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Complicated Review
This review is difficult for me to write, as I’m very conflicted and I have spent years recommending Dr. Smith to women, and having multiple friends go through surgery with him. I’ve had two breast surgeries with Dr. Smith, and while I want to be honest, I also want to share both my positive and negative experiences.
My first surgery was in 2011. I opted out of a lift at the time because I knew I wanted children. After the surgery, I struggled with distortion in my (UTM dual-plane) breasts, especially when I would flex—they would shift into an odd, shelf-like shape. I followed up several times about this, but I was usually dismissed due to my extra skin. I didn’t think much of it initially since I had opted against Dr. Smith’s recommendation for a lift.
In 2023, I decided it was time to replace my implants and add the lift. Unfortunately, I had a severe suture reaction that slowed my recovery, and both of my T-incisions split open in several places. Dr. Smith was very kind and reassuring during this time, promising to fix the scar tissue at no additional cost. Over the six months it took for my sutures to heal, I continued to have concerns about my implants shifting and the appearance of small rolls of skin. Again, I was told this was just part of the process.
When I was finally ready to address the scar tissue, I noticed a significant shift in Dr. Smith’s demeanor. He went from being patient, kind, and thorough to being rushed, annoyed, and short with me. He told me he couldn’t fix my scar tissue outside of the OR, and that it would cost an additional $3,000-$4,000. I opted to wait a bit longer.
A year later, my scar tissue had improved but still required some repair, particularly where the T-incisions connect. However, I also noticed a new issue: lateral displacement on my right side. When I lie down, my right implant shifts toward my armpit, creating a painful bubble where the skin folds and decent back pain along my bra line. During a recent follow-up, Dr. Smith acknowledged that the implant pocket was too large and recommended re-tightening, which would also address the scar tissue. He also mentioned the possibility of an internal mesh bra, though he suggested waiting a few more years (I’m already two years post-op). We didn’t discuss the full cost during this appointment but he mentioned it would likely be a couple thousand dollars—I'm guessing around $4,000-$6,000 depending on the mesh.
This appointment left me feeling unsettled. I’m unsure if something has changed in Dr. Smith’s personal or professional life, but the shift in his demeanor has made it hard to feel heard or supported. I've spent nearly $30,000 with him, and at this point, I feel frustrated and uncertain. It often feels like I’m being nickel-and-dimed, and it’s disheartening not to have a space to fully express my concerns.
While I recognize that perfection is not always realistic, especially as I get older, it’s disappointing to be left in pain, even if it’s sporadic. I’ve been considering a tummy tuck for years but now feel hesitant to move forward after my experiences with breast surgery. I believe Dr. Smith does good work for many, but I’ve come to feel that his empathy for corrective procedures and self-pay patients is lacking and A financial risk since there doesn’t seem to be any guarantee in his work.
I am left with implants that shift, causing back pain a few times a week. 2 very thick scars under each breast, that pinch in clothes, or can be very uncomfortable while intimate and a large gap that seems to widen each month even though he has assured me, that they should move at this point. They look substantial lot better than my starting point after babies, but for the cost, I would have hoped for better. If I didn’t have pain, I wouldn’t be as disappointed. The idea of spending MORE money…. Is tough.
My first surgery was in 2011. I opted out of a lift at the time because I knew I wanted children. After the surgery, I struggled with distortion in my (UTM dual-plane) breasts, especially when I would flex—they would shift into an odd, shelf-like shape. I followed up several times about this, but I was usually dismissed due to my extra skin. I didn’t think much of it initially since I had opted against Dr. Smith’s recommendation for a lift.
In 2023, I decided it was time to replace my implants and add the lift. Unfortunately, I had a severe suture reaction that slowed my recovery, and both of my T-incisions split open in several places. Dr. Smith was very kind and reassuring during this time, promising to fix the scar tissue at no additional cost. Over the six months it took for my sutures to heal, I continued to have concerns about my implants shifting and the appearance of small rolls of skin. Again, I was told this was just part of the process.
When I was finally ready to address the scar tissue, I noticed a significant shift in Dr. Smith’s demeanor. He went from being patient, kind, and thorough to being rushed, annoyed, and short with me. He told me he couldn’t fix my scar tissue outside of the OR, and that it would cost an additional $3,000-$4,000. I opted to wait a bit longer.
A year later, my scar tissue had improved but still required some repair, particularly where the T-incisions connect. However, I also noticed a new issue: lateral displacement on my right side. When I lie down, my right implant shifts toward my armpit, creating a painful bubble where the skin folds and decent back pain along my bra line. During a recent follow-up, Dr. Smith acknowledged that the implant pocket was too large and recommended re-tightening, which would also address the scar tissue. He also mentioned the possibility of an internal mesh bra, though he suggested waiting a few more years (I’m already two years post-op). We didn’t discuss the full cost during this appointment but he mentioned it would likely be a couple thousand dollars—I'm guessing around $4,000-$6,000 depending on the mesh.
This appointment left me feeling unsettled. I’m unsure if something has changed in Dr. Smith’s personal or professional life, but the shift in his demeanor has made it hard to feel heard or supported. I've spent nearly $30,000 with him, and at this point, I feel frustrated and uncertain. It often feels like I’m being nickel-and-dimed, and it’s disheartening not to have a space to fully express my concerns.
While I recognize that perfection is not always realistic, especially as I get older, it’s disappointing to be left in pain, even if it’s sporadic. I’ve been considering a tummy tuck for years but now feel hesitant to move forward after my experiences with breast surgery. I believe Dr. Smith does good work for many, but I’ve come to feel that his empathy for corrective procedures and self-pay patients is lacking and A financial risk since there doesn’t seem to be any guarantee in his work.
I am left with implants that shift, causing back pain a few times a week. 2 very thick scars under each breast, that pinch in clothes, or can be very uncomfortable while intimate and a large gap that seems to widen each month even though he has assured me, that they should move at this point. They look substantial lot better than my starting point after babies, but for the cost, I would have hoped for better. If I didn’t have pain, I wouldn’t be as disappointed. The idea of spending MORE money…. Is tough.
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