Treatment Provider

Robert Galiano, MD
Board Certified Plastic Surgeon
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2 Years Post-op!

I had my 2 year follow up with my surgeon a couple weeks ago, and he was very impressed with how well I've healed, and the scars look great! He also noticed I've lost weight since surgery (woohoo!).

The area that had post-op necrosis is completely healed, with brand new, baby soft skin, and the scars are very pale. I can easily go bra-less and there is zero droop!

I've been a solid 34D since surgery, and I'm exactly where I want to be. People always think "a D cup is so big!" But it is really quite average (and I'm happy for that). I did notice a few changes since my 1 year post-op post. The first is that I still occasionally get tingling and slight zingers as the nerves continue to come back to life - it happens rarely, so it's always a surprise. The second thing is that the feeling in my left nipple faded away. I've had normal sensitivity in the right nipple since surgery, and hypersensitivity in the left while healing, but it's gone bye-bye. At least I still have 1 good one! ;-)

The last thing, which was most troubling, was that I had what looked like a bruise on the left breast. I didn't pay attention to it for a couple weeks, thinking it would go away (thought one of my cats jumped on my chest and caused it). It didn't go away and I pressed on it and there was a pea sized lump under it. I saw my PCP and she sent me for a diagnostic mammogram and ultrasound. The radiologist looked at the X-ray and said "I think I know what this is" and as he did the ultrasound, he confirmed that it was an "oil cyst". It's a small cyst filled with liquified (necrotic) fat. He said it can happen after breast surgery, or spontaneously. He said we could do a needle biopsy or I can just come back for an ultrasound in 6 months, then again for my annual mammogram, and it should dissolve over time. My plastic surgeon told me that nearly every woman that has breast surgery will develeop small cysts after but they are usually not noticed, because they are deeper inside the breast.

So all's well, and I do not regret my decision to have surgery one bit!

Nearly 1 Year Post-op!

I saw my surgeon late last month for a follow up, and he is extremely pleased with my healing! My scars are barely noticeable, and we decided to forego any side lipo. He said there is so little to do, he'd be afraid of messing up the shape! I have no problem with that, there's not much side-boob, and with the scars so faint, I agree it's best to leave well enough alone! He wants me to come back once a year, so he can monitor how well they keep their shape.

I notice a bit of tenderness in my left breast every so often, and when I go running, the kind of tingle all over, like the nerves are trying to come back. I do have a small amount of feeling on the bottoms now, but it's very faint. The numbness was odd at first, but I'm so used to it now, it's weird to have some feeling back. My left nipple isn't very sensitive anymore - the sensitivity I still had post-op has kind of faded away, but righty is feeling just fine. ;-)

I went on a 3 day beach trip this weekend and it was so awesome to wear a bikini top and not worry about my old H cups popping out in the water, or turning on the blanket and flashing someone because my top slipped. I didn't have to think about them at all, they stayed put the entire time.

Pain-wise, I haven't gotten headaches like I used to, my back and shoulders are great and the numbness in my arms at night is practically non-existent (unless I sleep on my arm weird). An old, non-breast related neck injury has been bothering me, but because it's the only place I have pain, it's completely tolerable. And my summer wardrobe is so much cuter now - my favorite dress is a smocked elastic top sundress in white, of all colors (I never wore white before) in a size small (!!). I recently went to my 30 year high school reunion, and everyone commented on how amazing I looked, and I think I owe it to my smaller breasts - my demeanor has changed overall.

Bought a couple "Real Bras"!

So I finally took the plunge and tried on a bunch of bras at Nordstrom rack. I took about 15 bras in the fitting room with me, and found that a 34D fits very well. I tried some 36Cs and those also fit, which makes sense, if you go up a band, you go down a cup.

The DKNY bras I tried fit me better in a 36 band, while the Chantelle and Felina bras are better in 34. I actually think one of the bras I bought (Felina) is the same style I once owned in a 34F (and outgrew)! I wish my breasts weren't so wide, but that seems to be par for the course when our breasts are so big. Wearing an actual underwire bra really changes their shape though, they are super high and perky, and I can cover them completely with my hands, and I have little hands! Woohoo!

I will probably stick mostly with the soft stretchy bras and wear the "fancy" underwire ones when I go out. ;-)

Provider Review

Board Certified Plastic Surgeon
675 N. St. Clair, Chicago, Illinois
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Dr. Galiano is quite simply, amazing. I consulted with 2 doctors, Dr. Galiano being the first, and I knew right away I would choose him for my surgery. The other surgeon was great, also very highly regarded, but I just felt so comfortable with Dr. Galiano, and had complete confidence in him. Dr. Galiano immediately understood the physical issues and pain I'd been dealing with for years, and even asked questions about other symptoms I'd never even connected with my large breasts! I had a list of questions ready, but he answered them all before I even had a chance to ask. He is extremely thorough, and showed a great deal of empathy and understanding for me and my situation. He told me he was confident insurance would approve the surgery, due to all the treatment I'd sought for the past 15 years (acupuncture, massage, chiropractic adjustments, physical therapy), and within 2 weeks I received an approval letter from my insurance. At our follow up consult, I brought my partner so he could ask any questions he had, and feel comfortable with my decision and choice of surgeons, and he too was very impressed with Dr. Galiano's demeanor. He is soft spoken, but confident. I told him I wanted to err on the side of smaller, because I really felt my otherwise non-curvy figure did not match a voluptuous chest, and he told me to just remind him on surgery day. On surgery day, as he made the markings, he said to the resident " she would like to be quite small..." So he remembered without my prompting. During the surgery, he noticed I was having issues with blood flow to the skin on my left breast, and opted not to perform the planned lipo on the sides, to be safe. He said once I was healed, it could be done in office. I had a follow up 2 days post-op, and he noticed my right breast looked worse than the left, so he prescribed nitroglycerin cream to improve blood flow, contacted a colleague at a wound care center where they perform hyperbaric oxygen therapy treatments and arranged for me to go for immediate treatment. He was out of the office the week after my surgery, yet called me on Sunday to see if I was able to go for the oxygen therapy, and asked that I take pictures and email him every few days so he can see the progress, even though he was on vacation! He would respond the same day, which I thought was incredible. He told me in my consult that when I am his patient, he treats me like a family member, because he'd want his wife or daughter to be treated that way by another surgeon, and with the attention he showed me, I really felt he meant it. I am on the mend, one breast is basically healed, the other is still healing at the t-junction, the hyperbaric oxygen treatments did an amazing job of creating new blood vessels in my breasts, and I am so glad Dr. Galiano jumped right on it, rather than "wait and see". Once my right breast is healed, I will have the side lipo done, and I'm sure the size and shape will go from great to amazing! I went from a 34H to approximately a C, maybe small D, and could not be happier with the result, care and treatment from Dr. Galiano. His patient coordinator, Robyn, is also amazing, as is Emily, his nurse. They are very sweet, kind, knowledgeable and responsive to both emails and phone calls. I cannot express how highly I recommend Dr. Galiano and his staff.