Breast Augmentation: StoriesWrite a Review
9 month post-op... trying to set up a revision.
- posted 1 year ago
- updated 4 months ago
- Not Sure
- Cost: $5,500
- Tom J. Pousti, MD, FACS (San Diego/La Mesa, CA)
So I'm 3 days post-op for my BA and some...
- 24 Feb 2012
- 19 days pre
So I'm 3 days post-op for my BA and some flank/thigh liposuction. I feel GREAT!
AGE: 22 BEFORE SIZE: 34B (small/saggy) IMPLANT SIZE: 375cc & 400cc POSITION: Sub-muscular, Peri-aereola incision.
Please disregard any of my uncertainties about Dr. Pousti previously. HE IS AMAZING. I had immense pre-op jitters that effected my review, but the day of surgery was perfect, and he spent a good 30 minutes talking over exactly what I wanted before I went under.
The nurse tried to get a good idea of what I wanted in the exam room before the operation and summed it all up by saying "So, you want them to be nice and perky while out of a bra, VAVAVOOM-able when you put them in a push-up bra, and you don't want them to enter the room before you do?" haha that was exactly right and made me laugh. They warmed me up before the surgery with a heated hose garment, saying that studies show it helps with healing (love that!) and were playing "It's Gonna be a Good Day" by Nappy Roots as I went under :) The staff has called me every day since the surgery to see how I'm doing too.
I have usually done terribly after being put under, vomiting for at least a week, but they took such amazing care of me that I haven't even been nauseous! I've followed my medicine schedule dead on, with the help of my very caring husband. I'm already completely off of the narcotic pain medication too! Just a few Ibuprofen today and I feel fantastic. I've been taking short walks with the hubbs and my dog already, and he even washed my hair today. Of course I'm walking around with t-rex arms, not reaching or holding anything heavy. The worst parts for me have been: sitting up after laying back (you can't use your arms and it hrts to tense the chest muscles), having to sleep inclined/on back (jus gets uncomfortable), and not being able to pee well due to the anesthesia and narcotics. Otherwise, I am amazed how normal I am feeling!
I have a minor side effect called "subcutaneous emphysema" also, which sounds terrifying, but just means air bubbles are trapped under my skin above my chest. It feels/sounds like rice krispies kind of and feelings bubbly when you push on it. It'll go away on it's own, and luckily my husband knew what it was from his job, so we didn't need to call the doc after hours or anything.
I will continue to update photos and progress, but so far, recovery has been a breeze and I would highly recommend it, especially with my doctor and his staff!
5 days out now,and they're already feeling like...
- 20 Mar 2012
- 5 days post
I did a lot of prep before my surgery that i think helped me so far in my recovery, so I thought I'd share.
THINGS TO DO BEFORE SURGERY:
PREP YOUR ENVIRONMENT:
My hubbs and I spent the week before my surgery cleaning out every nook and cranny of the apartment so I'd have a peaceful & clean place to heal. All laundry was done, bedding was washed, dishes put away, and drawers were organized so I had nothing to worry about besides myself.
PREP YOUR MEALS:
We made sure to stock up on healthy fruits and veggies for me as well as things that would be easy on my tummy if I were too sick to eat.
I even prepped a weeks worth of homemade freezer meals for the hubbs and included a few soups for me so I didn't have to worry about food for the first few days.
SET UP COMFY SPOTS:
I set up a soft area with plush pillows to prop myself up and blankets on both my living room couch and bed so I could quickly be comfy and ready to sleep. I lined everything with towels in case my lipo drained, and it was so nice to have a place to just plop into when we got home! I wouldn't have been able to set all of it up with my t-rex arms after the surgery anyways!
SET OUT YOUR NECESSITIES
I also put all items I would need access to (medicines, books, toiletries, comfy clothing) on my bedside table or set out in the bathroom so that I wouldn't have any bending, squatting, or reaching up to do.
