3rd Opinion - Adrian Richards

Well that was interesting! He is quite the character. Started off a little patronising, taking more to hubs than me (uh, they're my boobs?)...but when he realised I knew what I was on about, he completely flipped and was really knowledgeable. But he gets right up in your face to talk to you, which is weird!

Anyways, the consult. Went in with the PCC who was a lovely girl. Went through the problem, she went off to get the surgeon and we waited. And waited. Poor thing, trying to fill all that time with idle chat! It was fine though. He came in and we had a chat about the problem. At which point he started bringing in every implant under the sun for me to look at. Um, I know the difference between mod and X-high profile. Then he drew a picture of my placement. Again, thanks, but I'm good. Then he said something very sensible - dual capsules. Basically, when an implant has been 'aggressively' textured, as the Natrelles have, sometimes they can partially adhere, form capsule1, then move slightly and form capsule2. I need to look further into it, but that seems like the most sensible explanation for the crunching sensation. Options for that would be change brand to a Motiva or Nagor, and change placement to overs. But you cant be 100% unless you go digging around. He also said the same as Armstrong, nerve, muscle pain. But he thought any further investigation would be futile, as even an MRI wouldn't show a duel capsule. Again, I had to really push him for an answer to 'if I asked you to replace them, what would you do'.

I think the crux of it is, because there's no visible or feel-able signs of an issue, its almost impossible to diagnose, and therefore impossible to know whether any sort of revision would fix it. The only guarantee is removal. Which is NOT an option.

Again, he said my surgeon had done great work, they looked good, great size and shape for my body. As he was leaving, he asked if my surgeon had agreed to do a revision for free. When I said yes, but smaller, and explained my concerns about implant dimensions, he had a think and suggested I go back to my surgeon stating this, and suggesting the dual capsule, ask for the revision with the equivalent size, and see what comes of it. He also said to post on Real Self, to see if I can get any more answers.

SOOOO...I'm going to keep the MRI appt on Tuesday. My thinking is I'd be getting a routine one in the next 6months anyway, it cant do any harm. I'm also going to email my surgeon and see what he says to that. Then I'm going to go back to Armstrong once I have the MRI results and discuss it further with him. Any subsequent appts are free, so I wont be forking out £185 every time, phew!

Charlii, the dual capsule thing does seem to make a lot of sense, more so in my opinion than any of the other opinions. I didn't realise it was even possible for that to happen. I think I'd be inclined (after looking much further into it of course) to go for the revision idea, using a different type of implant and if possible over the muscle like this surgeon suggested. I think this is very positive news for you, fingers and toes crossed. x

Sorry, should correct that for anyone wanting to google it for themselves - it's double capsule, not dual. And the more I read, the more it sounds right.

Hi Charlii - just had a read. You are right - It does sound like a very plausible explanation doesn't it! I agree with your decision to mri (I had no idea we had to do this every 3 yrs - I think I'd better set up a boobie fund account and get saving). And yep totally think you need to challenge what the original surgeon has told u. U might upset his make pride but so what - you'd prob end up paying to go elsewhere anyway so nothing to lose!

Well done for standing your ground and getting some answers! Xx

*male* pride sorry! Still drugged up! X

Good luck Charlii, it's a minefield trying g to pinpoint. Go for you mri, and like you say, see what comes of that. 

You never know, the real sellers may even have another explanation to throw into the mix! But you can discuss it all with Alan Armstrong.

Good luck for Tues scan x

So much to consider, 3rd consult though sounds more along a reasonable idea. Best of luck for MRI xx