Dr. Karaca has an artist's eye when doing surgery. He fixed a botched breast reduction and tummy tuck on me. I look amazing now! I also had him do my daughter's rhinoplasty. That was done beautifully as well. If you want a surgeon that listens and delivers, Dr. Karaca is the best choiceHis staff is amazing as well! Mina is his right had, and she is terrific!

First off I want to thank everyone who has been posting to the site. It was your comments, and you're courage to share, that help me through this process. 18 years ago I made the decision to have saline implants. At that point in time I was very very small, nearly flat chested, with virtually no breast tissue. The implants were put behind the muscle wall. All in all I was very happy, although I knew at some point I would have to make a decision, figuring that they would not last forever. The timing of my decision came when one of the implants ruptured. I knew it had happened because my left breast started to feel much softer. Based on reviews on this website, I sought the opinion of two different plastic surgeons. They both said essentially the same thing. They said that they could perform the procedure of removing the implant, under local anesthetic, very simply, with virtually no recovery time needed. The one doctor, said the procedure would cost roughly $4,000, the second physician I saw, Dr. Karacas, said he could do it in the office for $1,800. As they both described identical procedures, I decided to go with Dr. Krakus. It's now been two weeks since the procedure. I'm happy it's done, and I'm beginning to reconnect with myself. I have put on weight over the last 18 years, and have found that there now is breast tissue, I'm about a C. I'm happy that the procedure is done, and would encourage anyone that is considering it, to definitely go ahead. I do want to say, however, that there was a recovery time. When dr. Karaca removed the implant that had not ruptured, because it was a textured implant, there was definitely some tissue trauma, as he manipulated it to get it out. I wouldn't want anyone discouraged, thinking that there will be no pain. Things like opening a cupboard door, raising my arms to wash my hair, or lifting anything, was extremely painful. It's nowbeen two weeks, and today was probably the first day where I didn't feel like I had had any surgery at all. Would I do it again? Yes! I just wish somebody had been a bit more transparent on the fact that even though it's a relatively simple procedure, our bodies take time to heal. There's also a period of mental time to heal too. Whatever your reason was for initially getting the implants, that underlying feeling may still be there, and questions of whether or not your body is good enough may surface. At this stage of my life, however, I am not just good enough, I am wonderful!

It has only been two months and when I went to the Doctor today, he told me they haven't been seeing good results till after four months. He talked to several others Doctors doing the same procedure and they all agreed about six months for the best result. Well we took pictures today, two months out and he wasn't expecting much change but he emailed me the pictures and was very impressed for only two months out.

A year after my BA, I developed a capsullar contracture on the right breast, the left breast was sagging. My right breast was about one inch higher than my left. I did not notice it immediately but had been experiencing some pulling pain on my right side that reached my underarm. I also had a swollen lymph node on the same side. It was time for my mammogram and I asked them to perform an ultrasound as well. They dicovered that I had 3 fibreodenomas, 2 of a decent size which explains the increase of pain during my period. I have a small kid at home and am an active woman. Prior to the BA, I was running and exercising regularly. Right after my BA, I have always wondered if I have made the right decision, I did not like feeling the bags of water on my chest. I was a size cup A after breast feeding, the implant gave me a small C. I decided after the complications of the BA and the finding of the fibreodenomas to have both the implants and the fibreodenomas removed at the same time. I went on line and read a review of someone who just had it done and her result looked great. I contacted the doctor, skype with him for an hour and made an appointment with the hospital. I just had them removed yesterday. I am still sore and a bit sad for having smaller breast but I feel lighter. Deeply I know that keeping them will lead to one complication to another. I am 40. And want to remain healthy and active, to live a long life and see my daughter grow. My dear sister paid for my BA in the first place, she felt sorry for me (Since all my sisters have implants, I thought why not give it a try). The breasts look small an wrinkly 1 day post Op, and I hope they will look better with time. Like anything else in life, I just need some time to get