Treatment Provider

Jeffrey A. Sweat, MD
Board Certified Plastic Surgeon
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4 Year Update

Hi everyone, I am checking in to post a 4 year update. I feel pretty good and I am decently happy with the way my breasts turned out. They are quite soft. However, over the last year or so they seem to be changing. My nipples are lower on my breast and the shape of my breasts is starting to get a bit boxy. I have been nervous something was up for a while because of the change in shape. In the last 6 months, my implant in my right breast will contract with my muscle high up closer to my collar bone and armpit. It is freaky looking. Then a couple weeks ago I noticed that when I take my right arm and cross it above my chest, my right implant every so slightly comes to a point that is facing my armpit. At this point there is a little spot that is hard like a piece of pliable plastic or something. Needless to say that raised my concern a bit. Now today as I feel my breasts to check for anything I can almost feel divots in the implant like large ripples almost except different. The best way I can describe them is like a spot on the implant where its almost too soft. At four years post op I know the typical firmness level of my implants and this isn't quite right. Because of the change in shape I do feel as though I am covering them up more. I am hoping they haven't ruptured but I don't know.

Overall, I do not regret my decision to get breast implants. As you can see in my photos, I basically had a concave chest and I felt like I looked like a little boy. I am already quite petite (I was much more so back then) and felt like people treated me as though I was a child because in some ways I looked like one. I got my breasts done for me and only me and I am glad I did. They have given me confidence and I feel like a strong sexy badass woman. Don't get me wrong, there have definitely been challenges along the way, but overall I can't this decision. Now if my implants are ruptured, will I exchange them or take them out? I am not totally sure. I do feel like I have (mentally) outgrown the size of the implants I chose and would potentially chose smaller down the line. I also really don't love the ultra high profile look. It just looks a little too fake and especially for someone like me who doesn't share that I have had them done, I just don't love that. Doing it again, I probably would've walked away from the surgeon who performed the surgery. He did a fine job, but his bedside manner was frankly insulting. I would highly consider doing a different profile and maybe really ask that they place them further in as I have chronic side boob lol.

Also, I can't give this 4 year update without being truthful about the serious decline in my health since I got these implants. I am not hear to talk about BII (no shame if you are, I just can't think about that rn) however I have had many of the symptoms people associate with BII. To be fair, my health wasn't fantastic before I got my boobs done. I was very sick when I got them done (read previous post for more info) and I frankly should not have been cleared for surgery as I ended up hospitalized with double pneumonia. Pneumonia wrecked my health. My lungs haven't been the same since, and I have contracted pneumonia 3x since and multiple bouts with month long bronchitis and sinusitis. I have been diagnosed with Fibromyalgia, Lupus, and am suspected to have endometriosis as well. This may sound to you like the breast implants caused these things, but to me I was already predisposed. My mom has endo, my aunt has fibro, and I have had immune issues my entire life. Whether the breast implants, my genetics, environmental factors, or whatever caused these health issues, focusing on the why isn't helpful or beneficial for me. I honestly believe it could've been the pneumonia and the surgery that triggered this as much as putting something foreign inside me. Also, I went through some major trauma in my life in the last four years that could have also caused this. Hear me out, I am not making excuses for the choices I made out of pride and vanity. I understand that those decisions can have consequences. However I know the research and that anything really could've triggered these health issues, so for what it is worth, I don't regret it. It boosted my confidence so much that my personality has blossomed and I have fully taken charge of my life. I am not who I was 4 years ago. Now I am strong, and confident, and crazy enough to pursue whatever I want. Again, I can't say that is all the implants because we all know the transition that happens when you hit your mid twenties and suddenly life just gets so much better but yeah I am proud of myself. Also though I may still need to get them replaced at only 4 years which sucks massively as the price for a breast augmentation has greatly increased in the past 4 years and somehow I am making less money. But it is what it is. Fingers crossed that that Sientra warranty comes in clutch if I need it to

1 year post

Hey everybody. I can’t believe it’s been a year since surgery! Crazy!!

I’m just now writing this review because the aftermath of me not acknowledging how terrible I felt pre-surgery was quite traumatizing. For any of you reading this, IF YOU ARE SICK DO NOT HAVE SURGERY!!!! I know that sounds obvious but seriously. I ended up with bilateral (both lungs) pneumonia and was hospitalized for three days not including the day in the ER. Then it took 8 months to recover from pneumonia! $23,000 if medical bills (with insurance) is way more than a $6000 surgery. Not worth it! This was not simply because of surgery but 100% Because I was selfish and risked my life because I wanted to have boobs right then versus in 5 months when it would work to have surgery again.

Needless to say, that was incredibly difficult and I never want to have to go through that again. The side effects of that have hugely outweighed the side effects of getting my boobs done. I couldn’t do cardio for 8 months even though with boobs I had to only wait 8 weeks, because my lungs would burn when I tried. I have had serious health issues (very low immunity too) and chronic back spasms because of it and I just really hope you are all smarter than I was. Again this was not at all the doctor/nurses fault but only mine because I knew how sick I was and I tried to psych myself into feeling better for surgery.

I’m just saying this so if someone is on the fence about rescheduling because they aren’t sure if they are well enough to go through with it, just reschedule. Your health is not worth compromising.

Now to the fun stuff! My surgery went great! I was so nervous the night before that I wrote an advanced directive ???? probably because I knew I should’ve waited. Anywho, going in I was even more nervous. The nurse checked me out and my temp was good so I was all set to get my iv. I was pretty nervous about the iv but it went right in with only a little prick. They rolled me in to the op room and moved me onto the table. It was so cold in there but they gave me a heated blanket and socks. I was talking to the anesthesiologist at 1,000 wpm about how nervous I was to go under so he told me he’d give me something to calm down. Next thing I knew I was waking up! Tricky anesthesiologist but honestly thankful he did that. It seemed like it took 2 seconds and I was done. I was very loopy and tired but they gave me some oxygen and that felts very nice. Honestly probably mostly because of being sick and not having much oxygen intake anyways. My boobs were so hard but also so weird and kind of flat still. My mom was waiting for me and took me back to the hotel we were spending the night at. I was still quite loopy at this point mostly from the heavy pain killers but I knew I was in a lot of pain as the anesthesia wore off. I took more Meds and I fell asleep. Sleeping sitting up was hard but it was also great because I could breathe better (Bc pneumonia I didn’t know about yet). The pain killers made me feel so dizzy and nauseous that I quit taking them after my second dose. After that I switched to I think tylenol and it worked great. My boobs were so flat the first day, the second day they showed up more and it seemed like it took three weeks or more to see how big they were actually going to be. Other than being sore, I had a basically painless recovery!! Sitting up and taking baths were the hardest part because someone needed to help me as I couldn’t use my arms. Because of being sick/recovering from being sick I slept as much of the 6 weeks as possible and the boob job part of it all was nothing compared to the recovery of having severe bilateral pneumonia.

I’m beyond happy with my results with Dr. Sweat! He did an excellent job.

I love my size!! I will say though that next time I do this, I’ll probably go a bit bigger so I have less space in between and I’ll probably do teardrop so they sit more naturally. Other than that, they look amazing and I love them! Also just want to add that I was a 32a before and now I’m a 32d (32dd at vs).

Day 1 Post op Squishiness update

Day 1 post op squishiness
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Provider Review

Board Certified Plastic Surgeon
3000 S St., Sacramento, California
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