Marie E. Pletsch, MD

I'm scared! I had a breast lift with silicone implants placed submuscular in 2002 after two pregnancies which I gained 80 pounds each time. My boobs went from a 36B to 40E then 38FF.After both of my children were born I literally only had tissue that fell over my 36B bra. I had to roll my boobs and try to tuck them in. I was disgusted with my appearance. I would not have sex without a shirt on or wear a swimsuit. I know it sounds horribly vain. I had always wanted big boobs like most of the women in my family had. I loved them at a 40E. My mom said I looked like a cow, but then when they went away she said they looked like saggy fried eggs and 80yrs old. My mom was small chested and only gained 1/2bra size and 30lbs with her pregnancies. I took after my dads side. She is 69yrs old and is a perky C cup now from gaining a lil weight with age. I'm 40 and single. My kids are now 18 and 16 both boys. I asked their opinion.they said whatever it's your boobs we don't care, but when I show explant pics and try to get feedback they are so grossed out. My mom says to replace them. My R implant had a small contained rupture found on a MRI a few years ago. I was told it was safe to leave in not to worry. If there was pain come back and do yearly MRIs to make sure it was still inside capsule. I went to 3 board certified surgeons each reassured me not to worry. I was in a car accident 2yrs ago. Got them checked after still no change I was told but I was hit by 2 cars at 65mph and I was stopped in traffic. So since the accident I've had horrible shoulder pain and loss of function in my R hand. I had failed neck fusion 12yrs ago. So I was told my shoulder/arm issues were probably coming from that. But no tests show anything been to multiple Neurologists and surgeons no answer. I was told to keep strong l started back strength training. Finally pain got to bad this summer to walk my 2dogs together but they are 70lb dogs that pull a bit on the leash. Fast forward to Feb 2017 my friend I'm telling about my shoulder pain says let me see what hurts. He's the first to notice a lump under my armpit. I went to my obgyn she had me do a ultrasound which shows impregnated lymph nodes and 2 masses with free floating silicone no malignancy. So I'm supposed to go into surgery in 3 days. My 16yr old ran away from home which caused me to lose weight. I'm already thin from pain medicine I take from failed neck surgery now I just lost another 10lbs. I'm 5ft 8 and weighing 107lbs. So gross???? My surgeon I'm going to is Dr. Marie PLETSCH she has been a plastic surgeon since 1962. Longer than I have been alive. She has done my god mom,sister, and a couple friends. We all have had good results. She wants to go over the muscle this time. I just don't want rippled boobs. She says they will just rupture again if under the muscle. I asked if it didn't look like I had enough tissue when she goes to put them in to not put them in. She said if that was the case she'd place under the muscle. I have 350cc hp mentor silicone implants. Don't know the cc of new implants but she is going with moderate plus profile and I said I didn't want any smaller than I am already she said ok. I'm just not excited like the first time and I really don't like the look of over the muscle in pics I've seen. She says the placement over or under doesn't make the breast look different it's just capsular contracture that I'm seeing. Anyways I'm just trying to pay it forward writing this. I've been reading others stories on here for weeks now. I'm praying I can go through with getting them put back in. Multiple surgeons on here told me do not go over muscle, but I'm trying to have faith in my Dr. I don't want 2 surgeries if I don't have to and this silicone has got to come out. She's removing front part of the capsules then washing out the leaked silicone and leaving my armpit and lymph nodes alone. Sorry I'm not the best writer. Will keep updating. ???????? Updated on 5 Jun 2017: First day not bad was way looped from anethsia. I had explant and replacement don't know cc or profile but they look quite similar to before. My Dr. was awesome don't know why I was so worried. The implants were replaced sub muscular. I was too thin to go over the muscle which is what I had thought and she was able to remove most of the silicone that was in me from my old implants there was a wadded up amount that got stuck in my ribcage because I am so thin she didn't want to rupture a lung digging for more. However she assured me that it would not cause me any problems. There was a lump she sent in for a biopsy. I go in for my next appointment tomorrow hopefully I get my JP drains out I will update more as I Hillmore and he'll more. I still strongly recommend her as a doctor. She is very confident and comfortable with her work. Updated on 5 Jun 2017: I accidentally posted the incision of one side twice it went let me fix it so here is the other side Updated on 5 Jun 2017: She's an excellent doctor very confident  and knowledgeable in her profession. I would highly recommend her to anyone who wants an honest DR. that truly enjoys  what she does for a living she is very sweet and has a good demeanor.  