As a physician practicing in Denver for over 20 years, I know many plastic surgeons. When it came time to have painful scar tissue removed from an emergency surgery years ago, I turned to Dr. Tirre. I have referred patients to him over the years and knew he was the best as a hand surgeon and plastic surgeon. Because of his expertise, knowledge and skill as a surgeon, my outcome was better than I expected.
After having my kids, I was so tired of my small, saggy breasts. I knew after the first visit to Dr. Tirre that I had found my surgeon. He was patient, kind, and explained everything in much detail. His office is small and boutique like and the staff were incredible. It was really neat to get to put some implants into a bra and get an idea of how big I wanted to be - nice touch! This has been the best experience and Dr. Tirre and his staff are truly top notch! Thank you!
Thrilled with my breast implants and Dr. Tirre's office! He listened to me and really took a lot of time to explain things to me. His staff is amazing and I felt very welcomed the minute I arrived. I was able to go through sizing in the office prior to surgery by trying on implants to get an idea of my size I might want. That was really great to be able to do that. I would definitely recommend Dr. Tirre and am very happy I choose his office.
My Large breast or breast Hypertrophy is causing me functional problems such as; chronic back, neck and shoulder pain with shoulder grooving. I am 33yrs old, my height is 5ft4in, my weight is 130lbs, my BMI is 22.3 normal, my body surface area is 1.6431m2, and my current bra size is 34DDD/F, which is top heavy for my small body frame. Living with breast Hypertrophy makes it difficult for me to engage in normal activities such as running, jugging, and playing physical games with my friends and family. Some day's and night's I can be in so much pain in my back, neck, and shoulder area's that I am completely immobilized, unable to take care of house hold chores, or to take care of my family. To deal with the pain, I have been taking over the counter NSAID's such as Ibuprofen a few times a day, mostly in the evenings, for over a year. I have been using a heat pad on my back every night for the past 10 months. I've been wearing a wide strap bra since January to alleviate shoulder grooving, and have found little to no relief from the painful indentations. I went to physical therapy, from March 2013 to May 2013 to relieve my chronic pain. During physical therapy, I was doing strength training and specific exercises to improve the muscular strength in my back and shoulder area's. During physical therapy I also received back, neck, and shoulder massage. I have found the massages only relieve the pain temporary, and the strength training to have done nothing close to alleviate my chronic pain. My physical therapist told me she was astonished to find a women of my age 33 showing signs of mild Kyphosis, which is normally seen in women ages 65 and older. She believes that my back could greatly improve by eliminating excessive tissue extending beyond my trunk, for which such excessive breast tissue is causing injury and increased stress on my thoracic spine. My primary doctor prescribed muscle relaxers for me in May 2013, to help alleviate or temporarily relieve my chronic pain. Even though the muscle relaxers do help me deal with the pain some what, they have had harmful side effects, including extreme constipation. Even with a healthy diet filled with high fiber fruits, vegetables, and whole grains, I haven't been able to make a bowl movement within a weeks time on a regular basis, and have had to revert to using over the counter laxatives once a week. I am a mother of two young children and another side effect from taking muscle relaxers is that I am left feeling very lethargic, dazed, and often foggy. Because I am a stay home mom, to best take care of my small children, I wind up having to wait until bed time to take the muscle relaxers, leaving me with hours of pain before bed time. I believe I have tried every conservative therapy to relieve my chronic pain, leaving the only other option being breast reduction mammoplasty. On August 14th I had my first consultation with a board certified plastic surgeon. First he asked me questions about what procedure I was interested in, then he asked me about why I was interested in breast reduction surgery. I told him about my chronic back, neck, and shoulder pain and shoulder grooving. He then examined my breast with out my bra or top, with a nurse in the room. He took measurements of my breast. From my sternal notch to my nipple, I measured 27cm each. From my sternal notch to my inframammary fold I measured 22cm. And from my nipple to my inframammary fold under my breast, I measured 14cm. He then took pictures of my breast from different angles, for insurance purposes. I then got dressed and we talked more about the surgery, my expectations, and my post op size. He said having large breast with a small thin frame, usually means my breast are mostly made up of glandular tissue with less fat. I asked him how many grams he believes was in each breast and he said less then 900grams each. I told him I wanted to be as small as possible, preferably 34B/32C cup post op. He said he believes that's possible and that he thinks we can achieve that size by reducing each breast around 500grams. He believes I'm a great candidate for breast reduction surgery and should have no trouble getting my health insurance company BCBS of Kansas to cover it. I hope they believe its medically necessary, because with out coverage I wont be able to afford a breast reduction at this time. He told me that he does the Anchor technique, and keeps the nipple attached. He does this at a hospital in Denver. He has his patients spend the night and he removes the drains in the morning, then you can go home. He then checks up on you in a week. He uses absorbable sutures and surgical glue over the incisions. And he said I can shower the next day. We went over all the risks, like nipple death necrosis and expected scars. Also when you have absorbable sutures it can take up to 9months for them to fully be absorbed. Sometimes absorbable sutures work there way through the wound before they can be absorbed, causing infection around the stich, requiring drainage of the abscess pimple, removal of the suture remnant and antibiotics. He told me the hospital will provide me with a surgical bra after surgery and they will show me proper wound care. He said the first week I'll need the most help, but by the second week I should be back to doing normal stuff. He said each person's recovery is different. He said no strenuous activity for 6weeks, since it usually takes 6weeks for wounds to fully heal and become strong again. He said I should have my final shape 6months to a year out. I asked him about my size post op, he said my nipple will be 35mm, my nipple now is around 38mm. He said my nipple to my inframammary fold will be 4.5cm and he didn't say what my projected nipple to sternal notch distance will be post op. I'm thinking probably 16.5cm, but I'm not totally sure on that. Those dimensions should make me a B cup, I hope. I feel positive but a little nervous, I'll feel better when I find out weather or not my health insurance company is going to cover my surgery. My plastic surgeon is an in network doctor, and so is the hospital in Denver. So hopefully that helps. My primary care doctor's nurse had a breast reduction a few years ago by the same surgeon, and she showed me her breast (I did not ask to see them :P), but I'm greatful she did, cause her breast look great! You can barely see her scars and her breast are small, symmetrical and perky. I hope mine come out looking that nice. I've been a D cup size since middle school, that's 2/3'rds of my life having big breast. Its been a long struggling journey with all this weight on my chest, and I look forward to a happy ending with a new beginning and a new chance for a happy life. A new life of happier bathing suit shopping, Bra shopping, and all clothes shopping. A new life of running play sports and being over all way more active. I want a new life where people look at my face my and not my huge breast. And most importantly a new life with out my chronic pain. Wish me luck, I'm hoping to hear back about my insurance they said it usually takes 4-6weeks, so hopefully sooner then later. I'm