DRINK YOUR WEIGHT IN WATER:
Drink as much water as you can get the day before your surgery (up until your cut off time). I also made sure to eat a diet heavy in Anti-Inflammatory foods the month before to help purge sodium and such from my body and stimulate lymphatic drainage and help with swelling. Plus, I kept reading ladies woke up dying of thirst after surgery and I woke up fine :)
THINGS TO GET BEFORE YOUR SURGERY:
DESITIN/DIAPER RASH CREAM
Seems odd, but this has been a LIFESAVER for the chaffing I've had on my arms from the bulky post-op bra! Trust me, it's worth it!
ARNICA MONTANA & PRE/POST-OP VITAMINS
This is a homeopathic remedy for bruising and swelling. I bruise so easily, so this was a must for me. Don't bother with the expensive brand they try to push at the Dr. office though ($50 at mine, sheesh). I got some on Amazon for $8, just make sure it's 30x. Post-op vitamins also seem to be crucial to helping me heal. My skin even looks radiant since I began my pre-op regimen 3 weeks before my surgery. Focus on amino acids like l-arginine & l-glumatine and immune system building blocks like manganese, vitamin C ad zinc. I bought the Make Me Heal.com set for the sake of convenience, but it came in at $60. You could do just as well taking the time to buy yours all separately.
CUTE NECK SCARVES
I have already been out and about a few times since my surgery and all of my tops are either low cut or tight tees. To solve the "hey, I just had a boob job" look you get from the stabilizer strap, I tied a scarf all billowy around my neck. Old Navy used to have cute ones and sarongs can work the same way.
So there ya go, just a few tips that I feel like really helped me heal as far and as comfortably as I have been. Everything has been right where I need it, and I've been able to focus on taking care of myself. Granted, we don't have children :)
8 days out, and I finally had my post-op where...
- 23 Mar 2012
- 8 days post
I've been on an emotional roller coaster this week. Lots of crying. I feel that my implants are about 100cc too big for what I had pictured. I know they will drop & fluff, but from what I've read, that make actually make them look BIGGER. I love the front view, but the profile is no where near what I thought I'd have.They look heavy to me and stick out about 3 inches farther than I was picturing.
I'm freaking out and my husband is pretty angry that he spent all this money and I am less than happy with the result. Everyone keeps saying they look great, but every time I look in the mirror, I get sick to my stomach.
They look similar to the pictures I chose in shape, but in an effort to make them "proportional to my body" the doctor chose to go larger than the images. I have so many regrets about not speaking up during pre-op. I thought I was pretty clear about what I wanted, but now I am left rattled and upset. I ended up with 375cc & 400cc when I was assuming I'd be around 300-350 like the images.
Not sure where to go from here, I haven't fully discussed this with the doctor. I gave him the go ahead to do what he thought was best to match the photos, and I feel he'll blame me for simply changing my mind or something. We don't have another $6000 to drop on a revision.
Just so upset right now. I'm trying so hard to be excited and like the new fullness, but they look so big, heavy, and stick out very far. Hopefully I'll feel better as they change.
17 day's post op :) Been having up days and down...
- 2 Apr 2012
- 18 days post
Already been sleeping on my side since the end if of week one and have gone back to photo shoots (I'm a photographer), so physically, I feel fantastic. The girls at the office were amazed at my one week post-op. I was already asking when I could work out again, and they couldn't believe I was already able to take my own liposuction garment off without assistance. So yay for great recoveries!
My scars are healing nicely too, so I'll post pictures soon! Going to start using silicone scar sheets and Scar Esthetique once the scabs are gone.
I went to my 3rd post-op last Thursday, as well as a Cool-scultping event (look it up, it's awesome!!) and actually got to sit down, unrushed with one of the office girls after she heard I was struggling with my big implants. She convinced me that they look great, and I'll get used to them. She herself was assuming she'd receive 450cc and no bigger and said she panicked when she found herself with 600cc, but she loves them now - so much in fact- that she's worked for Dr. Pousti ever since (3 years!) :)
I have to add another 5 stars to Dr. Pousti by the way lol he was here on Realself on Saturday, recognized some of my pictures in the Q&A sections with me panicking about my size and immediately called me... from his home... on a Saturday to make sure I was OK and remind me that I can always call him to get a straight answer right away instead of waiting for the Q&A :) That's first-rate service right there :)
Lastly, I went to the mall the other day with friends and decided to get measured at VS... they put me at a 32DD. Trying not to panic at that :) The office girl I chatted with said she's an F or something at VS and a C over at Nordstroms! So I'm trying hard to not give a crud about letters and CC numbers anymore. Definitely a transition period!
