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March 15th, 2015 I have always wanted bigger...
March 15th, 2015
I have always wanted bigger breasts but never thought it was an option. Plastic surgery never entered into my mind until few years ago when my Mother surprised me with her decision to get a BA. I have finally decided to pull the trigger and get my own BA. So far none of it is “real”. I haven’t even had my consult yet. But I’m sure once I get the ball rolling it will become a reality.
The doctor I chose is Dr. Richard Rand, the same surgeon who performed my Mother’s BA. He’s a bit on the spendy side, but has amazing reviews and he’s local so I’ll be able to recover in my own home. I also saw his work first-hand and it turned out wonderful. You get what you pay for!
My consult is scheduled for April 2nd. I would love to get in sooner but there were no availabilities. So, I will take the time to do more research and fine tune my wants for the final look. I have been told to provide a list of questions and various pictures of what I like for the consultation.
I ordered an augmentation sizing bra to help me understand what the different CCs would look like. The bra came with 300cc, 350cc, and 400cc. I put in the 350cc and went to work. Mistake. I am a Veterinary Technician and my job is very physical. I spend most of the day rolling around on the ground with dogs and cats getting kicked, scratched, and body slammed. The size of the bra wasn’t the issue, the issue was discretely trying to keep the bags in place. The bra was pretty uncomfortable too; but it gave me a good idea of the size and overall I like the 350cc. The next day I didn’t work and wore the 300cc while I ran my errands. I will defiantly get bigger than that. I haven’t tried the 400cc yet.
A good hint while testing out different sizes is to put a shirt on. Don’t put the sizers in a sports bra and call it good. There’s a significant difference in how they look when you put tops on.
Overall, I’m feeling very excited. The only piece of the experience that I am anxious about is the recovery. I’m not worried about the surgery, the anesthesia, or getting too big or too small of implants, I’m worried about how well I’ll do in recovery and what that will be like. So many women talk about the constipation, the nausea, and inability to function on their own, and I’m worried about how I’m going to handle it. I think I’m a pretty tough person, so the pain won’t be a big deal. I can’t wait to get the process started and have all my questions answered!
April 2, 2015
I had my consult with Dr. Rand today. I have to admit, I was nervous going in to the consultation. But I had nothing to worry about. Dr. Rand was amazing. He was very personable, and once he knew I did the research and had a pretty solid idea of what I wanted (Submuscular, smooth, round, inframammary, with a Mod to Mod + profile) it was right down to business.
The first order of business was discussing what look I wanted, and the best way to convey that was through pictures. I brought 10-15 before and after pictures of what I wanted and discussed the size, shape, spacing, and lift. I then looked at the binder of pictures of surgeries Dr. Rand performed. He explained in detail what the different profiles were. The main factor that determines the profile type is the implant width. I went into the consult thinking I wanted something between a moderate to moderate plus. I want something that looks natural without a bra and look like I’m wearing a push-up bra when I wear an unpadded one. To help with my decision, Dr. Rand had me try on different implants that would mimic the look of what I wanted and in the end I decided on 300cc moderate profile.
My appointment was about an hour long and Dr. Rand gave me his full attention. Not once did I feel rushed or that I was wasting his time. I went to the consult with pages of questions and he took the time to answer each one completely. A few of the questions I had are as follows:
• How long do I have to wait to start lifting?
o Approximately 3 weeks
• When can I start working out/stretching?
o Stretching can start immediately. It’s good to keep the muscles loose.
o Don’t lift weights for at least 2-3 weeks and start light.
• How much time should I take off work?
o It’s ok to go back to work after 1 week, but be careful not to do anything that will raise your heart rate and blood pressure for 2-3 weeks.
• When can I lift my arms above my head?
o The day of the surgery. Don’t be afraid to use your arms, just don’t over-exert yourself.
• Are drains used?
o Never for a BA. Drains introduce bacteria which is one of the main causes of capsular contracture.
• What should I expect during the night with sleeping comfort?
o For the first night or two sleep on the back slightly propped up with pillows. After that it’s ok to sleep on the side. Don’t sleep on the stomach for up to 3 months.
• When can I start driving?
o Once off of all narcotics.
• How long will I need someone to take care of me after the surgery?
o Have someone dedicated to your care for the full day of the surgery. That person will make sure you have no adverse effects at home after the anesthesia. Dr. Rand will call that night after the surgery to make sure all is well. Someone will need to take you to the follow up appointment the next day to check the surgery site. After that you should be ok to function on your own.
• At what point can I bathe?
o 2 days after the surgery it’s ok to take a shower. Do not take a bath. It is not good to fully submerge the incision sites in water.
• What should I expect in regards to constipation?
o The more narcotics you take, the more constipated you’ll be. Drink lots of water, take miralax, or other fibers to help.
• How is the procedure done?
o Within 5 minutes of entering the operating room an IV is placed, you’re strapped to the operating table, and given a cocktail of drugs including an antibiotic, and analgesic, and the induction drug. The patient is kept on an inhalant anesthetic without the use of a endotracheal tube. First the implant pockets are made (takes about 8 minutes), then the implants are inserted using the Keller Funnel method. During the procedure Dr. Rand will sit the patient up to be sure the implants are resting in a suitable position. The whole procedure takes up to 40 minutes, and you go home the same day.
