that or not so I just am. My concern would be doing anything to mess up the pockets in my sleep! I'll post pictures tomorrow :)

Source reply

what is the name of the scar cream

3 weeks mark today! I'm feeling pretty good........

3 weeks mark today! I'm feeling pretty good......and things are getting better every day. I do feel a bit of concern that the incision on my right breast was too far to the right and is the cause of the nipple being pulled to the right......... I'll post a picture of that scar and you'll see just how close it is to the edge of my rib cage. But, overall I will say that I am MUCH happier than I was. I think I may be down to a C cup as well now that the breasts are sitting closer together but I haven't tired on any of my 32D bra's. I'll do that once the scars are a bit better. I think I"m going to go spend the $50 on the scar cream my surgery center sells. I used it last time and had no scars visible a year later. Also, I apologize for the marks on me in the photos. I tend to do these right after I wake up and I'm still wearing a compression sports bra which is getting loose which is why I think I'm shrinking down to a C.

Source reply

Good luck lucky you, I was charged 2 grand after paying 8 7 months ago .

I'm feeling pretty good a 2 weeks and 4 days....

I'm feeling pretty good a 2 weeks and 4 days. Although I'm upset about the nipple on my right breast. It is way further to the right. Also, my incision is also way further to the right of my breast. The original scar was dead center in the middle and nipples were totally in the right place. I'm going to assume that as I continue to heal this will correct itself but I definitely look funky without my bra on. I'll update pictures. Please note I'm wearing a very strong compression athletic bra so it leaves marks on me....but keeps things in place.

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i don't know what your breasts looked like before your revision, but i think they look great now, very symmetrical. i see there is still a bit of swelling, so maybe that is why your nipple is pushed over? i had my implants removed, and i am not happy with my right incision, either. my ps placed it ON my breast instead of under, and it is stuck in as well.

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Hello! May I ask why you removed yours? I am so sorry about the scar. I think in time it should heal. Prior to this surgery mine were almost invisible. I am not sure why it's pushed over (nipple) but hope it moves inward more soon. Thanks for commenting.

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I removed mine because they were way too big for my frame-350cc saline mods (I have a profile w/ pics-you can see how stupid they looked), my left had lateral displacement, and I hated having large boobs in general. Also hated that I lost a lot of sensation on my right breast. I am 3 1/2 months after removal, so I am not sure how much my scar will "unstick" at this point, but still don't regret it. I honestly see such a small difference in your nipples- I wouldn't worry about it. I think you are just looking at them too intensely, and picking out any minor flaw. It would be pretty unusual to have two perfectly symmetrical breasts in any case, natural or not. I had a friend who downsized with pocket repair, and her nipples were really low, but 4 months out, and they were perfectly centered. You are still early in the game. What size are your implants- are they smaller than before? How many years after your first surgery did you need the repair?

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NervousGirlie - he used my same implants and I was a 32D but I think I am smaller.....I appear to be anyway. I'm going to try on my old bra's and see if they are too big or not today :) I had the surgery about 1 1/2 years post surgery. I honestly looked awesome except they were too far into my armpits with no cleavage at all. Now they're sitting where they should be and I look/feel so much leaner thank goodness.

2 weeks and 2 days post surgery and I'm starting...

2 weeks and 2 days post surgery and I'm starting to have a little more pain at night than I was having. I am going to attribute this to the fact that I have 2 young kids and a busy life and I have to use my arms. Be that carrying a basket of laundry, reaching for this or that......... and by the time I lay down it really hurts. Things are softening up but I definitely am in a transition time for shape. My nipples are still not where they should be and I'll probably drop quiet a bit but overall things are good. I look a lot smaller than I was before but I think its because they are up high still and need to fall/round out. I can't sleep without my pain pill currently because I have to sleep on my back and thats not a natural/relaxing position for me (my side is). I am very pleased with my surgery so far though. I think it's going to look great.

Well yesterday was 1 1/2 weeks mark from surgery...

Well yesterday was 1 1/2 weeks mark from surgery and I met with my surgeons office. As you can see from the updated photos in just a few days I am already starting to drop into place. I started massaging (no downward massage, just upward and inward). The nipples should start to move into place a bit better and the incisions will heal up and not tug so much (especially the one side). I was cleared to do cardio (walk on treadmill) but no swinging of the arms, pulling, lifting etc. Nothing that will strain my pectoral muscles. I am still in pain at night. My left armpit is what aches........... it throbs. So I am taking 1 pain pill at around 10 PM to get me through the night. PLUS I am a side sleeper and it hurts to sleep on my side so sleeping on my back is making it so hard to fall asleep and stay asleep. The good news is that most of my swelling has gone down and I think I'm starting to look more normal. What do you think? Please leave a comment.

1 week post surgery - well one week post surgery...

1 week post surgery - well one week post surgery and I am already looking really good. I am supposed to be "massaging" the breast but there isn't much flexibility going on right now. The sutures are all along the outside tissue so everything is very "tight" and bruised along the edges where I need to massage. I plan to post a picture tomorrow of the 1 week post op for you all. Right now overall my breasts are nicely pulled inward and I have excellent cleavage now that the swelling is going down. The nipples are also moving back towards where they below and I have some sensation in them which I didn't have after my original BA. I have taken zero pain medication today and am doing OK. The hardest part is remembering NOT to lift my arms, push, pull stuff because it doesn't hurt while I am doing it but engages my pectoral muscle which by the end of the day throbs from being used. Once I post pictures you can get a better idea!