I'm posting some in clothes pictures down below from earlier this week. My girls have actually already changed since these images, so I'll post again soon :)
Struggling pretty hard core today with how big my...
- 4 Apr 2012
- 20 days post
I feel like fricking Lara Croft when I go out, and I just want to hide them! I've never been too modest, always worse an immensely padded bra and flaunted it, but these breasts look heavy and too full on me. One year for halloween, I used a VS Miraculous Bra (adds 2 cup sizes) and also inserted 2 inch thick silicone "cutlet" bra inserts to give myself a ridiculously, comically huge rack and I feel they are about the same size as they were then!
I'm looking into a possible revision as my issue with them isn't the fullness up top that will resolve with a drop and fluff, and rather they are too heavy and too wide on the bottom, which will only get fuller.
I feel very matronly looking, and being 22, this was NOT the look I was going for. I'll admit, they look and feel fairly natural and they're a great looking pair.... they just aren't right on me.
I've read some doctors will do revisions under local anesthesia, so hopefully I can go this route and save myself some money? The thought of spending even more money makes me so sick to my stomach. I wish I'd been clearer about not wanting BIG boobs to begin with, just a fuller version of my own.
PS: I tried on real bras at Target today and found I fit in 36C and 34D, so it's not the cup size messing with my head anymore- it's how they LOOK.
It'll be 4 weeks tomorrow since my surgeries, and...
- 11 Apr 2012
- 27 days post
I wanted a nice set of full breasts, but I did not want to be the "whoa, that girl's got a big rack!" set of breasts. And wow, those pictures showcased me as the latter and then some. I actually photoshopped them SMALLER before posting them on facebook... which is a 180 from how I used to edit myself in pictures. Oi.
I'm going to start to save for my revision now. I'm moving to Hawaii in the fall, so I'll need it before then :/
I'm also very nervous for a trip home next month to see my family. I haven't told them I had the surgery, and never plan to as they wouldn't understand or forgive me for doing it both from a financial and religious standpoint. But, with how large they are, I'm sure I'll be asked questions.
5 weeks post up today. I've been trying to...
- 19 Apr 2012
- 1 month post
I've been trying to ignore and not think about my boobs since my last post. It's been fairly easy since work has been keeping me super busy!
However, I still feel gross with these big boobies on me :/ Part of the reason I wanted implants was so I could buy cheaper, cute bras and swimsuits instead of expensive, super padded ones. Well, now it seems, I have to spend just as much on special order sizes like DD >:( So pissed off about that! I love Victoria's Secret and half the swimsuits I think are cute aren't even available in DD...
I hadn't intended to buy an entire new wardrobe either and it's driving me nuts that I don't fit in any of my old clothes, when I used to fit perfectly with my padded bras. Mediums are too tight and short and larges are too baggy and sag at the shoulders. UGH!
Broken record, I know :(
I have a post-op appt tonight and I'm going to make it very clear that I'm still unhappy. I'm also concerned about how my scars are healing. I have 3 separate spots where a chunk of the scab fell out (gross, sorry!) and there are indents/holes in my scar line now! I scar terribly and am very worried that these will heal ugly.
I'm sure all I'll hear tonight is "it takes time, just wait and see" and that offers very little comfort. Oi.
Oh well, I guess I'll just have to bury myself in work some more to keep myself distracted. I'm also trying to tone up and get more fit (the lipo got me motivated!) so hopefully if I lose a bit more weight and tone up, I'll like my girls better? Here's hoping!
Just adding some pictures of me at 5 weeks,...