hoping for surgery by September 20th 2013. I pray ever day that they will cover the procedure. My husband will miss my big breast, but he's being very supportive. I love him very much, plus he say's he's more of a butt guy, then a boob guy anyway. He say's he loves my small butt and just wants me to be happy. Happy wife happy life :) Updated on 22 Aug 2013: I'm just going to clean and organize my whole house until I find out if I've been approved. When I was younger I was a scrawny skinny little girl. The boys were always so mean to me. My mother was very pretty, she was a trade show model for Tequila Patron. My mom was 5'8'' 115lbs and 34D cup with long blonde hair. No matter where we went she was always getting crazy attention from men. Men would do anything for her. My grandmother always loved to tell the story of when my mother was a teenager walking down the street with her mom, a men was driving by her and he couldn't keep his eye's off her, she was so pretty, that he crashed his car. The man was ok. I remember praying one day when I was a kid, that when I grew up, I want to have big boobs like my mom, so all the boys will like me. Well just a few years later I wound up with the biggest boobs out of all my friends. I got what I wanted, the boys stopped being mean to me, and all started being very nice to me. I didn't realize how unwanted that attention would become, it got old quick! Sometimes I would think it was my fault for asking for big breast. All the women on my mom's side have big breast, and all the women on my dad's side have smaller breast. So my sister who was two years younger then me wound up with small breast. She has an A/B cup, and I have a DDD cup. We both had problems with men, I'd get too much sexual attention from men, and she couldn't get enough. I was always the prude and she was always the promiscuous one. Now I'm married with two kids, and she's still dating at 31yrs old looking for Mr. Right. As hard as it has been having big breast, it does have it's up side's sometimes. Before I was married, I used my figure to get what I wanted sometimes, and it worked most of the time. I didn't even have to put out. I told my husband when I was in my 20's and I went to the bar's and club's with my girlfriends, I never had to buy my drinks, ever. Men would do anything just for my attention. But once I feel in love and got married, I didn't want anyone but my husbands attention. Now that my son is getting older, and no longer a baby, I've had to watch the way I dress, so that I don't come off looking too sexy. When you have a small waist and a big chest it's hard not to look sexy in just about anything. I wear T-shirts and jeans most of the time. If I wear a crew neck, I feel like a football player. So I mostly wear V-neck t-[RS bleep], but when I bend down every one can see my cleavage. I hate having big breast now, not only do they hurt my back all the time, but you get so much unwanted attention. When I go to my son's games or when I'm at his school or around other parents I just want to look normal, not like a [RS bleep] star. I cant wait to have a normal smaller chest. I want to take my kids to the pool, without all eyes being on my chest. When I'm at the pool with my kids, I always have to wear a t-shirt in the water, and I still get people staring at me like I'm in a wet t-shirt contest. I just smile, and act like I don't notice when I'm being ogled, but it bothers the heck out of me. I'm sure most of it's in my head, and I'm being overly self conscious but, I cant wait to have smaller normal breast. Sometimes I wonder how I'm going to get treated after I get my reduction, how men will treat me then. Will they completely ignore me, will they see me as a regular women? I hope they will treat me with respect. And I'm going to take good care of my self, so I'm hoping to be seen at least somewhat attractive to the opposite sex. I hope my husband will still find me attractive. My husband asked me a strange question the other day. He said " Has anyone ever gotten divorced after their wife had a reduction?" I was taken back a little by his question, not that I he's thinking about divorcing me, I know he adores me ;) I said "I don't know, I wonder if anyone's ever gotten a divorce because their husband plays to much video games." He thought that was funny, but sometimes he play's so much, it does drive me a little crazy, and the thought of divorce does pop in my head when I get mad enough about it. He's obsessed with his games. You can't talk to him when he's playing, you can't get him to do anything when he's playing, he always comes to dinner late, and it drives me nut's when were all in the car waiting to go someplace and we all have to wait for him to be done playing his game. I'm hoping he's just going through a faze right now :P So have any of you ever wondered if you were going to be treated differently, after you had your breast reduction, good attention or bad attention? I know I say I don't care about what men think, but I'm still a young women and want to be seen as attractive. I hope after I get a reduction, I get all good attention. I'm staying positive. It's driving me crazy waiting to find out if I've been approved by my health insurer Blue Cross Blue Shield. My plastic surgeon was very optimistic about it, and that helps me feel more positive. So I guess I'm going to go clean something to take my mind off it :) Updated on 27 Aug 2013: I had my consultation on 8-14-13. On 8-23-13 I called my plastic surgeon's office to see if they have had a chance to fax my courtesy review along with my medical records, doctor and physical therapist recommendation's, and my patient testimony. And his assistant said they haven't sent any of my info yet, cause they are waiting on my surgery dictation, and that can take over a week to get. I asked her to e-mail me when they get it and she fax's my info, so I'm not going crazy waiting. She still hasn't e-mailed me and it's 8-27-13. So, I'm not sure if they've sent my info to Blue Cross Blue Shield of Kansas yet. She said even after they fax my info it take 3-4weeks to find out whether or not I've been approved for surgery. I'm not sure if I'm going to be able to get my surgery on Sept.20th anymore. It maybe in Oct or November now, since it's taking forever to get my surgeon dictation. Did any of you have to wait for a dictation before they could send your info to your insurance company? Sept.20th is a day that would be perfect with our schedule, but I may need to find a different day, if all of this is going to take so long to get preapproved, if I'm even lucky enough to get preapproved. It will take even longer if I have to appeal. I have to get this done before the end of the year since we've all ready used up most of our deductible. The surgery will be much cheaper for us if we can get it done before the end of the year. And September's just around the corner, so I'm kinda stressing thinking about how much time this is all taking, and I feel like a hour glass is running out of time to get all this done. Aghhhhhh! Stress! Alright I guess I'm gonna go clean something to get my mind off of all this stress :P Updated on 29 Aug 2013: I got on the scale this morning, and it say's I weigh 125lbs! I'm so happy. I was 135lbs in March and since deciding to have my breast reduction surgery this year, I have been trying to get my weight back down to my pre-baby weight. About 3 and a half years ago my husband and I got married in Las Vegas. This was the black swimsuit top I wore. It's size 32DD, Post baby I'm now 34DDD. I can't believe how much bigger my boob's are now. My Pre-baby weight was 120lbs, and so I was really hoping to get back down to that by surgery time, but 10lbs has been really hard to lose this year. So I'm just going to stay away from the china buffet and try to just maintain the weight I am now, until surgery time. I have had to cut so many yummy thing's from my diet this year, and now It finally all feels worth it :) Updated on 5 Sep 2013: I have cleaned my bed room from top to bottom. I even vacuumed and wiped down the horizontal window blinds, and wiped the ceiling fan. I have this Feng Shui book I bought a few years ago, its call "Move Your Stuff Change your Life". It's a great beginners guide to Feng Shui. Well it says my Helpful People part of my bed room is located in the lower right hand side corner, as you walk in to the room. Your supposed to never have