I am a 24 year old student, no children or weight...
After consulting with 3 surgeons I decided to book my surgery with Dr. Jugenburg in the end of July. The actual size of my breasts is fine for me, but if I only got a lift, I would still be asymmetrical as my right breast (the pictures are taken reversely) is approximately 75cc's larger than the left. My breasts are also very bottom-heavy, so I was told implants will also give me upper pole roundness/shape (thoughts anyone?) Two of the surgeons I consulted with recommended a reduction in the larger R breast before the lift/implants, so I will be getting a R breast reduction (to match the left), a lollipop incision lift on both breasts, and saline implants on both breasts.
I went back and forth on saline vs. silicone, and decided on saline. I was told that since I have a lot of breast tissue/thick skin already, I won't be able to feel the implants anyway by touch and rippling shouldn't show through as much. Cost was a big factor for me as well. But overall I just remind myself that the closest to breast symmetry is my main goal, and saline allows him to try to match them as much as possible in the operating room. Picking 2 different sized implants if I wanted silicone scares the crap out of me. I hope I made the right decision!
I am terrified of doing a lift and augmentation at the same time. I understand they are two opposing forces, and I've seen some horror stories of healing after doing both at the same time. If I had the money and time to do them separately, I most certainly would, but it is not an option for me. If anyone has undergone both procedures together, any words of wisdom would be appreciated!
Also, I have NO idea what size to pick for the implants. I'm actually fond of naturally small, perky boobs, but I've never had those and I think they'd look odd on my shape. So I'm opting for going bigger, hoping to get some of that upper-pole roundness (thoughts?). Without the sag I don't mind the size of my R breast, but as it will be reduced I need to try to guess what size is right to make me just a little bigger than my natural R breast size. I know the lift will also affect the shape/size as well, and I know they look smaller once they're in. For a long time I was just going to get a R reduction and lift, but I would still dislike the shape of my breast so for the extra couple thousand dollars I think implants are worth it in hopes of rounder shape. But I also need to consider that the bigger the implant, the more it'll affect my lift/healing/areola which is my primary concern so I'm tempted to go smaller... I have went to 2 sizing appointments at different clinics, and I'm all over the place. I'm thinking somewhere between 300-350cc moderate to moderate-high profile, but I don't know what will give me the closest to the wish pic? I honestly have no clue and would appreciate any input! (I have my final sizing appointment 2 weeks before my surgery, so I'll need to decide by then!)
I'll update after that appointment, but overall I'm super nervous. I'm not familiar with anyone who's had cosmetic surgery before, and the internet is only so helpful. Any insight is appreciated :)
Operation day/Day 1
If any of you are looking for a play-by-play, here's how pre-op went:
-Kim double checks your medical information, takes weight and blood pressure, etc. She checked in on me and brought me a magazine since I had to wait alone for an hour which was nice; you are in good hands with this team.
-Dr. J re-takes two sets of photos, measurements, and draws his references on you
-I asked him if I could re-show him my wish pics just to remind him prior to surgery, and he said this is helpful, so I'd recommend having them on your phone or on your body when you go into pre-op. I told him I trusted him to pick a size proportionate to me in the OR, and reminded him that the lift and areola size were most important to me rather than the sizing, so any incisions he had to make to help me reach my main goals were fine.
-Met with the anesthesiologist, asked questions
-Went into the OR, met the nurses/assistant surgeon; strapped down, put on a drip, and sedated
-Procedure took approximately 2.5 hours (from what I remember), I was in recovery for about 45 minutes. They gave me percs and I threw them up immediately even though I hadn't been feeling nautious. They told me to start my antibiotics the next day instead of immediately back in the room because they didn't want me to throw them up. I threw up again once I got back into the hotel room; for the consideration of everyone, make sure to put the plastic laundry bag in the closet in the garbage can as they're not lined :)
Wheeled into the hotel room, luckily got 2 double beds (some people had to take a single king due to availability). I was pretty awake for a few hours after, no real pain (still coming off the drip), had some family visit me from out of town. It's amazing how everything changes within a few hours; by the evening the soreness came on, and I couldn't close the bathroom door on my own. I watched a few hours of TV and slept. I kept on top of my pain meds because it's easier to stay with them than to feel too much pain and try to catch up to it. I needed help from sitting to standing (have your supporter put their hand between your shoulderblades and push you up, not pull on your arms), and I couldn't close the bathroom door.
For Canadians out there, I wanted the donut-shaped ice packs for my breasts but surgery websites were charging $50 for them. All the reviews I read on this site were American and it seems like there's lots of places there that offered them, so I checked the same stores here. I checked Shoppers, Target, and Babies R Us pre-op and couldn't find anything - but then the Superstore! Seriously, go to the grocery store, they had a kit for $13.99 that has breast-shaped heat/cool packs and fabric casings so it doesn't stick to the skin, a bunch of underboob absorbant gauze pads, and then of course a journal and such intended for nursing mothers. There's no real research that shows icing does anything, but it's more of a comfort thing; my breasts are warm to the touch and I look forward to icing. I drank some ginger ale and ate a plain pretzel bagel which I kept down just fine, I'd recommend having crackers or pretzels or something easy in the room you can eat with your meds even if you don't feel that hungry.
