Treatment Provider

Eric Pugash, MD
Certified Plastic Surgeon
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Synmastia Repair Update

Today I sent photos to Dr. Revis. He confirmed that I do indeed have symmastia and that my left breast is in fact bottoming out. As much as it sucks to hear it, at least now I know my concerns really were valid :( He also acknowledged that a piece of my skin does pop out on top of my left breast. It’s also due to overdissecting my pockets. What’s done is done, doctors are humans too. I can only imagine all the skills that goes into performing this kind of surgery. All I can do now is find a way to fix it even though it’s going to basically cost triple the initial surgery :(

The cost for a repair is quite expensive too. On top of that I’ll also have to pay for travel cost. But this kind of surgery I only want to see a doctor who specializes in repairing symmastia. Anyone who’s experienced it knows just how important it is to find a surgeon who does this kind of surgery regularly.

I’m so glad Dr. Revis is taking me on as a patient. I’ll stop updating this review and start a new one for Dr. Revis. He has been so responsive and informative in all of our correspondence.

I’ve uploaded a photo to show my symmastia. Thank you all for following me on my journey.

Inquired About Symmastia/Synmastia Repair

It’s been awhile since I’ve updated. The more they healed the more I disliked how they looked :( After each update on realself, it was always a negative experience for me as I had to look at them.
The more they softened up, the more obvious the rippling became. I can’t wear my proper bra size because the skin in the middle rises making them merge together leaving me with no cleavage :( Or when I do wear a push up bra not only does the skin rises but my cleavage looks like two puzzle pieces pushed together because there is so much rippling. The only way to avoid the skin rising is if I wear a bigger cup so my breast aren’t pushed together. Even when I wear a bralette, the symmastia is obvious.
I’ve decided I’m going to save up for symmastia repair. I’ve researched quite a bit and decided with Dr. Revis who’s located in Florida. Unfortunately, I couldn’t seem to find any well known surgeons who specialized in symmastia repairs in Canada. I really do feel travelling for this kind of surgery is well worth it.
So far, my experience with Dr. Revis is a positive one! I emailed him this morning and he responded within the hour. I’ll keep you all posted!
In the mean time, here are some wish/goal photos I found as Dr. Revis asked if I had any. Which is nice because my last surgeon did not ask, nor did he really measure my bwd until his assistant asked him too. I honestly feel like I’m less than 11cm. But we’ll see what Dr. Revis recommends and measures!

5 Months!

Tomorrow will officially be 5 months.
I had a check up appointment with my PS last month and asked if my left was starting to bottom out. As my nipple is sitting quite high on the implant. I was already aware that my left breast was always slightly lower than my right but I’m not sure if that’s where my nipple was always sitting. Before I could finish speaking, he interrupted me and told me that my left was always lower and that’s exactly where he cut my pocket. Because he cut me off, I didn’t get to ask if my right needed to drop more or explain that my nipple is sitting quite high. I will eventually get a 2nd opinion or if you guys would like to give me feedback too, I’d appreciate it :) I know it’s somewhat hard with emojis covering but you can see that my left nipple is sitting quite close to my armpit?
I didn’t realize how important it was to go to different consultations to find the right surgeon. I went to my PS because my girlfriend was happy with her experience and he was the number 1 surgeon in my city. When I read other reviews, I realized how important it was to take the time to find a PS who is the right fit for you. We’re all different and I know my PS can be the right fit for someone else but he was not the right fit for me in the end.
I have quite a bit of rippling where my cleavage is and I can feel the implants. My girlfriend said they should get softer as she used to be able to feel them too. Her’s softened up more after 6 months. So we’ll see. Standing up they’re soft but when I lay down they are so hard. I think this is normal though as I’ve read that other women experience the same thing when laying down.
In a bra, they look good and my partner loves them. Haha, we laughed when I took off my bra, that they don’t move as my cleavage is the same with or without a bra.
Sorry for the negative update, I’ve been trying to remain positive through it all. Of course, I’m still very happy that I now have boobs and we do look at them more than ever. No breast are perfectly symmetrical, they’re all perfectly imperfect.
However, we spent a lot of money to get this surgery done so I do feel we should be happy with the end result. I don’t expect perfectly symmetrical breast but I do want to know if my left breast is in fact bottoming out. I’ll keep you guys posted once I get a 2nd opinion but I do want to wait till after 6 months at least. As I am still in the recovering stages and they’re still changing.
I’ll keep you guys posted :)

Provider Review

Certified Plastic Surgeon
610 Sixth St., New Westminster, British Columbia
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Overall rating
Doctor's bedside manner
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After care follow-up
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I chose Dr. Pugash as he was one of the top rated surgeons in Vancouver and also because my friend was happy with her results. He is knowledgeable and informative, with that said, if you want a surgeon who will listen to your concerns more thoroughly, Dr. Pugash can sometimes talk over you. I rarely asked questions but when I wanted to confirm something he had said, he did show that he was a bit annoyed. So I can’t imagine if one had many questions.. I think when someone is speaking, we should take the time to listen. If this is not of importance to you then Dr. Pugash is the right fit for you. Overall, I am not completely satisfied with my results but am still grateful that I have bigger boobs now. I was happy with the service provided by Simone, who handles all the appointments, she was phenomenal. As for Dr. Pugash, as much as I want to recommend him, I can’t 100%. Instead I suggest that you do more than one consultation to find the right surgeon for you.