• What will I expect with nipple sensitivity?
o Once healed, the nipples should feel the same as before the procedure.
• Will I be able to pick up the post-op medication before the procedure?
o Yes. The script will be given during the pre-op where you will be getting your blood drawn.
• Can I still drink coffee?
o Yes. Although, the day of the surgery you will not be allowed to have any so be sure to wean yourself down to the point that it’s ok if you skip your coffee. You don’t want to be dealing with a caffeine headache the day of the procedure.
• Will I have trouble breathing after the surgery?
o There may be a tightness of the chest due to the pectoral muscles being stretched. As long as you stretch the sensation should go away quickly.
• What’s the policy if the BA doesn’t go as planned?
o Dr. Rand will correct the issue (capsular contracture, double bubble, rippling, hematoma, etc.) at minimal to no cost.
• Do you recommend getting the implants replaced every 10 years?
o No. It’s recommended to have them checked at the 9 year mark. Most warranties expire after 10 years, but this does not mean they need replacing.
• What are the chances of implants causing stretch marks?
o Zero.
• Smooth vs. Textured?
o Smooth, smooth, smooth. If you get textured, they are attached to you and that’s it. If there are issues they are a lot harder to correct.
o The smooth look, feel, and act natural.
After I met with Dr. Rand I sat down with Rose who explained the financial aspect of the procedure. She was very straight forward and didn’t beat around the bush, which I appreciated.
My next step is scheduling an ultrasound (which Rose gave me a referral card). The ultrasound is good for a year which is plenty of time to schedule the surgery. When I complete that, I will schedule the pre-op, then finally the BA!!
April 29th, 2015
I am under 30 years old so Dr. Rand’s office only required me to get an ultrasound before scheduling my pre-op and surgery (Women over 30 need to get a mammogram). I scheduled my appointment with Dr. Marita Acheson at BBIC. The appointment took about an hour; it was comfortable and the doctor explained everything on the screen that she took note of.
Results: I am cleared to schedule the surgery! Everything checked out. I called Rose and scheduled my Pre-op appointment for August 25th where I will have my blood drawn to be sure I can withstand the anesthesia, get my prescriptions for recovery, make the final payment for the surgery, and lock down the time of the procedure. I could have had the surgery as early as the beginning of May, but I wanted to enjoy the summer and recover during the stormy fall months. My BA will be 2 weeks after the pre-op: September 8th!
I have always wanted bigger breasts but never thought it was an option. Plastic surgery never entered into my mind until few years ago when my Mother surprised me with her decision to get a BA. I have finally decided to pull the trigger and get my own BA. So far none of it is “real”. I haven’t even had my consult yet. But I’m sure once I get the ball rolling it will become a reality.
The doctor I chose is Dr. Richard Rand, the same surgeon who performed my Mother’s BA. He’s a bit on the spendy side, but has amazing reviews and he’s local so I’ll be able to recover in my own home. I also saw his work first-hand and it turned out wonderful. You get what you pay for!
My consult is scheduled for April 2nd. I would love to get in sooner but there were no availabilities. So, I will take the time to do more research and fine tune my wants for the final look. I have been told to provide a list of questions and various pictures of what I like for the consultation.
I ordered an augmentation sizing bra to help me understand what the different CCs would look like. The bra came with 300cc, 350cc, and 400cc. I put in the 350cc and went to work. Mistake. I am a Veterinary Technician and my job is very physical. I spend most of the day rolling around on the ground with dogs and cats getting kicked, scratched, and body slammed. The size of the bra wasn’t the issue, the issue was discretely trying to keep the bags in place. The bra was pretty uncomfortable too; but it gave me a good idea of the size and overall I like the 350cc. The next day I didn’t work and wore the 300cc while I ran my errands. I will defiantly get bigger than that. I haven’t tried the 400cc yet.
A good hint while testing out different sizes is to put a shirt on. Don’t put the sizers in a sports bra and call it good. There’s a significant difference in how they look when you put tops on.
Overall, I’m feeling very excited. The only piece of the experience that I am anxious about is the recovery. I’m not worried about the surgery, the anesthesia, or getting too big or too small of implants, I’m worried about how well I’ll do in recovery and what that will be like. So many women talk about the constipation, the nausea, and inability to function on their own, and I’m worried about how I’m going to handle it. I think I’m a pretty tough person, so the pain won’t be a big deal. I can’t wait to get the process started and have all my questions answered!
April 2, 2015
I had my consult with Dr. Rand today. I have to admit, I was nervous going in to the consultation. But I had nothing to worry about. Dr. Rand was amazing. He was very personable, and once he knew I did the research and had a pretty solid idea of what I wanted (Submuscular, smooth, round, inframammary, with a Mod to Mod + profile) it was right down to business.
