I went to the dr regarding explantation. She tells me I have capsular contraction stage 4. Doesn't know if my implants have ruptured. They are about 20 years old and I hate them! They are achy at times and hard as rocks! She tells me she will do explantation, removal of capsule and mastoplexy. This sounds ok except I didn't have any confidence in her. She yawned throughout the appt. Asked me twice about my family hx of breast cancer and told me she thought it would be a very difficult, approx. 5 hr. surgery. My implants are silicone and are submuscular. Does anyone know of good dr in Indiana that I could get a 2nd opinion and does 5 hrs. seem like a long time????