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325cc Mod + Profile Silicone

UPDATED FROM tralala026
4 months post

Fat transfer today!

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tralala026
WORTH IT$6,200
I just got back from my fat transfer procedure a few hours ago. Fat was liposuctioned from my abdomen, processed, and injected into the area on my right breast where I was missing breast tissue which covers the implant and provides a smooth transition from my natural breast to my implant.

Let me just say...never get lipo unless you REALLY need it. It was not particularly painful (although I felt some sharp jabs at one point and they had to give me more of the numbing agent) but it's just violent and barbaric. And I got the gentlest form of lipo. It was a very odd feeling, my surgeon grasping my flesh while this metal rod he had rammed into my tummy flesh. It just felt barbaric.

That being said, I did not have much abdomen fat to begin with, but the little pooch I did have is now totally gone. I was surprised by that because they only took about 30cc of fat. I do have some fluid retention in the area that needs to go down, but overall, my abdomen is likely to come out of this looking better.

My right boob will have improved, I'm sure. To what extent, I'm not sure yet because the fat has to have time to "take" and not all of it will survive. So my result depends on how much fat takes and thrives in the area. Already it looks much better, albeit probably not perfect. I am trying not to look at the boob at all right now because I want to reserve judgment until things have settled more. But I have my fingers crossed.

I've got to do the whole antibiotic/pain pill regimen again, which feels deja vu. I have been instructed to wear a spanx like garment to compress my abdomen, which will encourage the fluid retention to subside. I am also supposed to leave my right boob completely alone - I'm not going to touch it, put it in a bra, lay on it, nothing. I want as much fat to survive as possible.

So...we'll see! I'll update with before and after pics once I have a better idea of my final result.

tralala026's provider

Marc J. Salzman, MD, FACS (retired)

Marc J. Salzman, MD, FACS (retired)

Board Certified Plastic Surgeon

tralala026

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Replies (2)

April 2, 2015
Good luck hope it all turns out well for you :)
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April 2, 2015
How exciting to have it done!! I hope all that fat sticks!! Weird things to wish for, lol I hear ya on the lips being barbaric! After my hernia repair there was a weird pocket left that my Dr thought was fat and for free lipo'd it out for me. Turns out it wasn't fat- who knows why it's there but I left that procedure slightly traumatized :-)
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April 2, 2015
It is traumatizing. I was in shock pretty much the rest of the day from my lipo experience!
UPDATED FROM tralala026
3 months post

3 month boobiversary & micro fat grafting procedure scheduled April 1

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tralala026
It's three months to the day since my surgery. I would say that in the last month the implants have settled and dropped a bit more and I am really happy with my nipple placement now. I have not had any pain in quite some time, except for a few days two weeks ago I had some sharp pains near my areola incisions - they must still be healing. I have been sleeping however I like and exercising however I like, except I try not to do much with my pecs because it feels weird. No pain, but I just don't like the feeling.

I still am not happy with the lack of tissue where my natural breast meets my implant on the right side, so I am going to have the fat micro grafting procedure on April 1. Before that I will have a consultation (I want to be able to manage my expectations) and a pre-op. The procedure will involve taking fat from my abdomen and filling in the area on my right breast with that fat. It's a procedure that will be done in-office under local anesthesia and valium. $1,200 fee from the surgeon who did my augmentation - I think it's regularly $500 more but he gave me a discount. I very much hope it fixes the issue. I am turning 30 at the end of April and I would like to enter my 3rd decade of life feeling confident about my breasts.

Last month I went on vacation and had fun with bathing suits. I bought a strapless one piece and a bikini that showed lots of cleavage. I really liked wearing both because I have never been able to wear anything strapless or show any cleavage so it was a new experience to be sure. I am going on vacation again at the end of June and look forward to wearing them again.

Hope everyone is doing well!

