Breast Augmentation: Stories

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Two Step Surgery to Correct Asymmetrical Tuberous Breasts - Cleveland, OH

  • posted 4 months ago
  • updated 15 days ago
  • I need a lot of work. ]=c
  • Left side. D-DD cup.
  • Right side. Higher fold, smaller than the left.
  • First procedure, postop day 1
  • Doc's initial fill to this side is 300cc and he opted to skip the lift until the second procedure
  • Lollipop lift and reduction to this side, expander filled to 100cc during surgery
  • Day three
  • One week postop!!
  • March 17th-ish one month post op
  • May 18th... Almost three months post op

Well, gosh. I have never had "normal" breasts... I...

Well, gosh. I have never had "normal" breasts... I remember the first MOMENT that I noticed they were different. I was in seventh grade; My first encounter with a junior high school gym locker room. Everyone's boobs were thrust out into the world whether they liked it or not because only the nerds changed in the bathroom stalls. I cried to my mother about it for two years. When I was fourteen I told my family practitioner there was something wrong with my breasts. He didn't think there was anything glaring out of the ordinary, said that I was too young to worry about it and that they weren't finished growing. I was examined by a number of doctors over the next couple of years (GPs, gynaecologists, endocrinologists). No one found anything "wrong" with me. They all asked similar questions and gave me vague answers. No one said it, but I know they were all thinking similar things: "Poor girl just has ugly boobies".

My first visit with a plastic surgeon was at the Cleveland Clinic when I was 17. This was the first time anyone identified my breasts as tuberous. The surgeon that I met with told me that despite my age, corrective surgery was an option. We sent away my info to our insurance company at the time and my claim was denied. I let the issue drop. I had a lot of shame and guilt and the expense on top of everything else was something I was not willing to ask my parents to shoulder.

Fast forward to New Years' day 2013. I am 23 years old, still in school and still living at home. I am 5'1, I weigh around 125 pounds and my bra size at Aerie is 34DD(my left breast is considerably smaller with zero lower pole fullness). My mom got a job at CCF a few months ago and our insurance rolled over on the first of the year. I came home from a NYE party and my parents sat me down for a "serious family conference". I had no idea what we were even talking about until I was crying like a baby across the couch from them. My dad told me it was time for a big change and that they had moved money around I was having corrective surgery this spring no matter what! Mom and I were on the phone scheduling consultations with plastic surgeons the next day!

I started my search at the Clinic because, although it wasn't my number one priority to have insurance cover it, I knew that if I could find a surgeon at CCF I have a good shot at getting my hospital expenses covered (their stellar reputation attracted me as well!). I also knew that at least a portion of my surgery was going to be reconstructive in nature and I wanted a PS with reconstructive experience. I picked three surgeons at the Main Campus and had appointments three days in a row at the end of January. Rapid fire! I picked my PS (Dr. Randall Yetman, who came highly recommended by the other surgeons I met with and a number of my mom's co workers who have had BAs or know people who have had them with him) and his office sent out pictures and info to insurance from my most recent visit AND they even dug up old photos from my visit when I was 17!

Dr. Yetman outlined a two step plan for correcting my breasts. I have pretty sizable asymmetry and significant constriction to my right side. He says my best bet for getting as close to symmetrical as possible is to have an equal implant:tissue ratio, so my first surgery will consist of a reduction to my left side and inserting tissue expanders bilaterally. My second procedure will be a few months later to remove the expanders and.... drum roll.... Insert my implants!! I need a lift and areolar reduction as well, but he said he would determine when later.

I waited until yesterday to hear back, but I just couldn't wait any longer. I called the office to see what was up with insurance, fully expecting to get the old "We'll call you when we know" thing, but the secretary surprised me saying she just saw my paper work. I was on hold for 30 seconds, which seemed like an hour, and she was back on the phone. "Good news! Insurance approved the first step of your procedure!" WHAT!? I started crying. I didn't get a real quote yet, but I am positive my surgery would have been through the roof expensive. She put me through to scheduling to pick my date and my pre op. Turns out my PS had a cancellation next Tuesday (the 26th)!! My pre op is tomorrow (today!) and I am so giddy and nervy, I don't even know what to think! Updates to come this afternoon, but I really wanted to share with yall because I am just overwhelmed that this is finally happening!

