Breast Augmentation & Mastopexy on 31 Y/o [5'0 95lb] Female After Weight Loss
Breast Augmentation & Mastopexy on 31 Y/o [5'0 95lb] Female After Weight Loss
As this was my first (and to-date only!) surgical procedure, my decision to undergo cosmetic surgery was not an impulsive one; as a medical consultant for non-surgical treatments, I am almost neurotically aware of "what could go wrong" and when you spend your entire day spouting the benefits of non-surgical, it really takes EVERYTHING GOING RIGHT to make me take the plunge.
Because of this, I relied HEAVILY on all the testimonials on RealSelf and why I chose to post about my own experience as I do not know if I would have done it without this community (my surgeon is AWESOME, don't get me wrong- but I needed to feel that comfort of reading through 100+ similar posts before booking my date.
I'll try to organize everything as best as I can, please always feel free to reach out to me for ANYTHING THOUGH
Background:
Growing up I was always a little heavier. It fluctuated and I became good at "losing" weight for events or short periods, but it always JUST. CAME. RIGHT. BACK.
In medical school, I hit about 180lbs (I am 156cm, so 5 feet).
After creating a much more positive relationship with my body, I managed to keep the weight and habits away for 3 years; it has become a lifestyle at this point and I can finally leave snacks on the counter instead of bingeing.
But when I look at my body, I see loose tissue where my (still never big) breasts once were. I did not wear a bra for years but I imagine a 32 A would suffice pre-surgery.
I did not bother me too much that I did not have TATA'S. It was the fact that tops never fit me (I thought losing weight would make dress up FUN!!!??!) and the laxity I would see constantly that made me think about implants.
After looking on social media and reviews and almost heading stateside for a consultation, I found a plastic surgeon in Toronto, ONT who intrigued me enough to just go get some information. (Famous last words, am I right?)
My experience in my consultation was something that exceeded my expectations in every manner. This is not a sales pitch; I firmly believe you get a feeling when you meet the right person for a moment in your life and my surgeon, along with his team, were indescribably everything I needed to feel confident. For you, it might be someone else. But for me, these are the things I appreciated:
- My surgeon books a 45 minute in person or virtual consultation. He spent the entire 45 minutes speaking with me. Not a nurse or a consultant- my SURGEON. - feeling listened to, taught, and encouraged to ask questions made me feel like I would be understood and not mislead.
CHOOSING THE IMPLANTS: Material- size- projection- technique
Material: SILICONE
I am slim and do not weight lift. We decided saline was not a good option as it may ripple on a thin frame.
Size: 270CC
We used a 3D imaging software which I LOVED (and there is a very simple free version for iphone- crisalix by natrelle). We looked at 240, 270, and 310 cc.
I did not want to look fake, just proportionate and womanly. I did not see much of a difference between the 240 and 270, we chose 270 as I had a level 2 ptosis/droop so the larger implant MIGHT negate the need for a lift (it didnt, but I was not relying on this).
Projection:
We elected moderate plus profile for fullness to the lower pole but no top cleavage to keep it more natural and still fit my frame. I have a 25 inch bra band/ribcage and my implants were each 10 cm in diameter so no overflow into side-boob but not too gappy in the front.
Technique:
subfascial- I was quickly told that because I do not have much glandular tissue, a superficial technique might not be ideal. With Sub muscular, the implants do not always look as natural as they would with a dual-plane approach. This way the muscle underneath will hold the implants up years after the surgery but they will still look soft and natural as they are not underneath the pectoralis. My incision was infra-mammary for the implant and less than 2cm.
I am currently 5.5 weeks post-op and will add photos to this post as soon as I compile them and continue to add on as they "drop & fluff" into their final spots!
photos: CRISALIX IMAGING SOFTWARE + BEFORE PICTURES
After losing almost 75 lbs and keeping the weight off, I had deflated, floppy, breast tissue.
I was surprised to hear that I had a grade 1-2 ptosis of the nipples (so they were lower than ideal) which would require a mastopexy in addition to implants.
My surgeon was absolutely amazing in that he explained the benefits and risks of mastopexy VS "just" implants.
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DAY 1- DAY 8 POST OP PICTURES
Healing was pretty smooth sailing for me- I was off pain meds after 2 days and relied mostly on warm compresses when my shoulder muscles started to ache (totally normal if doing dual plane or submuscular implants).
Things I would recommend:
-buy the pillow to help you sleep upright. Melatonin is also your friend.
-I was provided a post-op bra, but I cannot say enough reasons to go buy a long sleeve compression top- the ones on Amazon that I saw were for brachoplasties, but after the first night, I had significant swelling in my right axilla and after buying the long sleeve compression, NEVER had that problem again! I truly believe it helped in minimizing discomfort as well!
- Eat lots of fruit. Its easy to digest, you probably won't feel very hungry anyway, and if you want to avoid any constipation post-op, fruit fruit fruit!
- Plan beforehand: while you should have someone taking care of you for a few days, for about 2-3 weeks, raising your arms above your shoulders might feel tight and uncomfy- make sure you can reach anything you might need to reach before you let your helper leave for the day! (I drank from bowls for a whole day after realizing all of my mugs were above my range of motion so dont be like me!)
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