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Dr. Siamak Agha Worked Wonders! - Corona Del Mar, CA

I had older, under the muscle, implants from 1999...

I had older, under the muscle, implants from 1999 that were horrible! In 1999, I had a lift and implants because I was completely droopy after breast feeding and hated the way I looked. Unfortunately, the left implant always stayed high, giving me the 'double bubble' effect. They never looked good!
Finally, I got the money together to correct the problem. The first procedure was the implant removal in office with just numbing. This was tough due to the fact that my implants were placed very deep and high. It was somewhat painful but glad it was done! No more fake-looking boobs for me!! I healed well from that and almost could have stopped at that point. I wasn't as saggy as I feared!

Follow up today shows good healing, but area of fat necrosis

The scars are healing pretty well and it is so wonderful to have perky size C breasts again! The bruising is almost completely gone, too! I have one area on the top of my left breast where there is a hard and painful lump. The left breast was also a little higher looking. Dr. Agha said I have an area around a suture of fat necrosis that he pushed and messaged quite firmly. It was rather painful but seemed to help it get a bit softer. He advised me to do this daily to myself to break up the hard tissue so my body can get rid of it. I am hoping it works. Overall I feel so much lighter and thinner. The scale does not say I have lost any lbs. but my clothes fit so nicely! Tomorrow I will brave taking some photos and brave posting them.

One month post surgery photos

The scars look pretty good, but not totally happy with the bulges on the side under my arms, especially my left side. It almost looks like I have implants, but this is all my own breast tissue!

Six week follow-up and Before Pictures Finally!!

Went for my six week check up and things are looking good. Dr. Agha gave me copies of my before pics, both the before implant removal and the after removal but before the lift. Wow! I can't believe how different I look and feel! Even though I have not lost much in actual pounds, I feel 10 lbs lighter! For all you ladies getting giant implants, often the results down the road simply make you look heavier and dumpy! I wish I had never had implants! Let me know what you think of the difference!

Interesting side benefit....

After my initial lift and implants in 1999, I had a large area of my one breast that had completely lost sensation, was totally numb! It was very upsetting and sensation never came back! After the my recent surgery, the nerves seem to have grown back or the pinching that was cutting off sensation, was relieved and I have complete feeling back!!! Yay!!
Orange County Plastic Surgeon

Dr. Agha recommended a two step procedure, by removing the implants in office and then allowing the circulation to improve to the nipples for 6 weeks before the lift. I did not want new implants put in. Before the removal I was a 36D or 36DD. Dr. Agha is unique in his approach, as he has developed a lift called a dermal suspension breast lift that sutures the muscles so the weight is not on just the skin. This prevents future sagging and now my breasts look perky again! I have plenty of natural tissue and appear to be (3 weeks post op) a 36C. Dr. Agha has a video on YouTube showing his ground breaking method and that helped me decide to chose him. He is so thorough and follows up personally quite a bit to make sure all is going well. I have my second post op followup Friday. His office staff is also very helpful and kind. I didn't feel like just another number. I will add before and after photos soon!

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
4 out of 5 stars Wait tmes
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Comments (26)