Replies (2)

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March 5, 2015
I hope the fat grafting fixes that flat spot for you. Do you know how many cc's he plans on grafting? And I loooove the arm squish cleavage! :-)
March 24, 2015
Your review has been so helpful! Gives me hope for my lower pole. Patiently waiting for that constricted skin to stretch out. Best of luck with your grafting!
UPDATED FROM tralala026
2 months post

2 month update & spending entire tax refund on fat grafting :(

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tralala026
Well, I'm at 8 1/2 weeks right now. My implants continue to drop and I think they've dropped a lot the past two weeks. They are looking much more natural, the dropping makes them appear to have the natural heft that real breasts of my size would. I would say my upper pole to lower pole volume ratio is at 1:1 so I'm hoping that by the end of the third month I will have the ratio I'm looking for, 45% volume above, 55% below.

My issue with my right breast has only gotten worse. The more I analyze it, the more I can see that the problem is my natural misshapen right breast which is sitting on top of the implant. My original right breast had basically no lower pole volume. There was some breast tissue on the top and outside, but the lower part of my breast almost formed a straight line from the bottom of my areola to my ribcage. Whenever I raise my right arm or lie down, my native right breast tissue becomes apparent. There is the rounded implant, and then the straight portion where there is no breast tissue. When I am standing up, the implant pushes the tissueless area out, so it's not as noticeable. But as the implant drops it is becoming more noticeable because my lower poles are filling out, but not in that particular area.

So it's become clear that I need to fix this. I'll do the fat grafting - taking fat from my abdomen to make the flat area where I have no tissue rounded, like my left breast. I really hate spending $1200 to do this, but I really have no choice. If I leave it as is, I'm back at square one, feeling ashamed of my breast(s). I've read up on the procedure and apparently it is relatively new and cutting edge but quite successful. Surgeons use it a lot with breast reconstruction (cancer) patients who have no native breast tissue due to mastectomy. I also can't say I won't be pleased to have some fat disappear from my abdomen.

I need to call and inquire about my surgeon's schedule, but if there is room, I'd like to have the procedure at the end of the month. We were going to wait until 3 months to schedule, but I can already see this is a huge issue, so no point in putting it off. I SO HOPE that this minor procedure will fix my issue. I also hope it will fix my issue in one go - if the fat doesn't take as expected, you can undergo the procedure again, but then that's another $1,200 or more. But I have a lot of faith in my surgeon's surgical prowess. He has a terrible bedside manner but he knows what he is doing, so I trust him.

Besides that, my breasts are doing well. I do not have cleavage without a push up bra or pushing them together with my arms (they are about a finger's width apart), but with a bra or arms my breasts come together quite willingly. Wearing a VS pushup, I get some killer cleavage. They are very soft and move naturally now, like I can feel them bounce slightly when I walk.

I try to massage them as much as I can but I don't do it as regularly as I used to. I also try to apply the scar gel as regularly as possible but don't do that as much either. I don't even know how much it is helping, and it is sticky and dries to a gross, unsightly crust which I do not like. Hopefully without much intervention the incisions will be invisible at one year as planned.

I wear no bra or Nippies almost all of the time. I don't even notice wearing the Nippies, which can be dangerous - during a recent sexual encounter (and, ok, I was a little tipsy) I forgot to remove them. Those of you who own Nippies know the appearance of the breast with Nippies is a little weird; because they are flesh colored, it looks like you have no nipples. When my boyfriend pointed them out I looked down and felt repulsed. I peeled them off and threw them on the ground, disgusted. Fortunately we were both kind of drunk so we carried on without further ado.

Replies (5)

