Bruce E. Genter, MD, FACS (retired)

Dr. Genter performed my breast augmentation (505cc, silicone under the muscle), along with a mini lift, on May 18, 2018. I’m already so thrilled with my results! He’s retiring at the end of June, so hurry up if you want him to be your surgeon! It is SO WORTH IT!

I had thought about getting a breast augmentation for 3 years now since my last son was born. My breast completely deflated after nursing 2 children. I'd say I was about a 32A before augmentation. I went in for my surgery today and I was so nervous! My doctor and the anesthesiologist made me feel so much better. I got a shot to calm me down before going to sleep for the procedure and thank God I did. It made everything way less stressful for me. Anyway I fell asleep within seconds and don't remember anything from my 1.5? Hour surgery. When I woke up the pain was minimal. I was shocked at how little pain I was in... I slept on and off today all day (today's my surgery day) but I'm totally mobile and can even wash my face, cook , and dress myself. The pain Medicine combined with the muscle relaxer is a life saver. Today is Friday the day of my surgery and I'm seriously considering going back to work Monday ( I have a desk job). Anyway, I went with 450 cc silicone high profile mentor implants. They look big but not crazy ridiculous big. I couldn't be happier right now with everything. Thank you Dr Genter!... I'll be posting more pictures through out my healing process ????

Hello everyone,
I have been suffering from thinning hair since I was in my late teens, early twenties, particularly in the corner's (widow peaks). Over the past few years, this thinning and balding began in my crown area as well, and has become quite noticeable. I attribute my hair loss to a variety of factors: my grandfather has high widow's peaks, we used to call him Mr. MnM head or McDonalds Head as kids. I am also a U.S. Army veteran, and attribute a lot of my hair loss to the stress of being in the military, particularly as my hair loss intensified greatly during my time in the Army. Ever since my enlistment in 2010 I have worn a high and tight haircut with the sides shaved down to skin level, and my top kept not longer than 5 or 6 inches. This haircut enabled me to use a good comb over, and the shaved skin sides gave others the perception of denser hair on my crown and front-top, even though these areas were thinning. I got out of the military in 2015 and since then have continued the high and tight style haircut. I am pretty physically active and do resistance training 3 or 4 times a week. During my time in the military i also completed a bachelor and master degree in history. Since my discharge I got a good civil service job and started, and presently very close to completing a Masters in Library Information Science.

Too Long Didn't Read: After a stressful career and unfortunate genetics, I found myself with noticeably thin hair on my crown and front, and finally feel financially stable enough to do something about it.

I tried Rogaine for about 6 months, to no avail. I also tried eating much more healthy, and taking plenty of biotin and a good multivitamin to get my hair the nutrients it needs. This too did not assist my hair loss situation.

I began looking into hair restoration with Neograft about 2 months ago. The strip method seemed far too risky in general, and the thought of cutting out a portion of my skin and sewing it back up disgusted me. I was very interested in Neograft after reading a good amount of reviews and experiences of individuals across the world here on RealSelf. The procedure seemed to produce very good results, with minimal side effects and little to no permanent scarring.

I found Doctor Bruce Genter through RealSelf. He is a local Plastic Surgeon here in Philadelphia. I did homework and reached out to other doctors as well to get appraisals. Dr. Genter's staff, including his receptionist, and patient coordinator were very kind, knowledgeable and informative. At first I thought Dr. Genter may not be the best pick for me, primarily because the majority of his practice is for breast surgery patients. After a primary visit to his office however, I noticed that there is a designated NeoGraft room in their facility. I was shown a orientation video for Neograft, one that you can easily view online, and was given a personal evaluation of my hair loss state by Dr. Genter. Dr. Genter advised me that I would require around 2,400 to 2,500 grafts which first surprised me. I am a very curious, research-oriented individual, and before visiting doctors, I had viewed various information sources including RealSelf, Youtube Videos, etc to understand how many grafts and hairs are typically within a square centimeter. However, my hair is thinning, and not entirely bald; Therefore I was uncertain exactly how many grafts I would require to attain the density I desire.

