Robert M. Kachenmeister, MD

I lost a lot of weight back when I was a young teenager and my skin never went back to normal. Combine that with regular aging and nothing was going to help my loose stomach skin. I’ve been dreaming of fixing it for over ten years. Finally pulled the trigger and went with Dr. K after getting a few consults. He’s so kind and patient. Answers all your questions and takes his time with you. He was so reassuring and made me feel safe and well taken care of. I love my results and just wish I was able to do it sooner. It was so worth it. Thank you Dr. K, Karen and the rest of the staff at his office.

I am two weeks post surgery. I took two full years during covid to research research research and asked physicians I knew too for recommendations. Meet with Dr. K and knew he was "the one", but also did a secondary consult with someone else.

By now you've read the reviews on various platforms about Dr. K's kind, patient bedside manner, his unbelievable skill surgical skill, the absolute no to selling a procedure from the staff, the amount of time he'll spend with you. It's all true and it isn't hype.

But my review is somewhat different. I'm not a young gal anymore, so I thought I should stay at a $$$$ post surgery retreat for 4 nights after staying in the surgical center overnight. There will be an ugly but truthful review of the post surgery retreat later.

From the get go there were communication problems. I was in excruciating pain, I won't deny it. Dr K's RX for the opioid -as written- as 2 pills every 4 -6 hours. Instead, the nurses unillaterally gave me dosages of 1 pill every 6-7 hours, inspite of my pain. It was completely wrong. The retreat staff discussed, with me in pain, Dr. K's choice of opioids & replacing them with a different opioid that didn't work as well and/or that the retreat insisted on spacing the dosages farther apart than Dr. K had written the RX for, based on their medical experience! There were many other problems related to staff incompetence but that isn't relevant here. I must have mumbled sometime during day 2 to call my doctor, and they did.

Instead of having his incredibly competent PA Karen, who is a gem of a nurse & a lovely human being too, Dr. K took the call himself at the office. Then he followed up when he got home. Then he followed up again the next day, later on in day 3 and day 4. Multiple times per day. DR. K. DID NOT STOP FOLLOWING UP PERSONALLY UNTIL THE MATTER WAS COMPLETELY RESOLVED. Which took days because the retreat lied outright or ommited the truth.

The nurses at the recovery retreat were completely unhinged over a surgeon personally overseeing the aftercare from start to finish of his patient. Let that sink in.

And that is the type of care you'll get with Dr. K. I had my surgeon as my advocate when I wasn't able to advocate for myself.

In case you were wondering, my husband visited nightly and although he is no shrinking violet himself, wisely demurred to Dr. K because having another person in the mix would not solve the problem. He knew Dr. K would solve this problem and just wanted me to have the recovery we anticipated.

So, week two. I haven't taken an opioid or OTC pain reliever in a week. Resting comfortably at home & almost standing up straight sans a walker.

Good luck on your surgery research. If you choose Dr. K, know you made the right decision.

34 years old
No kids
5' 3.5"
107 pounds
BWD 12.5
Current bra size varies from AA to sometimes even B so I'll just say A cup. Band size is 32 or 34 (I dont really wear bras but all the ones I have say either 32 or 34.
I'm getting my surgery in like 4 or 5 days.
I chose transaxillsary incision through the armpit.
I saw two surgeons before making my choice. The one I ended up going with actually helped train/mentor the other so naturally I went with the teacher/more experience. I also preferred his bedside manner as he was patient and answered my millions of questions.
I initially wanted saline but the surgeon I did not end up going with insisted I choose silicone because he said that the wrippling was pretty obvious from the side view in patients with little breast tissue. After looking over photos again, this time from the side, I immediately noticed he was right. Also people complained about how much harder they felt than silicone so within the same day I pretty much switched over to silicone. I knew I wanted Mentor brand from the start because the recall associated with Allergan freaked me out (even though I believe those were textured). After the very first consult I knew 250cc would be the perfect size. Then later when I discovered breast width diameter and implant profiles I did a lot of back and forth and I cannot even begin to tell you how stressed/confused/indecisive I was. I must have easily looked at over a couple hundred before and after pictures. I went from thinking maybe 250 is too small to maybe 275 then 300 and then lastly 325 high profile. After a few weeks of this I thought about it and realized my initial decision was best. I never really liked large breasts and I would never be able to hide them if they were too big. If they were a modest or even smaller size then I could be able to just play them up with a type of bra. I also did the rice test at home but that was honestly aiding my decision to go up. I kept feeling more and more comfortable the higher I went up and got used to it. Then I took a step back and was like "wait, do I really want my breasts to be big and fake or did I want natural breasts?" I had to remind myself of what I truly wanted. After the second consultation and trying the sizers again and discussing the whole breast width thing, I ended up sticking with the 250ccs and I slept like a baby that night lol. The surgeon initially recommended to go moderate profile for the most natural look but after looking at pictures of moderate profile vs moderate plus I felt that the MP was a little more appealing and youthful. Also we agreed that now that I chose 250cc the moderate profile would not properly fit my bwd anyways. The 250cc mod plus has a diameter of 11.3 so that would be good for a 12.5 bwd. I'm a little nervous, a little excited, a little worried. Anyways, I bought some bras for post op, got my medicine, did my covid test, and blood tests. I also quit smoking on September 1st. I think I'm good to go. I just wanted to share since this site helped me so much. I'll keep you guys updated. Bye for now :)

