Ernesto Ruas, MD

Hello everyone, I decided to take in consideration breast reduction after years of uncertainty. I went to many doctors around my area, and they all seemed fantastic, as I searched for the very best. However, only one of them accepted insurance, but I did not think my insurance was going to cover my procedure anyway, so I did not care about the others not accepting it. However, THE INSURANCE DID APPROVE MY ROCEDURE!! and I do not know if I am more happy or scared, as this makes it real!! When I found out my insurance approved the procedure I felt like I was back to square 1. will I get what I want? Will I get the same care and attention as if I was going to do it self-paid? Not sure yet. I liked the work of the doctor who accepted my insurance, and he has positive reviews online. He also seemed very nice and knowledgeable during my brief consultation with him 3 weeks ago, so I decided to do my procedure with him. I have my pre-op appointment set up for February 20th, and I am already nervous even though it is a month from now. Can someone share their experience with their procedure done through insurance? Was it positive or negative? Any regrets? I am beyond happy and grateful that my insurance approved the procedure, but I have been reading both good and bad things about going through insurance, so I would like to get an opinion from people that went through it personally, or from doctors that have dealt with insurance before. Also, I am a 32 DD in one breast and a 32 DDD in the other breast; yes, they are asymmetrical. I hope this wont be a problem. I am 5 7, 146 pounds, and my insurance company requires my doctor to take out at least 400 g from each side. I do not think this is too unreasonable. My breast is really heavy (dense), as it is basically all breast tissue, since I am young and I was told that the younger you are, the more breast tissue you have, usually. I will post pictures later on. Thank you so much to whoever will read this and will take the time to comment and support me through this journey! I loved reading y'all breast reductions stories!! Thankful to have found this website. Updated on 27 Jan 2018: Hi everyone, I am posting pictures of how my breast looks now so y’all can have a better idea as to why I do this. My boyfriend does not seem to understand why I am doing this, as he thinks I look fine the way I am. He does not understand how much emotional and physical struggle I have been going through because of this. There are times where I struggle getting up from my bed if I am sleeping without a bra and if I know I will be staying home because I know how uncomfortable I will be to walk around the house or even to study without wearing a bra, but at the same time I also do not feel like wearing a suffocating sport bra since the moment I get up. So I just lie there, and this is not very fun. I really hardly ever shared how uncomfortable my breast make me feel, and it’s a relieve to be able to do so here, and to read I am not the only one going through this! I’m so excited for the surgery, but also scared for everything that it entails, for everything that could go wrong, and for the recovery afterwards! I am doing my best to stay fit, eat healthy, and keep my grades up on school. I am trying to be the best version of myself so that I can have the right mindset for both the surgery and the recovery. I hope my doctor cares about this as much as I do, as I have a lot of faith in him. This could change my life tremendously in better, and I want to do everything that’s under my control to make this go right. Updated on 3 Feb 2018: I decided I won’t be doing my surgery with dr. Kreithen. Noting personal, it just ended up not working out for me at the end! Updated on 3 Feb 2018: So far I’m on love with Dr. Ernesto Ruas and the outcome of his previous surgeries. I decided to go to him after visiting many doctors in my area, and after meeting him, I immediately decided he was the one, even though he does not accept insurance and I will have to self pay. I think it is a well worth it investimenti since I will always have to live with the outcome of this surgery. It is better not to be cheap for these things, and to find a surgeon that truly suits your need and makes you feel comfortable. Dr. Ruas has been in the business for many years and he is truly a professional. He studied at John Hopkins, that already says it all, as I am pre-Med student myself and I know how competitive that school is to get in. on top of that, he has been having all sorts of training and experiences; his experience is truly immense. He seems to be kind, funny, knowledgeable, caring, confident and precise in his work. My surgery is scheduled for March 6th, and I am hoping everything will go well. He said that my body proportions would accommodate best a size C+\D- lol. I trust him but I was hoping to achieve a full C, and not more than that. I think I will tell him about this concern during the pre-op. I def do not want to be big any longer, but at the same I don’t want be looking awkward. I will discuss all of these things at my pre op appointment and I will let you all girls know what he says. Updated on 6 Feb 2018: Hello real self, I am official scheduled for surgery on March 6th, and I could not be happier. Now that I have finally admitted to myself how deeply uncomfortable I am with my large breast, I cannot wait to understand this transformation. I decided to stop my birth control for