After this analysis by Dr. Genter I was taken to his patient coordinator, a very kind, smart, and informative women. She gave me price quotes first for 2,500 grafts, which was around 9,000 dollars. Dr. Genter's office offered me a 20% discount off the entire price of the surgery, plus a 1000$ off one-time bonus for whichever number of grafts I chose. I was surprised to hear that if you choose lower than 2000 graft surgery, the price per graft goes up. Anything above 2,000 grafts the price per graft is less than a surgery under 2000 grafts. A good way of marketing by Neograft!

I choose the 2,400 graft option in order to fit my budget. The cost was around 8,600 dollars. I had to make a one time 500 dollar deposit to secure an appointment. This deposit would of course count towards my final payment for the procedure. I set the date for my procedure approximately a month after this meeting. Dr. Genter's office was very flexible and worked with me to get a good schedule. The total cost included several light sessions designed to aid with healing and graft survival post-op. It also included special shampoo and conditioner designed to do the same.

About 2 weeks before my procedure I had another pre-operative appointment at Dr. Genter's office. At this time I made final payment and received my pre, and post-operative instructions pamphlet. I was also given several prescriptions, one for pain, one for swelling, an antibiotic, and some muscle relaxers. I filled these prescriptions well in advance.

On the day of my surgery I arrived to the office bright and early at 6:45. The two Neograft technicians were on site and getting the room ready. It is important for me to note that the way this process works, at least for me, is thus:

Dr Genter made the determiniation of how many grafts I needed, and designed the cosmetic plan for me, such as where to place the grafts. It is the technicians that actually do the work. Dr Genter and the technicians drew in permanent marker all over my scalp to determine the frontal hairline Dr. Genter designed, and the areas in my crown needing grafts, and of course the donor section. I arrived at the office with my normal hair length on top (around 4 -6 inches) but had gotten a skin shave on the sides and back the night prior to surgery. The technicians strongly urged me to let them give me a buzz cut all around , as this would greatly assist them in doing a good harvest and implant job. I was a little heasitant but figured it was not a big deal. So they shaved me. The technicians, two of them worked in my case, first numbed my donor area. I am a pretty big, tough guy (at least I think I am), and let me tell you, the number of times they stuck me with anesthetic needles, and the actual injection of the medicine hurt like hell. It felt like they stuck me all around the donor area a million times, and it did hurt. It was bearable, but still, I wasn't expecting that many injections. One technician then extracted the grafts from the donor area, which did not hurt at all because I was numb. The other technician took the extracted grafts and sorted them by how many hair follicles were in each graft. I was told in my case, my grafts contained mostly two, three, and four hairs per graft, which I was told is great because it will increase the density of hair in the recipient areas. I was face down on a hospital/doctors office bed, (with no arm rests!! which I hated because my shoulders are so broad) during the entire harvesting process, which lasted about 3-4 hours. It seemed like it would last forever.

After this, the technician started poking me with holes in my recepient areas where the grafts will be implanted. This required yet another injection session (which felt like a million tiny stinging pricks all over my scalp- it really did not feel very good), and my head felt blown up first like a water balloon, and then like a rock or football helmet. I could not feel a thing. The technician punched 2,400 holes in my recepient areas according to the pattern they drew on my head in the morning with permanent marker. It is the technician that actually does the styling, and it is the technician's skill, precision, and attention to detail that determines the results of this procedure. For example, the technician has to make the incisions at the perfect angle for the hair to then grow in, and in the right places to create good results. My technicians were very comforting, and demonstrated care for my situation. I will say that it was quite uncomfortable to lay down in a prone position on my belly for 4 hours straight. Although it felt better than being on my belly, laying in a somewhat elevated position (approx. 45 degree angle) on my back to do the implant work for 4 or 5 hours was also discomforting.

I did bleed a lot, although for most of the session I was simply listening to music on my phone, and sometimes doing light browsing and texting. I had to move very carefully and notify the technicians each time I wanted to move part of my body. We broke for lunch at around 2:00. Dr. Genter's office ordered and paid for a lunch for me from a local Italian restaurant which was very nice.

The implant process took quite a long time, and every once in a while the technicians had to inject more anesthetic, and frequently "tested" areas of my scalp to ensure I was thoroughly numbed before they started making holes and implanting. The technicians implanted each graft by hand with what looked like tweezers. I have to give the technicians great credit. This is very meticulous, granular work that requires extreme concentration, precision, attention to detail, and dedication. They worked for almost 10 hours on me, and maintained a high degree of professionalism and kindness.

