Sarah C. Troxel, MD (retired)

Dr. Troxel is more than just an ordinary surgeon. She cares and will go above and beyond to meet your needs. She did a revision after two botched surgeries I had prior to her, which many surgeons would not consider to even take. She did an amazing job and even found another issue while I had undergone surgery in her care, which I am really grateful for. She truly has changed my life. Her expertise and experience makes her one-of-a-kind. I have been to offices that don't really care, don't even remember their patients, and just want to make some money or even talk you into things you don't need. This is not the case with Dr. Troxel. While she is very honest (in a kind way) she truly cares about the outcome of the procedure and about the patient. I would highly recommend her and she will be the only person I will go to in the Valley/Matsu region. She is the best! Oh, and rhe office staff is amazing and makes you also feel at home and welcomed.

My natural breast was a 32b before I underwent my augmentation. I was looking for an fuller breast with the same amount of clevage. After talking with my drs medical assistant and my husband I decided on 650cc. Dr troxil stated the since my left breast was large enough that 650cc on both sides would cause My symmetry to be completely off she installed a 605 on the left and a 650 on the right

Updated on 8 Sep 2018:
My girls

Updated on 10 Sep 2018:


Updated on 10 Sep 2018:
Day 4 post op appointment today day 4 I got to finally see them! Not having a lot of pain today but they are really swollen. My Ps said they are going to look so amazing when they drop .i love them so much , I can’t be more happier. She said I’m not gonna have much cleavage but with a bra it should look really good

Updated on 10 Sep 2018:
Before

Updated on 30 Sep 2018:
Girls looking good

Updated on 30 Sep 2018:
In love

I'm moving forward with my desire for larger breasts! I've always been a 32/34 A/B. My breasts grew to C while pregnant and I was able to breastfeed my beautiful kids until they were 2 years old. But I've spent half of my life dealing with padded, air, or water bras and thinking about additional tailoring costs when I look at a strapless or low cut cocktail dress. I'm in a good place relationship and career wise so why not be in a good place with my breasts too?

Updated on 18 May 2016:
I went in for the surgery and came out about 1.5 hours later. I was in a little pain but mostly lightheaded from the anesthesia. The day after I'm experiencing more pain-primarily aches around the collar bones and the top of sternum. I've planted my self in the recliner. I'm not wearing the subglandular belt; just the surgery bra, dressings, and a huge ace bandage. I didn't need the drains. I think because the implants went in between the muscle and my breat tissue. Tomorrow is my first follow up appointment so I may be able to see what I look like! Fingers crossed!

Updated on 20 May 2016:
Seems as if I'm experiencing more pain as time passes. I've decided to alternate between my pain medication and extra strength Tylenol to see if I get better control over my pain. The doctor changed my bra and dressings. Plus I'm now wearing the subglandular band. Very uncomfortable but necessary for a good result.

Updated on 27 May 2016:
My recovery is going well. I have my ups and downs with my energy level. I hope that I can make it through the day at work next week. My nurse removed my sutures, which did hurt a little. My doctor said I can shower, yay! The implants are moving down with the help of the very uncomfortable band. I am hypersensitive in some areas and numb in others, if that make sense?

Updated on 31 May 2016:
I had enough energy to last through my first day back at work. Afternoon coffee (which I don't normally do) helped. I have a desk job which doesn't require lifting anything heavy, reaching, using your arms or hands over my head. With that said, I still felt twinges of pain and soreness when I reached for a book across my desk, carried couple of binders/notebooks down the hall, put more paper in the printe then stapled the frigging report! I came home and napped.

My skin is itchy and is peeling a bit. I normally put lotion after showering but the nurse said to keep the area dry after showering. So I've not put anything on them. I get little pinches/shocks which I think is from my nerves regenerating. My skin is numb-like when you feel your face after having dental work done. I haven't looked at my incisions too closely. I'm also slightly sleep deprived because I'm a side and stomach sleeper. Am I now consigned to sleeping on my back forever?!

Lastly, I am wearing on the black bra with my implants, not the rice baggies. And for giggles, I put on my everyday bra with the air inserts in them.