I wasn't thrilled with her office manager but she is not the one operating on me. Updated on 5 Jun 2017: Feeling much better five days postop got my drains out I have very little swelling and zero bruising . I will add photos later just want to update you good luck to all you ladies out there going through what I am my nerves were actually a lot worse than The whole procedure has actually been. Dr. says there take it easy keep arms by the side of body and three more days I can wear my own sports bra instead of the compression surgery postop bra Updated on 6 Jun 2017: Having very minimal pain I got to have my drains out today!!! I am so stoked! I've been told to keep my arms by my sides. I call them T Rex arms. I am trying to follow all the doctors instructions to a T. I have very minimal swelling of the right breast that had the rupture the left breast looks all most the same as it was pre-surgery. It looks a little mishaped but it will fluff back out. I find leaving the compression bra on keep the pain at bay. The shower felt great but I did notice some heaviness and felt a little swelling after. I didn't raise my arms to wash my hair but I do like super hot showers which is probably a no no. I am sleeping elevated I have an adjustable bed so that really helps as far as back sleeping I'm not a back sleeper I like to sleep on my side. My nipples are full sensation the only area that's a little Nam is the bottom part of my breast which is probably normal considering this time the incisions were in the inframammary fold. A week from now I go in to get my Steri-Strips removed. Hope this information helps ????Best of luck to all the ladies out there going on the same adventure as me. I really appreciate reading everyone's reviews ????????? Updated on 6 Jun 2017: Morning boob is really a thing???? You some frozen corn for 20 minutes on each side and fell tons better! Amazed at how little swelling I have the right boob is almost equal to the left. I have been taken Quecetaiin with Bromelain 2 time a day vitamin c 3x a day and 1multi vitamin which I normally take 3 that's daily dose of it but I don't want that much vitamin e because it can cause your blood to thin and create more bleeding/swelling. Don't know if this is helping or if my doctor just had a soft touch. But I'm continuing it can't hurt any Updated on 7 Jun 2017: They are coming along real well. I finished my anabiotic's last night at midnight and my last Percocet. I have ice to couple times today but overall the pain is almost gone I was able to wash my hair today and get a towel on my head myself whoo hoo the little things in life that make me so happy. I'm definitely stir crazy as hell and really wanting to leave the house I've had about as much sitting on my ass as I can bear but I was like I'm halfway to being able to venture out of course I have to drive a stick shift I have an automatic I'd be gone by now. Updated on 10 Jun 2017: Feeling stir crazy. Ready to get back to my daily activities. Very little breast pain. However I have a bad back and I'm counting the days before I can sleep on my side again. The lil things in life that bring me such happiness :) r breast still more swollen than left and sitting a tad higher and feels kinda hard my L boob is back in place and is feeling nice and soft. Three more days till steri strips come off and I can get a better look at my scars. Updated on 13 Jun 2017: Whoo hoo I'm getting there. Got my Steri-Strips and sutures removed today my incisions are very thin I am late I'm very happy with their appearance so far. However the incisions feel weak with the tape removed I'm sure it's all in my head but I've got half the mind to go get more tape to put over the incisions don't know if anybody else feels like this or not Updated on 17 Jun 2017: So I wasn't to concerned about this dent being only 2.5wks op boobs are still adjusting to new implant. I thought this dent was due to the steri strips and a lol loose skin but now I'm not sure wth is going on. I've had the tape off a few days and it hasn't gone away. Updated on 20 Jun 2017: Feeling almost normal!!!! Whoo hoo! Can do most household chores except walking my dogs, scrubbing, washing large pots, or sweeping/mopping. Which is a huge improvement considering I couldn't reach a cup and barely carry a plate of food 20days ago my incisions are fully healed. I just started applying pure shea butter to scars to heal them better. Slept on my side for a couple hrs first time since surgery. Woke to some soreness doing that so another week back sleeping. Then will try side sleeping again. I'm still taking vitamin c my daily turmeric and bromellain to aid with healing. I found out dent in boob is sutures in capsule that will resolve itself in due time. Updated on 21 Jun 2017: Been sleeping flat on my back last few days. I was sleeping upright but thought gravity might help with my dent sure enough the indent in L boob is getting better already!! So that's wonderful. Still have some numbness in lower half of breasts, but my nipples have been fine the whole time. Not having any nerve pain my sternum does feel bruised if touch. I don't know why. Updated on 21 Jun 2017: Was going to buy scar cream but the shea butter and aloe are working like a champ. Updated on 17 Jul 2017: L breast has been softer than R that had rupture. Tonight I noticed it softened up a lot in the last week! I had capsular contracture for past 15 yrs so rad to have squishy boobs again.Omg! My r had rupture and is slightly bigger than L. My PS says not to use my arm much or sleep on R side till fluid "leftover swelling"hopefully subsides and breast is soft. Well it's getting there I thought textured implants and my scar tissue were gonna make them firm again! Fingers crossed they stay squishy! :) Updated on 27 Jul 2017: I'm beyond pleased with my boobs. They are both soft and squishy. I'm so happy. R is still a lil firmer, but so close. I'm praying they stay soft! Fingers are crossed! Updated on 23 Aug 2017: Dissolvable stitches are healed can't feel them in crease anymore. Both breast are quite soft like real boobs. L breast is slightly larger and a hair firmer. PS says looks great and fluid should resolve itself. So happy with my results. No animation deformity. Had it before but not real bad. Scars are fading slowly but are thin and smooth. Keeping fingers crossed I get to keep these squishy boobs and CC doesn't reoccur. However I'm hopeful because the first time they never got soft.

