Treatment Provider

Adam J. Oppenheimer, MD, FACS
Board Certified Plastic Surgeon
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Two years post op, doing great..so great I referred a friend!

Just a quick update..since I never followed up after the difficulties I had a few mts post op. Nearly all of the problems I had resolved. I still have a small area with numbness on my left breast, but aside from that they are great! My scars are barely noticeable and both implants have dropped and settled nicely. I also lost very little strength overall! I was shocked that I was able to still do most of what I did before surgery. I attached a few photos from between a year and two post op for an update!

A side note, I was so thrilled with my results and Dr. O's skills that I referred a good friend of mine for a breast reduction. She had her procedure today and is currently passed out on the couch, but has told me about a dozen times how happy she is! The first thing she said to me when I met her in recovery was that her back already feels better!

All in all, Dr. O has two very happy patients, who both love how they look and feel!

The Dark Side: Mondor's Cord, Suture Extrusion and Late Onset "Boobie Blues"

Good Afternoon ladies!

I hope you all have had a lovely weekend. I am almost 6 weeks post op and doing well, but I’ve hit a few bumps in the road that I’ll share with you to hopefully help anyone else who may experience them in the future.

The first is that I developed Mondor’s disease (Mondor’s cord) at about 4 weeks post op. It’s caused, from what I understand, because of the interruption of blood flow in the vessels that superficially run down our abdomen caused by the incisions. I first began to notice it on the right, then both the right and the left and by 3 days after I first saw it I had one on the right than ran all the way down just a few inches above the level of my belly button! I let Dr. O know and he called and suggested I begin taking 400mg of ibuprofen three times a day and apply warm compresses. By the time I saw him the following week they had greatly improved. There are two still there, but hopefully will resolve in the next few weeks.

The next little problem that arose was a small suture extrusion or suture abscess (that sounds so much worse than it really is..there is no infection involved). This happened almost exactly a week after the Mondor’s disease, on the left incision. I first noticed what felt like something rough or sharp right at the outside edge of the incision during my scar massage. Dr. O and I had talked about the possibility of the suture coming to the surface at my 1 month post op, so I was prepared for this possibility. Again, during my scar massage, I felt the edge of the incision was hard and raised and while I was massaging, it opened up slightly and a small amount of drainage came out. I sent Dr. O an email to let him know and he called and told me not to worry. This was not uncommon and that it too will resolve on its own. He advised me to hold off on scar massage for now and that if any other sutures came to the surface to make an appt and his assistant could trim or remove it. The incisions now look beautiful (I wish my suturing skills were half as great as his!) and I luckily have not had any other sutures push their way out. This problem is not terribly uncommon due to the nature of the type of closure. Once again, from what I understand, subcuticular sutures are used to close the incision because they look great and won’t leave you with ugly stitch track marks. The only drawback is they use quite a bit of suture material really close to the skin, so even though they are absorbed by the body, there is a chance that some of it may not dissolve completely and may come to the surface. All in all, the incisions still look great and I know they will continue to look even better as time passes.

Lastly, I experienced what I am calling the late onset “boobie blues”. This all started my first week back at the hospital. Before then I had been feeling great and almost completely back to normal, I even started back slowly at the gym. It wasn’t until I caught my first post op baby that I realized my limitations. It was beautiful birth of a first time mom and the birth itself was perfect, but when I went to massage her uterus to make sure she didn’t bleed, I was shocked that I couldn’t apply much pressure. When I tried to push down I noticed a pulling in my breast and it felt like I had no strength in my pec. I ended up having to lock my elbow and use my weight to put pressure downward. Shortly after, I found out I missed a breech and was torn apart by a doctor in front of the nurses and pts. Mind you, I wasn’t the only one who checked her, but I couldn’t help but think I wasn’t as thorough because I was hesitant to put a lot of strain on my pec. After I tried to shrug off the verbal beating I took, I then had to scrub into a c-section for a known fetal demise with the doctor that just yelled at me. It was already very emotional for me, but then on top of it I felt like my arm and chest were going to give out holding the retractor. Just as if the day couldn’t get any worse, I’m on my way down to my call room to finally sleep and I get a text from my ex (who had always told me I couldn’t get a breast augmentation). He was going on about something he knows I’m sensitive about and then has the audacity to ask me if I want to be friends with benefits (in a much less PC way). He always knew how to make my life hell and has such a huge lack of respect that this just sent me over the edge. I sat in bed and cried for who knows how long..thank goodness no one else had a baby that night because I was a wreck. I was second guessing my decision to have the BA because I feel like my limitations now could really affect my ability to care for my patients. I started rethinking everything that made me hesitant about the surgery and was thinking about all of the little hiccups I’ve had since the surgery. Needless to say, I went to bed in a bad place.

