Thomas M. DeWire Sr., MD (retired)

Who is he referring his patients to? He did my breast augment MANY years ago and they now are making me sick with an autoimmune disorder. He did an amazing job, I love them, they still look great but I did not know they need to be replaced after a length of time. I need them OUT and replaced, but I just learned he retired. I dont know where to go. He is the only one I trusted and he was the I expected to do this. I dont know where to go!!! I wish he had sent a letter to all patients, I know that would be work, but I feel abandoned.

I decided to try Botox in 2013 for the touted asthetic effects and absolutely loved it ~ the added benefit that I did NOT expect was the elimination of my tension headaches! HUGE bonus! I get Botox between the brows about every 9 month - 12 months and am very happy with both the smoothing asthetic results and the elimination of any tension headaches. I have RA and recieve chemotherapy for my condition ~ RA can cause headaches because it affects the neck joints (as well as the internal organs and overall body joints - it is an autoimmune disease that has no cure).

I would highly recommend Botox to anyone who is a headache/migraine sufferer and/or would like the smoothing skin benefits of Botox. Botox usually lasts about 9 months for me, but can last as little as 3 months for some - depends on one's individual metabolism - everyone is different.

Procedure is painless - just a few mild needle pinches in the brow muscles and it takes about 5 minutes tops to do (if not less). One may also opt for injections in the upper forehead muscles and around the eyes - I've been told that the "around the eyes" injections provide and "eye lift" effect. My doctor is very versed in his practice and will advise me if I need any in a particular area - genetics play a very large role in how one's skin ages. So far, he said that between the brows, if anything, is enough for me - plus it's ridding me of my tension headaches.

The cost depends on how many areas are done at one time and what region one resides in. I would guesstimate that Botox can cost anywhere between $250.00 ~ $1000.00, depending on how many areas that the client wants injected.

One can be beautiful at ANY age, with or without makeup - just take care of your skin and don't forget the sunblock. Try to purchase makeup with sunscreen already in it - protecting the skin from sun helps tremendously in maintaining smooth skin. I'm headed to 50 years old and I'm doing my best to age gracefully ???? Much love!

Updated on 20 May 2016:
It's almost 4 months now and the Botox between my brows is still going strong - very happy with the smoothing effects and the lack of tension headaches. It tends to last quite a while for me - some it lasts for 3 months and others it can last up to 8/9 months. I will continue using Botox until I feel that I need a facelift :)

Updated on 20 May 2016:
Forgot picture ;)

Updated on 6 Jun 2016:
Recieved Botox between the brows in March 2016 and the effects are still showing - very happy with the results as well as the relief of tension headaches :) Possibly in August I will need another treatment, we will see how long this one lasts :) much love! (47.5 yrs old) Don't forget to use that sunblock this summer! xoxo

I got boob implants because I had been talking about getting them forever and once I was able to I did. It has increased my self esteem and confidence and it has helped me with my modeling career. I got the saline implants which are not harmful to your body if one erupts since it is made out of salt water, it will just dissolve. The most painful part of the procedure is after its done. My breasts were extremely tender and sore to the touch and any movement I made for about 4 weeks. Also you have to remember to continuously massage each implants so they do not get stiff or form to the side of your chest.

I'm an incredibly cautious person by nature. I will study something to death before I jump in. Health first; everything else will fall into place. And although raised to believe real beauty comes from within, I struggled with weight and overall body image since having my boys via C-section in 1979 and 1983, respectively. I think I must have researched breast augmentation for about 10 years before I got the nerve (and money) to actually get it scheduled and do it. I researched plastic surgeons specializing in breast augmentation in Virginia for about five years (told you I study something to death...), and the name of Thomas DeWire, Sr., M.D. of Advanced Art of Cosmetic Surgery kept coming up. Women from all over the Country were recommending him. So I made an appointment. Loved his office and his staff. And I found him to be very knowledgeable. A bit cocky as well. Sometimes he comes across as a bit brusque....especially if you mention vitamins, supplements or holistic medicine. He pretty much poo-poos whatever you have to say on the subject. But, whatever. He's an awesome doctor. He initially had me take off my top and he took pictures with a camera connected to a computer. He was able to show me exactly what he could do given my unique physiology. I tell you, you just don't realize how asymmetric your body is until you see it up on a screen with a doctor telling you all about it. In my case, my left breast is larger than my right. This is how it was naturally, before augmentation. I was under the mistaken assumption that a doctor could somehow "even it up" using the saline implants. Nope. They have to work within your unique structure. Not sure if this is the same with silicone. In any event, I decided on an axillary approach (through the armpit). You can't even see my scars, they are so tiny. I liked the fact that the implant is positioned behind the muscle, like you have an added "support bra" thing going on. It also makes mammograms easier. Following surgery, I felt like there was a truck on my chest. But, Dr. DeWire had prescribed adequate pain medication, so I was good. I had bruising for several weeks, and it takes some time (a couple of months) for your breasts to drop and settle into proper position. I had some initial numbness, but this went away. I was taught to massage them daily, and I followed Dr. DeWire's instructions to the letter on this. I did not want to end up with capsular contracture! Knock on wood, my implants are now 7 years old, and I have not had any adverse effects from them. I absolutely love them, still. Eventually, of course, they will need to be replaced. I like the safety aspect of saline....but I probably would prefer the more natural look that silicone implants would give me. Perhaps by that time, I will have studied (to death) the pros and cons of silicone, and the choice will be easy.

