I've been struggling with a double chin since I was in middle school, even at a healthy weight. In 2017, I tried CoolSculpting which truly was a waste of money. I finally made a consultation with Monarch Plastic Surgery in October of 2022 and met with Dr. Killion in regards to liposuction. I had the actual procedure on November 21st and had a typical recovery (swollen, bruised for about 10 days). After a month and half, you could really see the results and now 3 months in I'm happier than ever. I cannot say enough great things about Dr. Killion and her assistant, Carole Rosen. My only regret is not doing this sooner.
Dr. Killion did a phenomenal job on my natural but noticable breast augmentation! The whole experience was perfection. I felt so comfortable and supported with Dr. Killion and her entire nursing staff! I can't say enough good things and highly recommend Dr. Killion! Updated on 6 Jan 2023: Surgery went perfect! The surgery center staff was awesome! I did experience nausea after surgery, but was kinda expected for me. I was prescribed Norco for pain but I did not tolerate it very well, it made my nausea significantly worse so I did take some prescribed zofran for the first few days to help with that. After the first few days however, I was able to get through with just alternating Tylenol and ibuprofen. I highly recommend getting a wedge pillow or a bed rest pillow to help keep you propped up for sleeping. It also makes it easier to get out of bed. Overall, the pain was tolerable, everything just felt extremely tight, and it's hard to move your arms for the first several days. Updated on 6 Jan 2023: I was feeling pretty good at the 1 week mark. I started back to work on day 5 and did just fine. At this point after surgery the implants are being really squished by the pec muscles so the implants appear flat and high on the chest. Things are also still kinda swollen too. The bottom half of my nipples and breast were pretty much completely numb still. Updated on 6 Jan 2023: I was feeling pretty good at the 1 week mark. I started back to work on day 5 and did just fine. At this point after surgery the implants are being really squished by the pec muscles so the implants appear flat and high on the chest. Things are also still kinda swollen too. The bottom half of my nipples and breast were pretty much completely numb still. Updated on 6 Jan 2023: At two weeks everything was healing wonderfully! I started to have more nerve pain around this time, which the gabapentin I was prescribed helped with. The nerves were regaining sensation and I found my breasts to be hypersensitive, kinda felt like I was wearing a bra made out of a brillo pad. My nipples were pretty raw and irritated too. It was at this point I became pretty emotional about the process. I thought the objective surgical outcome was perfection, but subjectively I wish I would have gone bigger. I chose a moderate profile because I wanted a very natural look, the only way for me to go bigger was to go to the moderate plus profile (the next size up in moderate profile was too wide for my chest), each time I tried the moderate plus try ons in clinic I felt they would look too augmented on my frame. Once I had the moderate profile implants in my chest however, I feel like the next size up, the 235 cc moderate plus would have looked really nice and I was regretful I dismissed that size so easily. I spoke to Dr. Killion and her staff about my feelings, they actively listened to me, and reassured me on the size I chose, that it fit my frame very well, and reminded me to trust the process because there was still dropping of the implant that was going to occur. I was taught my massages to do and I was given a scar cream to start applying in about a week. To be honest, I expected an instant gratification after the surgery, to feel this Superwoman confidence with my new boobs, and that just didn't happen for me. I shed many tears, but kept telling myself to trust the process! My results are actually exactly what I wanted (or thought I wanted) based on my inspo pics (which I will post at the end). It's hard to envision yourself with boobs when you haven't had any, and now that I have implants I feel I could have gone bigger and still accomplished what I was after. Updated on 6 Jan 2023: At two weeks everything was healing wonderfully! I started to have more nerve pain around this time, which the gabapentin I was prescribed helped with. The nerves were regaining sensation and I found my breasts to be hypersensitive, kinda felt like I was wearing a bra made out of a brillo pad. My nipples were pretty raw and irritated too. It was at this point I became pretty emotional about the process. I thought the objective surgical outcome was perfection, but subjectively I wish I would have gone bigger. I chose a moderate profile because I wanted a very natural look, the only way for me to