Options for Explanting: What did you choose to do?

Posted by anjalima @anjalima, Nov 2, 2023

Decided to explant my one silicone implant. Concern about possible future issues with a foreign object. Considering options of fat grafting or Goldilocks closure vs. flat ( not off the table either). Any experiences would be helpful. Thank you.

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Hello, I had silicone implants at the same time as my double mastectomy. Unfortunately, my experience with them was not good. My right breast was treated with radiation causing the skin to tighten and moved the implant towards the center of my chest. My left implant "flipped" and was shaped like a half circle.

I had both removed and had a "diep flap" reconstruction. This is a big surgery in my opinion. They cut from hip to hip and removed tissue and nerves. This was placed in my breast area. Now I have my own tissue as my breasts and got a nice flat abdomen (definite perk).

I hope this helps. Wish you the best!!! 🌺

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Had breast cancer in left breast. 13mm. Was 11mm but took 2months til surgery. Had breast implants and had them swapped out for new ones at time of cancer surgery. Went in same pocket. I have had breast implants for years and they have never bothered me. My cancer was neg. Lymph nodes and margins at 12:30 and 6cm from nipple. I did not have radiation and am probably not taking the antihormone drug for 5 years. I am thin and have had a hysterectomy. I do not want possibility of getting osteoporosis. I have osteopenia now. There is 8% chance I will get breast cancer again but if I do antihormone drug the chance is reduced to 4%. Not much of a difference to possibly get blood clots and osteoporosis. I also have RA and take methotrexate and plquenil and folic acid. Luckily it is working and I have no swelling of hands and body aches. Do what you think is right for you. My oncotype DX score 16 which is low. I can always revisit decision in a month when I see my oncologist.

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@kstar077

Had breast cancer in left breast. 13mm. Was 11mm but took 2months til surgery. Had breast implants and had them swapped out for new ones at time of cancer surgery. Went in same pocket. I have had breast implants for years and they have never bothered me. My cancer was neg. Lymph nodes and margins at 12:30 and 6cm from nipple. I did not have radiation and am probably not taking the antihormone drug for 5 years. I am thin and have had a hysterectomy. I do not want possibility of getting osteoporosis. I have osteopenia now. There is 8% chance I will get breast cancer again but if I do antihormone drug the chance is reduced to 4%. Not much of a difference to possibly get blood clots and osteoporosis. I also have RA and take methotrexate and plquenil and folic acid. Luckily it is working and I have no swelling of hands and body aches. Do what you think is right for you. My oncotype DX score 16 which is low. I can always revisit decision in a month when I see my oncologist.

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Thank you. I am taking Anastrozole with ONCO 20 and 14 ( two) and my DECA did not show any significant change after one year. Spine was same , one hip up .1 and one hip down .1

They say the most change ( for worse) is first year but checking it at year 2 also. So not everyone sees a drop.

I feel safer taking Anastrozole although nothing is a guarantee.

Thanks for responding.

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Interested in Explanting Silicone Implant. I had a unilateral mastectomy nearly two years ago. Going unilaterally aesthetically flat would feel very imbalanced… but possible. I’m interested in the possibility of fat grafting … even a small mound would be better than none, for me, at this time. Has anyone done fat grafting? What was your general experience? If in the NY metro area could you offer a reference. I’m having difficulty locating a plastic practice that performs this.

Thank you and I hope you have a peaceful Thanksgiving; I feel that I have a lot to be grateful for in spite of my breast cancer diagnosis 🌸

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