Dr. Patricia McGuire, MD is a board-certified plastic surgeon with over 30 years of experience practicing at Parkcrest Plastic Surgery in St. Louis, Missouri. Her patients recognize her for her excellence, compassion, and ability to create natural-looking results when performing breast enhancement and body contouring procedures, especially breast augmentation and tummy tucks. Dr. McGuire received her MD from the University of Missouri–Kansas City School of Medicine. She is known around the world for her expertise in breast augmentation, as well as breast surgery safety and breast implant illness. She has acted as clinical investigator for breast implant studies and is a member of multiple professional organizations, including the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons’ ALCL committee. When not helping patients or advancing the field of breast enhancement, Dr. McGuire enjoys spending time with her husband, two daughters, and three dogs.
My experience with Dr McGuire and her team was perfect from start to finish. Dr McGuire performed a tummy tuck with lipo to the flanks back in October 2021 then I returned to her 6 months later or so for additional lipo in the abdomen area. I will say that at my initial visit I was nervous only because I am African American. I think I even asked her at the 1st visit if she had performed surgery on African American women - I know that sounds crazy but hey I needed to feel comfortable as well as be realistic about the results. Well I’m glad I trusted her because when I say I am in love with my results - that is an understatement! She is very professional and treated me with nothing but respect. She does move fast but always asks after she’s done talking, if I have any questions please say so. I can really appreciate that. Oh and when she told me she would be aggressive during the procedure - all I can say is THANKS! I love my new look and so does my hubby!
Of course having something done to your body like plastic surgery, you only want the best.For me price didn't matter if this was something I really wanted. Having my husbands support we searched the top surgeons in the US, yea I know that was a lot of tit pics. Dr. Patricia McGuire was along the searches. Before even going for my consultation I knew she was the doc for me. Why? Because I was smoker and they wouldn't even see me til I quit for five weeks. That alone says she's in it more than just for the money. Of course I was pissed but determined. When my husband and I went to consultation , I was nervous and changing my mind. Then we did the 3d imaging, believe me those pics were not convincing at ALL!! They looked ridiculous. But I decided to have it done anyway!!! WHY?? I am no way affiliated with Dr. McGuire, it was completely off trust! I seen her work and believe me I would relook at all pictures on a daily basis. From the moment we went to her office, this Doc is hands down awesome! She's completely honest and upfront with everything. She tells you all about the mental part of what you can experience , but I've loved them from day one! My results, were AWESOME! I absolutely love them! This was completely life changing for me!
I can’t say enough about Dr. McGuire. She is friendly, knowledgeable, honest, conservative, and efficient. I know several other women on which she has performed other breast surgeries including augmentations, reductions, implant exchanges and removals. All of these women have had exceptional results with Dr. McGuire.
I had a breast augmentation with Dr. McGuire. I am 32 years old, post breastfeeding 1 child (don't plan on having more children), 5'6", and 112 lbs. I received silicone implants, 255 ccs each. I am extremely happy with my results. As a skinny woman with a bony ribcage, I was so afraid of my new boobs looking unnaturally shaped, like two balls on a board. But Dr. M made the perfect size choice on the operating table (we discussed a range of sizes and she ultimately picks the appropriate one). Not only are my results fantastic, but scars are also tiny, and healing was literally so easy, she and her staff were knowledgeable, personable, and kind. They answered all of my questions, many phone calls, and everything before and after my surgery was a breeze. Thank you so much Dr. McGuire!
