Dr. Miles is a 2021 Seattle Met Top Doctor Award winner. Her practice is patient focused and directed with the goal to provide kind and compassionate care. It is important that she is available to meet her patient’s needs and concerns as they undergo surgery and treatment. It is also her goal to help empower patients with the philosophy that all questions are good questions.
Dr.Miles is unsurpassed as a professional expert in her field. She is extremely caring and compassionate and has a competent and kind medical team. I’ve been seeing her for over 20 years for breast cancer reconstruction. She has always provided excellent and innovative care and treatment. I can’t say enough good things about her.
As an older woman with disintegrating implants, I had concerns about my options and possible results. I expected to find a surgeon who was competent and professional. And I relied on personal recommendations followed by my own research. But Dr. Miles exceeded my expectations!! She listened to me, offered options, and explained the reasoning behind each option. She is a total professional and a fantastic surgeon. She is extremely competent, compassionate, knowledgeable, caring, gentle, and down to earth. Her surgical team was equally superb. I had so much confidence in all of them and their teamwork, I knew I was in good hands. And, when I submitted post-surgery questions on MyChart, her staff responded immediately with answers. My results? Fantastic!! I am so pleased to have chosen Dr. Miles. I could not have expected a better outcome.
My apt. with Dr. Miles was awesome. Her bedside manners were greatly appreciated. She answered all of my questions and kept me her honest opinion without trying to go change my mind on what I wanted to have done. I look forward to seeing her again at Mysore op-pt next Friday.
She is absolutely amazing!!! My last surgeon (for lack of kinder words) really screwed up my reconstruction and didn’t want to listen to me about my symptoms. By the time Dr. Miles got in there- ruptured implant leaking into my chest cavity! Dr. Miles’ bedside manner, care, knowledge, surgery, after-care.... absolutely MAGNIFICENT! I couldn’t be happier for all treatment and care plan(s) leading to and follow-up surgical appointments! She has kept me informed, gave me my options, and let ME decide what I wanted to do (that is -yes- safe and within reason for the best outcome) Some doctors give you options- but then “convince” you “this is the best way” = “this is the way I am going to do the surgery and don’t really want your opinion”... Dr. Miles really listens and cares about your thoughts and whether you are happy with the plan of care! I have raved about her to anyone who will listen! Absolutely wonderful provider and amazing surgeon! I wish I had requested care from her sooner! Sidenote: her ENTIRE team is fantastic! From Rashida, Juanita, Virginia, to her PA Christy!!!! LOVE LOVE LOVE these ladies!
She was able to repair a botched double mastectomy tram flap reconstruction in 2 surgeries, and even restored sensation. I am forever grateful for her commitment to making sure i felt confident about my body again. She's meant to do what she does ♡
My doctor found cancer on my right breast last year, fortunately it was caught early at stage 1A. They performed a lumpectomy and got it all. Thank God! However, the breasts were uneven after the surgery. I waited a year for everything to heal and settled down from the radiation. I went to see Dr. Wandra Miles, she was recommended to me by my oncologist. Dr. Miles was wonderful from day one, she was warm, very compassionate and understanding. She explained the surgery to me, since I only had one breast that was operated on; she recommended to lift both breasts to make it even without any implants. The surgery was done on Sept. 4th; I am still healing, it has only been 2 months since the surgery, but I can see the end result is beautiful. For me the surgery has lifted my spirit and gave me my confidence back, because as we all know, going through cancer is a very difficult journey. It gave me something to smile about. I love Dr Miles and her staff. They were wonderful and helpful to me. In fact, I love all my Swedish doctors who helped me through this journey. I am forever grateful to all of them.
Dr Miles was extremely knoledgable and explained every step of my two step reconstructive surgery to my husband & I. She took the time to find out about my lifestyle and partnered with me to help make the best decisions for me. Her office staff was caring and very professional as well. I feel extremely lucky to have had Dr Miles perform my surgeries.
The average patient is ready to be touched at around 6 weeks. Sensitivity to pain or pressure at this stage is very individualized. Squeezing the breasts will not rupture the implant but excessive force around them at this stage does have the potential to move them. Make sure you visit with your surgeon and get the 'go ahead' and have she/he answer any questions and address your concerns. That said, you are well on your road to recovery and resuming normal activity is expected.
First of all, congratulations on your weight loss! It is disheartening though to lose the volume in our breasts after weight loss. From your photographs it is apparent that not only are they 'deflated', but they lack upper pole fullness as well. If you take the surgical route, it requires two procedures that can be performed at the same time or separately.A breast augmentation will fill the upper pole of the breast as well as take care of the lack of volume created by weight loss. The ptotic (sagging) tissue is somewhat lifted but not enough for a superior result. You would require a breast lift for that. A breast lift would bring the nipple and areolar complex up to the correct position on your chest. I suggest you Google "Board Certified Plastic & Reconstructive Surgeons" in your area. The combination Augmentation/Mastopexy surgery takes experience and skill and comes with risk. Find someone who specializes in surgery of the breast. Take the time to meet with a number of surgeons until you meet someone that you are comfortable with. Good Luck
For the average patient it does take approximately 3 months for the breast to 'settle'. What this means is that they drop slightly, are less full at the top and 'belly out'. They also feel softer to the touch as the swelling in the tissue decreases. This takes time and patience on your part. At three months post op, it is a good time to see your surgeon. This way you can be examined for signs of capsular contracture. This is also the perfect time to communicate and discuss your concerns if they are still present.Once again, be patient with your healing process. I hope this is helpful.
Generally by now they should be settled into the pocket and in good anatomical position.Five to six weeks post operatively is usually a scheduled time to see your surgeon and she/he will examine the implants and their position. This is a good time to ask your surgeon for the go ahead to treat them like natural breasts. If your surgeon says that everything is healing as expected, being "a little rougher" on the breast area is certainly dependent upon your own tolerance.I hope this helps.
Your surgeon may be basing her recommendation on the quality of your skin and may be concerned regarding the increased risks of complications if trying to place too large of an implant in too small of a pocket.You may also get a less favorable result without the use of a tissue expander to create a good pocket. Recommend that you discuss your concerns with your plastic surgeon.Good Luck