Finally after what seemed an eternity my procedure was done. I was given a good post-op review with Dr. Genter and his staff, who treated me just like family. I was also given good professional instructions by the technicians.

I got to know the two technicians. When I first researched Neograft I was a little wary that the technicians were actually doing the work, not the doctor. This made me hesitant and properly cautious of this type of procedure. The technicians working on me have worked in hair restoration for over 15 and 20 years respectively. Both of them worked on Bosley, and Strip methods, prior to the revelation of Neograft which they both started working for in 2010. They were truly experts and professionals which put me at ease.

It is now a few hours after my surgery. I dont feel much pain, but then again, I have taken a few hydrocodon, anti-swelling, and an antibiotic. I have a pressure bandage affixed to my donor area, which must remain on for 48 hours. After 48 hours I can take off the dressing and gently pour warm water mixed with baby shampoo over my entire scalp, but only massage the donor area. I can then apply neosporin daily to the donor area. I have to be extremely careful with the grafts for the next 2-4 days, but I will baby them for the next week as I am off work.

As far as being able to go to work the next day, part of the gimmick you hear about neograft, I highly doubt this is possible. One because of the pain, Two because of the delicate, vulnerable state of the grafts, and Three because this would require someone with literally no shame or who works at home, or doesn't interact with the public, because your head is probably going to look messed up. I am taking the next 10 days off work until Thanksgiving (the 23rd) here in the U.S. to recover. Make sure you have someone to take care of you. I am not allowed to bend over, or get up and do much of anything without being very careful. I also have to spray the implant area with a fine mist of saline every few hours to keep them moist.

Feel free to ask me any questions.
I will keep this thread updated as time goes on.

Sam

Updated on 27 Nov 2017:
Tomorrow will mark the two-week post-op date for my 2,400 neograft surgery. The first two weeks were a little difficult, not too bad. The first few days required being very careful where to sit down, how to lay down, staying indoors, etc. My wife washed my hair for me after the third day via the baby shampoo gentle rinse method with a cup of warm water. I did this once a day. For the first two or three days I used a sponge bath for the rest of my body. I did not encounter too much swelling post-op, however there was some discomfort in the back of my head (donor area). I took pain pills for the first 10 days. Days 6,7,8,9, and 10 perhaps did not require pain pills, but as I had them and was staying at home anyway, I took them to sedate myself from the discomfort. At day 9, the heavy scabbing that formed over all the receipient sites began to flake off. I was returning to work on day 10 and therefore wanted the scabs to be gone. On day 9 i put baby oil gently on my scabs and let it sit for 25 minutes, and then rinsed with baby shampoo, gently massaging the recipient areas (no picking) and this did wonders for getting the scabs off. By morning of day 10 I was virtually scab free (at least noticeably). On days 10-13 there was still noticeable pain in the donor area, however managed by a few motrin every 6 or 8 hours.By day 13-14 I find is finally subsiding.
It is nice to have a visible hairline, due to the transplanted hairs. I know that these transplanted hairs will shed in the coming weeks/months anyway, however, this is all a portent of lasting growth to come later.
I have gone to Dr. Genter's office twice now for a light therapy. As I am at the two week mark now, I finally feel comfortable taking a normal shower with special shampoo and conditioner products, sleeping without a neck pillow, and wearing non-button down shirts all the time. I can also start going back to the gym and doing light workouts.

Will post again in 2 weeks.
Cheers

Updated on 15 May 2018:
Hair growth is a slow process. At six months, the transplant sites are definitely growing in. There is still a lot of prickly baby hairs that are just beginning their growth stage from the transplant -so I am hoping over the next several months to get better density.

Updated on 12 Aug 2018:
Areas are filling in well, however I still feel a prickly baby hairs in many places in the crown and front corners. I have read and heard that full thickness/density results can take up to a year - year and a half. Still satisfied with the results so far, and glad I had the procedure.