Updated on 15 Jun 2016:
I am one of those people that is taking her time to recover. I needed the 2 weeks off before I went back to work. While I wasn't in pain, it felt uncomfortable for me to wear a bra because my skin is so sensitive and the electric shocks sometimes take my breath away! Walking was fine but going at a fast pace leaves me very sore and achy. I've been going at a snail's pace and I hope to be getting back to my regular pre-BA physical routine of walk/jog and hot yoga. Tomorrow will be my 5 week follow up with my doctor. I'm really hoping she will say I'm healing well.

Updated on 24 Jun 2016:
Everyday is better. More energy, taking more chances with moving my arms above head, more twisting my torso. Less soreness, numbness and shocks. My implants seem softer, move with me, act and look like real breasts. I've started to massage my breasts to prevent contracture and put scar cream. I've got class III type skin so my hopes that the scars will be invisible in a year is not realistic. However the scars are a small price to pay, I'm smiling in the mirror when I look at myself.

My breast got huge during breast feeding, going from a B to a D. I breast fed two babies and ended up with deflated breasts with sagging skin. I was uncomfortable with Troxel and regret having my surgery with her. She didn’t care about the results I wanted and was more focused on what she thought was the fix. She told me I “wasn’t a candidate for under the muscle implants” with no explanation for why. She told me I would be “flat chested” if I had just a lift, as I wanted to talk alternatives to implants. I told her I didn’t want to go big and would prefer a lift and smaller implants - which quickly became the Vogue after my surgery. She disregarded that, told me I didn’t need a lift but went up the implant size twice to fill in the skin. Once before surgery, going about 30-50cc over my choice based on my goal and again choosing an even bigger size while she was marking me for surgery. At that point I had paid for the surgery, was naked, with an IV, pen marked, and vulnerable. I didn’t feel like I had a choice.
Mind you she has implants and a big cup size herself. I feel that she just foisted her own sense of beauty on me rather than giving me what I wanted. I was unhappy with the size after surgery and could feel the implant from 3 side (on top, under, and over) - gross. I looked like a stripper, not my goal. Her reaction to my thinking they were too big was to say she thought they looked great and see you later. I didn’t expect her to fix it, but she was personally insulted that I didn’t applaud her work. Totally unprofessional and caused by her disregarding my goal from the start. I later developed contracture on the breast that has significant bruising after surgery and choose not to go back to her even if it would have been cheaper to have her replace the implants. I didn’t want to be subjected to her ego again. Neither of the surgeons I consulted said I “wasn’t a candidate” for under muscle implants and those would have lessened the chances of contracture and feeling the implants. I suspect she did what was easier for her surgery wise. I ended up getting the implants removed and not replaced. Contracture is a real risk for anyone and more so once you have had it. I am getting breast fat transfer out of state with a doc who specializes and has high RealSelf ratings. Pick you doctor carefully. If you don’t like them or they don’t listen to you - don’t do it!

Dr. Troxel did my abdominoplasty in 2009. Dr. Troxel herself was very nice but I have been severely unhappy with my results. I have had several consults to look at getting my abdominoplasty fixed and every time someone sees the scar they tell me that it must have been made by a very inexperienced plastic surgeon. Every surgeon I've seen has told me I need to have a second surgery to fix this one and the problems will not resolve on their own. Dr. Troxel told me that my scar would be a straight line between my hips. My abdominoplasty scar wraps around my body and up my torso on my back to above my waistline. I understand some surgeries may need bigger scars but this was huge and placed very odd. The ends are uneven. There is so much excess skin at the location where the scar ends that the scars swell up. It is horribly painful. Despite being 120lbs, I have to wear a compression garmet regularly to deal with the swelling. Going out jogging is enough to cause the scars on my back to swell. I would not care about the giant scar if it didn't come with so much pain and needing to have a second surgery to fix it. I would have been happy to trade my excess skin for a giant scar if that was what it took. Had I known this would be the result I would have seen another surgeon. I have lived with the results for 10 years and have hated it every day.

I have been a petite girl, in every way, my entire life. I am now 33, 5'3 and 125 lbs. Pre pregnancies I was 100 lbs and a 34B. I WAS between a 34/36 full B cup after my first two children, but after nursing my third baby (and losing much needed weight), I am now a deflated 34 A!