use to them. My experience with the surgeon was great, skilled and knowledgeable, he refused to do a capsuloscopy since they are saline and I only had them for a year, he said the the procedure is very bloody and will increase the time of recovery, plus I had a small incision, he did a crescent lift on my right breast and remove the fibreodenomas. Updated on 31 May 2015: Off the pain med for the last 24hr. Tremadol kept me awake for the last couple of nights and I could not think straight anymore. I took a pic at my breast and they are as flat as a pancake. The pain almost disappeared. I still have one breast bigger than the other due to the swelling (Cressent lift and incision of the febriodenomas). I try to keep the morale up and think on the positive side. Feeling empty, fear of aging...same old issue. Just have to remind myself to be kind to myself and trust that it will all be okay. The sense of loss is there for sure. I pray that they will fluf up. Updated on 13 Jun 2015: I am feeling better and better everyday. Loving more and more my real breast. I went for my first run post op today and no more pain, I feel lighter and healthier. It was a bit of a shock at first after the removal but now I know that I have made the right decision. I had a strong withdrawal from all the drugs they gave me at the hospital for the surgery, opiates, sedative and anesthetics and was miserable for a week. I recommend everyone to do it if you are thinking about it for a while. The only thing I would have done differently is to have the implant removed under the breast, not through the nipples, I lost sensation on one of them, and if possible go for a local anesthesia. General anesthesia is very hard on the body. Intimately, things are going great with my hubby. At least I feel that he appreciates my real body and that makes me feel freer. My breast are looking good (in my opinion), no more sagging, they are just super small, but that is okay. I am used to that, i am asian. At the hospital. They sent me home with a post op bra very comfortable and tight. I sleep with it at night. It makes a huge difference. I am so grateful to regain my health back.

(probably won't post pics - don't have any before photos. Perhaps some afters down the road. sorry.) I had my implants put in at the age of 19. I did not develop "normal" breasts as a young girl - at least not like any I had seen before... I went for consultations and was super happy at the prospect of having a lift. Then my doc talked me into size D implants as well - he swore I wouldn't be happy going from a large C to probably a small B once lift was done. I agreed. What a bummer. I expected to be elated post surgery/healing. Instead, I was disappointed and disgusted to see my "ugly boobs" were still ugly, just in a different way. My extremely large areola were now big - not even medium or small. I had a really obvious double bubble on my right side. My left side also had one but not as noticeable. My areola's had scarring all around - I even had/have parts of what appear to be areola left outside of the "new" ones... it looks like dark pink spots on my breasts. Oh so very disappointing... If only one could reverse past decisions. So, this leads me to my current/new stage of my breast ordeal - getting those implants out! Tired of them - how they make me feel, how conspicuous they are... I spent the better part of a year searching for a PS with the type of "bedside" manner I appreciate, the experience I expect, and the qualifications that I trust. Since my augmentation back in 1992, I have moved from California to the Mid-west. I began my search in the Toledo metro area and quickly realized I was going to have to broaden my search radius. Which led me to Birmingham, MI. I met with Dr Karaca two months ago and I had my explant yesterday as an in-office procedure. My story won't end with the explant... Some day I'd like to have a scar revision. And possibly another lift?? I feel like, even with time and fluffing, my breasts are going to need a bit of help. But I am in no rush! My hubs (whom I married right after getting the D's) just wants me to be happy and loves my body no matter what, my kids think I suddenly look really skinny but can't figure out why/how (what a bonus!), and I went on a walk today able to breathe and stand up straight for the first time in 24 years (so happy!). Well, that's my explant story. So thankful for finding this website and for Dr Karaca! *actual surgery: in-office, local anesthesia, small incisions in natural crease, minor discomfort - tugging/pressure, sutures. done!* ** I cannot wait to start running again with my tiny girl's! I might have actually qualified for Boston a few years back if I hadn't had to carry them with me! Here's to new beginnings :) **