I now understand how real those “boobie blues” are and how even though you are so happy with your results, you can, for a moment, hate your new breasts. I know that these issues will resolve and that I will soon be back to normal, but it kills me not being able to give my all. These women trust me with one of the most important times in their lives and it’s my responsibility to ensure their best care and I feel like I didn’t do that this week..and I hate it.

So, that’s where I am at, though I feel a lot better now. Dr. O’s assistant Nicole called me and has been messaging me about all of these issues. She has been absolutely amazing. It’s great to know that I have both the physical and emotional support I need from my surgeon and his wonderful staff.

Anyway, for anyone who read that novel..I hope it helps a bit. I know it helped me to at least just vent it all out. This has been a rough week. Here are a ton of pictures from the day of my 1mt post op appt, the white bathing suit top again for comparison, 5wks post op, a top from a costume at 6wks (I’m a huge sci fi/comics/horror nerd), and then pictures of the Mondor’s cord and the suture extrusion.

Free The Girls - Donate old bras!

Good Evening Ladies!

So like many of you I’m sure, I have an ungodly number of bras that I can no longer wear. Some I try on would leave me living in fear of a nip slip, others straight up constantly show a hint of nipple, but the majority of them just look ridiculous. I keep thinking of the movie Zoolander where they show him the model of “The School for Kids Who Can’t Read Good” and he says “What is this?! A center for ants?!...The center has to be at least three times bigger than this!” If you haven't seen it, the clip is here: https://www.youtube.com/watch?v=0KC_rd7-bf0 . That’s how I feel most of my bras look now. Don’t get me wrong, I’m not complaining! I love it, but it has left me thinking…what am I going to do with all of these bras that I loved so dearly just one month ago?

After some research, I found a lot of great places where you can donate bras, but my favorite of these organizations is called Free the Girls (http://freethegirls.org/). This is a group that helps to support women who have been victims of human trafficking. It collects donated bras and sends them overseas to these women so that they can sell them to provide an income for themselves as they get back on their feet. They have a number of drop off locations and an address where you can mail bras to donate, but they also have information on how to set up an event for bra donation in your community. They list a number of great ideas and even have a customizable flyer you can use to advertise. I’m going to mention this at my next ACNM meeting and see if I can find a practice or drug rep to sponsor an event. If any of you ladies would like to send bras or would be willing to brainstorm ideas for an event shoot me a message! So many of you have been such amazing support to one another during this whole process, I thought you may be interested in this organization. What a fun and meaningful way to give back and empower other women!

Provider Review

Board Certified Plastic Surgeon
3872 Oakwater Cir., Orlando, Florida
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When I decided I was going to finally go to through with my breast augmentation, I knew that choosing the proper surgeon was of paramount importance. I come from a family of doctors and I too am in the medical field, so I have seen the difference between physicians who are connected to their patients and those who have lost their compassion and see each patient as just another case. Dr. Oppenheimer was the last of 6 plastic surgeons I interviewed, but from our first consultation, I was comfortable and knew that I could trust him. Dr. Oppenheimer’s passion, attention to detail, and individualized care, set him apart from all of the other surgeons I met. He was thorough, respected and considered my opinions and helped me gain a better understanding of the procedure as a whole. Not to mention, he was patient and took the time to quell my fears as I asked a myriad of questions! Dr. Oppenheimer has a unique way of blending careful planning with artful instinct. I could not have asked for a more genuine and truly talented surgeon. It is evident when a surgeon takes pride in his work and the result shines though as patient satisfaction. That in mind, I can honestly say I am far happier with my results than I thought possible. Dr. Oppenheimer, I hope you understand how the confidence you foster through your work is truly empowering. Let that fuel your passion for your art and compassion for your patients. Thank you for everything!