My ex husband and I were teenagers when we had our first child. You can just imagine what having a baby at 17 will do to a little body! My breasts were sad little deflated water balloons afterward! When we were having our second child at 19, I cried and was terrified at the thought of what this pregnancy would do to my body as well. (I know, it's very superficial but I was young and shallow!)
My mother-in-law (at the time) suggested that I didn't breastfeed my second child. She claimed to have not breastfed her second saying that "her breasts regained some fullness and normalcy". Being the shallow person I was, I took her advice! Would you believe it actually worked?! It was great at the time, but now I live with the guilt of not nursing my child for a selfish reason. :( ANYWAY...
My plan was to NOT have anymore children! Well...
After my divorce I met my current husband and we got pregnant almost instantly! My baby is now 13 months and I DID in fact breastfeed her for 12 of those months. I now have a 15, 13, and 1 year old, along with the 10 and 5 year old stepchildren. I am a very busy mommy! After having my baby girl I decided to quit my job of 7 years to stay home with her.

Pre (final) pregnancy I weighed 145-150 lbs and was a 34/36 full B. Now I am 125 lbs and shriveled up to a 34 A! It is disappointing and discouraging. :(
It is hard to feel sexy or much like a woman at this point.
I feel like it is MY TIME to do something for myself. What better gift for me than a new and improved set? Haha!
As of right now I am leaning toward 425 CC silicone gel implants over the muscle. I have made and worn homemade rice sizers (even in public as recommended by my PS and her team) and I am torn between 425 and 450 CC. My sizer appointment is tomorrow so we shall see!
I have already scheduled my surgery appointment for November 11th!
So much excitement!!! :D

Updated on 22 Oct 2014:
Funny story...
After my consultation (about a week ago) I made some rice sizers at home and wore them around. I felt like the 400ml was too small, the 425 was pretty spot on, and the 450 was almost too big! So when I brought the sizers into my sizing appointment today I found out that the 450ml was actually 500ml! Hahaha! No wonder it seemed so big! Lol
The rice sizers are very different than the actual implants themselves! I mean, that's a given, but when I stuffed my 34D bra with a 500cc implant...
I was very pleased! I was initially torn between 475cc and 500cc (both moderate plus, round, smooth silicone gel) but after a lot of wardrobe changing, implant swapping, and talking to the amazing staff, I decided to stay with the 500cc. I will get used to bigger boobs, but if I go too small I know I will always wish I had gone bigger. That's my point of view anyway! ;) I can't believe I am going to have boobs in three weeks!!! :D Soooooo exciting!

Updated on 27 Oct 2014:
I have been taking as many photos as I can because in two weeks it will be out with the old and in with the new! :D
However, I never want to forget my old tired boobies...
They have been through a lot and are still a part of me! Haha!

Updated on 28 Oct 2014:


Updated on 29 Oct 2014:

So I'm heading in to my surgery now I'm super excited and nervous, I thought I'd write a review of my surgery since I couldn't find a lot of people who had had similar procedures. I'm getting 375 saline implants overfilled to 400, they're bringing in the size down and size up from there in case they need to switch it up at all, and they are the mentor moderate plus implants.
My stats are:
5'6" Aprox 150 lbs
My boobies now are a full B small C and I'm hoping for a DD. I work out a lot so I'm pretty fit but I have a lot more going on in the butt and hip department than I do on my chest! So I just want to even out my shape.
I'll add photos and such as the recovery goes on, my Dr is Dr Sarah Troxell I'm Anchorage Alaska, I've had 2 friends have their implants done by her and both were very happy so I'm confident in her I'm just nervous about the anesthesia and not being able to take care of myself and having Take time off of the gym!!!

