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Some general tips on augmentations (and 2nd time...
1. Go to someone who does A LOT of boob jobs (1000s). They may be qualified to do all types of plastic surgery, but, especially since breast augmentation is an art, you want someone who has done hundreds, if not thousands, of them. Look through pictures of before and afters they have done and make sure that, on the whole, you like their work (Note: you will not like all of them since women often have different end goals of their augmentation.)
2. Worth going out of town for the right surgeon.
3. It is possible to breastfeed after augmentation. I was very glad that I had my first augmentation done in my late 20s rather than waiting until my 40s. It gave me more confidence, helped my clothes fit better after dropping down to a AA when I finished breastfeeding my first, and added joy to my marriage. When I had a surprise pregnancy in my 30s, my chest grew to a 32F. I was still able to breastfeed and my augmentation still looked great afterwards, but the muscle did change and my chest lost some of the perkiness. I could have easily left it as it was (I say this for those of you considering a first-time augmentation before children), but, our particular circumstances (our daughter’s death) motivated me to have it lifted to avoid the reminder of breastfeeding.
4. Second time augmentation may cost more than first because of time to remove first implant.
5. Use ice packs on the first day to avoid swelling, even if you are feeling fine. This dramatically affects how you feel and look the rest of the week. I automatically took the hard pain meds the first time, but was glad I didn't take them the second time (I hate how they make me feel!).
6. I went bigger (350cc to 500cc) because my body has changed and 500 now looks better, but what probably most contributed to getting the look I wanted was the fact that he sutured the muscle that had loosened on the inside (so that the implants are better held where I want them).
Provider Review
On Dr. Berman: 1. I chose him because the doctor who did my first augmentation had retired. I searched through plastic surgeons along the east coast and he was the one whose pictures I liked the best and who had the most consistency of results. 2. He made it super easy for me to book, pay for, and follow up from out of town. He and his staff followed up and gave me contact information so I could easily get in touch if I had any problems afterwards. 3. He and his staff are very thorough beforehand. They have you pick out pictures of what you are now and what you would like to look like afterwards so that there is no confusion of what you want. Once he was in, he decided how best to adjust the muscle to give me the outcome I wanted. 4. He gave anti-nausea medicine in the IV, so I did not have any nausea after the surgery. A friend waited while I was in surgery, we chatted and I had a protein shake on the way back to her house, and I was able to sit and do homeschool with my daughter the rest of the afternoon with only the Celebrex and Tylenol, no need for harder pain meds the second time around (I got the prescription, but never had to fill it). 5. He went in through my existing scar. I was amazed at how great they looked the same day as surgery – I could go out in town and no one would have any idea I had just had an augmentation done. 6. Keeping in mind the need to rest even though I felt fine, I was still able to go siteseeing around DC a bit during the few days I stayed up there. A note to Dr. Berman – Thank you so much for making this process so easy and for being so accessible in addressing concerns along the way. You are a fantastic doctor and plastic surgeon. This proved to be a very good decision to have this procedure done, and it has, surprisingly, made me feel more joyful after the sadness the past year brought us. Thank you for helping our family in this way! Best wishes to your practice and to you in your marathons!