Oh, and if you'd like to see my previous post from before my consult it is here!:
http://www.realself.com/question/cleveland-tuberous-breast-reconstructionsuggestions-corrective-surgery

Woke up yesterday morning with a sniffle! I'm so...

Woke up yesterday morning with a sniffle! I'm so upset about it... Today I have a full-on cold. No sore throat or fever so I'm loading up on netflix, fluids and Mucinex and praying that I won't have to push my surgery back!

Called in to the scheduling center, my surgery is...

Called in to the scheduling center, my surgery is set for 12:30 tomorrow and my cold is clearing up for the most part! I wish my time was earlier so I wouldn't have all morning to freak myself out!

Okay, so I know a lot of people "can't sleep" when...

Okay, so I know a lot of people "can't sleep" when they're very anxious/nervous/excited, but I have always been of the habit of practically knocking myself unconscious with my nerves. (I will admit I couldn't fall asleep right when I wanted to yesterday, but...)I slept WAY in this morning!! Just a little while off from zero hour! Nervous. Nervous. Nervous!

One down!... I am admittedly very, very...

One down!... I am admittedly very, very uncomfortable. Back's sore, chest is sore, everything hurts!! My sister and mom have been taking shifts sitting/sleeping! in my room since I can't sit up on my own... I can't really do anything on my own right now! I called my doc and he upped my meds a little bit this morning so I'm considerably more calm than yesterday. My RN wants me to shower tonight, so possible pics to come!

It has been a rough 24 hours. Meds are changing...

It has been a rough 24 hours. Meds are changing AGAIN, nausea is constant andI spiked a fever last night... No bueno. I have been walking, deep breathing and coughing every hour, so I'm hoping to see some improvement soon!! My incisions are clean and ooze-free so I suppose that would be my teensy spark of good fortune.[=

Day four! Thankfully, muscle spasms are subsiding...

Day four! Thankfully, muscle spasms are subsiding and becoming less and less frequent and the tightness in my chest is loosening a bit. But I STILL can't sit up on my own and coughing is a horrible chore. Oh, and for whatever reason I get the hiccups every two hours or so... Torture!!! Lol I can't help but laugh about it. Can't wait for all this to be behind me [= my first post op visit with my PS is on Monday!

Eight days post-op today!!! I slept on both sides...

Eight days post-op today!!! I slept on both sides (propped up and hugging pillows) for the first time last night! My back has been killing me because I have bad posture, being a tummy sleeper. But I am now only taking Valium and an OCCASIONAL pain killer before bed, but it's been Tylenol for two days. I'm still having discomfort but nothing compared to even this weekend! I saw Dr Yetman on Monday and he said I'm coming along and I can start resuming normal activities soon and I should begin massage exercises... Massage sounds great, "normal" activities are gonna be another story though, I think. I can't unscrew the cap on my freakin toothpaste sometimes!!! Hahaha. My incisions have zero discharge and the tissue around the expanders is softening up... I just feel so blessed I haven't run into any bad complications. My first fill is March 18th!!! Can't wait!

Three months post-op!!

It's been three months since d-day and I gotta tell ya, my boobies are looking better than ever... They're not finished! But they are so vastly improved that it's hard to believe that they were ever abnormal... Or that they ARE STILL abnormal! Haha. My scars are dark, but my nurse says the most improvement in the scars' appearance will happen between 3 and 6 months post op. I would love some input on how y'all have been handling your scars! I will post a pic of the worst one tomorrow!

Great review?

My Doctor: Randall Yetman

My rating:

Doctor's Bedside Manner
Answered My Questions
After Care Follow-Up
Time Spent With Me
Phone or Email Responsiveness
Staff Professionalism & Courtesy
Payment Process
Wait Times

I did a lot of research on my own about Dr Yetman and it seems like the moment I mentioned his name to anybody, EVERYONE knew of him and his reputation. I have talked to a couple of his previous patients and read reviews that said he was a brilliant surgeon, but criticized his bedside manner... I thought he might have been a bit serious, or shy maybe? But he has made me laugh and put me at ease throughout my process so far and I just can't imagine being happier with a different PS. Not to mention his amazing staff(Miss Lynette and Miss Jennifer), nurses(Miss Denise, Miss Laura, Miss Jeanie and Miss Kim!) and techs! In short: More to come, but awesome experience so far!

