reduction and implants??

I have had large breasts since I was in 4th grade. When every other little girl was still wishing for boobs, I was trying to figure out a way to smash mine flat under 2 sports bras. I am 30 now, and after 3 rounds of breast feeding and lapband, I now no longer have DDD boobs...I have the DDD skin with a D filling! So, I'm scheduled for a reduction on December 2. The thing is though, all my friends keep telling me that I'm not that big and just need a lift...and maybe even an implant! Of course, all my friends either have had implants or wish they could! I am the only one who has suffered through life with huge boobs. Being young and social, I often am remembered as "oh yeah! Mary...with those big boobs!" I would love to be remembered as "Mary, that really intelligent and interesting woman", or "Mary...that really nice person". I am also having a tummy tuck on October 14th, so I can't imagine how big my boobs will look after my stomach is flat. So, I'm posting some pictures of me now...before my surgery. What is your opinion? My doctor says that he wants to make me a small C cup, which I am perfectly happy with. All my friends say I just need a lift and a small implant to fill me out...that I am crazy for wanting to get rid of what God gave me! In the end, I'm going to go with the reduction I'm sure...because its about quality, not quantity to me! I'd rather be "franken-booby" as one of my friends called it, than have great big watermelon boobs.

Doctor Answers 7

Reduction and Implants?

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Thank you for the question and picture.  Based on your description and picture I think you're making an excellent choice to proceed with the breast reduction surgery; one of the most patient pleasing operations we do. One piece of advice: IGNORE YOUR FRIENDS.

Another piece of advice: COMMUNICATE your size goals with your surgeon.  In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" or "top heavy" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

You are about to undergo a major operation which often involves a significant physical and emotional recovery. A few more words of advice may be helpful:

1. Make sure you are doing the procedure for the right reasons (for yourself)  and that you have realistic expectations.  Be aware that an improvement in the “problem area” may not translate to an overall improvement in your life   situation.  You are bound to be disappointed with results of the procedure if your motivation for doing the surgery is not internally driven.

2. Time your surgery carefully; generally, it is not a good idea to have surgery done during or immediately after a stressful period in life (for example divorce or death of a loved one). The additional stress of surgery will undoubtedly be  more challenging to deal with if a patient's emotional reserves our already exhausted. Remember, that an improvement in your physical appearance will not translate to an improvement in your life situation.

3. If possible speak to patients who have undergone similar procedures and query them about the toughest times of their recovery period. Any practical hints previous patients can provide may be very helpful. 

4. Make sure you are aware of potential complications that may arise how to reach your surgeon if necessary.

5. Make sure you have a strong and patient support system (several people if possible) in place who have time/patience to take care of you. Arrange for professional nursing if any doubt exists regarding the availability and/or stamina  of your caretakers.

6. Be patient with the healing process, understanding that it will take several weeks to months to feel “normal” again. It may also take many months/year to see the end results of your surgery.

7. Be prepared to distract your mind with things of interest such as books, magazines, and movies.

8. Expect less of yourself; do not go back to work, school or chores too early and let others take care of you (for a change).

9. Pick your surgeon carefully (a well experienced board-certified plastic surgeon) and trust in his/her advice. Keep in close communication with your surgeon and do not hesitate to communicate questions/concerns and the   emotional swings that you may experience.

10. Resume all medications that you were using preoperatively when cleared by your plastic surgeon and stop the use of narcotics and sedatives as soon as feasible after surgery.

11. Keep in mind the end results as you go through the tougher emotional times after your surgery.

I hope this helps.

Breast Reduction With or Without Implants

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You look like a great candidate for a breast reduction. I would advise against implants, you should get a great result with out them. Why have a lifetime of maintenance if you don't need them? I am sure your friends mean well but it sounds like you and your surgeon are on the right track. You might ask to see photos of other patients (or take some with you) to make sure you and your surgeon agree on size. Good Luck!

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 81 reviews

Reduction versus Lift and Implants

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Listen to your heart, mind and surgeon, not your friends. You have a great deal of droop to your breasts and a fair amount of volume as well. It is important to ensure that your surgeon understands exactly how much volume you desire to retain at the end of the surgery, but it is clear that the reduction (which is by nature also a lift) is the right choice for you! Be reassured that you have made the right choice.

All my best,

Daniel Medalie, MD

Reduction Patients Are The Happiest Patients!

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Dear USMC_Wife,  First, my sympathy for what you have gone through both while growing up and with your friends and their behavior.  One of my plastic surgery mentors years ago said there are two types of women in the world; those with big breasts who want them smaller and those with small breasts who want them bigger and the two groups will never see eye to eye.  Your friends seem to be proving his point.

You are a very good candidate for a breast reduction procedure to bring your breast size down to match your body and to take some of the pressure and stress off of your body.  Breast reduction patients are always the happiest patients and they do understand what having too much breast tissue means and the troubles it can cause.  Listen to your plastic surgeon and he/she will help you choose the size that will work for you.  I wish much success and thank you for all you do for protecting all of us!  Good Luck!

Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon
4.7 out of 5 stars 88 reviews

Breast reduction-when to ignore your friends!

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You are an excellent candidate for standard breast reduction, which will lift the breasts.   You do not need implants.  Reduction to a C cup is entirely appropriate.  It sounds as though your friends have their own agendas and do not understand the nature of this surgery.  Tune them out!!  If you have concerns, definitely voice them to your plastic surgeon.

reduction and implants??

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Thanks for the posted implants and the heart felt description. Easy concept to understand is have any of your friends trained as Plastic Surgeons? spent 5 to 8 years in residency training? preformed many reduction surgeries? I think NO. Listen to your surgeon not your busy body friends!

Reduction, why implants???

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First of all, allow me to thank you and your husband for the great sacrifice and service to our country!

In my opinion you are a great candidate for a breast reduction. If done correctly, you should not need an implant to have upper pole fullness. There's a  new technique called The Ultimate Breast Reduction that allows for firm and perky breasts. There is NO VERTICAL SCAR with this technique. It also works on all breast types (extra large and extra ptotic). Best wishes to you, Dr. H

Semper Fidelis!

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.