Breasts are something I’ve always dreamt of having. Although my girls were about a DD while nursing my only daughter, they are NOT anymore. Not only do I workout, but the gain and loss of weight over the years did a number on them. I’m lucky to fill a 36B. I am so excited about this surgery. I just want to refill them and have my body proportional. I have wide hips and a plump booty.

I’ve already had two consultations this year. I scheduled my surgery for December 1st with the second Dr that I met. His personality, knowledge, and humor are what sold me. The first doc I met actually belittled me for the tattoos I have on my bicep and sternum. Welcome to 2017, old man. Everyone is welcome to an opinion, but his certainly wasn’t one that I felt a Doc should be giving.

I have a beautiful daughter who I am very open and honest with. She’s in her early teens and her breasts are bigger than mine! It’s an inside joke among my girlfriends and I: “where the hell did she get those!?” She is fully supportive of my surgery and even jokes that I will finally have bigger boobs than her! I’m a lucky mom. Boyfriend is also amazing and fully supports my decision. Anything to make me happy. He knows how hard I am on my current boobies - or lack there of.

Pre-op is in about ten days. At my initial consult, we decided on 450cc silicone unders with a possible lift - periareolar mastopexy. He won’t make the decision until he gets the implants in. I’m on the border, so I’m trusting him to decide. If I’m paying this much for some boobs, I want them to be “the [RS bleep]!!” Of course, I’ve been mulling over so many pictures and reviews of gorgeous boobs, that I am second guessing my choice. I think the only thing I’d change is possibly going to 475cc to account for the loss of going under. Who knows! My bf is coming with me to the pre-op for a second opinion. Anyone else do this? I’m just so damn excited to squeeze some juicy full boobies in my hands - on my body!!!!!



Updated on 7 Nov 2017:
I love these. I wish I could credit the owner, but I found them posted on someone else’s RS wish photos without credit. I showed them to my boyfriend and his eyes lit up like I’ve never seen! I still laugh when I picture his expression.
My pre-op is in less than a week. I’m starting to get nervous about surgery! I do not take narcotics so I am starting to worry about the pain. I think I will be okay. At the most, I’m planning on taking Tylenol and muscle relaxers. I am getting way ahead of myself though. I don’t even know what my doc will prescribe. Seems to be a trend around here.... =)
Originally chose 450cc silicone. I am leaning more toward 500. Maybe even 475. I trust my PS and will go with what he suggests based on my frame. I don’t know my bwd, so it’s hard to compare. Surgery is just about 3 weeks away. Can’t waitttttttttt

Updated on 15 Nov 2017:
Went for my pre-op this week. My boyfriend accompanied me to the appointment. I value his opinion. We have always been painfully honest with each other. He loved my Doc. Helped me remember questions that were important.

Holding firm on my 450cc size. I didn’t even bother showing the Doc my wish boobs. I trust his judgement on my body and the size that he is recommending.

Surgery all paid for. I am the first procedure of the day on December 1, thank God. Got all my vitamins and prescriptions from the Doc. Almost two weeks away and I’m so excited!!

Updated on 29 Nov 2017:
Found out this past Saturday that we are moving on Dec 15 - the weekend before Christmas. Holy [RS bleep]! New boobs, new house. My friend said I need a bigger house for
my bigger boobs.
Surgery is in two days. Started washing with cleanser last night. I’ve been taking my recovery vitamins for almost two weeks. They are amazing. I take them morning and night. Let me tell you, I feel like a million bucks! I’m going to try and find a supplement to take continually that is close to those.
The new house has been the perfect distraction. I am so busy and excited in setting up everything for that that my surgery has barely been on my mind. Two more days though!

Updated on 1 Dec 2017:
Surgery went great. They complimented my patient manners. Said I was a pleasure. I don’t think I did anything. Nurses are saints!

Got to the surgery center at 6:15. Doc was right on time and after prep, I made it to the OR by about 7:15. Everyone was wonderful and I was very comfortable. Cocktail is the last thing I remember before waking up. We were on our way home by 10:30.

Woke up overhearing the nurses talk about how beautiful my new boobs look. Doc gave me numbing stuff in my new girls. I’ve only been taking Tylenol and so far, so good. Sternum is a little sore, but Tylenol takes it away. It’s about 5:30, so I’m 7ish hours out. Hoping my pain stays this manageable. My boobs are high and tight, of course. Ecstatic so far.