I was an A cup before and wanted bigger breast. I requested a full B cup to my plastic surgeon, I also needed a nipple crescent lift due to nipple positioning asymmetry. Long story short, I wake up from the anesthesia with huge DD-DDD implants and no nipple crescent lift done despite having paid for it. Ended up with way bigger implants than request and a nipple about 1 inch lower than the other that was way more noticeable now that I had huge breasts. My surgeon gave me an excuse that my pectoral muscle was too thick, that's why I ended up with such big breast blah blah and refused to fix anything. I didn't count with the money or the time off from school to undergo another procedure so I "lived" with them, mostly wearing sports bras to make my breast look smaller as I looked matronly and heavier with such huge breasts. 9 years after the initial surgery I finally had the income to undergo revision surgery or explant, I requested a copy of my medical chart and ended up finding out that my surgeon overfilled the breast implants 100 cc more than we had discussed which would explain why they ended up so huge. Now in my mid-30's, I think I have a more mature outlook and different priorities than when I was on my 20s. In all reality I should have been happy with my perky A cups, now I had to decide if replacing the implants with smaller ones vs breast implant removal was for me. I had a very good consultation with Dr. Karaca who answered all my questions. I decided to go in favor of breast implant removal, my surgeon stated that breast lift would most likely not be required so I decided to go ahead. The procedure was done 5/7/2015, it took about 45-60 minutes in the physician's office under local anesthesia. They gave me some valium and a tramadol prior to the procedure. The procedure was painless, some slight discomfort but as soon as I told my physician he put some more local anesthesia which numbed it real well. They deflated the implants and then some pulling and tugging to remove the implant. Some suturing and I was out of the office and having lunch with my husband with no pain. In the evening I had some discomfort which was relieved by some Tylenol and ice packs. Now I am on day 7 post procedure and happy with the results so far. Hopefully things will continue going well. Updated on 18 May 2015: Incisions barely noticeable. Went bra shopping for the 1st time just to get at least an idea about what bra size I am. It appears that I am a B or a small C amazingly (depending on what brand the bra is). The width of the breast is bigger, thus making them look bigger but if you look sideways they look like a B cup Updated on 18 May 2015:

I am currently a 38 D, exactly what I asked for 8 years ago. Sub Muscular, smooth, round, high profile Mentors filled to 480cc saline. I was a 40AA before the procedure due to three babies and long term pumping for each one as my nipples were flat and wouldn't detach. My PS told me I wasn't a AA even though I wouldn't fit into a B cup on a 40 band, which is what he said I was. Try finding a 40AA bra. I was in an abusive relationship and felt horrid about how I looked. I was also about 30lb over weight. Anyway, being practical, I also knew I would have to replace my implants in 8-10 years. I figured that gave me a while to save up for the second surgery. I love my breasts. They are very natural looking and fit my curvy shape well. However, I am moving on in my life, divorced again and I don't need a nice rack to give me self worth anymore. In fact I kinda like the idea of my next husband liking my small soft breasts, after he falls in love with me for who I am! I have also gotten very much into a healthy lifestyle and it has begun to bother me that I have silicone in my body. I suspect some joint stiffness and stinging pains in my armpits to be related. Also, my family has a significant history of cancer, not breast cancer but lots of other cancers and I just don't want to tempt fate any more. I have lost weight and am starting to look disproportionate the other way now! All these things considered I have just decided to have them removed and see what happens. If I don't have any tissue left at all then I will save up and get a fat transfer and a TT at the same time. This will give my breasts time to heal up and detox any issues from the silicone out of my system. I have bee inspired by all of you ladies on here. Thank you for sharing your stories. I have to reschedule a consult with Dr. Karaca, whom I found on this site. Thank you for the information and recommendation. Updated on 16 Dec 2014: Here are some pics of my pre BA breasts. Updated on 19 Dec 2014: Consult completed $1400 in office local on Thursday January 22nd 2015. I made my appointment but I had to sit down and think about why I was doing this. The Dr. told me there were no issues with them and they could stay in forever and be fine. I don't have any problems with my implants, that I know of. There are things that may be connected to them like back pain, borderline autoimmune problems, inability to lay on my stomach etc... I really had to decide if my nice shape was what was important or if I was done with the need for physical