dirt or clutter in that part of the room, especially when your in need of helpful people. And right now I'm in need of Blue Cross Blue Shield of Kansas to pre-approve my Breast Reduction Surgery with Dr.Tirre. So, I started to straiten up that area, and there is a night stand next to our bed in that corner. In the night stand I keep my winter hats and gloves, and some winter sweaters, so I guess those can all be considered helpful. On top is a silver picture frame of my husband and I on our wedding day (the book said silver is a good color in this area of the room), and my alarm clock is there, next to a vase full of yellow flowers. I moved the night stand to clean behind and under it, and apparently it hasn't been moved since we bought this house four years ago. So, you can only imagine the size of the dust bunny's that lived back there. They were more like jack rabbits then bunny's. It was gross! There were also chewed up Barbie toys. Our cat likes to steal small toys from my daughter's room in the middle of the night, and chew them up under our bed. We also had a few little cob webs in the ceiling corner, and a mirror hanging on that part of the wall that needed some spray an wipe. I didn't know how yucky my Helpful People area was, I didnt even know that was my Helpful People area :P But now thanks to the book, I can improve the powers of the universe and get all the help I need in order to achieve a speedy approval :) So, one room down, 7 rooms to go. Cleaning my house top to bottom, is making me long for a smaller house. Updated on 11 Sep 2013: I got the call on Monday the 9th from my PS office. They told me my info was submitted Thursday morning September 5th to Blue Cross Blue Shield of Kansas. They told me it would take 7-10 business days to find out if I've been pre-approved for Breast Reduction Surgery. I was very happy about that, and then yesterday the 10th, my PS's assistant called me and told me I've already been PRE-APPROVED! I was Ecstatic :) It was a miracle that I got approved so quickly, just in time for my husbands vacation. I called my primary doctors office and set up an appointment for my pre surgery physical. They said my doctors only available time is Wednesday the 18th, Perfect! My pre op with my Plastic surgeon is Thursday the 19th, and then surgery is Friday the 20th. I asked my primary care doctors office how long it takes to get my blood test results back, and they said it takes 2days, so I asked if I could come in on Tuesday the 17th and get them done the day before my physical, they said yes. My PS's assistant said she's sending out my paperwork and consent form, and she's sending the request for blood work and physical info to my primary care doctor. She said I have to be at the hospital in Denver by 6:30am on the 20th, and no eating after midnight the night before. My mother in law has offered to watch our children for us for a week while I'm recovering. I'm so appreciative for that. My husband's not to thrilled, he's been crying about "losing his fun bags". I told him your not losing them, your just getting smaller fun bags. Other then that, he's been really supportive, and I couldn't do this with out him. I'm so appreciative for all of this. I feel so very blessed at this moment. I really hope it all works out and that I really can get my surgery September 20th. I'm just going to continue to pray that everything works out in my favor. I've never been happier, 9days and counting to my new body with my new breast. Wish me luck and that I get symmetrical, very small (32C/34B cup), more proportioned to my body, breast with healthy evenly positioned nipple areolas, and tiny scars that fade quickly. I'm just so happy! I hope it all works out, and that in less then two weeks I can post new breast pic's. I hope, I wish, I pray :) Updated on 18 Sep 2013: Getting all my last minute stuff done pre surgery on Friday. Got my pre op tomorrow, and then surgery the day after that. I'm very nervous. I'm just trying to keep getting ready and stay hopeful & positive. I hope everything goes just like planed. I hope my Plastic surgeon does a really great job and can get me down to a 32B/C. I hope my breast shape and size come out of surgery being as symmetrical as possible. And I hope my nipple areola's come out after surgery being as symmetrical and as even as possible. I'm feeling a little down, because some of my family doesn't really understand why I'm doing this to my self. They see this surgery as being a choice and not a need. That really saddens me, because if they knew how It feels to live with large breast, I think they would understand my situation more. If I don't get the surgery, then yes, I'm not going to die, but my quality of life will improve so much more with it. Only you girls who have walked in these shoes, can truly understand how important Breast Reduction surgery really is to the person having it. At least we have each others support. I feel so blessed to have this site. Well I got to go finish getting ready, I'll meet you on the other side of surgery and will post picks after I get home. Updated on 20 Sep 2013: Everything went well at my pre op so here we go, wish me luck ;) Updated on 22 Sep 2013: Not feeling all that well, I'll post some pic's and I'll tell you more about how everything went later when I'm feeling better. Dr.Tirre was great and took out around 550grams each breast. I'm gonna go rest now talk to ya soon :) Updated on 22 Sep 2013: My belly is so bloated I look like I'm pregnant. I also got my period the morning of my surgery. I just took my first shower today. I'll post more info when I feel better. I feel like it's just a dream and I'm gonna wake up with my old boobs :P Updated on 24 Sep 2013: When I went to get into the shower I noticed on my right breast around the T intersection, it was very pink and started to blister! I called my doctor and the nurse said to come in tomorrow and just put antibacterial cream on it, 2times a day until it gets better. I'm seeing the doctor in the morning and I'm hoping to get put on antibiotics. Also have a small hematoma. And I think my stomach is still bloated, I need to go for walks around the blocks next week, and no soda pop and chips, maybe it will shrink a little. I've been resting a lot, and I still plan on telling everyone about my surgery day soon. Fingers crossed hope everything goes well tomorrow. I have been very surprised by how small they are. I think they are the perfect size right now, but the nurse said they were swollen, so that means they may get smaller, so I'm not sure how I'm going to feel about that. I was a 32/34ddd pre surgery, and I bought a 36 sports bra for after surgery and it fits. I don't know if that helps anyone who needs to know what size bra to have for, after surgery. I keep feeling strange, like I don't seem to want to get rid of my old bra's because I keep feeling like what if I need them. I know that sounds weird, but its only when I look in the mirror that I'm reminded by how much smaller I am. Even if I grew a size, I'd still be too small to fit in those old bra's. I cant wait until 6week's are up so I can get out of these sports bra's. They make me feel like I'm flat chested. I know that sounds crazy but I cant believe I'm this small. I wanted to be this small but I didn't think it was possible. I kept thinking I was going to be a large B small C or even a small D, which I didn't want. I wanted to be a B cup and now I am. I just so shocked he actually got me down this small. It worry's me a little, I just hope he didn't take out too much, I don't want any complications. I know this all sounds crazy, but I'm just praying I heal very well, and everything is normal with my breast. I just want them to heal so I can start working on healing my scares. I will post a pic of my blister and I also have a small hematoma on the left breast. I'm so great full and now I need to heal. Updated on 24 Sep 2013: This is the little blister on my right breast and the little hematoma on my left. not fun :( Updated on 26 Sep 2013: The support Bra the hospital gave me couldn't be more uncomfortable. I also have a little front closure sports bra, it to is uncomfortable. My surgical glued incisions keep rubbing the bottom of the sports bra, and the hospital one is as comfortable as a 19th century corset. I just want to wear one of those comfy genie bras :( My sides where the drains used to be are all hard and