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4 Days Post-Op

It’s Sunday 5/28/23. I’m 4 days post-op and I finally showered because I finally passed a bowel movement. My arms and chest are still sore but I’m guessing that’s how I’ll feel for the rest of the recovery but it feels better than before. I have a lot of bruising on my lateral chest and armpit areas where I had liposuction performed and the entire area is still very swollen. My shower was fine just couldn’t really wash my hair because I can’t raise my arms. I still have the waterproof coverings on my BA incision and liposuction sites so those stayed dry. Minimal bleeding on liposuction sites which is good and no visible blood through BA incision site gauze covering. Still taking meds and just relaxing. I return to work in 2 days, on Tuesday (desk job).
I didn’t know that I would be constipated this entire time. I had not pooped since Tuesday, the day before surgery. The doctor’s instructions said to start taking miralax and colace 2 days before surgery and I did but then I didn’t poop until today. 5 days total without a bowel movement and I am very bloated because of it.

Sientra 505cc Moderate Plus Profile Over the Muscle

Hi everyone, I’m writing this review on 5/25/23 (1 day post-op). I wanted to document my BA journey because there aren’t enough reviews of people who get large over the muscle implants.

Stats: 31 years old, 5’2”, ~155 lbs.

I have small breasts and I’ve known I wanted to get a BA for a few years. I want to have nice full round breasts but I still want them to look somewhat natural. I definitely knew I did not want high profile implants. I did a lot of research on finding a good doctor. When I found Dr. Usha Rajagopal in San Francisco I knew right away that she was the doctor I wanted to go to for my BA. I had my consultation on March 31, 2023. I did a lot of research on doctors but I didn’t really research what size I wanted. I didn’t take any pictures of “dream boobs” either. When I went in for my consultation I first met with the receptionist and she and the rest of the staff were kind, polite, and courteous. Then I met with the Patient Care Coordinator, Amanda Graham. Amanda really took the time to answer all of my questions and concerns. We went over different implant sizes and 3D imaging to get an idea of what size I would want and I tried on different implant simulators. Then I met with Dr. Rajagopal. Dr. Rajagopal really is the best, her bedside manner is amazing and she made me feel comfortable and safe. I described to her the look that I wanted “full but natural looking” and then she measured my breasts. I forgot the exact measurements but she told me that my breast pocket is too small to get the implant under the muscle, I have a wide breast gap, and she would have to relocate my breast folds because overall my breasts are too small. She suggested 505cc moderate plus profile over the muscle to get the breast look I want. I’ve always had a lot of lateral chest fat and armpit fat which has always been impossible to get rid of so Dr. Rajagopal also suggested lateral chest liposuction to make my upper body look more aesthetically appealing. I completely trust her judgement and expertise so I went with what she suggested. She showed me 3D scans and I was set. I booked my BA with later chest liposuction for 5/24/2023.

Surgery: So yesterday was my surgery day. I was more excited than nervous. I checked in to the surgery center (located next door to her office, v convenient) at 8am. There was a nurse there to greet me and go over paperwork and everything with me and my sister who was going to provide my aftercare. Then I went into the actual prep surgery area and I changed into the gown and got my blood pressure taken and was given some pre surgery meds. Then the anesthesiologist came in and explained what he would be doing and put in my IV, he was really great and reassuring too! Finally Dr. Rajagopal came to meet with me. Y’all, when I say Dr. Rajagopal is the best I really do mean it. She made me feel comfortable and safe before surgery and helped calm any nerves I was feeling. She measured and drew out the implant positioning and liposuction areas and then we walked together to the operating room. I remember laying down on the operating bed and getting the monitors connected on me but then I was out. Surgery was over at about 1pm. Waking up and getting home was a blur. I was not in pain but I did feel a lot of pressure and some discomfort on my chest from the implants. I slept most of the day.

1 Day Post-Op: My entire upper body feels sore but it’s tolerable. I did have a bit of sharp pain in chest but I took pain medication and it is helping. I mostly feel pressure on my chest and soreness in liposuction areas. My nipples do hurt a bit but it’s not bad. The nurse called today to check in on how I was feeling and gave me recs to help with swelling and pain. My liposuction areas haven’t leaked so that’s good. I can shower tomorrow if I want to (2nd day post-op) since I have waterproof coverings on BA incision and liposuction sites.

Meds: Keflex (antibiotic), Gabapentin (nerve pain blocker), Vicodin (for pain), Ondansetron (anti nausea)

Provider Review

Board Certified Plastic Surgeon
1244 Larkin St Ste 200, San Francisco, California
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