Updated on 30 Sep 2020:
So I just got back from surgery and holy shit I hardly have any pain. I have this pain pump that automatically pumps out numbing medication to the site and they gave me one percocet at the hospital because they said it's better to stay on top of the pain, rather than wait for it to hurt. I'm just in shock how quick and relatively painless the whole thing was. I wonder if it's cuz it has to do with the smaller size too. So I wasn't sure how i was going to break it to my dad but he didn't even notice so me and my mom were like, well f it, let's not even tell him lol. So far I'm so happy. I truly found the best doctor and the nurses and anesthesiologist were so kind. It was a really positive experience. I go in tomorrow for a check up. Hope my journey helps someone else out there :)

Updated on 30 Sep 2020:
Today I literally thought for the first time ever, "I can't wait to go shopping." The pain is totally tolerable and I can use my arms fine. It's not debilitating like I thought it would be. I can get up and sit up and open bottle caps (that one is probably the least fun to do though lol so I left them all open). I just can't believe this right now, every time I look down I get a big smile on my face. Also I poked the implant to see what it feels like; it's squishy and nice :P Wish I had more people to tell about this lol

Updated on 1 Oct 2020:
My expectations were so beyond exceeded. I am elated; I can't even believe this is real. I'm just so happy. They're just perfect in every single way. I feel like I got my cake and I'm eating it too. So excited to see them drop each week and look natural. I'm a 34b now, which is perfect for me. When I was at my heaviest I was a 34b and i just thought, i wish i had these breasts at my normal weight. And now I do, and that's also how I know they look natural, they could never naturally grow any bigger. I also wanted this size because it's the perfect in between; I can get away with wearing no bra but now I have enough boob to be able to actually wear bras. If I want them to be banging I can put on a push up. If I wanna wear a tank with no bra I can do that without being too overly sexy (if that makes sense). I just can't believe how amazing the doctor is. He gave me everything I wanted (I know they havent dropped yet but I can already tell). I have an unusually long rib cage and he was able to lower my breasts so I look more proportioned. I also asked him to make my breasts bottom heavy and I can tell they're going to be. I just cant believe he was able to make them so perfect. And I love my breast gap, omg I'm crying lol. Also, I have little to know pain and it's only the 2nd day. I took 2 tylenol and a muscle relaxer around noon and it's almost 6pm now. The doctor, during surgery, strategically put the numbing medicine next to all the incisions he made to make it less painful. He didn't even have to do that but he did. Kindest doctor ever. And with the numbing pump, my god, everyone just couldn't believe I only took tylenol lol. So so so so happy. Thank you so much Dr. Kachenmeister.

Updated on 2 Oct 2020:
So I got the numbing pump removed, it didn't hurt or anything. I didn't even notice when she took out the first side under my armpit. So just fyi, the doctor wanted to make sure I didn't go around saying he does painless surgery and that it was kind of unusual I didn't have much pain at all. I feel pretty lucky that all I had to take was tylenol 3 times a day and a muscle relaxer twice a day. I think by tomorrow I'll probably be taking just tylenol twice a day.

Updated on 3 Oct 2020:
Well I guess it's just a waiting game now. I've been freaking out a little today thinking I went too big but I really just need to wait for them to drop I think/hope. On the bright side, I didn't have to take any tylenol today.

Updated on 9 Oct 2020:
It's like 9 days post op and with each passing day they're slowly starting to drop! One side is dropping a little faster than the other. They are slowly starting to feel less hard as well. I'm trying to make this post 200 characters, I hope this last sentence does the trick lol.

Updated on 15 Oct 2020:
It's about 15 days post op now. Each day they keep dropping. I just can't wait to see what they look like when they've fully dropped, the anticipation is killing me lol. Anyways, here are some pictures with clothes on and also some off so you can see the size in proportion to my body. Oh and my incision scars are not raised anymore and are barely noticeable; I'm so happy and with that. Sorry I didnt shave lol.