go bigger was to go to the moderate plus profile (the next size up in moderate profile was too wide for my chest), each time I tried the moderate plus try ons in clinic I felt they would look too augmented on my frame. Once I had the moderate profile implants in my chest however, I feel like the next size up, the 235 cc moderate plus would have looked really nice and I was regretful I dismissed that size so easily. I spoke to Dr. Killion and her staff about my feelings, they actively listened to me, and reassured me on the size I chose, that it fit my frame very well, and reminded me to trust the process because there was still dropping of the implant that was going to occur. I was taught my massages to do and I was given a scar cream to start applying in about a week. To be honest, I expected an instant gratification after the surgery, to feel this Superwoman confidence with my new boobs, and that just didn't happen for me. I shed many tears, but kept telling myself to trust the process! My results are actually exactly what I wanted (or thought I wanted) based on my inspo pics (which I will post at the end). It's hard to envision yourself with boobs when you haven't had any, and now that I have implants I feel I could have gone bigger and still accomplished what I was after. Updated on 6 Jan 2023: Weeks 3 & 4 I saw the most change. I continued to have severely irritated nipples, I was advised to keep them clean and dry which really helped. My right incision has some very mild widening and a couple areas where pieces of stitch broke through the surface and caused some oozing. The widening should improve with time. The nerve sensations began to improve during this time as well. I feel like my implants really began to soften and drop during weeks 3 &4 and I could start to see more of a breast shape. They also felt a little smaller to me as the implant dropped, and I continued to be disappointed in my choice of implant for myself. Updated on 6 Jan 2023: Weeks 5 & 6 I'm pretty much back to normal at the 6 week mark. I started exercising again, but no super heavy lifting. I have done very minimal upper body exercise as it feels very bizarre and somewhat uncomfortable to flex my pec muscles. I have just been working with very light weights (5 lbs or less) and have been doing some range of motion work as well. My boobs feel pretty much normal again, with the exception of some mild nipple numbness inferiorly. They are starting to feel more soft as opposed to very firm (at first you have rocks for boobs). My incisions are healing well and I am continuing my scar cream. I have still been wearing bralettes or sports bra. I measured myself for a bra and I am currently measuring at a 30E (DD). I started with a A cup or small B cup. My B cup bras had some gapping, and my A cup bras occasionally gapped (depending on the style and brand). I plan to order some bras in my current size to find the best comfort and fit. I plan to do my next update at the 3 month mark. I feel that my implant size fits my body, but I am still wishing I had gone with a little bit larger implant. I think going a little larger would have fit my body great as well. I know many girls feel this way at first, so I'm just trying to ride the wave and be patient. Its comforting to know that going bigger/ more projection is always an option in the future. But for now I am learning to love my new boobs and embrace the changes. Updated on 6 Jan 2023: I had thought about breast implants from my teenage years, at 28 years old I began research on breast augmentation surgery and started to seriously persue the idea of getting breast implants. I spent over a year researching and looking for inspiration. I went into my consult knowing I wanted silicone, round, smooth implants and that I wanted them placed submuscularly with an inframammory incision. I knew I wanted very natural looking and that moderate profile would probably help me best accomplish that look. I had considered 3 surgeons local to me, but scheduled my first consultation with Dr. Killion. I was drawn to Dr. Killion because of how natural her work looked, and I was inspired by her work in breast reconstruction. I really enjoyed meeting with her and after the consult I decided to book with her and not proceed with any other consultations. I learned through the "try on process" that Dr. Killion would choose the appropriate diameter options of the breast implant but I could choose the CC and the projection. My breast diameter is 10.5 so I needed to stay with an implant size within 5 millimeters or so of 10.5 cm. I was attracted to the moderate profile implants : the 190 cc implants which were 10.5 cm diameter, but felt the 210 cc 10.7 diameter implants were a better fit for me. However, if I wanted to go to a higher cc I had to go to the moderate plus projection, because the next size up in the moderate profile would have