We collectively decided on an anchor lift with round, textured, cohesive gel, 385 cc Sientra implant under the muscle. I explained to Dr. Setty that I wanted to be lifted as high as possible. Lift and shape were my top priorites and size was a distant third. I would rather be lifted and perky than large and saggy any day! To understand my decision and Dr. Settys recommendations you need to hear my full story.
When I was 22 (2001), I consulted a doctor for a breast lift. I had always been unhappy with the perkiness of my breasts. Size wise, I was a 34D to 36C. My original doctor (not Dr. Setty) recommended a 425-450cc Saline implant over the muscle – I naively accepted this recommendation and scheduled surgery the following week. The moment that I woke up from surgery, I knew I had made a HUGE mistake! The doctor surpassed the original recommendation of 425cc size by over 235ccs! I was left with 660cc saline implants over the muscle! Not only were they ridiculously round and hard, they were ridiculously HEAVY!! And I am not talking a little heavy, VERY HEAVY. For the last 12 years, I wore a sports bra – 24/7 day and night. In the shower, I had to hold up my breasts with my arm. They were literally an anchor – and please let this serve as a warning to any of you contemplating going over 600ccs. In addition to the large hard implants, I developed Grade IV capsular contracture (CC) and was in constant pain.
During the consultation, I explained all of these issues to Dr. Setty. Here was his recommendation and why:
Silicone – more natural feel and smoother shape
Cohesive Gel – less potential for rupture/leakage.
Round – to still give me some upper pole fullness
350-385cc – average D and NO larger
High Profile – this was my preferred projection
Textured – less probability for dropping (sticks like Velcro to tissue/muscle) and less potential for CC again
Under muscle – smoother shape, less potential for CC again, better for mammograms
Dr. Setty listened to every detail and made the most thought out recommendation. I had never really considered textured implants until he explained the benefits and why this suited my particular situation. I am now a total proponent! He also recommended that we deflate my current implants to see what breast tissue I had left. This initially was quite a stressful proposition considering that waking up with deflated breasts was one of my worst fears. After he explained the rationale, I trusted him and was on board. Let me just say that instead of the experience being emotionally debilitating, it was actually liberating!!! I no longer had the weight of 660ccs of water bearing down on my poor skin. It made me even more excited for my upcoming surgery.
My surgery ended up taking 7.5 hours due to the immense amount of scar tissue and calcification from the capsular contracture. He had to remove a large amount of tissue and then had to lift and rebuild my breasts. He took his time and you can tell!! He did an absolutely fabulous job! I now have perky, perfectly shaped, D sized breasts. Not too round, not too hard and most importantly not too HEAVY. I have full confidence to go without a bra now!! This is an amazingly wonderful feeling!!