affirmation from others. I found that I am now at a place in my life and heart where I want to be who I was made to be and I don't want or need the type of attention I was seeking when I had them placed 8.5 years ago. I have found peace in my God and acceptance of who I am. Now I am loved by a very supportive man who I dated 16 years ago and who has come back into my life. He loves me for me and is supporting getting them out, even though he will never get to see them or play with them. I know I am making the right decision. It was a great ride but I'm done now. Updated on 24 Jan 2015: My experience: My explant took place on January 22nd at 1PM. I remembered some of you ladies testimonies and packed a small bag with a change of bottoms and undies, my tighter sports bra by Smart Wool, water, hair tie, Vicodin, and two baggies one with lavender essential oil, for anxiety and relaxation and one with peppermint for potential nausea. My boyfriend and I arrived at the office, were briefly checked in and then I was taken back to the room. Dr. Karaca and I had a brief discussion about roughing up the capsule for better adhesion, which he did not feel was necessary and I deferred to his professional opinion as he has been a surgeon a lot longer than I have. However, being a nurse, I tend to dig a little deeper than some and wanted to make sure he was confident in the outcome. We (Dr. Karaca, the assistant and I) were all confident this would be quick and easy. Not sure how the observing medical student felt, as he was trying very hard not to be intrusive this early in the procedure. I donned the paper vest and took my shoes off to be comfy and hopped up on the table. Being the nurse, and having done my fair share of clinical observation, I asked him if he had any questions. He shyly shook his head no. At this point Dr. and assistant were setting up the sterile field and instruments. While we were undergoing this process Dr. asked me to tell the student why I was removing the implants. I knew he had questions! :o) Caveat: Over the last few months I have really thought about why I wanted to get these things out and despite all the health reasons and that they were heavy and starting to look disproportionate I found that my real reason was so much more beautiful than that. I wanted them out because, I didn't need them anymore. I shared this with our young friend and he tried to look supportive. Without further ado, Dr. then administered the Lidocaine to the R breast at the crease at the previous scar. Some small stinging and poking but not bad at all. A large bore needle and syringe were used to puncture and remove about 180mL of fluid from the implant, at this point. Minor pinching noted. I kept looking down to see if I could tell if it shrunk. There was 480mL of fluid in each of these implants and I didn't see any noted shrinkage(technical term) from my point of view. Dr. then began to snip, cut, dig and tug with occasional re-injection of lidocaine with any pain I couldn't tolerate and reported. Finally it came out that my pectoral muscles were much more developed than expected and Dr. was trying to move the muscle without damaging it, to get the implant out. I had a lot of pain with that one since it was unexpected and required some experimentation. Eventually Dr. just cut the implant open and let it drain out. I felt the hot liquid running down my side soaking my pants. I was very tense due to the pain I had to endure during that one and was using my lavender through the whole procedure. I found it helped me to relax after each painful episode and allowed me to be calm if not totally relaxed. I was stitched up and covered with a paper gown to ease the shivering due to the saline cooling on my skin. The left side went much more quickly as Dr. had towels placed on that side prior to beginning and opened the incision as soon as the lidocaine had been administered. There was more sniping, cutting digging and tugging with occasional need for more lidocaine. Once the implant was visualized Dr. cut it open to drain and then began to aspirate even more saline with the large bore needle and syringe. He then pulled it out through the incision and stitched me up. Paper tape was then applied and I was told to keep it on for 2 weeks. I thanked the Dr. and he apologized for it taking so long and being painful at times. While I wasn't expecting so much discomfort, I understand that had Dr. known the difficulty of my case he would have rather done the procedure under general. I don't blame him, even though I wanted local since I know I can tolerate a lot of pain/discomfort and I didn't want the repercussions or cost of general. If you don’t deal well with pain or discomfort or some rough handling make sure you get general or twilight or even take the valium. This is not for the faint of heart, bare bones like I did it. I didn't get pictures that day but I noticed the skin was very soft and saggy with wrinkles and my pectorals were very pronounced with