Treatment Provider

Alex Seal, MD, FRCSC
Certified Plastic Surgeon
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No support/help at home following surgery

I feel like I'm in a somewhat unique situation and am not quite sure what to expect following surgery. I live alone, I don't have any family, and my "friends" aren't exactly the stay overnight on my couch to help me through this kind of people. I'm having to pay a friend to pick me up from surgery in a cab and stay overnight the first night, but he is unwilling to help beyond that. I'll be doing everything on my own.
...Which I've been doing for most of my life, so I'm fairly used to it. I was fine on my own following gallbladder surgery, but that is minor compared to being cut open from hip to hip and sewn back together. Pain I am used to, being hyper-mobile I experience a mild-to-moderate level of pain every day. That aspect of the healing process doesn't worry me too much because I know it will pass. I went through holy hell with biliary colic and pneumonia at the same time; I'm confident this won't be as bad.
It also helps that I don't need the fascia tightening because I have never been pregnant (I was just really, really fat) so my pain levels probably won't be as high as most of yours.
Is there is anyone else in a similar situation? Most everyone here has help at home in the form of a spouse or partner, parents, kids, friends... and I don't have any of that. I'm still counting down with extreme excitement; 23 more days! YOU GUYS. 23 MORE DAYS. Pictures soon!

Sizing. I mean, really.

Rant time! It's so difficult to get an accurate assessment of sizes for implants. Even with my doctor. Because *so many women* are wearing bras that are horribly ill-fitting and the complete wrong size, and they'll say "oh I'm a 36D" but they've been misinformed and misled by mall bra stores who make you fit into their bras, instead of making bras to fit you.

And using cup sizes as a starting point or goal or reference doesn't make a lick of sense. A D-cup on me at 5'10" and 165lb is *completely different* than a D-cup on a woman 50 pounds and 7 inches shorter than me; completely different if it's a 30D or a 38D, etc. There's just no actual set sizing and that's a serious frustration.

It would be so incredibly helpful to ask for tangible measurements, actual inches or centimetres, not just someone's opinion of what a D-cup looks like.

Ladies. VS and La Senza and their ilk add unnecessary inches to your band size so that they can make you fit into their bras. Do not add inches to your band. If you have a 32" ribcage, your band size is 32". Not 36, or 38, or whatever VS wants to sell you.

If your ribcage is 32", and your bust at the fullest is 36", you're likely a 32D. Not a 36A or B or whatever you've been sold. Notice how VS only goes up to a D or DD?

You may think that's ridiculous or way too big; I assure you, it's not. I wore a 38B for years cause that's what the 20-year old cashier at La Senza told me to wear. Turns out, I was a 34E. And once I put that bra on, I swear to god a choir of friggen angels began to sing and weep.

Bras may fit augmented breasts differently, that's fair, but unless the correct size band is way too tight, don't get a bigger band! Go to a bra shop that makes bras in your size, instead of one that's trying to jam your boobs into their very limited stock, bras that will only encourage sagging by not supporting you properly.

Yes, larger sizes may cost more. Your new boobs were also expensive. Give them a nice, comfy home.

Date booked!

After a couple months of really looking at what I was getting myself into, and healing after getting into a massive car accident that totalled my car, I had a second consult last week with Dr. Seal.

Since my first appointment in July, I have done a lot more research on implant sizes and profiles on different forums, and have completely changed my mind about the size I wanted to go with. After trying on sizers (incorrectly at first because I'm a massive idiot) I've decided on either 475cc Mentor High Profile Silicone or 500cc Natrelle High Profile Silicone. My doctor only had Mentor sizers so I'm going to have to discuss that with him, and based on my desired look he is going to make the decision for me during surgery. Usually I am the biggest control freak in the history of the universe, but this is the first doctor I actually trust and I am more than comfortable with him making that call. I've been getting used to the general size and heaviness by wearing 500cc rice sizers (when I'm at home) in an old 34F bra from when I was heavier, and the effect is pretty incredible.

Dr. Seal spoke to me about the breast lift he originally wanted to do; now it will likely only be my right breast getting the full anchor lift and a bit of a reduction in size so it matches my left (smaller) breast better, and my left will likely get a crescent lift only.

The Abdominoplasty is pretty straight forward I think, not much to discuss besides the lipo contouring and how low the incision can be, which we'll go over in detail closer to surgery.

After my appointment I spoke with his Coordinator, Kaye (who is amazing) about when they could fit me in for surgery. The date I originally wanted had already been booked, so she told me she'd make some calls and get back to me. She gave me some pre-op paperwork and a bloodwork/ECG requisition, and I signed the consent forms and went on my way. The next day Kaye called with December 15th, which turns out to be even better than the date I originally wanted, due to xmas holiday-work-vacation day schedules, so I booked it!

While some people may call me a pessimist; I prefer to think of myself as a realist. That said, Dr. Seal has really done a lot to alleviate my concerns regarding possible complications and healing and all of the total downer questions I had. I'm no longer anxious about any of it, I am only excited to finally, finally be doing this.

I'll try to get some "before" pictures up in the next little while!

Provider Review

Certified Plastic Surgeon
138 Davie St., Vancouver, British Columbia
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