The first order of business was discussing what look I wanted, and the best way to convey that was through pictures. I brought 10-15 before and after pictures of what I wanted and discussed the size, shape, spacing, and lift. I then looked at the binder of pictures of surgeries Dr. Rand performed. He explained in detail what the different profiles were. The main factor that determines the profile type is the implant width. I went into the consult thinking I wanted something between a moderate to moderate plus. I want something that looks natural without a bra and look like I’m wearing a push-up bra when I wear an unpadded one. To help with my decision, Dr. Rand had me try on different implants that would mimic the look of what I wanted and in the end I decided on 300cc moderate profile.
My appointment was about an hour long and Dr. Rand gave me his full attention. Not once did I feel rushed or that I was wasting his time. I went to the consult with pages of questions and he took the time to answer each one completely. A few of the questions I had are as follows:
• How long do I have to wait to start lifting?
o Approximately 3 weeks
• When can I start working out/stretching?
o Stretching can start immediately. It’s good to keep the muscles loose.
o Don’t lift weights for at least 2-3 weeks and start light.
• How much time should I take off work?
o It’s ok to go back to work after 1 week, but be careful not to do anything that will raise your heart rate and blood pressure for 2-3 weeks.
• When can I lift my arms above my head?
o The day of the surgery. Don’t be afraid to use your arms, just don’t over-exert yourself.
• Are drains used?
o Never for a BA. Drains introduce bacteria which is one of the main causes of capsular contracture.
• What should I expect during the night with sleeping comfort?
o For the first night or two sleep on the back slightly propped up with pillows. After that it’s ok to sleep on the side. Don’t sleep on the stomach for up to 3 months.
• When can I start driving?
o Once off of all narcotics.
• How long will I need someone to take care of me after the surgery?
o Have someone dedicated to your care for the full day of the surgery. That person will make sure you have no adverse effects at home after the anesthesia. Dr. Rand will call that night after the surgery to make sure all is well. Someone will need to take you to the follow up appointment the next day to check the surgery site. After that you should be ok to function on your own.
• At what point can I bathe?
o 2 days after the surgery it’s ok to take a shower. Do not take a bath. It is not good to fully submerge the incision sites in water.
• What should I expect in regards to constipation?
o The more narcotics you take, the more constipated you’ll be. Drink lots of water, take miralax, or other fibers to help.
• How is the procedure done?
o Within 5 minutes of entering the operating room an IV is placed, you’re strapped to the operating table, and given a cocktail of drugs including an antibiotic, and analgesic, and the induction drug. The patient is kept on an inhalant anesthetic without the use of a endotracheal tube. First the implant pockets are made (takes about 8 minutes), then the implants are inserted using the Keller Funnel method. During the procedure Dr. Rand will sit the patient up to be sure the implants are resting in a suitable position. The whole procedure takes up to 40 minutes, and you go home the same day.
• What will I expect with nipple sensitivity?
o Once healed, the nipples should feel the same as before the procedure.
• Will I be able to pick up the post-op medication before the procedure?
o Yes. The script will be given during the pre-op where you will be getting your blood drawn.
• Can I still drink coffee?
o Yes. Although, the day of the surgery you will not be allowed to have any so be sure to wean yourself down to the point that it’s ok if you skip your coffee. You don’t want to be dealing with a caffeine headache the day of the procedure.
• Will I have trouble breathing after the surgery?
o There may be a tightness of the chest due to the pectoral muscles being stretched. As long as you stretch the sensation should go away quickly.
• What’s the policy if the BA doesn’t go as planned?
o Dr. Rand will correct the issue (capsular contracture, double bubble, rippling, hematoma, etc.) at minimal to no cost.
• Do you recommend getting the implants replaced every 10 years?
o No. It’s recommended to have them checked at the 9 year mark. Most warranties expire after 10 years, but this does not mean they need replacing.
• What are the chances of implants causing stretch marks?
o Zero.
• Smooth vs. Textured?
o Smooth, smooth, smooth. If you get textured, they are attached to you and that’s it. If there are issues they are a lot harder to correct.
o The smooth look, feel, and act natural.
After I met with Dr. Rand I sat down with Rose who explained the financial aspect of the procedure. She was very straight forward and didn’t beat around the bush, which I appreciated.
My next step is scheduling an ultrasound (which Rose gave me a referral card). The ultrasound is good for a year which is plenty of time to schedule the surgery. When I complete that, I will schedule the pre-op, then finally the BA!!
April 29th, 2015
I am under 30 years old so Dr. Rand’s office only required me to get an ultrasound before scheduling my pre-op and surgery (Women over 30 need to get a mammogram). I scheduled my appointment with Dr. Marita Acheson at BBIC. The appointment took about an hour; it was comfortable and the doctor explained everything on the screen that she took note of.
Results: I am cleared to schedule the surgery! Everything checked out. I called Rose and scheduled my Pre-op appointment for August 25th where I will have my blood drawn to be sure I can withstand the anesthesia, get my prescriptions for recovery, make the final payment for the surgery, and lock down the time of the procedure. I could have had the surgery as early as the beginning of May, but I wanted to enjoy the summer and recover during the stormy fall months. My BA will be 2 weeks after the pre-op: September 8th!
Provider Review
Board Certified Plastic Surgeon
1135 116th Ave. NE, Bellevue, Washington