the breast tissue hanging down. I was sore like I had done a lot of pushups or hard pulling. I got up slowly and walked very carefully over to my bag. I changed out of my wet clothing and put on my sports bra. They immediately felt much better squished up close to my body. I ended up taking a nap later that day. I found I have had more discomfort if my pectorals flex for some reason so I have been more careful to not do activity involving this. That night I massaged gently with coconut oil/advocado oil mix with Gentle baby and Helichrysum essential oils. I made sure to wear my sports bra to bed which supported my breasts and pectorals well. I had my BF massage my sore muscles which were tired from shaking from cold and tense from the pain. In the morning I massaged again with tamanu oil with Frankincense EO, Gentle baby and Helichrysum EO’s which I put on my stretch marks daily. They looked better but were still sore. I massaged again that night with the coconut oil mixture. Today is day three and I followed the same regime and have noticed some firming of the skin if not much retraction as of yet. There is some bruising to the R breast at the incision site. It is so strange to not have those giant things in front of me anymore. I look down and they aren’t there. My BF says he likes it better now, he can feel me when he hugs me without those rocks between us. I started to feel as though they were entering rooms before me and had recently gotten self-conscious of them. Now, I am entering the room, just me and I am enough, perfect in the way I was made. Updated on 7 Feb 2015: So I know its been two weeks since my last update but I have pics of post op week 1 and 2. I have to say I am surprised at how few people noticed the difference..as if everyone is as obsessed with my boobs as I am these days...lol Absolutely no one said anything and only one person (a guy) looked at me funny. Its nice not to feel as though my breasts are entering a room before I am. I am no longer self conscious about how I look in a sweater and my tops are much less "sudden" on my frame now. My BF said I sit up straighter too. He likes them better like this, all soft and squishy. I have to say I do too. :o) My Dr. didn't give me any restrictions or tell me to wear compression or anything but I have found that wearing a compression bra in the daytime and a tight sports bra at night has helped with the shrinking of breast tissue and I am hoping for some skin tightening. Also the support is nice, without it I feel pulling on the sides from under my arm which is slightly uncomfortable. Even though it may be hard to see I have noticed a decided decrease in breast volume/tissue these last 2 weeks. The compression bra is not as overflowing as it was when I first put it on 1week post op. I only waited that long because I happened to find one at SalVal in the right size. Probably mostly a decrease in swelling. I have gotten a couple of Handful bras and tried them the first week, which didn't work out to well as I needed just a little more support. I am going to wait a couple more weeks before trying them again. My incisions are in the lumpy stage with a nice big lump where the Dr. had to do some digging on the R side. Twice a day I massage with Sacred Frankincense EO and my other loose skin shrinking EO combinations. Lots of water, vitamins, diatomaceous earth and sulferzyme supplements, eating clean, sleeping well..all that good healthy stuff. Updated on 20 Feb 2015: I haven't noticed much difference in things but I still have this soreness to the R side when I take the compression bra off in the morning or when things are bouncing around in my bra during the day. It feels like the heavy breast tissue is pulling on the muscle or skin/nipple area. I measured myself with a very comprehensive measuring guide http://www.brasizecalculator.tk/ Apparently I am not as flat as I thought I was. I am measuring at a UK size 34F, that's a 34G or 36DDD us size! I even tried on a 36D and the wire is not wide enough. I have come to the conclusion that I cant wear the handful bras for anything other than sleeping, lazy days, or mild exercise, my breast tissue creates unsightly uni-boob. I wonder if the women with soft breast tissue end up getting implants because following childbirth there isn't the skin elasticity to hold the soft tissue up due to stretch scars(marks). Updated on 26 Mar 2015: Just past 2 months post op and things are starting to firm up a little. I have noticed the skin and breast fat are getting firmer and tightening up a little. I have had several people make comments about how little I look now! I have tried several types of bras and have settled on a 36DD as the one which fits the best. Ironically I wore a 38D with my implants in which is basically the same as a 36DD. I love my new size and feel it fits my body better especially since now I have less projection and they are softer. I am starting to loose wt again and feeling better physically these days.