Hi CrazyDancer
Your experience sounds very similar to mine. I had skin sparing mx following chemo. I was offered a recon using my own tissue at the time,and told this would probably give the best result but I was on my knees by then and I opted for immediate implant recon (becker-saline injections), then had 25 rads. This was in 2008/9, and like you I now have quite significant capsulation. The breast is very hard, tight, and small, and I have moved to wearing a larger prosthesis.
I have had to have an exchange of implant (smaller), following an infection caused by some further surgery, after which I was told there had been thin, damaged skin, and a lot of capsulated tissue, which was also likely with the replacement.
My surgical team have been great all along, and I have been offered further surgery, but like you I really don't want more unless I absolutely have to. Physio has helped when mine was particularly bad-I had a referral from the BCN, don't know if that would be an option for you? Swimming has also helped my arm and breast. I have also been told that so long as the skin 'envelope' is kept open, surgery in future remains an option.
All the best
C
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