Updated on 3 Dec 2017:
Haven’t had any trouble sleeping. No severe pain. Worst part is tightness but very bearable. My PS wants me using my arms to avoid getting stiff, so I’ve been working on that. Just took a shower, washed my hair, and dressed with no problems. I love them so far!

Some swelling has gone down already in cleavage area. Not as square. Just taking it easy.

Updated on 7 Dec 2017:
Feeling frustrated with being dizzy. I’ve only taken Tylenol for pain. I’m taking Bromelain, Arnica Montana, multi vitamins, and flexerol. I’ve stopped taking Celebrex as it may have been a culprit for the dizziness. I put my glasses on today and I felt a bit of relief. Go [RS bleep] figure.

I’ve been back to work since Tuesday - Today is Thursday. I have minimal pain and my range of motion in my arms has greatly improved. I can lightly reach above my head with no stiffness. I go for my first post op appointment tonight. I am excited to hear what Doc has to say and what my next steps are. God I can’t wait to have sex!!!!! And go to the gym! I put some pics up from after my shower this morning. The girls are beautiful so far. I can’t wait to squeeze them!!!

Updated on 13 Dec 2017:
I’ve gotten almost all mobility back. At 6 days post op my doc wanted me doing everything I’d normally do except heavy lifting. They encouraged me to move and stay loose. It’s helped so much! I just don’t lift anything heavy or use my pec muscles. I love how they look so far. Still numb in left areola. Breasts still tender to the touch. Starting to get some bounce. My sternum isn’t swollen any more. I can begin to squeeze them together. Recovery is certainly a long process but every day there is some improvement somewhere.

Updated on 20 Dec 2017:
Incisions are closed, no swelling or redness, and everything has been feeling great EXCEPT a sharp nagging pain behind my incision that feels like it’s getting worse. I arched my back to reach upward Sunday night and I’m nervous I did something. Like I said, my incision is fine and the rest of my breasts. It definitely feels internal. Called my PS and we moved my one month follow up from next week to tomorrow so he can take a look at it. Anyone have any thoughts? Pics attached. Everything else is great! The dark spot on my one incision is just sticky stuff left behind from tape. I’ve been scrubbing it off.

Updated on 2 Jan 2018:
Happy new year! Even happier tittiesssss! I seriously feel like a better version of myself. It’s so wonderful. They finally have felt like they belong to me. For the first few weeks, it was like two attachments on my chest. Now, they just feel like mine. I’m very happy and have no pain anymore. Their softness varies. Sometimes one will be softer than the other. I get so excited when they’re soft and squishy. In the beginning, it seemed so hard to believe they’d ever soften up. My teen daughter squeezed them a bit yesterday and was impressed at how real they felt. I’ve attached some pictures! Yay! I swear it’s so easy to be critical of photos. In person, they look straight, even, and perfect. Then I take a photo and pick it apart. No thanks. These babies are beautiful and they’re mine =)

Excellent work! I've had my breast implants for 10 years now. No problems ever, & they look great! Great staff, fantastic surgeon. Answered all of my questions so there was no confusion about my surgery. Worth every penny.

Excellent doctor. Extraordinary work! Had breast augmentation and rhinoplasty and totally trust him. Very caring and gives very thorough examination and follow up. Friendly polished staff too! I was very pleased and impressed with his professionalism and his service.

I have been a patient of Dr. Genter for about 20 years. I have been extremely satisfied with the excellent results I've gotten from Dr. Genter's skilled hands, knowledge, experience, and judgement. He is the only one that I will use to achieve the results that I desire.

I am 48, and as an adult, my weight has gone up and down. In the last 20 years I have not been able to get to my goal weight. I also had 2 children, one of which was a c-section. Even though I am not at my ideal weight, I exercise and am generally healthy. Of all the changes that age, weight gain and pregnancy bring, the only thing that I really felt badly about, and made me feel self-conscious, was my big flap-over stomach. It looked bad and felt bad and made it hard to get clothes that fit.

After losing 20 pounds last year, I finally decided that I was going to fix the problem. Best decision! I couldn't be happier with my results.