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Oh my God , your new breasts look fantastic ! i wish my end result could look like that =) i am looking forward to my breast lift
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Susie, what a brilliant job! You look great. Wait 6 months for them to settle before doing anything else. Am similar height. Had mine out too, looks sooooo much better
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Thanks so much and I wish I had done this all sooner! My PS also said to wait 6 months, and even now I think in a bikini, the side lumps don't really show much. So overall I am completely satisfied! By the way, your results are also amazing! I had never thought of fat transfer, as I really only wanted to be a C cup and that is what my natural tissue is, but I will keep that in mind for any future procedures, as perhaps filler around my lips or in forehead wrinkles.
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Hi Susie When I had my implant removal, lift and first fat graft , my PS also did fat grafting in my cheeks and my lips. I was horrified by how I looked straight after the op and went into hiding for 10 days, but once the swelling went down I was VERY happy It is subtle, natural, I don't look tired anymore.
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Wow, amazing result:)
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Thanks very much! :D
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Hi Susie firstly may I say - your breasts look 100 times better, in fact maybe 15 years younger! Wow. Please go and check out my profile as you and I shared the strange phenomenon of the implant that stayed up high! I am only 3 weeks post op but also SO much happier after my explant & lift. I hope your sides flatten, but if not, I'd accept a free touch up ;) Happy healing!
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What a great result!!!
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Boy you look so wonderful! You commented on another review about your PS's lift technique..if you would not mind..could you provide more detail? Due to my age I worry ( very little right now) that my lift will not last for many years...so this is a subject of interest to me.
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Thanks for the compliment! Dr. Agha explains it on his site here http://plasticsurgerybodycontouring.com/body-lift/breast-reshaping.html He also has a YouTube video where he goes into more detail. This was very helpful to me in making my decision! http://www.youtube.com/watch?v=3O_l79MZSRI Best of luck on your future surgery!!!
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Thanks Susie!
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Looking really good and no implants!  You must be tickled pink.  I bet the side bulges will disappear soon.  
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Thanks, I am very happy!! Check out the before pics I just posted! What a difference! The side bulges are a little smaller and Dr. Agha said he may do a small revision down the road if they don't go away. I go back in January.
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You look really good! He should remove those side bulges for you if they do not lay down. But you breasts look very nice! I am glad that you are happy with them!
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Thanks! I posted 3 pics today: before implant removal, after implant removal but before lift, and today's 6 week post op. So even with the side bulges, you can see how much better I look than before! He said he may do a slight revision if the bulges stay. I go back in January. Keep you posted!
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This was a dramatic change. Now I can appreciate the transformation even more. Your breasts are beautifully shaped now and quite deformed before. You must be thrilled! So let me ask you about implants because I am very torn. I have been through a ton of body contouring the last 7-mos. Among the procedures I had a breast lift. I went from a 38D/DD to a 36B. IF he could have gotten me to a C I would not consider implants. But B is just too small for my 5'7" 165lb body... so for the first time since I was 16yo I finally no longer feel big. So I am really wondering if going back to my D/DD will make me feel like a big girl again. On the other hand, D/DD is the epitome of the female breast. What I want to achieve is to look sexy... I do not want to look matronly (I am 49yo) and I do not want to look like a puta. Please share your thoughts!! Thanks!!
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I am also 5'7" and 158 lbs and 46 yrs old, so I understand your feelings, but personally I love being smaller and it really helps me feel thinner and more fit. I am looking forward to exercising again soon and getting back to weight training like I used to do before implants. Working out was so difficult with large breasts! I think large breasts are the "American" epitome of beauty simply because of all the implants and porn stars! It may also just be the fad for now. Remember when big butts were something detested and now Brazilian butt lifts are the rage? We need to be happy with ourselves but not go to extremes to please others. It is your body to live in...remember, too, that implants need to be replaced eventually and also tend to head south. Btw, my hubby likes me better smaller! ;)
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Thank you for your feedback. Yes, on the genesis of big boobs being desired by Americans. The big butts are owing to the Latino epitome of beauty... they desire to look like a cola bottle. My husband does not like big breasts, but I am doing all of this for me and no one else so it is about what I want for my body. I have noticed on these boards that women getting implants are desiring for the most part to go large, D, DD, and women getting breasts reductions are desiring to be smallish, B, C. I look closely at the reasons those women with D and DD want to be smaller and it certainly gives me pause. I certainly do like feeling thinner and more fit.Thanks again, you look fab!
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Good for you!! I did my implants and first lift when I was a single mom and did it for me alone! I guess because they were bigger than I originally wanted (36DD) and then were never positioned right (one side never settled into the pocket and was too high) I just wasn't happy with the results. Because mine were under the muscle and not placed right, every time I used my pectoral muscles, the implant slipped way up toward my neck! I felt horrible! I stopped working out and gained weight. If you do go with implants, I highly recommend Dr. Agha's method of anchoring the breast tissue to your muscle so your skin is not all that is holding up the weight. Aging skin will stretch and implants hanging down just aren't very pretty in my opinion. I wish you lots of success in your transformation and please keep me posted! :D
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I also wanted to add this to my comment: Dr. Agha's Dermal Bra Suspension technique also has a variation to use excess tissue from your back to add to the volume of your breast if you do not want implants. Check out his video on YouTube: http://www.youtube.com/watch?v=3O_l79MZSRI Also his website has diagrams explaining it: http://plasticsurgerybodycontouring.com/body-lift/breast-reshaping.html I believe the other Doctor who came up with this method with Dr. Agha is in Pittsburg, PA if that is closer to you. His explanation is here: http://www.hurwitzcenter.com/pdf/Breast-Reshaping.pdf Hope the info helps! :D
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Thanks for that endorsement -- I already have it in my notes to speak with Dr. Capella about that.
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That would be Dr. Peter Rubin. I am familiar with this procedure and it is very interesting. However, I have already had a breast lift and flankplasty so there is no back fat or torso fat left. I have had my entire body lifted, as well as thighs. All that is left is tweaks to my recent surgery, implants, and face. I am pretty sure I will not go large with the implants. I have a V shape and I think it will end up making me look and feel broad, large.
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I agree with Susie. , big becomes matronly....... Had to go through same decision process..... My decision was to go for fat grafting rather than implants. Implants will mean, without a doubt, future revision/surgery. I know, had 2 sets for a total of 30 years......
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Thanks for weighing in. In hindsight I would have loved to have researched the dermal suspension technique for the breast lift. I would much rather my own tissue have been used. I regret not looking at this more closely. I just did not know that there were other options. This board has been very educational. What do you mean by fat grafting? There is no fat left on me at this point as I have had my entire body lifted.
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