uncomfortable, is that normal? I guess I will call my nurse tomorrow and ask her. When I put my arms down at my sides, my sides hurt. I'm now on antibiotics cause of my blister. I'm so board, I want to do things but my body hurts, and I get tired, and I move around funny in this support bra. Every time I get up and walk around I'm holding my boobs, cause they hurt. OMG, I'm sorry, but I just want to [RS bleep], I'm so uncomfortable! I tried driving, and it hurts. Every time I pull the steering wheel its hard to do and it pulls at my pectoral muscles. And I've been having grass is greener on the other side complex. I know I wanted to be a B cup, but now that I am, I've been having second thoughts. My husband called me flat chested the other day, as a joke. I've never been called flat chested my hole life, so I wasn't really offended, just was a little put off. Everything I put on looks strange now. All of my favorite tops no longer seem to flatter me. I have a completely different body type. I used to be top heavy, or bigger on top with a smaller bottom. Now that my breast are smaller my belly looks bigger, so got to do something about that and go walking once my incisions heal. Most of my clothes just don't look right anymore. I'm now going to have to change the way I shop for my body type. I really didn't think I was going to be so dramatically different looking. I keep watching TV and I'm breast obsessed. Before I hardly ever saw women with breast as big as mine on TV. I used to think small breast were attractive on women, but now I keep wondering did I go too small? I keep seeing women who have C cups, their breast look not to big, and not to small, just right. I'm not sure my husband will be attracted to my new breast. I like them, but I know most men prefer a women with curves. The problem was I had to much curves, and now I keep wondering if now I may not have enough. I know I made the right decision, but I keep wondering am I still attractive to the opposite sex? I think I'm just having a bad day, and once I can start feeling normal again, I'll start to get my sexuality back. Did any of you feel this way after your breast reduction. If it weren't for men, Id say they are perfect! But I'm 33 and I still want to be considered sexy. I just know I need time to get used to my new look. I'm still on my period, and I'm just feeling a little self conscious. I'm sure after a few weeks I'll start to feel more confident in my own skin, I think it takes time and a new wardrobe. Updated on 28 Sep 2013: Thank you so much for all of the supportful comments! You guys are wonderful, I love the real self community Updated on 1 Oct 2013: They are a little swollen today. A few days ago they were a little lumpy, hard in some places and soft in others, but today they are almost all swollen everywhere. I no longer have a blister, but an area next to my incision on my right breast that keeps seeping out small amounts of orange colored liquid eww! What concerns me is that my incisions were surgically glued, and the antibacterial cream mixing with the orange ooz has been softening the glue thats holding my incisions together. I keep the area clean and covered, so hopefully it will be ok, if any things not I'll be calling my Doctor to be seen right away. Most of my breast are numb. My nipples have feeling in them both, and get pointy and hurt when its cold. I'm very happy about that, cause any feeling is a good thing, even when it hurts, cause that means my nerves are working in that area. I would say besides the blister and orange ooz, that everything else has been doing real well and I'm very happy about that. I'm posting some pic's . They are still not the prettiest, but its only been a week so I'm hopeful they will just get better looking everyday :) Updated on 1 Oct 2013: Updated on 5 Oct 2013: We live in rural Kansas. The closest city to us is Denver CO. I was very happy to find out a great plastic surgeon from Denver makes trips out to our local hospital once a month. My primary care doctor set me up with a consultation in August with Dr.Tirre. I had my consultation and everything went really well. Dr.Tirre was real nice and seemed very professional. He told me that he does the anchor incision, he will remove around 500 grams per breast (ended up being about 550grms per breast), he uses dissolvable stiches, and surgical glue. He has you spend the night in the hospital, and then the next day removes the drains he put in. Another plus about using Dr.Tirre is that he takes insurance, he was an in network doctor, and he did his surgery at an in network hospital, so that made him more cost effective for us. We are not rich so anyway you can save money on an $8,000 surgery is a good thing. My insurance company BCBS of Arkansas gave the ok for my surgery. My husband and I drove 4hours to Dr.Tirre's office in Denver Sept.19th for my pre-op. My husband hit a deer driving home this past summer, and totaled our family car. We got a new used car in July. We didn't have any problems with it until we drove it to Denver. When we got to the doctors office, our car started smoking and leaking antifreeze. Dr.Tirres office was very nice and his staff was very friendly. He marked my breast and gave me my prescriptions, which we filled at their local Walmart. My husband and I then checked in at a nice hotel 5miles south of the hospital. We walked across the street and ate dinner at a very nice Mexican restaurant. I wasn't sure I would be able to sleep the night before surgery, but I was surprisingly tired and feel asleep a little after we got back to our hotel. I woke up very early around 4am. My husband and I got ready then drove to the hospital. We checked in around 6:30am and I signed a bunch of paper work. A nurse took us back, I got undressed and got up on a hospital bed with wheels. My anesthesiologist was very friendly and even made a few jokes. My OR nurses introduced them selves and then Dr.Tirre came in, asked if I was ready and said he'd see me in the OR. They wheeled me to the OR door and that's the last thing I remember. After 3-4hours I woke up in recovery. I must have been dreaming about my son because, when I woke up I was trying to get up and I was yelling about having to go help my son with his game. The nurses came over to me and said its just a dream I'm in recovery and every things ok. They wheeled me to my own room and that's when my husband came in. I wasn't feeling a whole lot of pain, but I kept feeling like I had to go pee. The nurse would come in and help me get to the bathroom, and then nothing would come out. We did this over and over until I drank some apple juice and then I was able to pee. The nurse said the catheter they had inside me during surgery must have messed with me a little. But after a while it did hurt to pee, but I was ok. Then I started to get very itchy. Mostly on my stomach area. I didn't have a rash, I was just crazy itchy. The nurse gave me some lotion and said I was probably reacting to the pain meds. All the nurses were great. My doctor came in the next morning and pulled out my drains quicker then I knew what was going on. He said everything looks great and that I was good to go home. My husband and I left the hospital, stopped off at an IHOP, had some pancakes, and then drove home. I got in bed and pretty much stayed there for a few days. My inlaws watched our kids. The oldest one came home early so he could go back to school. He's been my little helper the whole time dads been working. He helps me with the dishes, vacuuming, taking out the trash laundry, and even helps clean out the kitty litter box. He's been Awesome! Sorry it took so long to post my BR surgery experience, but there it is. I was supposed to go back to my PS office in Denver a week after for my first post op, but because of our car trouble my husband said we couldn't. Since my PS comes to our town once a month I thought we might be ok, and I can just wait for him to come out here to see me. But his office called me and said he wont be out in October because, he has an emergency surgery scheduled for that day. So now I have to wait until November to have my first post op. I have been seeing my primary care doctor for any and all issues until then. My old primary care doctor moved to Denver in May and my new primary care doctor just moved to our town in September. She's been really great, and I'm so glad to have her. Dr.Tirre's office has been very