I am 22 years old, weight 130 lbs, am 5'2, and had 34G boobs. From the end of 7th grade, I was a B and by the middle of 8th grade, I had progressed to a C/D so fast. I had awful stretch marks. I have always had extremely painful neck and shoulder pain, I had upper back pain too but I think my neck and shoulder took it all. I used posture correctors, always wore my backpack correctly, but all my pain was due to my breast. By my sophomore year of High school, I was a DD/DDD and eventually progressed to a G. You all know the story, I had trouble finding bras, swimsuits, dresses, I hid them all the time, I hated how I dressed but I looked ridiculous in everything I wore. All I wanted to do was be able to wear a damn bralette, which I finally found one, but my boobs would just fall out of it. I didn't dress in cute clothes, I felt like I looked ugly in everything. Tbh, I hated my fashion sense but when I saw cute clothes in the store and tried them on, I would just cry at how stupid I looked. I was so embarrassed and spent many nights thinking I was so ugly over these damn boobs. I have been in relationships but I was so nervous meeting men, especially once they saw the size of my chest. College was a new start for me because I wasn't known as the girl with big boobs, and while people minded their business, I was still extremely shy at making friends, something I never used to be. By the end of my freshman year, I quit wearing regular bras all together unless I had too. I was tired of the pain and uncomfortableness. Since the end of my sophomore year I have seriously been thinking of getting this procedure done when I graduate, only dilemma is I am in nursing school, would they give me time off before a new job?? I started saving money and had nearly 2/3rds saved up before the pandemic hit. Finally, the summer before my senior year, I started working 12's in the hospital and developed this god awful lower back pain that would cause me to want to sit down right away. So I talked to my parents, who were actually super supportive of my decision and knew I had this horrible back pain. So in September I called and made an appointment in October with Dr. McGuire, her staff was so helpful!!! I fell in love with her right away, she was my top choice out of the 3 I had picked out, I loved her before and after pictures the best too. She even could see having this big of boobs with such a small frame was painful and unnecessary. I originally asked for a B but she told me that was not possible without compromising blood flow, she said she would aim for a small C for me. I told her to go as small as she can and she would. I also wanted smaller nipples and she assured me they would match my new breast size. As much as I wanted my insurance to cover, I wanted these babies off PRONTO, didn't want to deal with the hassle and my insurance sucked. Plus, I had a strict timeline I had to follow due to clinical, graduating, work. Originally my appointment was supposed to be in January, but I was able to move it up due to the shutdown, it was then supposed to be the Tuesday before Thanksgiving and that Thursday before I tested positive for covid. I quickly recovered and ready to go again. In my next post, I will discuss surgery day and some after photos. I will post some before pictures below, I don't have a lot because I was so embarrassed. Updated on 10 Dec 2020: The surgery went well!! It was really easy, my mom wasnt allowed in due to covid covid but everyone at the surgery center was so kind and helpful. They quickly helped me get checked in, I just signed forms, weighed myself, changed into my surgical gown, did a pregnancy test, basic pre surgery things. They brought me to the Pre Op area to lay in a little stretcher, they attached leads on my back to track my heart rate, SCD's on my legs to promote blood flow, took my vitals and started my IV. My surgeon came in and started drawing on my chest. She agreed, I am going to love my chest after. After that the CRNA came in, her and another nurse wheeled me to the OR, I scooted to the operating table, they all congratulated me while they were strapping me in, the CRNA asked what kind of job I want when I graduate and that was it! I woke up mumbling in Post Op and another nurse was telling me that I am all done! My surgeon estimated around 2 hours but my mom got the call after 1.5 hours that everything went great! I was in a little pain, but not that much, this is coming from a baby with a low pain tolerance! I think I rated it a 5 at first and they gave me meds and my final answer was a 3. I was in Post Op for an hour, but don't really remember much. They helped me get dress and call my mom and I just remember being wheeled out. Everyone was so nice to me in the surgery center I loved it! I slept pretty much the entire car ride home and in our chair when I got home. When I got out of the car I looked down and noticed I could see my feet!! My mom told me I cried I was so happy in the car that "I finally had small titties!!" I slept and took my pain meds every 6 hours, I was still pretty loopy all day. I did take one picture in the bathroom before I passed out. I will upload those now! All in all, I loved my surgeon, I think she did a good job, and the pain was minimal! I am going to upload some after photos in a separate upload, for some reason it keeps saying there is an error with them. I will try on a different device tomorrow! Updated on 10 Dec 2020: I have tried switching wifis, using 3 different devices, chrome and safari but it’s just not letting me upload some side profile photos!! So frustrating but I’m trying guys. My first post op appointment is tomorrow (Friday), I had surgery on Monday. So I will update more then!! I have photos when I first took the bra off, the next day. They are kinda smooshed from having all the gauze and padding pressed on, now that’s not so much the case. Not going to lie, it hurt not having the support for like 3 minutes. I kinda just sponged bathed myself that day and waited until the next to fully take the bra off and shower with my mom’s help. I would recommend taking a pain pill ab 30-45 minutes before you shower! Its pretty