Updated on 30 Oct 2020:
I finally hit the 30 day mark. It feels like forever; I just want the dropping and fluffing to be over. I don't like the look of upper pole fullness so I knew I would have to be patient these first 2 months. Every day they're looking better and better though. After pushing my left breast down, it has now caught up to the right. So far so good; everything is going well so I'm basically just waiting for them to completely settle. I'm very happy with the size; I don't wish they were bigger or smaller. I keep second guessing my projection choice though, but I keep telling myself to wait till they've fully dropped :)

Updated on 6 Sep 2021:
Just a few weeks shy of 1 year. They look natural and they feel soft. They also bounce and jiggle now too. I'm extremely happy. They're just what I wanted. They don't look big and fake under my clothes but when I lift my shirt up there's some nice breasts underneath. I can play them up or down. Ive discovered different kinds of bras. I'm a 34B now. I pretty much just wear "petals" to cover my nipples and it looks like I'm wearing a bra with no straps, it's really cool and looks great. Then if I want to wear a strapless dress and have my cleavage pushed together, I discovered a type of strapless sticky bra for that too. I love shopping now and trying on new clothes. Fyi, I am 10 pounds heavier than a year ago. I currently weigh 117.

I had my tummy tuck done with Dr. Kachenmeister. He is a great plastic surgeon and his bedside manner is out of this world! He is a very caring Dr.
who goes above and beyond for his patients to feel comfortable. I felt minimal pain and my scar is very thin! After the procedure he actually gave my husband his personal cell # incase we needed him for anything or if we had any questions during recovery if it was after business hours. I highly recommend him!

"Amazing" doesn't even come close to how great Dr. K is! He did my moms reconstructive surgery after her breast cancer 14 years ago, and he did my breast aug a couple of years ago. Going back to Dr. K was a NO BRAINER!

Am 32 years old am 5,6 high and my weight is 135 pounds., I decide to do the surgery because I have years thanking about it and after having my kids my body change a little., and I don’t want to wait more time, I feel like it’s now or never... so making a lots of searchings I found Dr.Kachenmeister, he is very good explaining how the process is going to be and what was my best choices. I already went to my pre-appointment for surgery and now am just waiting the day to be here.

Updated on 22 Oct 2017:
Today is the day before surgery and am kind of nervous about it the results but mostly excited this is the bra am going to use tomorrow after surgery is a 32D

Updated on 24 Oct 2017:
Ok I come back home yesterday but I was to inconsistent to add any picture or anything, today I feel much better and happy because it verily happens yesterday and I don’t feel that much pain, only between my chest but that’s it., and yes I sleep very good,

Updated on 24 Oct 2017:
I just have a FT appointment with my doctor and he told me to take off my bandages and this is my results from yesterday surgery, and is not verily noticeable my scars around my areola am beyond happy!

Updated on 25 Oct 2017:
Hallo oh well today is my third day after surgery and I feel really good, honestly I was expecting more pain and more of everything but I feel really good, I have no bruises and I don’t have the pressure on my chest anymore and I think that’s amazing

Updated on 26 Oct 2017:
Today is my first after surgery appointment with my doctor

Updated on 30 Oct 2017:
Very happy with the results but still waiting to drop off more.

Updated on 14 Nov 2017:
Feeling so much better I even back to the gym!

Updated on 30 Nov 2017:
And this is my fifth week progress., this is the same bra am wearing on my profile picture before surgery.

Updated on 30 Nov 2017:
Fifth week

Everything about my Tummy Tuck with Dr Kachenmeister and his office team has been phenomenal. My pain had been a minimum and I have been treated with such great care that I would say my experience borders on relaxing. He has exceeded all of my expectations.

I had my first breast augmentation back in the year 2000 when I was just 20 years old. I had 360cc saline implants put in as saline was the only implant available as silicone implants had not been approved. 17 years later I had my same doctor replace my implants with 550cc high profile silicone implants. Nothing was wrong with my implants, but I knew at some point I'd have to replace them as they've had a good run at 17 years and I had the time to do it. I had my original implants put in through my armpit and my doctor went back through my armpit having to make the incision a bit bigger due to the fact that silicone come pre-filled. I have no bruising or swelling, just a bit of soreness in my underarms and my procedure took one hour. I can only hope that in 17 more years my doctor is still around.

I knew I wanted to fill up by breasts to what they used to be! My friend told me to call Dr. Kachenmeister, that he was awesome! I was comfortable from the first appointment, through surgery and the follow up post ops! My breasts are a perfect size for my body and I couldn't be more thrilled!! Call him!! ?

Dr. Robert Kachenmeister, did my breast reduction and lift. He listened to all my concerns and addressed everything about the procedure, his bedside manner is A+ extremely present and attentive. His work is one of a kind, and extremely patient and willing to work with whatever your needs are. The wait time is extremely short I have never waited more than 10 min. I also went later on for Botox treatment, he did amazing job I didn't even feel any type of prick very gentle