Going in for revision surgery. After successfully breastfeeding with the implants, I developed capsular contracture. I will be going in for revision on May 9th with Dr. Sheina Macadam, who did my first surgery. Updated on 22 Apr 2025: Going in for surgery May 9th Updated on 12 May 2025: Capsular contracture, partial capsular removal on both sides. Left side very thick capsule while the right was like toilet paper thin. Steroid injection on the left side with a stint left in for one more injection on Thursday to assist in preventing capsular contracture.
There are no words to describe how grateful I am to have found Dr. Macadam and her caring assistant, Michelle. Ever since my teen years, I struggled with sagging breasts that pointed to the ground and one breast that pointed far out to the side. I spent years researching surgeons in Vancouver and New York and nobody made me feel more at ease or well taken care of than Dr. Macadam. I had my initial consultation in 2019 but decided to wait until July of 2022 to finally proceed. I made it clear that bigger was not the goal and Dr. Macadam really respected and supported my wishes. She even took the time to call me the night before surgery to walk me through her plan and confirm the shape and size I was aiming for. I am now 6 weeks post-op and couldn't be more pleased with how natural my breasts look after a lift and implants placed under the muscle. I had waited so long for this moment, it took me 2 weeks to finally look at the results in the mirror and it was surprisingly emotional. I recognize that this was an elective surgery but, truly, this has been life changing. I love that, with my clothes on, nobody can even tell that I've had anything done at all. It was truly just for me. I can not wait to start wearing regular bras and a bathing suit with confidence. Thank you Dr. Macadam and Michelle for all that you do. You are a wonderful team!
After many operations and radiation, I looked like a train wreck. Dr. Macadam literally changed my life. Her reconstruction is beyond great. She not only is a superb surgeon, she is also a lovely person. Easy to talk with. And her staff (Michelle!) is second to none. Thank you so much!!!
I developed diastasis from pregnancy that I haven't been able to heal with physio or home exercises. I am a runner and found that the agitation of running caused the diastasis to worsen. Besides perpetually looking like I am in the early stages of pregnancy, I found the core instability caused my back to sway and my hips to alternately ache. After thinking about it for a long time, I finally booked the appointment. I am a day out of surgery and the recovery is as painful as described. I have barely slept since getting home over 24 hours ago. It's impossible to get comfortable. And I am wondering why I did this to myself. My surgeon did say I would feel would feel this way.
Dr. Macadam is AMAZING!! She is an extremely talented plastic surgeon and I am so happy I chose her!! I had brachioplasty and a breast reduction revision with Dr. Macadam 3 weeks ago on June.26.2020. The previous surgeon who did my breast reduction 2 years ago, left me with un-even breasts and a hideous large indent. Dr. macadam completely re-shaped my breasts and filled out the indent with fat grafting. She exceeded my expectations and I am over the moon with my results!!!! Not only is Dr. Macadam a kind and attentive surgeon, she is extremely knowledgeable and always made me feel so comfortable and well cared for. Dr. Macadam’s patient coordinator, Michelle, is absolutely WONDERFUL!! She is so sweet and incredibly friendly. Michelle was so helpful throughout the entire process and was always quick to follow up. I can’t say enough good things about my experience and would highly recommend Dr. Macadam and her team! Thank you Dr. Macadam and Michelle, I can’t wait for my next surgery in September! xx
I can't say enough good things about Dr. Macadam. When I booked my consultation with her back in June, I fully intended on exploring my options with other surgeons before committing. Dr. S listened to my concerns, gave me information on all aspects (good and bad) and went over every option she had available to me. She suggested what she thought would give me my preferred look and explained why. When I left the office, I said to my man "I'm done looking, lets book it!". I felt so comfortable and looked after in her capable hands. After booking the (BA) procedure, the office staff remained super helpful with the questions I had, they were always quick to get back to me when I emailed and even offered a follow up appointment to ease my mind prior to my surgery. Day of couldn't have gone better. The surgical center was immaculate and the nurses were super attentive. I met with both Dr. S, my aftercare nurse and the anesthesiologist prior to going in. Dr. Macadam was by my side to check on me 3 times after I got out of surgery. She provided her personal cell phone number in case I had more questions. My results are amazing, so natural looking and perfect for my body type. I am beyond thrilled! I would recommend this surgeon to anybody considering a BA, she is truly a perfectionist and incredibly skilled.