bruised but I thought it was going to look a lot worse!! Im actually in love with how small they are!! attached is the photo I took when I got out of the car and into my house (minus the side profile), the photos in the black tanktop are from about a month ago. I’m gonna grab it tomorrow from my apartment and try and do a comparison! I’ll make another post tomorrow after my postop and I think I’m going to make a separate post on my meds/pain to make these a little shorter! Updated on 11 Dec 2020: Today was my first post op appointment! It went well. They said I’m healing well, my sutures are great, im pretty soft (but tbh I still feel like they are really hard) and the bruising is normal. I havent even noticed any unevenness, which I was stressed about! They gave me a sports bra to wear, its a front clasp fruit of the loom sports bra! I was instructed to wear a bra at all times when moving around and to start using aquaphor or vaseline to peel off my steri strips. Which I did when I took my first shower. I put the new sports bra on to wash the old, the pictures of me now are AMAZING! I feel so much more confident and like a completely different person. She also gave me a sample of some scar removal cream to use. I’m going to try it and probably the strips when I peel off the steri strips. As long as it has a silicon base it’s she said it will work! Updated on 12 Dec 2020: Ok so just an update on pain meds. When I got out in recovery I complained of pain and they gave me valium, then oxycodone like 30 minutes later. They prescribed me Tylenol 3 and valium every 6 hours. My first day I was in a little pain and took my meds regularly at 6 & 12. By noon the next day I switched to regular Tylenol and only took the Tylenol 3 at night and before my first shower. Only because when I first took the bra off for 3 minutes the day after my breast were sooo sore, so I prepared myself for my shower. By the third day I was off and now I don’t even take regular Tylenol on a schedule. I have also had zero complications so far, so that is a big factor. Just don’t overexert yourself!!
I had my Breast implants removed after 15 years. The removal and Mastopexy went well. The recovery was not difficult. My scars look amazing. I am so glad I chose not to replace the implants. I also had some liposuction done at the same time. Dr. McGuire presented the risks/benefits. She is truly a skilled surgeon and wonderful to have as your doctor. This is my second surgery with Dr. McGuire and I couldn’t be happier.
Dr McGuire office team and surgery staff was amazing. They made me feel comfortable and was very attentive. From the start they were very professional and nice. They explain everything and made sure all my questions were answered. The surgery center was great they made sure my family was aware of all that was need from them to make sure I was comfortable as well as letting them know when I went into surgery and came out. Once home the office called everyday to make sure I was ok until my post op visit. I’m happy I went with them great service. Whatever I needed they were there to answer and get it as soon as possible. Updated on 26 Aug 2020: Things are going great . Back at work and the first day was exhausting but got through it. Each day gets better. I feel amazing back to myself. Can sleep on my side because the back sleeping was killing me. My scar is healing great. Continue to wear my binder and I do wear spandex when I go to work it hold me in and helps me feel better and tight. Loving the results can’t wait to start working out to get some abs forming. Lol. Dr McGuire office has been amazing through all of my processes, will recommend.
Beyond excellence! I've known Dr McGuire as both a patient and her hairdresser for 35 years. She has been not only a great friend, client but she did removed my old implants that had leaked and lifted me 6 years ago which was a difficult operation. The results far exceeded my expectations with no complications and smooth sailing. I have referred several people to her over the years and they too were as happy with their results as me. Anyone contemplating a procedure you can rest assured you can complete faith and trust in her abilities and the results you'll get! I'm grateful!
I'm one of those people that after jumping one hurdle, moves on to the next. I don't stop and bask in the lovely glow of a lifetime goal finally met. I don't "practice gratitude" the way all those self-help articles evangelize. After I had my breast reduction, other than performing the aftercare tasks, I didn’t really think about it much. Recently I had a really bad nightmare. I dreamed that my old breasts were back. The despair I felt on waking made me realize how much the breast reduction has changed my life. I had to get up and look in the mirror to reassure myself I was still the new, improved me. The me that could now shop for bras and not have to pay $75 or more at a specialty shop. The me that could workout without wearing a breast binder so tight I’d have to walk around in it for 10 minutes while my body grew accustomed to pulling in less air. I can buy normal clothes without always having to assess how much pulling there would across the chest. I now have a full range of arm motion because my breasts are not limiting my reach. I don’t have those shooting nerve pains and finger numbness from my bra straps digging into my shoulders. I don’t have to sleep surrounded by pillows so my body doesn’t roll over on pendulous flesh that was not just unsightly, but cumbersome. I can go out in public without having to deal with the occasional stares, snickers or nasty remarks from both men and women. My surgeon at Parkcrest Plastic Surgery did such a great job that I can barely remember what my breasts used to look like. It’s as if my old breasts were on some other unfortunate woman and this is the way I’ve always been. The way I am now is my true self. I can’t thank Dr. McGuire and her team for giving this gift to me. Everyone was very professional and thorough. She said this was going to change my life and she was right. My breast reduction was worth every penny. My only regret is that I didn’t do it sooner.