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February 4, 2015
Well, damn, that kind of sucks. :-( It took me a while but I think I see the flat spot you're talking about. It almost looks like a circle that touches your areola and is under your breast. Did he say anything about the fat staying in that one spot or if it might move elsewhere? The whole fat grafting thing is so interesting -- I would've loved to do that over silicone! And is the grafting a general anesthesia thing? (If it is, that sounds like a good price since I think my GA fees alone were $1k.) It still sucks that you have to get it but hopefully it will resolve your issue. Did you think about seeing any other surgeons for their thoughts? The Nippies thing made me laugh only because I think it's hilarious to see my nipples when I pull them off. I usually make sound effects as they "re-inflate"...ummm, but I'm weird. Haha! :-) My husband also thinks it's funny so that helps. Yay for alcohol to make everything better! :-)
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February 4, 2015
It's my understanding that you do lose some of the fat cells in the days after the grafting, but that most of the cells do stay in the same place. I think the surgeon tries to overcompensate initially since some of the fat cells do not "take". Some people have entire augmentations with just fat (check out some of the reviews on this site!) It's amazing. You could probably still elect to do some fat grafting if you wanted. They often do it in a two step process for mastectomy patients - implant then some fat grafting to fill in. Fat grafting is local anesthesia. I'm actually really happy that my surgeon's suggestion is something minimally invasive and no general anesthesia. It seems to be a fairly straightforward process. My surgeon charges $1700 for the amount of fat that I need, but gave me a $500 discount, thus $1200. I hope I do not need a repeat procedure! I'm only 29 and don't even own my own home :\ I really can't afford this. Yet, I am happy I did it, I feel much better about going through life with my implants :)
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February 4, 2015
Also, yes, good idea to get some 2nd opinions from another surgeon or two in my area. I feel bad knowing I'll probably still go with my original surgeon, just because I'm not going to do nothing, and fat grafting seems to be the least invasive approach that I would naturally want to try first. It would be hard to compare surgeons' fat grafting skills. I guess it might be good to see if a surgeon says, absolutely not, fat grafting won't fix your problem. I have some better pics of the dent that I am too embarrassed to share in my review - maybe I will do a Q&A here and see if surgeons think fat grafting will improve my situation.
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February 5, 2015
I think posting to the Q&A section is a great idea. Nothing to lose there and you don't even have to set up an appointment! :-) It's nice that it's local anesthesia. I wouldn't mind doing something like that (and I've see some reviews) but the whole fat harvesting thing freaks me out. I would LOVE to get lipo but I made the mistake of watching a video and now I can't think about it. The only reason I did a BA was because I refused to watch any videos. Haha! But keep us posted on your progress. I still have my fingers crossed that it all sort of relaxes and goes away in a few months. :-)
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February 4, 2015
Aw honey I'm sorry that the darn dent is ruining your boob buzz. I can maybe barely pick it out in photos but I know real life looks totally different. It sucks that you have to spend your fun money on a fix it, but I guess at least there is a fairly simple solution with a fun side effect! Glad you have a ps that you can feel confident in. I hope you get I soon That aside I think you look fabulous!! Very natural look! Perfect size! Had to giggle about your pixie comment and outright laugh at the nippies story!! Thank goodness for good drinks! Great update, looking forward to following you through this new adventure!
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February 4, 2015
hey hun, my constricted boob looks quite similar, there's a slight dent where my natural boob meets implant, I also have a minor animation deformity there too (when I tense my muscles the dent deepens lol). It isn't perfect but it doesn't really worry me - because I started with a constricted boob, so I wasn't expecting perfection. Looking forward to seeing how your fat grafting goes though. I've got a post op appointment next month, so will bring this up with my sergeon to, see what he thinks.
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February 4, 2015
darn constricted boobs!
February 4, 2015
you are looking great! I have the same issues with not enough lower pole fullness but that was an issue with the natural shape of my breasts to begin with. I honestly, don't see what you are talking about from your pictures but I notice a lot of things about myself that no one else does so I totally understand and really hope this fat grafting option works well for you. Keep us updated!!
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February 5, 2015
thank you!
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February 5, 2015
lol I'll have to stay away from the lipo videos. I think since this is just a small amount of fat, that my abdomen lipo would be rather gentle. Just with a large needle he said, I think. If I didn't have this dent I would never consider lipo. I do not want to lose any curves on my hips or bottom. I saw a few reviews where boobs were created entirely from fat, but at the expense of the curves of hips and thighs. And I hear that lipo in that area is extra painful. With this small amount of fat he can just do my abdomen, which is going to be easier I think. And who wants to preserve their abdominal fat? Not me!