I've been reading a lot of stories on Real Self and have been contemplating sharing mine and have decided it is time. I was very hesitant to do so because of how sensitive I am about this topic. Up until recently, I have only told two people- my long term boyfriend and my mum. I grew up always thinking "one day I will have normal shaped breasts like everyone else." I remember in the grade 10 locker room, with my best friend, having a conversation about just that. She said "Don't worry! I remember mine being like that, but I grew into them and they rounded out, your's will too." But that day never came. That same year, a girl in my class had an all girls pool party. I was nervous going because no bikini ever fit me or flattered my chest. One girl said in front of everyone, "Oh wow! I thought you had normal breasts like the rest of us, I guess you must wear big push up bra's." That was a very low moment for me. All of my inside securities had now been made public for everyone to see. I remember going home and looking online at breast shapes and sized and came across a chart which displayed a graph, comparing them all. I knew at that moment that I had a breast deformity- tuberous breasts. This, I came to learn can only be corrected with surgery. I began to feel awful about myself and my level of self confidence fell, knowing I would be this way forever. I have never been comfortable in my own skin but I now had a known reason for all of this. Bra's do not fit me comfortably, there is a lot of empty space in the cups and it sticks out. I do not allow my boyfriend to go even near my breasts, let alone see me bare chested. This takes a toll on our intimacy and relationship. I think about them all day, how uncomfortable I am and how insecure I feel. I had a consultation in order to inquire about breast augmentation, in attempts to fix my problem. After my visit with Dr Sheina Macadam, she advised me it is a bigger procedure than I had originally anticipated. I am not able to have implants placed, and my breast be round. I need to have a breast lift, fat transfer from my thighs/stomach, which is then injected into my breast where I have a lack of breast tissue, implants, nipple resizing as well as the bands which have restricted the breast, to be cut away. The total length of my procedure is 4.5 hours and will cost me just shy of $17,000. This was a very big, serious decision for me to make, financially and medically. I have never had any form of a major surgery before. The longest I have been under anesthesia for was 15 minutes for wisdom tooth extraction. I want to be clear, that when I made my decision and I decided to do this, was to make me happy- nobody else. A year went by, after saving and planning, I now have scheduled surgery date for November 4, 2017. Words cannot express how happy and excited I am for this. Something I have wanted for SO long is finally happening. I am going for a pre op. consultation on the 4th of October, which was recommended as I had last seen Dr Macadam a year ago. I will be posting more as I go through this journey. Pictures to come as well :) Updated on 2 Oct 2017: Here are a few "before" pictures. Updated on 6 Oct 2017: I had my consultation on October 4th with the amazing Dr Macadam. She answered all of my questions in a lot of detail which helped me put my mind at ease. She is extremely knowledgeable and I have full trust in her expertise. My specs- 25 years old 5' 5" tall 160 pounds 36 B bra I am goal is to be around a large C/ D cup size. She has ordered implants raging from 350CC all the way up to 415CC in Natrelle inspria round gel (silicone- fullest round). She will be performing a Periareolar Incision on each breast while decreasing the areola sizes, while lifting the nipples to a higher location. In the OR, she is going to fit me with the size she feels will be at the least amount of risk of the nipple herniating back out due to the pressure from the implants behind the skin. The liposuction for fat transfer, she will be taking the fat from my outer thighs which will then be injected into my breasts where the implants will not be able to completely fill out my breasts. She will also be cutting out all the vertical, restrictive bands in both breasts to release the constrictive tissues to assist with giving my breasts a round, non-tuberous shape. Updated on 9 Nov 2017: Today I had my first post op appointment and had the bandages removed. I cannot believe what an amazing job Dr Macadam did. She said to me after the operation that it was very difficult and took the full 4.5 hours with her, an assistant and another surgeon. She took fat from my outer thighs and injected 200cc's into my right breast (in the fold) with a 295cc silicone natrel inspra implant. My left breast fat graft of 20cc's in the fold and a 345cc silicone natrel inspra implant. Both are placed under the muscle. Not going to lie, the first five days were hell. I was slightly regretting my decision to go through with the surgery however, five days in, I feel a lot better, hurt a lot less and can finally appreciate what my body had gone through. The liposuction sites on my thighs are very tender and sore and i'm expecting the bruising to come any time (I currently have none). It's very tender when sitting or walking, even up until this point. My breasts themselves feel sore to the touch and very tight up at the top of my chest. I've been wearing my compression bra every minute of every day aside from the few minutes while in the office and to sponge bath. My next appointment is in two weeks to have the tape around my nipples removed. Updated on 22 Nov 2017:
Dr. Macadam had been amazing throughout my journey through breast cancer in rehabilitating my breasts. I was able to seen very quickly for a consultation before my scheduled mastectomy. Dr. Macadam is very knowledgeable and considers the various complexities involved with balancing and maximizing esthetic results with my cancer treatment. Very thorough explanations, you can tell she is very smart as a doctor. She truly listens to you, doesn't rush and addresses all your concerns - very caring, thorough and responsible doctor. I really like her personality, probably one of the best I've come across so far and I've been seeing a lot of different doctors. I was very fortunate to have the best surgical team work on me, Dr. Macadam and Dr. McFadden (surgical oncology). I can tell that Dr. Macadam is very skillful and has great hands from the suturing on my skin that has healed beautifully. She is a perfectionist and it shows in her work and she genuinely wants to do her utmost to achieve the best possible outcome with your situation. She is truly the best plastic surgeon in Vancouver.
I live in Vancouver, BC. Had my initial consultation in November 2016, then arranged my schedule and booked surgery for June 2017. The procedures I had done were abdominoplasty (tummy tuck), mastopexy (breast lift), liposuction and fat grafting. I choose Dr. Macadam, first after reading reviews, navigating all the information on her website, and having the consultation, I felt confident and very comfortable with choosing her. She was very knowledgeable and answered all the questions I had, and had a wonderful caring demeanor. My overall experience was exceptional. All information leading up to the surgery was very clear, the procedure was complete as planned, and I'm 100% satisfied with my results so far. During the healing process, I feel well looked after and in great hands with Dr. Macadam.
I just had my BA done with Dr. Macadam. She is a woman who understands what women want. Her kindness and transparency are rare qualities that I was not expecting to find in my surgeon. My results are exactly what I asked for. If you are looking for the best in Vancouver it's her.
Hello,As the previous surgeon mentioned I would need photos to determine if you are a candidate. Given your height and weight it does seem unlikely that you would have enough donor fat to produce a good result. As you probably know we need more fat that we aim for because we usually only get about 50% take of what is injected, therefore we need a fair amount of donor fat on the body in order to achieve a good result.
Hello,Your photos do show a very minor constriction at the bottom of your breasts (as the other surgeons have mentioned the distance between the areola and the inframammary fold is short). However, I do think this will stretch with the pressure from an implant and help the area to round out. Your breasts may look "pointy" for the first month or two after surgery but if you use a round implant I think the skin will stretch and your shape will change. The implant may need to be dropped slightly below your fold. I would suggest using a surgeon that primarily focuses on breast surgery.
I also perform the skin resection and muscle repair first. Once I have reapproximated the skin I look for areas that require liposuction which is usually the lateral flanks and then perform the liposuction. Generally it is best to be conservative with liposuction to minimize problems with wound healing.
I agree with the plan you have outlined. You definitely require a full mastopexy with the anchor scars. I tend to dissuade patients from going too large when they present with ptosis as the added volume can put pressure on the skin and cause more "sagging" over time. In your case I would agree with a 300g moderate profile implant. The picture you post as your goal will probably not be what you get because this patient obviously did not require a mastopexy. Your nipples will probably be located less centrally on the breast mound, however the volume will likely be similar to the photo you post. Good luck!
In my opinion you would get a better result with a breast lift and implants placed under your muscle. I would suggest smaller implants. If you decide to go with 500cc implants in the subglandular plane there is a risk that your implants and nipples will sit low and over time your skin will stretch causing a "stretched out" appearance. Sometimes large implants are suggested for women that really require a breast lift and in my experience this does not give a good result over time. I would reconsider having a breast lift at the same time as your augmentation surgery. I think you would get a better result if you chose to have this done and you will decrease your likelihood of having to have another surgery done in 2-3 years to remove the stretched skin.