understanding with our car issue, and told me if I need anything they have an on call nurse. I did have one issue with my right breast that started to blister. His nurse had me take pictures of it and e-mail them to her. She then told me to put some antibacterial cream on it and have my primary care doctor look at it. The blister popped, then was seeping into my glued incisions, causing them to soften and not heal properly. So 2 days ago, I was cleaning the area before getting in the shower and all the glue came off revealing an open wound. So I went back to see my doctor, she said it looks ok, and now that the glue is gone it just needs to dry up, scab over and it will be healed. My anitbiotics run out today, so I hope I don't have anymore problems. If I do I can always go back to see her. I hope my incisions are healed before my first post op, so he can say it all looks good, and that I can start scare treatments. I'm going to get Mederma scar cream first, and then later try this $20 box of silicone strips I found at Walmart. I hope my wounds start to heal better. I will post some more pic's later, I like to do it before getting in the shower. Updated on 8 Oct 2013: Yesterday I went through my closet and got rid of all my clothes that look strange with my new smaller boobs. I had my own personal fashion show in my bedroom. I was very happy. Then today before I got in the shower, I noticed my right breast was still really red and angry looking. And from the front my nipples look to far apart. I hope that can be fixed :( I may need a breast revision after a year of healing. They have been in more pain since a few days ago when my antibiotics ran out. Last night I had a real hard time sleeping. I cant wait until I can sleep on my side. I was told to wait until 4-6weeks before I can sleep on my side. I'm very glad I had a breast reduction, but some days I get a little sad about how long its taking me to heal. And some days I get sad cause my breast aren't very pretty right now. Even with time I know I'm going to need some revision. I would do it all over again. When you get a breast reduction you have to understand, that your not going to go through surgery and then wake up with perfect breast. You get smaller imperfect breast with scars that you have to constantly care for. And then once you heal then you may have to have them fixed again. This surgery has been making me semi bipolar. I'm happy one minute and sad the next. Its ok, I know that these feelings are normal after having a breast reduction. I know once they heal I'll be much happier. I just need to be more patient. Updated on 9 Oct 2013: I'm very happy with the size of my new breast. I like my new nipples too. The only thing that really bothers me is that my nipples are so far apart. They face the outer sides more then they face the front. They are 24 centimeters apart and I wish they could be closer to 20 centimeters. After I'm done healing I'm going to ask my PS what I can do to get them taken in a centimeter on both breast. I wonder how he would do that? Would he have to cut around my nipple again and down my T intersection? Or would he just cut on the inside and under part of my breast? I'm sure they are going to change more, its only been 2 & a half weeks, but I'm not sure they are going to come in more by them selves. I found these other breast pictures on this natural breast website. Their nipples are more centered then mine. I no this sounds a little shallow, but I'm only 33yrs old. I still want to look attractive. It's not the scars that are making me feel unattractive, like I thought it would be, its the position of my nipple areola's on my breast. I will speak to my PS when I see him in November and see what he thinks, and see what he can do to fix them. He told me no one has ever asked him to do a revision before, so I guess I get to be the first. Updated on 10 Oct 2013: I've looked at many breast reduction before and after's and none of the after breast look like mine :( I hope my PS can fix my nipple problem. I see him in November, I hope he has a solution :( Updated on 12 Oct 2013: There are to ways this can go. I can get depressed about the way my breast look, or I can see them as a work in progress. I'm going glass half full. I have come to the understanding that my nipples are too far apart, and that it's ok for now. I need to heal my breast first, then worry about how they look later. I can't have anything done about it now anyways. I will have to get a breast reduction revision after a year, and when we can afford it. So for now they will have to do. I'm learning to accept them, and in the near future I will have to help my husband accept them. I will tell him we can fix them, when we can afford to in the near future. I still have an open wound on my right breast, that's not yet healed. It to is a work in progress. I had a scab over it, but after my shower yesterday, the scab came right off. So I cleaned the area, put antibacterial cream on it, and put a bandage over it. My right breast is still swollen. My left breast has been doing a lot better. I'm sorry if I sounded so depressed, I was. I was very up set. But I'm ok now, I have come to accept that my nipples are too far apart, and its ok. I know I can fix this problem. It's going to take some time, and it's going to take some more money, but it can be fixed. Thank you all for your support during this hard time for me. I was really hoping that all I'd have to worry about after my breast reduction, would be scare treatment. But, I like many other women wasn't that lucky, and that's ok. I've seen worse problems, I still have my nipples and for that I'm appreciative. I will try to leave more up beat updates. I don't want to scare anyone out of having this surgery. I would still do it all over again, strange nipples and all. I'm much happier with them, healing takes time. And not just physical healing, but emotional healing as well :) Updated on 12 Oct 2013: Updated on 20 Oct 2013: My first bill came in the mail a few days ago. When my husband and I looked at it we thought it must be a mistake? They must have billed me for heart surgery, not a breast reduction. I called the hospital and they confirmed my bill is correct. But they pointed out even though my hospital bill came to $58,450.000 since I have insurance I got a $53,480.000 discount. I thought that was awful! I must have had the most expensive Breast Reduction surgery in the country. I feel so sorry for anyone who doesn't have health insurance. The inflation of that hospital bill is ridiculous. The cost of the surgery after my insurance discount is about right, so we can pay that with time. We still have 3 bills to come; Dr.Tirre my surgeon, his surgical assistant Jose ( who gets $150 per hour, for my 4 hour surgery), and my anesthesiologist bill. Once all bills are in I will let you know the complete cost of my surgery. Updated on 20 Oct 2013: This is the old bathing suit I was busting out of in my other pictures pre-op. Its size 32DD and I was 34DDD. I couldn't fit in it before surgery and I can't fit in it after surgery thank goodness :) Anyone want an old bathing suit size 32DD not me! I had a dream a few nights ago that I was at the pool with my old big boobs and I was so uncomfortable cause everyone was staring at me. I kept trying to cover up but I wasn't able to. I think that was kind of a nightmare. I was very happy to wake up with my little boobs :) I also took some pic's laying down. I just thought they were interesting from that view and I wanted to share with ya'll :) I'm also very happy that my open wound is no longer seeping or open, so that's good. But I did have an issue with one of my stiches on my right nipple, hopefully that gets better. Next time I see my PS hopefully he can take out any remaining stitches. Hope you like the pictures :) Updated on 31 Oct 2013: I got my itemized list from the hospital. The support bra the hospital I was sent home in cost $371.00. That bra is the most expensive bra I ever owned :P You can get the same bra online for $30.00. On another note, my breast are doing good heal wise. They are still a little swollen, the right breast a little more then the left. A few days ago I had a small abscess on the out side of the right breast, where I had a stitch poking through. I popped it, pulled out the stich and cleaned the wound. I was going to wait until I saw my PS in November to have the stiches that are