been too wide of a diameter for my chest. When I tried the moderate plus profile of Sientra Implant I felt like it may give me a too augmented look and so I quickly dismissed those as an option and went with the 210 cc moderate profile implants. (It is important to download the catalogs for different types of implants because for example the moderate plus in Mentor implants has similar dimensions to the Sientra moderate protection etc. I had inspo pics I liked of Mentor implants but I needed to see how they compared to the Sientra implants my surgeon was using) 6 weeks out from surgery I feel like my outcome is spot on to my inspiration pics. They are very natural looking. Dr. Killion did an amazing job and really accomplished the look I was going for that I presented to her with my inspo pics. That being said, at this point in time I'm still wishing I had gone bigger, now that I have implants in my body the 235cc or even maybe the 255cc moderate plus profile Sientra implants would have still looked natural and given me a little more oomf. For now I'm allowing myself to love and embrace the changes as my implants continue to settle. I look forward to bikini and bra shopping soon! Check in for the 3 month update in about 6 weeks! Updated on 26 Feb 2023: Hi everyone! It's been about 6 weeks since my last update. 3 months has flown by. My "new" boobs feel like a part of my body now. I'm back to exercising like normal with the exception of push ups. Those are really hard to get back into but I'm slowly working on it. I'm still struggling with my size choice. I think my surgeon did a beautiful job, and they are exactly the natural look I was after. BUT I guess I have boob greed BAD and wish they were a little more full with more projection. It REALLY bothers me and I ruminate on it, obsess over it really. I am strongly considering a revision and going with bigger implants. I want to give myself a little more time and maybe go through summer/bikini season to see how I am feeling once I can show them off a little more. I do not feel confident wearing no bra or a bra without padding. I feel infinitely more confident with either the VS PINK lounge push up bra, or VS t-shirt push up bra (linked below). I'm wearing a size 32 D in the VS bra (I'm measuring a 30DD but those are really hard to find) attaching lots of pics for reference. Updated on 26 Feb 2023: Hi everyone! It's been about 6 weeks since my last update. 3 months has flown by. My "new" boobs feel like a part of my body now. I'm back to exercising like normal with the exception of push ups. Those are really hard to get back into but I'm slowly working on it. I'm still struggling with my size choice. I think my surgeon did a beautiful job, and they are exactly the natural look I was after. BUT I guess I have boob greed BAD and wish they were a little more full with more projection. It REALLY bothers me and I ruminate on it, obsess over it really. I am strongly considering a revision and going with bigger implants. I want to give myself a little more time and maybe go through summer/bikini season to see how I am feeling once I can show them off a little more. I do not feel confident wearing no bra or a bra without padding. I feel infinitely more confident with either the VS PINK lounge push up bra, or VS t-shirt push up bra (linked below). I'm wearing a size 32 D in the VS bra (I'm measuring a 30DD but those are really hard to find) attaching lots of pics for reference.
Dr. Killian removed a fat necrosis in a delicate place beneath my eye. The procedure was painless and left no scar. She has gifted hands and a great demeanor. She exudes confidence. I would highly recommend her. Clare
Beware of placing a wide and large implant, because your nipples are both asymmetric and laterally positioned. A large implant will make this more obvious. See if your surgeon has a Sientra Mirror or Vectra technology to virtually place implants on you so that you can be prepared for this. Good luck!
Hi fearless, Yes you are bottoming out. Your skin and breast tissue is now no longer supporting your implant. I would recommend a revision likely going down in size of your implants and using a mesh to support the lower portion of your implant so that it is less likely to drop again. Good luck!
I tell my patients 6 weeks. If I transfer a higher amount I go with 8 weeks. Hope this helps and good luck!
Hi Jordan, We don't always know why scars widen, but in this case it was likely because your skin is thin and there was tension on the skin when it was closed. I typically tell my patients to wait a full two years prior to any scar revisions. The good thing is they are very light. I suggest some microneedling or a skin pen to try to help with the texture. Good luck!
If you are going under the muscle, the implant can be flattened slightly on the superior aspect. If this is the case go with the larger implant!
