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32AA 5’4” 120 Lbs, 30yo, 1 Child - Natrelle Silicone Implants

UPDATED FROM AmethystMermaid
1 month pre

Changed my mind

$9,899
So, I’ve totally changed my mind about having this surgery after doing more research about the risks. I’m only making this update to let other women know about why I did this, just in case it helps them to make a more informed decision about their surgery.
The FDA recently released a new consent form that patients must sign before getting implants and I was told that it was “what we already talked about” during the consultation, however, I was still feeling suspicious about why this new form came out. I’m glad I did my research because BII (breast implant illness) is a real thing, my friends, and the risks are higher than you think. It’s more common than any surgeon will tell you. The rate in which women get capsular contracture seems to be over 50% in some of the articles I read as well, and revision surgeries happen in up to 60% of women who get implants. This rate is highest for silicone implants. This new consent form has been released due to enough women coming forward about risks not adequately being discussed prior to surgery, causing them illness and more surgeries, so the FDA needed to come out with this form. The form is written in obtuse language and vague, so it’s easy to be unaware of what you’re truly getting yourself into, even from reading this new form.
I encourage anyone thinking about getting implants to do their research more thoroughly, as I have done. I got the impression that risks were very minimal, but they’re less minimal than you think! There’s nothing wrong with getting breast implants if that’s what you decide to do, but I’ve chosen not to take the risk since the dangers are a lot higher than I previously understood. For me personally, it’s just not worth it! Wishing everyone the best of luck in their journey, but mine has ended here.
Please read these articles if you’re thinking about getting breast implants:
https://www.fda.gov/medical-devices/breast-implants/risks-and-complications-breast-implants
https://www.nytimes.com/2021/10/27/health/breast-implants-cancer-fda.html

AmethystMermaid's provider

Jerome H. Liu, MD

Jerome H. Liu, MD

Board Certified Plastic Surgeon

5.0 | 41 Reviews
PROFILE

Replies (2)

I think one important thing to note is that capsular contracture *usually* doesn’t happen until the implants have been in several years- the majority of grade 3/4 capsular contracture is around the 10+yr mark. Some people for whatever reason their body over reacts with scar tissue formation and they develop capsular contracture very early- but this is rare.

Any implant (whether pacemaker, knee replacement, breast implants) the body will form a capsule around it.

Implants are not forever devices and future surgery to remove and replace (if desired) will be required. Technically if no issues can ride them into the sunset- but like anything, constant movement will eventually cause the shell to weaken and rupture- some people have theirs 20+yrs others have issues much sooner- chalk it up to luck of the draw / lifestyle.

BII is a real thing- that being said sometimes there are other underlying issues that are causing their symptoms- whether it’s an autoimmune disease, silicone allergy, etc. Sometimes it’s 6-10yrs after they got implants in which case it could be capsular contracture developing and how their body is reacting to overproducing scar tissue.

The new form is just additional verification for patients of the risks- the risks with implants haven’t changed, but some surgeons don’t thoroughly explain everything to patients so the FDA added a layer of transparency.

All the risks are definitely something to take into consideration- and they can happen to anyone. I think sometimes when people want something so bad they dismiss all the risks and say “yea but it won’t happen to me”. Definitely have to be open to the fact that no one is immune from potentially having a complication. Thag being said the rates are actually very low- hundreds of thousands of women get implants every year including breast cancer survivors. Usually when things go well / no issues you don’t hear anything. It’s women who have issues who tend to speak up, but I would say they are the minority.

Getting implants is definitely a personal choice and you have to weigh the risks and benefits as they apply to you. I think everyone needs to be educated to make the most informed decision they can :)
Did you proceed? :) I agree the surgeon's last comment. BII stopped me from going through with the procedure in 2018. I finally decided to do it this year and i'm currently recovering :D I can't wait to see my final results!
UPDATED FROM AmethystMermaid
2 months pre

Yet Another Update

Looks like I have a lot to talk with my surgeon about! I made more precise rice sizers by weight (ounces) instead of measurements (with the help of my amazing husband!) and it seems the sizers I’m wearing in my photos I before are actually ~260cc moderate (less than 275 but slightly larger than 255). I guess I measured wrong or my measuring spoons/cups aren’t very accurate. Oops. *Pro-tip: Weigh the rice and make sure it matches the size you’re going for - measuring cups/spoons can give you an wildly inaccurate result apparently!
I like the appearance of the 255cc moderate profile implants the best. I tried on a true, accurate 295cc full profile sizer and I hated it! I looked silly and I can’t imagine what that size would look like if I tried to wear a push up bra! No good.
So it looks like I’m aiming for the 255 moderate profile now…we’ll see what my surgeon says in January!

Replies (3)