Comments (27)

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I'm glad you updated, I was wondering how you've been. You're right, there is already soooo much improvement!!! Awe, so happy for you!!
Glad to hear the muscle spasms are subsiding! Thanks for keeping us updated :)
Oh my gosh, they look so good already! You are making me so anxious for my surgeries :p I'm sorry your meds aren't settling so well with you. I hope you start feeling better! And I think your surgeon is just brilliant how he is going about the surgeries and doing the left to your other breast in the last procedure.
Lift*
Thank you so, so much for the encouragement. It just really does the world to me!
I totally agree with the two step plan! And overtime they will change equally.. See my surgeon opted to do a vertical lift in both and two diff implant sizes (100cc) and diff profiles. My breasts feel and hang so different. I have a lot of upper pole fullness to HP one (yippee) and much less in other. My nipples are off too still :( anyway I am still healing but I think when all is sed and done you'll be thrilled!!!
I hope yours continue to settle and change and I hope you end up happy with your results, but the fact is... If they don't, or you're not there is a bright side [= And if you're still not happy you can always have revisional work done... I've heard most surgeons will do it at a way reduced fee on their own work... Like all you have to pay is anesthesia fees?
Yes, my PS will do that (I checked pre op) but even if not I love them more then my preop boobies. I have so much more symmetry now then I did. It is so hard (I want to cry thinking about it) finding bras and getting into swimsuits with a cup size plus difference....
It's so true. I'm so thankful that I am where I am. And that I found you amazing ladies for support!!
Picts look great!!! :)
Thank you! It has been a real roller coaster since yesterday lol
I bet you ARE sore! That was a huge surgery! So happy for you! Cant wait to see pics :)
Good. So happy down one! Just take it easy and take your pills round the clock on the dot. Rest. Can't wait for picts!!!!
You'll do great! Just looked at your preop Picts again... They look like mine (I'm just a bit smaller) I am so excited for you!!!! I will keep checking for your update post op and be thinking good thoughts for you! Good luck!!!!!!!
Thank you girls!!
Just take the meds they prescribed pre surg!! Congrats!!!! Keep us updated!!!!
I can almost feel your excitement, I am so happy for you! Make sure you keep us updated! Good luck tomorrow! One HUGE step closer, yay! :)
I'm so glad I came across your review! You do tell your story very well. We are about the same age and I can completely relate to your locker room horror story! I am also having a two step procedure to fix my severe asymmetry. I will be getting a lift and reduction of 300 ccs to the bigger side and 3 months later, implants. I can imagine how excited you were to hear that you are finally getting the surgery! It will feel so amazing just to feel normal you know? You can check out my story if you want. I haven't scheduled a date yet but I really hope to do it next month. Good luck with everything! :)

You tell your story so well! Thanks immensely for sharing. From what I've read, a cold shouldn't be a big deal as long as you don't have a fever, vomiting or major cough/respiratory distress. Here's what some doctors say about going into surgery with a cold.

Please keep us posted!

Thank you so much for the link... I'm resting a little easier after reading. I REALLY do not want to reschedule (I'm very optimistic that I will be alright on Tuesday), but I know it's for the best if the docs say nay ]=
Hope you feel better soon :)
Thank you!... Ps. I was looking at your new girls earlier and I think they're fabulous! If they are uneven, I hope they settle in. The shape is lovely and from the front the difference really is hard to notice!
I was loading my immune system with airborn so afraid I was going to get sick!!!
Congrats!!! I have asymmetrical breasts and into my second week of recovery. So far despite my PS best efforts (different profiles and 100cc difference) my breasts and nipples are uneven. But I am not freaking out untill 6week mark when everything is settled.. Anyway I am still so excited I did this and you will too!! It is scary but you sound like you have an Awsome support group!!! Congrats!!
Congrats to you! I hope everything turns out... Has your recovery been painful? Are you back to work/normal activities yet?

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