a month before surgery, as I know it’s not the best to undertake study under birth control, especially breast surgery. I am hoping not to regret this decision! LOL I will watch out. In any case, my breast does feel a little bit less perky and full without the hormonal aid of birth control. I don’t really mind that, but I am definitely ready for them to be gone. My surgeon told me my body would suit better a C/D rather than a B/C, but I really want to be as far as possible from a D. Updated on 9 Mar 2018: Ok guys!! The surgery is done. Dr. Ruas was amazing and did a wonderful job. The drains didn’t bother me that much the first 2 days but now that I feel like I would like to move more they really do! I hope they can take them off of me tomorrow. The pain is tolerable, it’s more discomfort than pain, unless you find that really annoying position where it actually hurts. The operation was not as traumatized as I thought. The nurses are all very nice and it all happens so fast that you don’t even realize what’s happening to you until you are out of there. Waking up from anesthesia was the worst. I felt pain and most importantly I feel nauseous like crazy. They gave me some meds and it all went away. I slept the all car ride home. I am still very tired and exhausted. Still haven’t taken a shower but I am really not that dirty. Waiting for these drains to be removed and... to finally be able to go to the bathroom!! Lol about that, please eat very healthy and clean before and after your surgery otherwise you will feel terrible uncomfortable. I am only eating vegetables soups and grilled veggies so I am not feeling too bloated. This is is not the tome you want to gain some weights... especially since there could always be a chance that it could go directly to your boobs.... NEVER!!! Also, have someone that helps you with everything!! Otherwise it will be really tough to not ruin the incision.. do if for you.... you spend all the time and energy and money for a reason so make it worth it and rest! Updated on 9 Mar 2018: My doc took out my drains today. It felt amazing. Even though the drains were not that big of a deal for me this first few days, I was starting to get really tired to be so limited in movement by them. Now I feel fantastic! Dr. Ruas said that everything looks nice. My boobs look so beautiful and small, but still proportional to my body size. They don’t feel like an embarrassment anymore, but on the contrary they make me feel more beautiful and feminine. To be honest, even though I wanted a B, my boobs are most likely a D right now, they are still significantly big. However, I am 5’7’’ and I have very broad shoulder so they still look like a C on me. Also, it’s been three days post op so I should hold my horses because they might be just swollen right now! Questions for all the ladies that already went through this process: did your boobs drop significantly in size after swelling? If so, how many sizes? Thank you so much to y’all for the support. I wish you guys all the best with your future surgeries. Also, do it, don’t wait! Just make sure that you choose the best surgeon and you are healthy enough to ensure a speedy recovery. I will post some picture of the girls (naked) later :) Updated on 10 Mar 2018: In the meanwhile since I have been extremely lazy and haven’t had time to take post-op pictures as promised, I will post an old picture I took my first day post op. This is the only picture I have of my breast after surgery but I will take more soon! I see my breast significantly smaller than before, but I feel like they are still significantly big.. anyone feeling that way after surgery? :/ I’m super happy about how they look but the fact that I still see them big worries me for the future.. will I get back to square 1 in a year from now? I asked for a B/C but I feel like I ended up with at least a D, which makes me wonder how big my breast really was before! Updated on 16 Sep 2021: HI everyone!! Im back after many years. I left my story untold and I felt sorry for it. So: worth it?? ABSOLUTELY. please consider dr. ruas! He changed my life. He gave my a breast that is decent and symmetrical, especially compared to earlier. After the operation, I was able to lose 8 kg since I could workout more easily. I am not 173 cm for 56 kg. I used to be 173 for 65 kg (please do conversation in lbs and feet). My only issue with my current breast is the stretch marks. Since they used to be so big and I now even lost weight, they are quite evident. However, I am treating them and I am already seeing results. I am considering even putting small implants to have fuller and perkier breasts, but this is only because now MY BREASTS ARE PROPORTIONATE TO MY BODY, and it really feels amazing. I am posting pictures. Please feel free to contact me if you have any questions. I am studying medicine myself and I would be happy to help in any way I can. 82857@student.ump.edu.pl Kindest regards, A happy patient Updated on 16 Sep 2021: Here you can see my scars underneath the breast and an appearance of my breast 2 years pot op. Now I lost even more weight so they are a bit saggier. This is what happens when you lose weight. However, saggier is better than disproportionate. The scar you see under my breast it really is not that bad, honestly. I am also treating my scars with micro-needling, and carboxytherapy. You in fact see some peeling because I did a micro-needling session 2 weeks ago and it is still healing.