Day 6 - well today I am feeling good. I stopped...

Day 6 - well today I am feeling good. I stopped all percoset and only took Tylenol last night. I woke up this morning pretty swollen at first but when I took my bra off to shower I look better already. A lot of the swelling went down and my digestive system FINALLY kicked in and I feel so much better after having used the bathroom several times this morning. I may have lost like 5 pounds seriously!!! I wanted to share with you all a bra that has made my life so much easier:http://www.dickssportinggoods.com/product/index.jsp?productId=12565219 This bra is expensive but it holds you completely compressed and makes pain so much less. It's definitely worth checking out if you are considering surgery. I'd buy the size you think you will end up. Meaning if you are going from a B cup to a C/D buy the D and the band size around your rib cage. I might suggest going up a size around the ribcage (say from 32 to 34) because you will experience swelling. My sternum is very swollen. Heck, everything is swollen right now. I did eat a can of pineapple last night and I think it helped with my swelling :) Pictures to come tomorrow.

Well I called my surgeons office this morning and...

Well I called my surgeons office this morning and they had me come in. Turns out I had the mesh wrap too low and it was pushing my breasts UP and creating excessive swelling which is why my nipples look the way they do. He adjusted the mesh wrap and I feel a thousand times better. He also took off my steri-strips and said I look just as I should BUT I do need to take it easy. I have taken it very easy but even little things like opening a pill bottle contribute to swelling so I'm really going to focus on doing the least I can. I think I'm going to wean off the percoset now that I am on day 5. I have only taken one during the day and one at bed but am going to switch to Tylenol and see if that does the trick because my digestive system is still slow and not working optimally and that makes me feel blah and fat. I don't know if this is being posted anywhere. I can't seem to find it anywhere but if people can comment to let me know I appreciate it.

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I'm scared and in a lot of pain but I'm only 4 months post op. Have to wait til at least 6. My right moves from side to side and up and down. Can I ask how much was the surgery?

Update: It's 4 days post surgery from my surgery....

Update: It's 4 days post surgery from my surgery. I'm less groggy. So basically what he did was put sutures internally to fix lateral displacement and bottoming out. Right now I am feeling pretty good. The pain has been minimal taking percoset. I can manage pain with 1 pill now and I am being extremely good. NOT using my arms at all. No lifting, pulling etc. I am very swollen in the middle of my breast to the point where the cleavage is raised up (but not painful) and it visually creeps me out. I took one shower and my breasts look like squares with how tight they are so I'm going to do a sponge bath and wash hair today - keeping myself in the compression bra. I have this $60 Under Armour bra. I highly recommend it. It's sized at 34D and you can control the compression. I have it on the tightest setting so that I literally don't move at all. that with the wrap and I can move without anything shifting so I think that helps with pain and I have zero bruising so far on day 4. My husband looked at my scars and they aren't even bruised which makes me happy. I do have gurgling and gushing sounds in my right breast which needed the most repair (and I'm right handed). For anyone considering this type of revision surgery FOR ME it has been way less swelling, was less painful and visually I am smaller and can hide the surgery a lot better. The hardest thing with 2 young kids is TAKING IT EASY. I really cant' use my hands and sleeping is tough trying to stay elevated but overall I am feeling pretty good. I will keep you updated on this recovery for anyone with lateral displacement freaking out over the reviews on how painful and awful it is- right now I'm saying its' NO where near the first surgery. :)

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I hope you can read this as it has been two years. I have to have both mine done and was told I will have to wear an underwire for 8 weeks. I am kind of scared...but nevertheless, need it fixed. I heard the pain WASN'T AS BAD as the first surgery. How did yours end up turning out?

Well I took off my sports bra tonight and I felt...

Well I took off my sports bra tonight and I felt like crying. My nipples are extremely low on the breasts and wide pointing to the sides, the incision area seems like it's "pinned" in and the breast looks like Frankenboob. My sternum is also very very raised and bruised. :( I couldn't stand to look at it and put the compression sports bra back on. I worry this bra could be too tight and making me have the issues but I can't imagine that would be the cause. So I'm researching and feeling sorry for my deformed self. I am praying this is NORMAL and it'll all settle in the end. Sigh..........does anyone know if wearing too much compression can be harmful?

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How much is the procedure? I think I also need a capsulorrhaphy :(

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I'm day 4 capsulorapphy medially and capsulotomy laterally i feel good compared to my initial too. I just hate wearing this thong bras. Im praying nmfor zero complications! Im glad you're doing well

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what size did u have orginally? did u keep exicting implants?

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I know its a old post, and not sure if you are still active here! There isn't much information about Capsulorrhaphy here. I will be needing the same procedure to fix my lateral displacement in Feb 2017. I would like to know if you were allowed to have slightly larger implants since I read after having lateral displacement PS usually do not recommend going larger, they prefer going smaller to prevent further displacement and also how many days/weeks were you restricted from using your upper body/arms? Did you have to wear a support bra 24/7 and how long? Thank you so much! You look great btw!

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Mulan9498 do you mind if I ask who is doing your cappsularrophy?

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I am in pa but need a good revision surgeon. I do not want revis, krau, pousti is too far for me.

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Thank you for posting this. I go in in 4 weeks to have a repair, bottoming out and new implants. My first surgery was 20 6ago and I was wondering if it was going to be as painful. I had a lift along with implants at the time.
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