- 20 Apr 2012
- 1 month post
Ignore the hulk-like veins >:( Another thing that makes me really sad about my implants, and something I hadn't even considered :*(
I had intended to post that I was somewhat coming...
- 15 May 2012
- 2 months post
Well, the stretch marks have gotten worse and now...
- 29 May 2012
- 2 months post
I am more self-concious now than I ever was before surgery and it's making me ill to my stomach whenever I think about it. During sex, my breasts were the one part of my body that didn't make me want to cover up, they were just a bit small. Now, they are marred with gross scars and stretch marks and I can't stand to have my husband see them. I am also pretty sure I am bottoming out on my left implant. I had held out hope that if I received smaller implants in the future, I'd love my investment, but now my breasts are ruined for life no matter what I do to them. I have been using bio-oil and Scar Esthetique religiously, to no avail.
I have a post-op appointment today, so we will see what the doctor says, but we have absolutely no way to fund a revision. I hate that what supposed to be the happiest, most exciting part of my life right now has turned into my greatest stressor and regret.
What a waste of time! I went to my post-op, got...
- 29 May 2012
- 2 months post
Then in came the doctor after a bit of a wait, and he was immediately in schmooze mode. I felt like I was dealing with a used car salesman. He glossed over everything, didn't fully address anything, and said, as always, to be patient and wait until they "settled more. He then said my scars were red and dark because of my skin tone, which I KNEW that I scar poorly before the damned procedure... which is why I had originally requested IMF incision and he adamantly disagreed and pushed for me to change my mind! Now exactly what I was afraid would happen has, and I'm left with uneven dark scars. His solution to that: he can cut me back open an make them thinner. Just F$#%! If he has listened to my wishes to begin with, there would be no friggin need for me to go back under the knife! I'm a mess.
My husband is on his way home from work, thank god. I have a ton or stuff to get done before a trip we leave on in 2 days and I'm sitting here, a big pile of sobby, snotty sniffles >:*( Never in a million years thought that I would be writing one of "those reviews" that I kinda ignored pre-surgery, assuming that it would never happen to me.
Well, I'm back ladies! I took some time off the...
- 2 Jan 2013
- 10 months post
Having said that, I will be trying to schedule a revision within the next few months. After my last consultation this past summer, I left the office in tears after being confronted about the unfair statements I made about my doctor here. He had every right to be unhappy with me, though at the time I was blinded by my disgust in my results and very upset to be arguing over my review here. Soon after, my husband and I moved 2,000 miles away without having time to reschedule a consultation or follow up surgery.
Now, 9 months later, I agree with my doctor's comments that the implants felt and looked (and have felt from 3 months out) very natural and real. You cannot even find the implant when squeezing. However, I feel they are still too large and have drooped significantly since my last consultation, giving a very matronly, heavy look and falling into my armpits when I lay down. They resemble that of a woman twice my age who has had children which may be attributed to a recent weight loss of 10 lbs. My scars have healed very wide as well. Because of this, I am hoping to return to San Diego for either a full revision or at least a scar revision.
After more research, I am considering replacing my 450/475cc silicone mod plus with 350/375cc or even 325/350cc high profiles. I hope to achieve great upper pole fulness with less width and heaviness on the sides. I'd like the perky, athletic look without being overly fake or round. With the amount they have sagged, I am worried I made need a lift, but hopefully internal sutures can correct whatever is going on in there. When I flex my pectorals, there is a visual abnormality in my left breast that is quite unattractive, but I'm not sure if this can even be fixed or not.
I still say to go with your own gut in scar placement and implant size. Only you know your body. I am trying to be positive and forward in this new year. Hopefully I'll have good news and lighter, younger boobies to share soon!
My Doctor: Tom J. Pousti, MD, FACS
I was able to meet with him multiple times before the surgery date and he called me personally the night before to make sure I wan't freaking out. He saw me the day after surgery for my first post-op, and gave his personal number for after hour emergencies. I have to give him all of the credit for how amazing I am healing, he's a great doctor!