Hello - I decided back in 2002 to have breast implants w/a lift due to a new marriage to a much younger man and feeling very insecure about my boobs. You see my husband is a BOOB man! As you can see in my first photos I was what I call "snoopy ears" due to breast feeding. I had one of the best Plastic Surgeons in Pinellas county and he did an amazing job. I had 270 cc Saline over the muscle. No one ever knew I had a boob job! But I NEVER felt comfortable with them!!! But now after 13 years I decided I wanted them removed - I wanted back to the natural me for health reasons and personal reasons. I love working out and running and they just became a nuisance and very heavy! Even though I had no problems what so ever, I was just now in a space that I felt I do not need these to define me or be a part of me. I was always modest and never showed them off - except in the bedroom for my husband :) So I contacted my same plastic surgeon and explained my reasons for wanting them out. He was understanding & we scheduled the surgery and he did advise me I should do another lift to get the result I wanted. I originally was a 34 (long)B before and a 34D after - I wanted back to a perky 34B :) I am 4 days post op in the last picture and they look kinda scary, but I know I will heal and have the result I want. Grateful to be back to the natural me and looking forward to the next journey with my small boobies! In retrospect, I wish I had just had the lift back in 2002 and not the implants. Life Lessons :) Good luck in everyone's journey! Updated on 18 Jul 2015: Monday will be 3 weeks post-op and I wanted to give an update. I was surprised by the amount of bruising I had and even my Dr. said he was too at my post-op visit. He said they will heal and slowly but surely they have - bruising & swelling are down. I am finally feeling like myself and so are my boobs :) I love my small perky breasts and they feeling of not have those large heavy things is very freeing to me! My scars are healing very nicely and I haven't used any cream except some lotion here and there when itchy. I will say I tried to go back to work my 2nd week and it lasted two days. My boss saw I was still not myself and told me to work from home! I feel I am on the final leg of healing and I am SO looking ready to hit the gym. I know, I know but I miss it :( as you can tell from my "fluffy" love handles LOL If I have learned anything it is patience is a virtue. All good things come in time :-) Fifty can be fabulous!!! Updated on 29 Aug 2015: This is my 2 month post-op update and I can report I am back to me :) & boobie basics!!! I am SO very happy with my results and how they look & starting to feel....natural :) The scars will fade and I am looking forward to that. But I am so happy with the overall look and feeling like the breasts I had 'BC "- Before Children!!!! Still wish I had just done a life 13 years ago......life lessons!!! Updated on 12 Sep 2015: Just wanted to write a quick note here - for the VERY first time in my life I was able to wear a strapless bra!!! I had an old one (34D) that I couldn't wear before - I tried it on last night with my new perky breasts and it fit like a glove! I know this sounds crazy, but I thought when I had gotten implants that I would be able to wear one......NEVER - too BIG & never fit! It is the "little" things in life (.) (.)

I broke my nose when I was 17 and had always wanted to get it "fixed." I knew Dr. Ruas was the doc for me when he addressed in great detail the importance of maintaining a strong masculine nose for me. I described my concerns about the bump on my bridge and he went from there. Surgery went smoothly as did recovery. I was comfortable throughout recovery and my briusing and swelling was minimal. The day the splint came off was brilliant. My nose looked great the minute he removed the splint. The bump is completely gone! The change is so subtle (in a good way) He centered my bridge and removed the bump as well as turned the tip of my nose up the tiniest bit. The outcome is so natural looking and fits my face to a T. This is the nose that belonged on my face in the first place. I couldn't be more satisfied with the work he did for my rhinoplasty. I happily and HIGHLY recommend Dr. Ernesto Ruas for rhinoplasty. I will post another picture after a couple more months of healing.