sticking out removed. But, after having one of them abscess I decided just to remove them my self. That's why I have a few band aids on my right breast. I went to my primary care doctor after wards and she said they are healing well and I can now start running if I want to. She also said now that I'm 6 weeks post op I can go bra shopping for normal bra's, not just sports bra's. So I was excited to go bra shopping finally. We live in a rural area in Kansas, and the only store within a hour and a half drive is Walmart. I went to walmart and I must have tried on like 60 different bra's many different sizes. I even tried on girls training bra's. I went home with no new bra. When I got home I started crying :( Not one bra fit me. Not one size fit me. My breast were to wide for small cup sized bra's, and my breast were to flat to fill out large cup sizes. I was devastated. People always say, every bra is different, so its hard to know what size you are, but I tried on many sizes in every kind of bra, and none of them fit me, not even a little. My cleavage looked really bad in all of them too. I used to have a small amount of stretch mark's in my cleavage, and my breast reduction exacerbated them, and now all you see in the middle of my breast are large stretch marks. I can't wear low cut bra's. The only bra's that fit me are sports bar's. I even went on line and checked out how to properly measure your breast for a bra. I measured 32 C cup. But when I went shopping, I was too flat for a C cup, I was even a little flat in my left breast for a B cup. I hate to be such a downer. I know its still early, and my breast will continue to change, I'm just not sure if they will change enough to be a more normal size. Before my breast reduction I wasn't able to buy my bra's in store's, I had to special order them online. And now after my breast reduction I still cant shop for bra's in stores. I tried to google lateral nipples and the only thing I could find was lateral nipples after a breast augmentation, not breast reduction. I cant even find anyone on this site with the same problem as me. I feel so alone :( I think I'm going to need another breast reduction to fix all the problems caused by my first reduction. My husband and I can't afford to pay for another reduction, and my insurance wont pay for another reduction. I'm not sure what my PS is going to say about all this. It's my fear that he will say he did his job and reduced my breast, and any asymmetry issues aren't his problem. They made me sign paper's pre operation stating that I understand some asymmetry is normal. I'd be ok with some asymmetry, but when I can't even fit in any bra other then a sports bra, something is wrong. He made my breast to wide, and my nipple/areola's too far apart. I hope he will offer to fix this issue for me, with low or no extra cost. That would be the right thing to do, but I'm just not sure what he's going to say until I see him in November. If he doesn't fix my breast, then I will still have to get them fixed, it may take me a few year's to afford to fix them though. I will have to live with messed up breast for a wile. I'm so embarrassed, I haven't told anyone about my misshaped breast, not even my husband. I feel so alone. I will tell my husband after I see my PS in November. This site is my only outlet for grief, this and crying alone in my bathroom. I was saying that I would still do it all over again if I had the choice, but now I'm not so sure. I called my PS's office and spoke to his assistant. She said the breast reduction was to make my breast smaller for medical reasons, not cosmetic reasons. But he is a plastic surgeon, and they are in the business of making body's aesthetically pleasing right? So what went wrong with my breast? You know when your laying down on your back, and your breast fall to your sides, kind of into your arm pits, well I think that's how I must have been in the OR. I think he sewed them up as they laid on my sides, and that's why they are so lateral. I think he may have guesstimated where my nipples would be placed instead of doing actual measuring. If he doesn't offer to fix the problem, then I will have to see some other Plastic surgeons to get their opinion on my breast reduction. I'm great full that my nipples work and have feeling, and that I didn't get necrosis of the breast. But, I'm left feeling a little deformed with the way they look now and with them not fitting into any bra size :( Updated on 5 Nov 2013: I just want everyone to know that I believe Dr.Tirre did the best job he could in helping me to achieve the best breast reduction goals. I had pain in my back, neck, and shoulders most of my life, and with the help of Dr.Tirre I am now pain free in those areas. I wanted small and healthy breast, and through his surgical expertise, I have that. 6 weeks out my breast are healthy with perfectly working nipples. My breast may not be the shape I wish they were, but the shape should round out and improve with time. My nipple areola complex may be more lateral then I was hoping for, but I'm sure Dr.Tirre did everything in the most professional and skillful manor. A little asymmetry should be expected. The female breast is not a blank canvas, and I'm sure Dr.Tirre did everything he could to make my breast as symmetrical as possible. Dr.Tirre and his staff have been great to work with. And I'm sure that they will continue to help me in achieving my best breast goals. I am very hopeful that after 6 months to a year, Dr.Tirre will fix any small issues in symmetry that I have. I am so sorry that I let my emotions run away with me, and that I wasn't always saying the most flattering things about his work. He really did a great job, and I am very grateful for the work he did. I would recommend Dr.Tirre to anyone looking for a good surgeon in the Denver area. I would recommend this surgery to anyone who needs it. I feel so bad that I can't delete many of the emotional and negative things that I have said on this site. I hope I didn't scare anyone away from having this surgery or using Dr.Tirre as their surgeon. He really is a great surgeon and everyone who knows him knows how professional and caring he is. Please do not let anything I have said out of emotional craziness, to make anyone think anything negative about him or his work. I am not deformed, I am overly emotional and dramatic. My breast are healthy and normal for this stage in the procedure. I'm sure that with time I will really learn to appreciate the work Dr.Tirre has done on my breast. I hope anyone who is reading this understands that this surgery is a very emotional and life changing thing to go through. You aren't always going to be fully satisfied with all the results. I will definitely think twice about posting any more negative comments on this site. RealSelf is a wonderful site that has been most helpful to me and many others. It is a great place to come for plastic surgery education and support. The women on this site have been wonderful to me, throughout this entire emotional time in my life. They have always been caring and supportive and I am so appreciative of them. I want everyone to know Dr.Tirre really is a great surgeon and I am very happy with his work. I wish my breast weren't as wide as they are, and I hope that changes as they soften up and relax. They are still hard and swollen in many areas, and with time that will improve I'm sure. I wish my nipples areola complex on both of my breast were more centered and symmetrical, but with time I will get used to the look of them. I would rather have the breast I have now then the breast they used to be. And I have Dr.Tirre to thank for that. I'm sure they will improve with time and I will love my new breast someday. I'm sure the asymmetry that I have in my cleavage can be easily fixed after 6 months post op to a year. And they will look so much better a year from now, like most of the women's breast on this site. I'm so sorry for being an emotional basket case on this site. Thank you for allowing me to share my personal breast reduction experience with all of you. And I want everyone to know this is a great place to share your surgical experience's of all kinds. I may not be able to delete the negative thoughts I've shared on this site, but I hope to balance them out by posting how positive I really feel about this whole experience. I really am so happy to have been privileged enough to have gotten