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John L. Burns Jr., MD
Board Certified Plastic Surgeon
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Almost 3 weeks post op 295cc silicone under the muscle

Friday I will be three weeks post-op breast augmentation with 295cc under the muscle. I wanted to give an update on how I am recovering. My mom left a week ago so I’ve been home with the kids while my husband is at work. My kids ages are 5,4, and almost 2 year old twins. Since my mom left, I’ve had to lift them a few times a day but I try to do that as little as possible. They weigh about 25 lbs. I put a stool in their room and I assist them into their crib and they’ve been sitting at the table for breakfast and lunch instead of their high chairs. The times I have to lift them is getting them out of the bath or out of the crib. We haven’t left the house a lot either so there’s only been a few times I’ve had to put them in and out of the car seat.
I had my follow up appointment last week and that went really well. They offered a scar cream there for $100, but I hadn’t looked around to see if I could find a cheaper one yet so I didn’t get it, but then when I looked online I couldn’t find it for a cheaper price so I should’ve just bought it from the office. I ended up ordering it from a website and used one from Walgreens while I waited for mine to arrive. My left scar looks thicker than the right, so hopefully it improves, but I’m not too worried about. As far as how I’m feeling, I feel pretty much normal except when I feel I accidentally use my peck muscle. It doesn’t hurt, just feels weird. I started doing the stair climber last week, with my surgeons approval, so I was about 2 weeks post op when I started that. I think I’ll start some leg machines next week. Last week my left side felt totally normal, but right was still pretty tender that also radiated to under my arm, but this week the right is no longer tender. The bottom of my breast are still numb, which my surgeon said could last for months, but I have heard of feeling never returning for some people. Either way, it doesn’t bother me. I also feel a vibrating, almost like a rubbing feeling on my right side whenever I bend over, but I think I’m noticing it a little less so I think it will eventually go away on its own. I did email my surgeon about that and the right sided pain and he said that was all normal. Overall, I love my breast and am still so glad I finally had the procedure. I love the size. I think they look perky, but they’re not so big that it’s obvious I’ve had them done, which was my goal. I asked my husband if I could post a before and after and he was okay with it, because I know how much others have helped me. In regards to pain medicine, I only took the Norco for about 4-5 days, then switched to Tylenol. For about 10 days I took 1000 mg of Tylenol in the morning and at night and also continued the Valium at night for about 10 days as well. Then I decreased to about 500mg of Tylenol morning and night. Last night was the first night I didn’t take any Tylenol before bed and I haven’t taken any this morning. I also went back to work this weekend. I am a RN in the hospital setting. I didn’t do any lifting, just got help when needed. I thought I was going to have to start cpr but thankfully the patients had a pulse, and I knew if I had to, it probably wouldn’t have been the best quality, but someone else would’ve been right in and they could’ve taken over doing compressions. That’s all I have for now!

A few clothed before and afters

I know it’s not super helpful with Clothed photos but I think my husband would prefer I don’t put topless pictures of myself on the internet . So here’s some clothed before and the first days after to help give some perspective. Today is exactly one week post op. I still love my new boobs so much. I have a small amount of boob greed, but for my goal and body frame I think the size is perfect. My husband also loves them and is glad I didn’t go any bigger. They do look bigger with the post op zip up bra I purchased from Walmart. They are also numb still, so I don’t know if that’s from the rapid recovery method my surgeon used or just how they are going to be for now, but it doesn’t bother me at all. I’ve heard numbness can occur for a few months after then feeling eventually return.

Christian, Dave Ramsey, Scoliosis, BII, & COVID-19

These headlines were my biggest mental hurdles I went through as I decided to go forward with getting my breast augmentation. Now that I’m one week post op and have had time to reflect on my decision, I thought I’d share my thoughts to help others who are trying to decide to get a BA or any other cosmetic surgery. I’ll start with the first topic, I am a Christian, so I had to prayerful consider whether I felt morally at peace with the thought of having breast implants. I had to ask myself honestly why I was doing it. Was I trying to get my husband to desire me more? Was I trying to get attention from other men? Was it too “worldly” to change my body and spend that kind of money on my boobs? What if something happened to me during the procedure?These were the questions I asked myself to make sure I was doing it for the right reasons and as I weighed risk vs benefit. When I knew I wasn’t doing it for anyone but myself, to feel better about my body, more confident around my husband and in the bedroom, to fix the asymmetry caused by breastfeeding four babies for one year (current ages 5, 4, & almost 2 year old twins), all of these thoughts gave me peace about my decision. If I felt morally okay to spend $30,000 on a minivan, $3000 on braces as a teenager, spending money on highlights when my hair was blonde, spending money on refinishing a kitchen; I didn’t see these as any different than spending money improving my breast after all they went through feeding four babies. I think our culture has placed a stigma on women who get implants as women trying to look like porn stars or strippers, and while some women do get them to look more sexy or go for the fake look, that wasn’t my intention.
We also added up the average price of formula x 12 months x four babies and it equaled something around $9200. So I saved us a lot of money by breastfeeding! So after talking about it with my husband for years and praying about I felt at peace with my choice to get them. I thought I might feel some guilt after, but I have yet to feel anything but joy and excitement!
The next you topic is Dave Ramsey. Some of you may not have heard of him but we follow his financial advice. We paid off all our debt (student loans & vehicles was our only debt), had just put 3 months of savings into an emergency fund. I did, however, use a few thousand of our emergency fund for my procedure. We could’ve waited one more month and saved, but we have a beach trip coming up and I can’t swim until six weeks after so I wanted to go ahead and get it. Plus my mom was able to come help with the kids so the timing was just right. So I felt like we were finally at a place financially to pay for the procedure, which mine was $6300 plus the cost of a hotel for three nights.
The next thing is scoliosis. I have pretty severe scoliosis in my thoracic spine. It’s about a 44 degree curvature. You can’t tell from the front but it’s clearly obvious from the back. I didn’t want to go too big because I didn’t want to add too much weight to my chest. I could need a spine surgery many years in the future but I didn’t want that to stop me from getting my boobs done.
The next topic or concern I had was breast Implant Illness. I’ve done a lot of research on it, and I don’t doubt it’s a real thing, but I think a lot of it doesn’t necessarily have to do with the implants. I know of women what had their implants removed and their symptoms still didn’t go away. I believe some women can have an autoimmune inflammatory response to the silicone found in implants, but if majority of women were experiencing this then implants would not still be on the market and have such a high satisfaction rate. They are one of the most researched medical devices. I could one day experience symptoms, but I was willing to take that risk, as I believe it’s a very rare occurrence.
Lastly, I had my boobs done the first week elective surgeries started back up in Texas. I’m actually a RN and happened to have a patient who tested positive for covid-19 a week before my scheduled surgery. My surgery was on a Friday and I didn’t find out till Wednesday my patient had tested positive. So I had to do some research and find a place that gave rapid results (24 hours or less), and the closes location was three hours away! So on Wednesday I loaded my four kids in the car and drove to get the test! Thankfully it was negative, which I figured since the patient and I both had a mask and I had zero symptoms.
On the day of my procedure, they had to take my temp before I entered the office and I had to sign a consent acknowledging I was having a surgical procedure during a pandemic outbreak and risk of it. Once in the OR, I believe the surgeon had to remain out of the room 10 minutes after I was intubated (anesthesiologists and OR RN remained in the OR) for his safety and the also told me they were glad I got tested and they were going to start requiring it.
I know this post was super long, but these were the specific topics I looked for when doing my research! I’ve been obsessively reading on RealSelf since 2017 and I’m so happy to have finally had my procedure done! I will make a separate post going over the day of surgery and how I feel one week post op! I hope this helps some of you as you are looking into having a cosmetic procedure!

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Board Certified Plastic Surgeon
9101 N. Central Expy., Dallas, Texas
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