Prior to selecting Dr. DeWire as my cosmetic surgeon I consulted with several doctors in Virginia to discuss my expectations and receive their recommended treatment plans. I am seven days post surgery and so pleased with my choice of physician and the early results. Dr. DeWire is a terrific, experienced, highly skilled, board certified plastic surgeon. He is an excellent communicator and runs a very professional office. Both Dr. DeWire and his staff are very accommodating and focused on me, the patient. Dr. DeWire was very thorough and candid during my initial consultation. He did not try to "sell" me additional services. He described the choices of procedures and took the time to show me computer graphics of potential outcomes. I called the office several times prior to the procedure with follow up questions and his staff and/or Dr. DeWire responded promptly. The practice is very accommodating.

I am so pleased with how natural the outcome looks just one week post op. The swelling has been minimal, bruising far less than I expected, and overall result excellent. Dr. DeWire clearly described the stages of healing post op. The pain was also minimal. The instructions pre and post op were very clear and I followed them exactly. Dr DeWire assured me if I needed to get in touch with him post op I could reach him. Other than the scheduled follow up visits I did not need to speak with Dr. DeWire.

Dr DeWire interacted with me and my husband on the day of surgery pre and post op. He did not delegate this to his nurses. Although I was nervous he put me at ease. It was great to have the procedure in his surgical suite. I was not dealing with an impersonal hospital. I was seen the day after surgery, five days and seven days post op. Almost immediately after I arrived in the examining room for my follow up visits the doctor arrived. His bed side manner was exceptional. He did not rush me. I had a list of questions each time and he was very thorough in his responses.

I highly recommend Dr. DeWire. My experience has been exceptional. The early results definitely exceed my expectations and I had high expectations.
Again I enthusiastically recommend Dr. DeWire.

Knowing a few friends that had had the same procedure and their comments about it made me want to go along with having my breast done. I had been thinking about doing this for years and it was now or never. I was terrified of getting just an IV so I had to take a deep breath and suck it up. It was well worth it. The only cons I had were my parents that were completely against it. Now that they see the end result and how everything was handled and how happy I am with my appearance they are happy too.

This was my augmentation revision to go bigger. I was very pleased with my initial augmentation, but decided after four years I wanted to go bigger. Best experience ever with both procedures and absolutely no complications! Dr. DeWire is very professional and performs all of his procedures in his OR suite in his office!

Updated on 26 May 2015:


Updated on 26 May 2015:
Before and after photos and review of breast augmentation revision. Initial augmentation was great, just wanted to go bigger!

Updated on 26 May 2015:
You will first have a consultation where he will take photos from many angles allowing him to show you some options for sizing on the computer. He will go over in great detail the different types of implants with the pros and cons. After deciding what's best for you, you will then schedule your surgery date. I waited only 3 weeks to get in for surgery mostly due to my work schedule.

Surgery is in the morning and has gone smoothly for me both times. You will follow up the next morning then again in about 5-6 days for suture removal. He used the axilla approach on me so very minimal scarring because he put the incision in my natural folds.

He will provide you with pre-op instructions via email and post-op instructions the day of surgery. Very detailed instructions that are easy to follow!

I am a 39 year old mother of 3, and I did this procedure to feel better about the way I look and to get more lift and fullness to my chest. Dr. Thomas DeWire listened to everything I wanted and gave me exactly that. He took the time to listen to my concerns and talked with me for quite a while to get an understanding of what I wanted as well helping me to understand everything. He was honest and told me the things that he could do and couldn't do. I am very happy with my experience and the way everything turned out. I will definitely go back for anything else and will be referring everyone I can to Dr. DeWire.