After wanting this for 10 yrs, I finally have a date set. I'm 60 yrs young and a 38 G. So tired of all the neck and shoulder pain. Not afraid at all. I had a tummy tuck a few yrs ago and the pain was not bad at all. Husband is super supportive, which really helps. I hope to be a C cup approx. when done. Looking forward to losing the grooves in my shoulders. Updated on 10 Nov 2013: So far, I'm not nervous. Probably too busy at work so I can take off 3 weeks! I have my pre-op in 3 days. So many things to remember to discuss with my surgeon. Thankful for this forum to help me make lists of my questions. Thank you all. I will update again after pre-op. Bye! Updated on 14 Nov 2013: It's becoming real...excited and sleeping a little more fitfully. So many things to do still. Get prescriptions filled, clean the house, 4 more days to work, and groceries. I'll be glad when it's over. Pre-op went fine. Had to have blood drawn, urine test, and she did a breast exam and an all over once over. Told doc I really want to be at the biggest a C cup. She thinks it is realistic.yay! I got a lesson in how to deal with the drains. They should only be in one day. The surgery center changed my time from 6:30 am to 7am arrival time. Not a big deal. I will update again before I go! This is going to be great! Updated on 14 Nov 2013: I forgot to say thank you to you all! I feel much more prepared for the experience since I have you all on my side! [RS bleep] Updated on 19 Nov 2013: Finally heading to surgery tomorrow at 7:30am. Talked to the anesthesiologist tonight. It's a woman and she was very nice. I feel better just talking to her. Kind of getting a little nervous. Took my shower tonight with antibacterial soap and again in the morning. House is clean and I am ready as I can be. Bought groceries, did the laundry. Lets do this!! Updated on 19 Nov 2013: Can't wait to have small boobs! Updated on 21 Nov 2013: I got to the surgery center at 7:30 am, was put into a gown, marked up by my doctor, met the anasthesiologist, got my iv, and off I went. Don't remember anything until after surgery of course. Had some pain, but the nurses were great about fixing me up. Was home by 2:30 pm. Haven't seen them yet, but going to get my drains out in the morning. No pain really. I will post after shots later. Thank goodness for this site and all the support. [RS bleep] Updated on 22 Nov 2013: I got to take a shower today and I like what I see! No pain really, just sensitive to the touch. No zingers...so glad I did this! Updated on 22 Nov 2013: I forgot to mention that my PS took 700g out of each breast! Looks like I will be pretty small! That's what I wanted and I have no regrets. Updated on 24 Nov 2013: I'm now only taking Tylenol during the day and my heavy duty percoset at night so I can sleep better since I'm a side sleeper and that's out for now.the only pain I have is if I have to bend over at all. Very sensitive boobies. The patch behind my ear for nausea worked great. Still have it on. In 3 days I have the stitches out around the nipples. Taking the drains out didn't hurt at all, just heard a suction sound and they were out. I am off work until the 9th so hopefully I will be ready to get back to it. I can lift my arms up but if I bend over to pick something up, it's not good.feels like they will fall off. I will update more in a few days. Happy healing! Updated on 25 Nov 2013: This morning when I got in the shower, I had to look down to make sure I had actually taken all my clothes off! Lol Very weird feeling like I'm wearing a strong corset style bra, but I have nothing on! Also, there were no giant boobs swaying...???? Updated on 27 Nov 2013: Had some of the stitches removed from around the nipples, followed by steri-tape application. Been having a little more pain along the stitches under by breasts. Doctor said I'm doing too much walking around, not enough relaxing. I can see now that this is going to take more than just a couple of weeks! Your pain level will tell you of you've done too much. I will be "good" and kick back much more. Sometimes I just feel guilty for not doing enough...gotta stop that way of thinking. Updated on 29 Nov 2013: My surgeon did not do any lipo under my arms and it lookslike I still have big side boobs. I can see that is gonna bug me so lipo will have to be done. Anybody else have the same problem? Updated on 30 Nov 2013: Maybe the swelling will go down enough?? When I asked my Dr. about lipo with the surgery, she said she just pulls the fat forward? I guess we will see if its enough for me. Updated on 2 Dec 2013: Finally at 12 days post op, I had a great energy day. I was sick of laying in bed day after day. So today I did a few errands with my grandson driving me. He's 17. I was beginning