I would definitely watch some BA videos on youtube and read more reviews of people with your same stats! I don't think there is much of a difference between 40 cc and if you are a little wider it will make sense. They still have awhile to drop and fluff. I've heard some girls get smaller which probably makes sense since the swelling wears off. I am a little over a month post op and I got 500 cc High Profile Mentor smooth; I am 5'1 and 112 lbs (preop) pretty petite. I think my BWD was about 13 cm. Check out my photos. Mine havent dropped and fluffed yet but are healing nicely and starting to feel the squish. I went pretty large for my frame. I go back and forth if I went too big but my husband and friends say they look great. I do have a butt thought so it balances out.
Ok so...gonna update in the comments because I feel like a weirdo posting these content updates about size anxiety. When I completely put cc number, cup size, and anxieties out of my mind and just look at myself - my 295cc sizers look like what I want now! Omg I'm so indecisive, haha. I guess this is just showing the embarrassing, real life back-and-forth someone can go through when choosing size for a BA - it can be really difficult. Whether I end up choosing 255-295cc, I think I'll look basically the same in the end and it'll look great, so I should probably pick the larger size to assure my happiness with my result. The cc amount is so small that it won't really make a difference anyway. I shouldn't avoid getting that extra volume I want just because I'm afraid of something that likely won't happen in the end. My surgeon won't allow it since he specializes in natural results. I need to stop worrying!
I’d just like to let you know I’m going through the same thoughts as you for my upcoming BA. You are not alone <3. I’m doing 300cc HP (Mentor) and my surg is coming up in about 2 weeks. 155cm, 11.7ish BDW, 90lbs, no kids yet. Cheers~
Is the price estimate you listed the total, including facility, doctor fee, anesthesia, etc.? Your review was great and I'm hoping I can set up a consultation soon! :)
Yes, it's the total fee. :)
UPDATED FROM AmethystMermaid
2 months pre

Second Guessing and Updated Surgery Date

I saw another review on here of a girl who went to my same surgeon and got 295cc’s - similar BWD and stats as me. Her results look great but she said she wears DD/DDD bras now! That honestly really scared me since that’s WAY too big, in my opinion, for my body. Granted, her BWD is 11cm and mine is 12cm, plus she weighs a little less than me, so 295cc’s probably looks bigger on her than it will on me, but that still shocked me! She says her only complaint is that they stick out a little farther than she would like sometimes, but ultimately she loves her results. I’m worrying that 295cc full/high profile will be too big, but I measured my rice sizers and they match the exact measurements of the implant I will be getting, and I like the appearance when I wear them, though sometimes I worry they project too much. I want to be a large C/small D and that’s always been my goal, and according to the measurements of the implant, myself, and my measurements of my chest before and after wearing the rice sizers, that’s precisely the size I should expect to be. Yet for some reason I’m still worrying that I’ll look too “fake” or my boobs will look too rounded and ball-like! I considered 285cc moderate/moderate plus implants instead, but I’m worried that those will be too wide for my frame. The difference in cc’s is minimal compared to the 295, so I’m not worried about that - it’s more the profile that concerns me. I would need to lower the cc’s to go to a moderate profile because my BWD is only 12 and I’m fairly petite, but I’m worried I would need to lessen the cc’s too much to make the surgery worth it if I were to do a moderate profile. If I need to lessen the cc’s by more than 10-20 to have a moderate profile, it will just feel too small and not worth the surgery, but at the same time, I don’t want to be too big. I need to have full/high profile if I want the fullness of the 295cc’s - again, because of my BWD. I want the fullness and volume but I also want to look natural! Argh! So back and forth about it!

I ended up calling my surgeon’s office and talked with my patient care coordinator, Noel. She called me back right away and she was so kind, friendly, and helpful! I needed to change my surgery date since I realized that my period would be starting right around the time I originally scheduled the procedure. I did NOT want to be dealing with menstrual cycle drama at the same time of getting surgery! I have menstrual disorders, so it’s not a “normal” period for me when I get it. I bleed very heavily and I have PMDD as well as dysmenorrhea, so best to avoid that at the time of my surgery so I can focus on recovery. Luckily, Noel was able to move my surgery two weeks later with no issues, and I kept my pre-op date the same since it was still within 30 days of my procedure. My procedure will be happening at 11:45am now, on February 18th, with a 9:45am check-in time. This is a lot more manageable than the previous 5:45am check-in time to have my surgery at 7:45am on February 4th! Noel was also able to answer some of my questions about the surgery and listened to my concerns about my size. I guess it’s quite common to be on the fence about it for a while - it’s a big decision after all! She says some patients pick a few sizes that interest them and allow Dr. Liu to pick the one that looks best on the day of surgery. Noel and I laughed after I said that it’s very likely that will happen with me! I’m so indecisive on it right now…I’m probably overthinking it…but I’m still leaning toward 295cc HP…we’ll see how my pre-op goes after I talk to Dr. Liu again about my concerns and go from there!

Replies (2)

I think you’ll look great! I don’t know any girls who say “I wish I went smaller”.
This is true! I’ve heard the rice sizers can sometimes make the implants look larger than it will look once the implants are actually inside the body too. I’m totally overthinking it, haha.
Bra size varies between brands and breast size so it's not an accurate measurement as your surgeon will tell you. Try 325cc teardrop for a natural look.
I’ve considered teardrop in the very beginning but I do like the fullness of a high/moderate plus implant in the upper pole. I ultimately decided that the anatomical/teardrop shape wouldn’t give me the look I was going for. I want to make a statement, but I just don’t want to look too “fake”, if you know what I mean. Obviously, it will look like I’ve had something done since they’ll look too perfect to be real and be much larger, but I want to avoid that “ball” look on my chest, hence considering the moderate plus profile and slightly lowering the cc’s as a possibly better option. The high profile fits my BWD better though and I really like the fullness of the 295cc. My plan is to discuss my concerns with my surgeon at my pre-op appointment and I’ll probably end up going with my initial decision since that’s usually what happens when I get indecisive like this! I sometimes need lots of reassurance since I’m terrible at deciding things - there’s so many options and this is a big life decision so that doesn’t help my habit of overthinking. I’m lucky that my surgeon likes to provide modest/conservative and natural results with his patients, so I know I’m in good hands! I know Dr. Liu will recommend and choose the perfect size for me with my aesthetic goals and safety/result concerns in mind. :)