I had been thinking about having a breast lift for awhile, thought I could do it with diet and exercise. That didnt happen, my breasts still drooped. So I had a consult with Dr. McGuire, I then scheduled the procedure and had it done! Dr McGuire is a talented doctor, she gets to point, lets you know what to expect. Surgery went fine, While having the breast lift she also did a little liposuction on the upper side of each breast near my armpit -this was to shape them and take away the extra little fat that sticks over your bra - it was all done as an outpatient in a treatment center this was nice and private! My release from the center was delayed a little due to problems urinating but that was all. After I accomplished that I was back home . An hour later at home I felt sick, I called the afterhours number I had been given by the staff and Dr McGuire called me back asap to check up on me and let me know what might have caused this feeling. This was a relief - most times you would get the Doctor on call -which is fine but this was very calming as that she did the work on me and knew what was going on - It is now November I have had numerous follow up appointments all went well. I am so happy that I had this done. I'm healing and feeling terrific. my clothes fit so much better and I feel more confident. Dr.McGuire and staff go above and beyond making you feel comfortable and well informed. - There was no stupid question - I would gladly recommend Dr. McGuire and her team In fact I already have!
I see patients who have a variety of symptoms after having breast implants placed, both saline and silicone gel. There is currently no scientific evidence that links implants to defined autoimmune disease, but individual symptoms have not been studied and silicone gel has been studied more than saline. I am a principal investigator in a study looking at systemic symptoms in women with breast implants. We are looking at the types of symptoms women have who have implants and symptoms, who have implants and no symptoms and women who have never had implants. For the women who have surgery to remove their implants, we are sending the capsule (scar tissue) that forms around the implants to various labs to look at heavy metals, bacterial and fungal DNA, and cytokines. We are also testing their peripheral blood for antibodies to bacterial toxins, thyroid function, Vit D levels and inflammatory markers. The study is sponsored by the Aesthetic Society, so plastic surgeons are interested in getting scientific data to see if we can find a link between implants and various symptoms. We know that one of the main concerns of women with breast implant illness is heavy metals in the implants as a cause of their symptoms, so we hope our study will provide scientific answers to your question.
A difference of 20cc in implant size will have minimal affect on your result. The difference is .25cm in the diameter. If you are more concerned about being too small, pick 275cc if your concern is being too big, pick 255. I don’t find bra sizers particularly helpful, what an implant looks like in a bra does not always translate into what it looks like in the body. If you trust your surgeon’s judgement, allow her/hIm to pick the size that most appropriately fills the space.
The procedure for implant removal depends on the implant location, type, tissues, and your goals. When I remove an implant, I try remove the surrounding capsule (scar tissue), especially if the implant was textured. Complete capsule removal cannot always be done safely, but above the muscle, with a textured implant it is likely to be possible. How you will look after removal depends on your tissues, some patients benefit from a lift at the time of removal. Talk to your board certified plastic surgeon about your options.
This is a very good question. If a patient expresses concern about the capsule and I can remove it safely, I will remove it using a precise dissection. There are potential complications to capsulectomy which you should discuss with your surgeon. ALCL is so rare, so there is no scientific data to support the need for removal of the capsule when removing textured implants but since this rare lymphoma develops in the capsule, to give the lowest risk of ALCL I try to remove the entire capsule if this can be performed safely.
Larger implants should give your desired look, but be sure that you understand the trade offs with larger implants. The more weight in the breast the higher the possibility of thinning of the overlying tissues with lateral and inferior malposition. You have a good result now and 500cc implants would probably not cause significant issues, but you want to take into account all possibilities when choosing an implant and I like to do what I can for my patients to have results they will be happy with for years to come.