Hi Jo, I read your post with interest today--I had a mastectomy on both sides followed by saline implants a little over five years ago. While I don't have capsular contracture, I do know what it's like to be uneven and a bit lopsided since one implant seemed to move up higher than the other--also, since they're saline, they don't feel soft or natural. I have an appointment with my plastic surgeon next month to discuss possibly exchanging my saline implants for the newer silicone gel ones. After years of overly large breasts on a petite frame, I have been enjoying this period of being able to go braless if I want, but lately I've been feeling that I'm still young and want some curves back (something soft, not these little rocks I have now). Is it worth all the trouble--more surgery, drains, etc. for a procedure with no guarantees? I can't decide, but I haven't felt "sexy" in a long time and would like to get that back again, if possible. I wish I could help you decide whether to get the flap procedure, just wanted you to know I'm also struggling with reconstruction issues... have you checked out the website
www.breastreconstruction.org I think it's called lately? I find it helpful and most informative.