Updated on 13 Nov 2013:
So I've been home after surgery for a few hours, so far I feel pretty good I'm sure I'm just pretty high on Pain meds though! Everything went good I checked in to surgery an hour early like I was suppose to but then they instantly brought me back- did a last minute pregnancy test to check again and then the sweetest nurse told me I had to strip down to nothing! Put on the thigh high compression stockings and a backless hospital gown! Probably the best look my husband has ever seen me in haha but literally as soon as I layed down my Dr came in all business and had me sit up and marked my chest and assured me that she places implants close together and perfectly centered so I wouldn't have the whole being able to fit a fist between your implsnt boobs! She's very nice but very to the point and made me panic about forgetting a elastic for my hair too! Which I'll admit was pretty stupid on my part, but then since they were ahead of schedule I had two nurses working on me getting my IV in and double checking questions, everyone was very nice but I was so scared I was just focusing on not crying! Then the anesthesiologist came in to talk
He was so nice and calm and very reassuring but I was panicking a bit so it just made it harder to keep it together infront of someone so nice! They started a liquid Tylenol in my IV which I guess really helps with the pain afterwards then had me sign consent forms for my dermal,nose and rook piercing that I could not for the life of me get out! Then I said bye to my hubby and they wheeled me into another room I was so scared by this time I couldn't even focus on where we were going. Then they had me switch beds relax back, the anesthesiologist gently set and oxygen mask on my and told me to breath deep and relax after a bit I could feel my breaths start to burn a bit so I knew he was putting me out but I was just relieved to not have to think abut it anymore!! The next thing I know I'm waking up hyperventilating with 2 nurses with me saying to keep my arms down I guess I was trying to hold my head and to just breath I had done great I just needed to relax it took me awhile to get my breathing under control they brought my hubby back and he's great so he helped a lot, then when I'd calmed down they brought me water and were great about finding me crackers that didn't have egg or milk in them! After a bit my husband pulled the car around for me and a nurse carefully walked me out, since I do l do live in Alaska it was only 17degrees out so I was freezing but i was wearing 3 coats and had blankets so I was prepared the whole ride home I went in and out of sleep same when I got home but all in all I'm feeling pretty good I can't believe I actually went through with it!!!!
I'll add more before pics but I'm so bandaged up you can't see anything of the new boobies just yet!!

Updated on 14 Nov 2013:
So I just had my 1 day post op appt, everything is looking good the Dr was really happy and said they looked great just a little swollen but no bruising, they're pretty high and centered but I think they'll look great once they settle. They gave me the elastic strap to wear on top to push the swelling down and re wrapped my ace bandage, which I'm not allowed to touch or re wrap myself so I'll have to wait until the 25th to see myself again, so far everything has been good I'm just very tender and I feel helpless not even being able to get up by myself and I have no appetite but I've been eating a few crackers every 4 hours when I take my pain meds, my hubby said they looked good honestly I thought they looked a little small! But I'm not going to stress about it she ended up putting 405 cc's in and she said they looked perfect for my body:) but I'll put up a picture so you can judge yourself!

Updated on 15 Nov 2013:
So I've made it through my second day after surgery. Everything has been good I've backed off on taking my pain pills from every 4 hours to every 6 hours. And I think I might stop taking the anti nausea meds too because they make me so loopy and drowsy I don't feel like myself.
My Dr insists on my chest being completely ace wrapped so I have no idea what I look like today, I feel like I'm more swollen and the top of my boobs are kind of tingling and itching and towards the end of my pain meds I can feel between my boobs and under where I assume my incisions are it's not comfortable but it's not bad either. I've worn my white elastic strap on top my boobs all day and I have to say they weren't kidding about it not being comfy!! But I think I'll go in on Monday to have them re wrap me and to see how everything is looking, so I'll have more progress pics that day!

Updated on 18 Nov 2013:
Nothing new or exciting to report on, my back has been hurting like crazy I'm not sure if it's from the added weight of the boobies or from the white compression strap I'm having to wear constantly but my actual chest has very little to no pain. I went to the Drs to get the ace wrap changed out and to see them, they're pretty swollen and she put cushioning underneath the bra as well which made the whole set up a lot more comfortable. I don't see really any changes from how they looked on the first day to how they look now but I'll put pictures up so you can judge for yourself

Updated on 19 Nov 2013:
I'm getting obsessed with my new boobs! I still have to be all wrapped up so I can't see them but I can not stop touching them under the bandage! They're so much softer now than they were the first few days, I can no longer feel where the implant obviously is, they feel like I'm wearing an awesome push up bra! The sensitivity is a little off but it doesn't bug me. My back is feeling a lot better and now I'm getting to the point where I'm just excited about them and how different I'll look with bigger boobies!

Updated on 25 Nov 2013:
Tomorrow morning I get my stitches out! I cant wait! Mostly because I'll finally be able to function with out this awful ace wrap! Everything feels pretty good I've been trying to start doing more during the day but Its still kind of uncomfortable and I'm soo tired of trying to sleep in 45degree position! But I'm excited to get some sports bras tomorrow and stop wearing high neck tshirts, and shower like a normal person! Not working out is killing me I'm going to see if I can at least starts doing stairs or high incline walking! I'll attach pics that I took a few days ago when I got the wrap changed ignore how awful my skin looks it's been sadly squished for weeks