a breast reduction. I know many women cant afford this surgery, or live in a part of the world were they aren't able to get this kind of surgery. I'm so glad that I have had a breast reduction, and even if I'm not perfectly happy with all the results yet, I would recommend it for anyone who needs it. Updated on 6 Nov 2013: Last night I had a strange dream that I had a stitch coming through the middle of my breast. It was popping through my skin and I started to pull it out and it was a very long blue string. It was weird. I have a couple of strange marks on the middle of my breast that look like internal stitches trying to pop through. I can't wait to ask the doctor about what they are. Everyone else I show has no idea what they are, including my primary care doctor and her nurse. That would be weird if that strange dream came true :P Updated on 6 Nov 2013: It was $3,150.00 but because I have insurance, my insurance company gets a $1,645.20 discount. I feel so bad for people who don't have health insurance. My insurance company paid $1,203.84 and we owe $300.96. So add that to the Hospital bill of $3,191.33 and our share so far is $3,492.29. We still haven't received the bill from my plastic surgeon or his assistant. I will share them when they come and then adjust the amount at the top :) Updated on 6 Nov 2013: I've been doing research on line. I Googled proper Nipple Localization for a Breast Reduction, and I found instructions on the Acceptable location for the NAC (nipple areola complex) when measuring for new nipple location for a breast reduction. The acceptable aesthetically pleasing location for the NAC is at the base of a equilateral triangle. An equilateral triangle is a triangle with all 3 sides being equal. The top of the triangle is your sternal notch ( the space between your shoulder blades) the acceptable nipple location is at the lateral angles of the base of the triangle. So since I measure 21cm from my sternal notch to my right and my left nipple, then I should measure 21cm from my right nipple to my left nipple creating a perfect triangle. But I don't, I measure 24cm from my right nipple to my left nipple creating an un equal triangle with my sternal notch. Since he didn't measure my sternal notch to find my new nipple location, he positioned my new NAC too far apart to be aesthetically pleasing to the human eye. Just being a few cm off can really make a difference in plastic surgery aesthetics. Can you imagine if your nose was 3 centimeters longer then it is now? Or what if your eyes were 2 centimeters further from your nose. A few centimeters can make a big difference when it comes to aesthetics. The average women's NAC is 8cm to 10 cm (depending on the frame of the patient) away from the median sternal line (the middle of her chest in between her breast). I have a small frame and I measure 12cm from my median sternal line to both my nipples, so that's very abnormal for my frame. I measure 37cm from my sternal notch to my belly button. Above my breast I measured 77.5cm, around and below my breast I measure 76.5cm, and around the fullest part of my breast I measured 86cm. I'm 5ft 4in and 125lbs. If I put my hand around the smallest part of my wrist, with my middle finger touching my thumb, they over lap. I have very skinny wrist. I have a small frame for a women. I don't have wide shoulders, I shouldn't have wide breast with far apart nipples. My PS didn't properly measure me for the best NAC and I'm pretty sure that's a fact. Since he told me he doesn't measure new nipple location from the sternal notch. He said that in front of his assistant at my per op. If he doesn't measure from my sternal notch to find my new nipple location then he had to measure from my median sternal line (in the middle of my chest)? You just cant know the new nipple location from the inframammary fold line (the line below your breast). He said my new nipple location would be 4-4.5cm above my inframammary fold, but that only says horizontally where its new location would be not vertically? So how did he decide where my new nipple location would be vertically? I have a lot of questions for him next time I see him. I just have to balance my questions of concern without coming off too accusatory, so I don't insult him or make him feel threatened. I just want answers on why I look this way? Doctors don't guesstimate surgery's. So he had to come to the new NAC some how? I just want to know how. Wouldn't you? I know what's done is done and there's not much that can be done to fix it, unless I want another surgery, which I don't, and cant afford, and wouldn't get insurance coverage on either. Well I'm posting some more pictures, we all like pictures :) Updated on 9 Nov 2013: Having a little fun with the paint works and my pictures :) Updated on 9 Nov 2013: Ideal breast architecture The appearance of the ideal breast is somewhat subjective. Each patient has their own opinion as to the aesthetics of their breasts, which should be given consideration with any operative alteration of the breast. Reconstruction or cosmetic enhancement of the breast encompasses not only the way the breast looks, but also how it feels to the touch. Size, symmetry, proportionality and the location of the breast and its landmarks on the chest wall all play a role in the attractiveness of the breast. Statistical standards for the dimensions of the breast have been analyzed and reported by various authors (Fig. 1.1).1–7 The distance from the sternal notch to the nipple and the distance from the midclavicular line are each 19–21 cm. The distance from nipple to the inframammary fold is 5–7 cm (Fig. 1.1). The distance from the nipple to the midline is 9–11 cm. These measurements offer guidelines for altering the breast, which must be individualized, based on proportionality, variances in chest wall anatomy, posture and patient preference (Fig. 1.2). Fig. 1.1 Statistical standards for the dimensions of the breast. Fig. 1.2 AP image: ideal breast dimensions demonstrating symmetry and projection. The breast mound is situated over the pectoralis major muscle between the second and sixth ribs in the nonptotic state. Important landmarks include the upper pole, location of the nipple areolar complex, inframammary fold and lateral breast fold. The upper pole of the breast extends from just below the clavicle to the level of the nipple. The contour should be neither concave nor convex, but a plane that extends out to the point of maximum projection of the breast at the level of the nipple. In the ideal breast form, the nipple areolar complex should be cephalad to the level of the inframammary fold. This is all from a book on the internet. Updated on 9 Nov 2013: I marked my breast with a washable marker and a tape measure. I marked me better nipple spots. I marked them at 20cm from my sternal notch and 10cm from my midsternal line. I also marked my midclavicular line. Updated on 11 Nov 2013: Our car troubles and a 4 hour drive, have kept me from being able to be seen by my PS. The last time I saw him was the day after my Breast Reduction Operation 2 months ago. He is finally coming to town on Wednesday. I'm so nervous. I have no idea what he's going to say. I have no idea how I'm going to react to him and what he say's. I'm going to try to remain calm and stay constructive. I'm going to try not to get upset. I'm going to try to stay focused on what can be done to fix my issues, and not dwell on how they happened. Even though I would love to know how they happened, and why they happened. Here's what I'm planning to talk about: Issues of Concern: 2 Months Post Op. 1. Lateral nipple areola complex (NAC), more so with Left nipple. 2. Lower cleavage line on the Right Breast, and lots of loose skin in cleavage. 3. 2 Strange unidentified spots on the inside and outside of the Left breast. 