to wonder if I would ever feel "normal" again. Yes, the breasts are sore as heck, but I went about my day like all was fine. Now tonight, I feel great! Made dinner, husband changed my sheets. I was searching all over this site for when I was supposed to feel better while going about the day, not just laying there. Well, my answer is: Today! Happy day! I must learn patience...:) Updated on 3 Dec 2013: I thought I would post a couple pics of my back rest. It has really helped from day one post op. I'm a side sleeper, but this has made sleeping on my back night after night totally do-able! Updated on 5 Dec 2013: Ok.today she took all the steri-tape off and took some more stitches out in nipples. I have a small blister under each breast. Doc is not worried about it. Under left breast is more healed than right. She has me putting antibiotic ointment on them with a sterile q tip and covering it with gauze. She noticed my lower half of each breast is very red. Not bruised, just red. She said it is my body's response to surgery and it will subside. Doesn't bother me. My breasts are not pretty right now. Scaly, red, scabby...I'm not worried. They will be beautiful soon enough! Updated on 6 Dec 2013: Ever since I saw my surgeon yesterday and she took the tape off, I have had much more soreness in my breasts. And the zingers! Oh my! Ouch, but only for short moments throughout the day. Nothing we women can't handle! Think I'll lay low tomorrow. Been doing too much....again! Updated on 8 Dec 2013: After seeing how oozy my below breasts blisters were, I decided to sleep without my bra last night. I just had gauze taped over the open parts and ointment on them. They look better today and I feel better! Someone on here had mentioned that they had done that. Thank you! Updated on 8 Dec 2013: Tonight my husband and I went out to eat. As I was sitting at the table, I looked down and noticed how I had so much more room between me and the table! It's moments like that...yep! Updated on 10 Dec 2013: The lower half of my breasts are very red. Doctor doesn't seem worried but asked me today if they hurt. I have no idea what to expect since this is my first breast reduction! Yes they are sore and feel swollen. I see my doctor every week. Do you all have that many post op appointments? She tells me it happens sometimes and is my body's reaction to surgery. Something about my blood vessels over reacting. Sure would like to hear from you all. Thanks. Updated on 14 Dec 2013: 3 weeks post op Updated on 24 Dec 2013: Last week I worked full time. I do hair. Boy did I pay for that! So sore I held my breasts when I walked to make sure they didn't move. I have hard lumps in my breasts and thought massaging them would help. WRONG! I was in pain from doing that, not just the usual soreness. A couple days ago, I decided to not touch them at all, and I feel a lot better. What a roller coaster this is! So glad I have the next 3 days off. I think I will just rest and hope I turn the corner on the soreness. On the positive side, most of my scars have fallen off and they look better. Still red, but that will change eventually. Even after all this, I would do it again! :) Updated on 25 Dec 2013: Oops. My SCARS have not fallen off! Meant to say SCABS! Lol Also, I'm all closed up. No open sores! Updated on 5 Jan 2014: I hardly have any soreness anymore, except in my right nipple because I have a big lump of necrosis under the nipple. I can work all I want and also am back at the gym. That feels great! Doctor saw me at 6 weeks and I don't need to see her for another month. So worth it. Love these small boobs!

Just had my first consult, loved the doctor,excited that she is willing to work with my school schedule, I wish to use my December month break as recovery period. She doesn't go by in the bra sizers or by digital imaging or by CC's she goes by what you tell her you want and she will take three sizes into surgery room and after anesthesia is done sits me up and will place them and see which will fit the best according to my skin/desired results. She does silicone,inframmamary,under breast tissue/over the muscle (subgland). She will prescribe percocet and says that the recoveryear will not be bad, best because not under the muscle, she will use textured sientra brand seeilicone round implants, she sounded very sure of herself easy breazy no big deal confident. I took 4 pages of questioned I had compiled the night before so anything she didn't initially cover I was able to ask/write down her answers. I applied for the care credit financing of $3,000, will max out a different credit card for 2,000 and will use my $1000 from savings to pay upfront to equal the $6000+ due at the preoperative appointment. I am excited the feeling is surreal.