I'm very sore but not really in pain, if that makes sense. My boobs are so swollen and warm but I really do love them so far! I'm so anxious to see the scars and size of my areola, but bandages can't come off until next week. I'm also excited for them to get softer and drop, because I was nervous that I have a wide sternum and I don't want them to look like two perfect circular balloons stuck to my chest and fake which they kinda do right now lol. But I know so much can change over the next 6 months. Of course one looks bigger than the other, they're high up and kind of square shaped, but seeing all the reviews and pics here helped me to expect all this :) That's why I wanted to pay it forward with my own, I hope this helps someone a little bit!
When I had spoken with him pre-op he had told me "matching scars" (lollipop) and I didn't want to go bigger than 425cc. I asked at my follow-up what happened and it turns out I have a lollipop on the right with 425ccs and and periareolar on the left with 480ccs (?!). I know people say there's no real difference between 50-100ccs, but there is obviously no truth to that logically; there was approximately 75-100ccs asymmetry between my breasts originally which is what made me want to get surgery in the first place! So like I said, I'm trying not to panic; trusting his judgement is part of the process... I'm really looking forward to them shrinking and settling.
I've had a rough few days; I was experiencing a lot of pain and burning, nausea, and vomiting, so I haven't been eating much which made things worse. I don't know why I was so surprised by that reaction, but I think things are looking up. I called Kim for advice when the pain was the worst a few days ago, and then called her again to ask for a couple more lorazepam since I think anxiety was playing a factor; one thing I really appreciated was that she didn't question my pain or need of the medicine, which when you're in that state is so helpful. Turns out the lorazepam wasn't effective after my first pill but I'm grateful I tried it anyway.
I went to my post-op yesterday and begged the nurse to take off the tape; I was having skin integrity issues, and have little blood blisters under the skin from where the tape was pulling so hard from the swelling. It was causing a lot of burning and pain that the double percocets and lorazepam weren't helping at all. Since its removal I actually slept for the solid 3 hours between pills for the first time! I don't want to compromise the healing, but I'll keep on top of my massages and the surgical bra never comes off so it should be okay. I'm to start gentle "massages" to move the implants around (not the skin). I nearly saw stars when he pushed them together to show me what to do - ouch! But it'll be worth it in the long run so I popped a T3 and have been very very slowly and gently doing what he told me to do, I don't want to irritate the incisions. Finished antibiotics today.
So my boobs are very large, sore, hard, and distal (outwards bumping into my arms), but I'm sure these things will improve with massaging and time! Optimism never hurts; I'm taking pictures of everything along the way so I can do comparisons down the line, the changes are pretty fascinating.
They're softening with massage now, but still very hard. My right breast is still numb on the side that touches my arm, my left I have full feeling in. But overall I think things are going well! When I get caught up in little things I don't like about how they look right now I remind myself to be patient, and I look back at my post op pics... Then I love my boobs :) Follow up appointment next week, anxious to see the scars!
Tape removal 1 month
I feel like this is where Kim and the team deserve recognition. Though I've certainly had administrative issues in the past, once the surgery was completed I have had no issues at all. They have been far more prompt with my follow up appointments, always squeezing me in when 'emergencies' popped up, and always responding to emails and phone calls quickly along the way. I can't praise Kim enough; between quickly faxing a new prescription for me when I was at my worst, reassuring me when some of the stitches opened on a late Sunday night, and being supportive and prompt when I had issues with the surgical bra, I have really felt taken care of and respected through the recovery process. I think the team puts most of their time and energy into actual patients more so than at consultations (who knows how serious some people are for surgery? I don't blame them) so I can certainly see how that may explain the drastic shift in service (not like anyone was ever rude or unhelpful at any point in the process though!). Anyway I did want to send out kudos to the team, because when that panic sets in a little bit and you're wondering if things are going wrong, Kim knows exactly what to say to calm those anxieties and not make you feel bad for needing help!
What I've learned the most from this is to trust your gut. The surgical bra not fitting QUITE right, the little bits of pus that didn't seem like a big deal resulting in open stitches, the tape hurting more than what seemed fair (causing skin tears, burning, and weeks of sleeplessness), all of those things I felt like I was being a big baby about and were just part of the process. In fact, in each of those instances I waited days if not weeks before asking for their professional opinion, which means I was in pain a lot longer than I needed to be. So don't let your ego get in the way like I did, trust your gut and ask for a second opinion (not to put down any of the other RNs, but it seems like Kim has seen it all and is confident in her recommendations so I'd recommend speaking with her directly).
It seems like a small thing, but the fact that he showed me full attention when I was asking questions was why I chose him. I am now very confident in my choice, especially after meeting with 2 other surgeons. He also didn't try to convince me that there was nothing wrong with my left breast as another surgeon had done, so I didn't feel judged. It also seems like he is competent with breast lift techniques (vertical sling) and as this is my main concern, it appealed to me. I've had some administrative issues with the clinic that are concerning to me (no one replying to e-mails, when I've left messages or canceled appointments they have not called back or canceled as per my message, incorrect cost quotes, them being 1-3 hours late for EVERY appointment I've had so far), so it hasn't been the most professional experience on that side of things. Also at my last appointment Dr. J noticed that they had ordered silicone implants for me when I had never considered silicone due to cost, so I'm extremely lucky I had made another appointment just before surgery and he double-checked or I would have had to cancel my surgery the day of as I cannot postpone my time off. Ultimately everything worked out in the end, and I found it most important to trust the surgeon than anyone else in the office at any clinic. The rest of Dr.J's office is extremely kind and quick to rectify problems (Nora has been fantastic at replying promptly to e-mails), so they do have a great team who will make you feel comfortable.