I had thought about having this work done for some time after hitting my weight loss goal. I first visited Dr. Genter two years ago, but didn't have the procedure done because I thought there would be a "better time". That is my only regret, I wish I would not have waited and had this done two years ago. I went back to visit Dr. Genter in June and decided to immediately book the surgery. I had it on July 27th but couldn't be more pleased. Dr. Genter is a master of his craft, as are everyone else who works in his office. Donna, Melissa, Jane, Charlotte are all top notch people to deal with. Being a male getting this type of work done is naturally a little awkward, but they all make you feel right at home with every interaction. If you are a male struggling with body image issues due to previous obesity or otherwise, I suggest you run and not walk to have the work done that you think will make you feel better about yourself. Beware of reading articles and videos claiming "how bad/painful" these procedures are. The first couple of days are a little tough but you just have to suck it up. I was up walking the day after surgery no issues, off of pain meds 3 days later. 6 days after surgery I walked 3 miles, next day 5 miles, next day 7 miles, and have been walking between 3 and 7 ever since. The hardest part about this for me is the sedentary aspect of not being to do my normal workouts, but time will fix that. Again, if you are considering having something like this done and have the means to do so, do not think twice about it, and I highly recommend Dr. Genter without any hesitation.

OMG... my surgery gonna be in a day... i am soo freaking out....I still cant believe it.The dissension to do my boobs was pretty hard for me- a lot of researches, different dr, consultations- it took me almost 3 years. But finally its happening))))
Currently:
120 lb
5'4''
34 A- i think so, but i got some bras witch r 34C)))))
In my plan is to have pretty big boobs-like D or DD)

Updated on 15 Mar 2014:


Updated on 15 Mar 2014:
Sorry for my gramma mistakes...i think thats percoset- not me)
let me tell u girls- how it was.
yesterday we left Brooklyn around 5 a.m. - i was so hungry in the morning, but i coudnt have even i sip of water. me an my hubby was i surgical center around 7-30 in the morning. all stuff was sooo nice and sweat-the explained me everything one more time, gave it to me warm blankets( it was unbelievable cold in the rooms). anesthesiologist came in 15 min and they took me to surgery room.
only what i remember- we was talking about something and BOOM - i am done))))) all together i was there like a 4 hours.
when i woke up it was no pain at all-just tightness...
but on a way home i start feel much more uncomfortable and pain((( so percoset is my best friend for this 2 days....
Dr called me at the night time yesterday and gave me a permission took 2 pills of pain killers before i am gonna go sleep- and it works. i slept all night pretty good even i woke up at 10 a.m.))))))

Updated on 15 Mar 2014:
OMG i was trying to not taking percoset today- just regular tylneol.....
its impossible-toooo much pain. i cant barley sit-to go to restroom without help-fantastic.
looks like i am depressed-i dont know if that pain worth it. definitely i will take 2 percosets- NOW!!!((((

Updated on 16 Mar 2014:
Today I was trying to stay without painkillers-was ok. No pain in my chest- but I am depressed - they are too big for me, uncomfortable, tight and hard As rock (((( tomorrow I will uploud few more pictures in the bras.... I don't know ......
I can't sleep on the back anymore, headache was killing me....((((( how long I need to wait?!?!?!??

Updated on 17 Mar 2014:
today i was planning to do some pictures but i cant even look at my boobs- they are so BIG!!! dont know what i was thinking about-when i choose that size-i look Busty!!!!
see u tom girls -may be its gonna be better day...........

Updated on 19 Mar 2014:
lady's, its been almost week since my surgery. i still cant look at them- course the are SOOO BIG.
when i was planning everything- i read million story's about CC
and i thought bigger-better.........if u doing under the muscle its gonna be little smaller then real look
no, trust me ... my frame not that big and i am regular height (5'4'')
first time on pre op i choice 400CC. nurse told me the gonna look smaller, ok i tried 425 and 450 both look similar.
in sientra they dont not have 25 cc different- the got 30. so final result was 465CC. my left boob was little bit smaller- its mean i need play with CC. Best mach was 465CC right and 495CC left. one more time i thouth bigger-better. now i know 400CC was the best size for me.
i cant say that i totally unhappy with my results, but i dont know- may be i need used to them after my A size)

Updated on 19 Mar 2014: