Breast Augmentation: 325cc Subglandular, 36B to 36D (MTF Transition)

I just had my breast augmentation with Dr. Brian Kiesnowski from Appleton Plastic Surgery Center. I had initial consultations with three surgeons before I settled on Dr. K. I think the biggest decision maker was his bedside manner and the responsiveness of he and his staff. Dr. K. spent a lot of time answering a laundry list of questions I had. He did a great job of explaining things without over-simplification. He explained why he chose to use the method he did and what techniques he uses to minimize the risk of complications from going sub-glandular rather than sub-muscular.

The procedure itself went exceptionally well. I was only in surgery for about 90 minutes. The incisions are well placed in the infra-mammary fold and are quite small. The implants are well placed and after a few months should settle into a very nice profile. One of the challenges Dr. K. had to deal with in my surgery was that I have a sunken chest but also a wide chest. So he had to be very careful in lateral placement and he did do a nice job.

For pain management, Dr. K. used both rib blockers and local anesthetic during the procedure and percocet for post-op management. Day after pain is very tolerable.

My one day follow-up was all positive. Both Dr. K. and his surgical assistant were very thrilled with the progress and placement and lack of significant swelling. I have a one week follow-up coming up and then additional follow-ups at 1 month, 3 months and 1 year. I'll continue to post updates.

So I'm almost 3 weeks post op. Getting back to some activities like driving, walking, light chores. Implants are starting to drop with noticable results, but sill riding a little high. The upper pole is becoming more of a slope and less of a bubble whicb is wonderful. Dermabond is still holding tight over the incisions (I get that removed next week). Sensation in my nipples is good, a little numbness below the nipples especially on the left side. Overall healing well but can't wait to get back to working out after my 1 month follow-up.

Just had my 1 month follow-up. According to Dr. K's nurse practitioner, everything is looking "just the way I would want to see it". They removed the Dermabond over the incisions so I got my first look at the scars, they look really good. Very subtle and as they heal over time, they should only get better. They have me using silicon scar patches and mederma daily to help soften and reduce the appearance of the scars. The implants are still a bit high, but the APNP expects that they'll continue to drop over the next couple months. Next follow-up is at the 3-Month, post-op mark.