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Allen Gabriel, MD, FACS
Board Certified Plastic Surgeon
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I really need the collective support of realself...

I really need the collective support of realself to get through my explant scheduled on 9/24/14. Here's my story:

I was a late bloomer, slim, and had an athletic build as a teen. My dad teased me quite often about my lack of breasts and then would follow up by saying that I could always get a "boob job." We'll, at the age of 19, that's exactly what I did. It makes me sick to my stomach now to think back on his comments. Who the heck says that to their daughter? I have a daughter and would never dream of telling her anything other than she is beautiful the way she is.

I can't remember the implant size, but I told the surgeon to make me proportional. I was a small b cup. I look back at pictures before the BA and I had lovely breasts. There was nothing wrong my size. When I came out of the surgery, I was quite large and the surgeon told me not to worry. The implants would drop and the swelling would go away and I would love my size. I had gone from a B to a double DD. The size didn't look natural and I looked out of proportion. The surgery was very painful. I woke up from anesthesia and immediately couldn't breathe, which I was told was normal and the chest muscles would eventually loosen. About 2 days after surgery, I started having issues with lactation. I had never been pregnant, but I started leaking breast milk. When I called the surgeon, he told me that my prolactin level must have elevated because of the surgery. Such a weird complication! I now know that prolactin levels can elevate in response to chest wall injuries. It's a problem that I've had to deal with off and on for the last 22 years.

About 2 months after the surgery, one of the implants started to slip. It was very noticeable in clothing. I went back to the surgeon and he replaced the slipped implant. I should have just had them both removed. The surgeon was still insistent that I was still not healed from the surgery and I would get my desired size. This never happened, unfortunately. And over time, the implants have shifted causing a wide presentation and uneven nipples.

After my second surgery, my sister was diagnosed with malignant hyperthermia. This causes a very serious reaction to anesthesia that is genetically passed. I grew to hate my implants, but felt that my now 50% odds of having MH made a 3rd elective surgery too risky. If I knew the implants could be removed under local anesthesia, I would have removed them years ago.

I've had 2 consults and feel confident with my PS. I'm very concerned about having an anxiety attack during the procedure. The dr prescribes a sedative, but said I won't need an IV. I think that rules out conscious sedation. I really really want the implants removed and I'm hopeful that will motivate me to face my fear about being awake during the procedure (such a better word than surgery!).

The procedure is set for 9/24/14. My breasts are soft and the dr doesn't recommend capsule removal or drains. I was told it would be a simple "skin surgery" with little risk of complication. I should be back to work in a week.

I'm not worried about how I'll look after the explant or the recovery period, my only concern is for the procedure itself. I could really use some support.

3 Weeks Until Explant!

Three weeks from today I will be implant free :)

My husband hasn't been very supportive of the removal. I think he's coming around, though he still doesn't believe my that there's a shelf life when it comes to implants. Strangely enough, the explant isn't a conversation I feel very comfortable having with him. We were dating at the time I got the implants and, I don't know, maybe there's a small part of me that blames him for not telling me I was perfect the way I was. I know I need to own the decision to get the implants. Nobody forced me to augment. It was a really stupid decision that I regret and am ashamed of. Definitely not anything I would ever do today.

Speaking of being ashamed, I have teen boys and am trying to decide if the surgery is something I have to tell them about. I'd rather keep this quiet and not discuss it. Any advice appreciated.

2 Weeks Until Explant

I can't believe I'm down to 2 weeks! Still feeling anxious about the procedure, but I'm feeling more determined the closer I get. If I have to start sedating myself a week prior, then that's what I'll have to do :)

I bought a front closure bra this week. I have my preop on 9/22, but have no special instructions to follow at this point. Everything I know about preop stuff really comes from this board. I will avoid aspirin/ibuprofen for the next couple of weeks. The last thing I want is to get to my preop and have the surgery rescheduled because I took something I shouldn't have.

I really appreciate reading through everyone's stories. It gives me the courage to get these bags out of me.

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Board Certified Plastic Surgeon
703 Broadway St., Vancouver, Washington
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