4. Right breast larger in volume on the outer edge, then the Left breast. How could these issues be fixed? How much to fix these issues? How soon could these issue be fixed? Ok that's all I can think of for now. I printed this list off to take with me so I wont forget anything. I'm also taking pictures with my questions I'll post those pictures for you guys to see. Any last minute helpful advise before I see him Wednesday, please post it for me. I really hope he will offer to fix many of these issues, cause I can't afford another surgery. I haven't even told my husband about any of my problems. I've been waiting until after I see my PS to know what can be fixed. I'm nervous about what I'm going to say to him about my breast too. He hasn't seen them or felt them or anything. He just keeps saying "I hope there worth it" he's referring to the cost of the bills for my breast reduction. So I will open up to him about all this that I've been going through and what can be done to fix it. Wish me luck, I'm going to need it. Updated on 13 Nov 2013: This is how it went. My appointment was at 11am, but he didn't show up till 12. When he finally came in to see me, he had me lift my shirt up and show him my breast (no cover up gown). He asked me how they were healing, he said they look great. I asked him about my malpositioned nipple. He said they must have been lateral before my breast reduction surgery. I asked him if he measured me from my mid sternal line, he said no. He said that's not how he finds the new position of your nipples. He said he just takes them from where ever they were and then places them higher on your chest. How far away they end up being from the middle of your chest is not his doing, he has no control over that. He didn't have my before pictures, but he said he was sure they'd show my nipples being lateral before. I asked him if he could fix my crooked cleavage. He said no, the only scar revision he does is removing dog ears, and since I don't have any, he's not going to do any scar revision on me. He told me if I want that fixed to go see somebody else. I asked him about my right breast being larger then my left on the side, and he said give it time it might go down in size, in time. I asked him if it doesn't then would he do liposuction on it to fix the size difference. He said he could but I probably wouldn't be happy with the results, I could have more fat necrosis. That's what he said that strange mark on the side of my breast was, he said it was a little fat necrosis. He didn't know what the other mark was so he guessed it might be a blood vessel of some kind, he didn't know if it would be permanent or not. I asked him well how much would lipo be if I want to reduce the size of my right breast. He said he had no idea and told me to call his assistant for a price. He seemed like he was in a hurry and really wanted to get out of there. He said I can make an appointment in 6 months if I want and then he left. If he's not going to correct any of his mistakes then what's the point of seeing him again? When I told him I was unhappy with the way my breast look he said I didn't have a cosmetic procedure, I had a surgery to reduce my breast weight and fix my back problems, and that's what he did, so his job was done. If I'm unhappy with the way they look I can find someone else to fix them, cause he's not going to. As soon as I came home I started to cry. I was so disappointed in his behavior. He acted like he couldn't really care less about me. For a plastic surgeon he really didn't seem to care much about aesthetics. I blame my self, I knew he wasn't properly measuring me. He was sloppy. If he had measured me correctly he could have placed my NAC more center on the breast mound. And he didn't sew my cleavage up correctly and evenly, and that's why somebody else has to fix his mistake. If he would have done it right the first time I wouldn't need to go to someone else. In stead of me being happy that I had a breast reduction, I feel completely disappointed. I'm happy they are smaller, but I traded pretty huge boobs for ugly little boobs. And now how am I supposed to feel sexy around my husband? I'm not going to feel good about my self until my cleavage and right boob is smaller. If there is anything someone can learn from my story is if something doesn't feel right it probably isn't. I knew he was measuring me wrong and I trusted him, I feel so stupid. And he lied to me, he said my scars wouldn't come out far from under my breast and they do. He made me feel like he did his job anything that's wrong with my breast is my problem not his. I'm so sad. I'll get through this I've dealt with people like this before. I just have to be patient, and after 6months to a year I can get them fixed, by someone else. I'm going to make sure I have all my info and know what to expect prior to anyone doing any more work on me. I should have made him make it clear exactly were my nipple's were going to be placed. That's what I would change if I could do it all over again. And I would have lots of my own before pictures of my breast in every angle. If you are reading this and you haven't had your surgery done take lots of pictures of your breast so you have proof when your PS says "your breast were messed up before I even touched them". Its so messed up. I have looked at a million before pictures and my breast look just like everyone else's they don't look I had nipples all the way out on the outer edges of my breast. Some of my before picture look strange cause of the angle I took them in with the camera looking upward, I thought it looked cool and made my breast look big as they projected outward. I only had one picture of my breast from a front view and they look normal in that one. I called his office and told them to send me my pictures and my medical records. So if they send me my before pictures I will post them for you guys to see. I'm so depressed. I'm gonna go drink a butt load of wine and stuff my self with Chinese food and cry at random through out the night. Then tomorrow I can have a hang over, sad looking boobs, and feel fat from all the binge eating I'm about to do. I'm so sad :( I know things will get better, its just going to take some time and money that I don't have. I'm going to go cry some more :( I changed my review for Dr.Tirre, he now gets 2 stars for doing a sloppy job on my breast and for not giving a crap about it. Sorry for the negative review guys, I really wanted it to be a happy one. You just never know what your gonna get until you get it and then you got to make the best wi
Hi Marie, Thank you for your question. The best would be for you to be seen for consultation in order to make a determination on whether a tummy tuck would be the best method for scar removal. It sounds like you are very thin, so there may not be excess skin to remove with a tummy tuck. If it is the appearance of the scar that bothers you, have you considered having the scar revised and then incorporate Embrace Scar Therapy to help with the scar healing? We would be happy to see you in consultation to exam and discuss your options further. Thank you again for your question and best of luck to you.
Thank you for your question. Typically, patients do quite well with Botox in the frown line area as this treatment relaxes the muscles that cause you to make that frown. That said, sometimes a little filler in the frown lines can help to smooth out deep, existing wrinkling in the frown line area. Without seeing actual pictures, it is hard to say which method would be best for you. Both methods are excellent for treating the area you are concerned about. I've attached a video of a first time Botox patient of ours so you can see how relatively easy and painless this procedure is. Good luck on your journey and thank you again for your question.
Thank you for your question and I am glad to hear that you are healing well. I would recommend that you reach out to your plastic surgeon that performed your breast augmentation and be seen by their office. I certainly don't believe it is anything to be alarmed about, but as a plastic surgeon, I always want to see my patients and exam them just to be sure. Best wishes to you on continued healing.
Thank you for your question and your photos. You post operative photos look like you are doing well with healing at this stage. I would talk to your plastic surgeon and explain your concerns. In my experience, the breasts will typically not "fill out" after having a reduction procedure. Good luck to you on your continued recovery.
Thank you for your question. I do not have any diet restrictions that I give to my patients following breast augmentation surgery, although you will want to check directly with your surgeon. I ask that my patients stay hydrated and to be aware that sometimes pain medications may constipate you. Eating foods high in fiber may help with that issue. You may also want to start with a bland diet first as some patients experience a little nausea immediately post surgery. Best wishes to you!