Updated on 15 Sep 2015:

I am on Post-Op Day 3 from Full Abdominoplasty with Diastasis Recti repair. I had my first child when I was 18 & my stomach was never the same. I had my third child 5 months ago & decided to have a tummy tuck done. I went into this expecting to be in a lot of pain & I honestly have felt great! I was up & walking the day of my surgery & have had minimal pain. I am taking Percocet when needed, 800mg of Motrin round the clock, & an antibiotic four times a day. It hasn't been bad at all. I'm sleeping in a chair with pillows behind me & propping my feet up. I have 2 drains that I cannot wait to have taken out! All in all, I feel great!

Updated on 7 Feb 2015:
Today was the first day that I did not wake up feeling stiff/sore. I did my dressing changes first thing this morning & it looks better & better everyday. The only complaint I have at this point is lower back pain & abdominal itching! I know it's all part of the healing process but I wish I could scratch my stomach! I took my antibiotic this morning & haven't needed anything for pain so it's been a great day so far! I go to see my doctor for my first post-op appointment in 2 days & I cannot wait! I'm hoping he will pull 1 if not both drains! Here's hoping!

Updated on 8 Feb 2015:
Feeling good today! I gave my baby a bath for the first time last night & even though I had to take my time & take frequent breaks, I got through it just fine. I'm doing my daily dressing changes & am still taking Motrin for any discomfort that I may have. I'm standing up straight & am feeling great. I cannot wait to go back to my doctor tomorrow & hopefully have the drains pulled! Hopefully!

Updated on 9 Feb 2015:
Saw my PS today for my first post-op appointment! He removed the steri-strips & pulled the drains out! And boy did that hurt! He grabbed both of those babies & yanked them out at the same time! Ouch! But it was over quickly & I think that was his goal! So happy their out. I need to take it easy for the next 5 days to prevent fluid build-up. He found 4 places right about the incision that are nectrotic. He said that he skin will peel off in those areas. Kind of bummed to see necrotic tissue. I read up on it & they say the healing time will be longer in those areas & it could affect the scar so time will tell how it turns out. I'll post a picture up close so you can see the necrotic areas. I actually felt better having the steri-strips on but I'm hoping in a few days, I'll feel better about having them gone. My PS said that I need to wear my binder for another 5 days. He said I can start sleeping in my bed again so I may try that tonight. I go back for another check-up next Monday! Hope everyone else is healing nicely!

Updated on 11 Feb 2015:
Feeling great! Getting around fine. Still having back pain & I'm not sure why. I'm standing straight & walking straight so I'm a little confused by that. Incision is looking better everyday! Still doing my dressing changes everyday & I haven't taken any Motrin in days. My PS told me "no twisting" so I'm trying to be various when I am moving around. I still have some bruising & swelling on the bottom of my tummy but it's getting a little better with each day!

Updated on 11 Feb 2015:


Updated on 17 Feb 2015:
I'm 2 weeks post-op today! I feel great! I feel about 85% back to normal. I'm standing completely straight (my back thanks me), & lifting my children fine. I'm back to caring for them 100%. I saw my PS yesterday & he said I look great! I can resume light exercise next week. He wants to see me in 4 weeks & he's going to take pictures of me to compare "before & after". I can't wait! I haven't taken anything for pain in over a week. I'm sleeping without my binder & on my sides comfortably! All in all, this has been a great experience & I'd do it again in a heartbeat! Worth every $$$. I have my self confidence back & I haven't had that in years! So thankful! I'll post my 2 week pictures that I took this AM. Hope everyone else is healing nicely! Good luck to those who are about to have their surgery!

Updated on 24 Feb 2015:
Feeling fantastic! Almost back to normal. Still some soreness in the tummy but not bad at all. I can't wait to start exercising again! Here are some pictures that I took this AM! Hope everyone is healing beautifully!

Having nursed 4 kids for a year each, I had lost a lot of volume and could hardly fit into an A sized cup bra. So in 2012 I saw Dr. DeWire for a saline breast augmentation, at which time we thought we were done with having any more kids. He did such an amazing job that as a result we got pregnant with our 5th child, whom I also nursed for a little under a year. I did develop mastitis, which I did with most of our kids. The mastitis caused a local inflammatory response and thus triggered capsule formation in my right breast. Of course, after nursing our 5th my nipples also dropped and I had some skin sagging so I went and got a revision on Jan. 28th, 2015 with a Benelli mastopexy. I couldn't be happier with Dr. DeWire's work, professionalism and bedside manners!!!! I feel like a million bucks!!!!

Updated on 1 Oct 2021:
I'm still super happy with my saline implants and augmentation! Had mentor implants in 2014 and augmentation. Size I think was about 400 mL each. Nipples were also repaired after 5 breastfed babies! Pictures are from about a year after.