Tuberous Breasts: Fat Transfer Only (no previous implants)

Someone asked how my stomach is healing from the lipo on Bednar’s FB page (reason why it’s censored). Smooth and looking awesome! No bumps.

Left photo: the night before R1, Right photo: 3 months post-op R2
Tuberous breast condition, no previous surgeries/kids
Pre-op: 35" overbust, 36A bra size
R1 stats: 5'11, 180lbs, transferred 720ccs to each breast 04/12/18, 38" overbust, 36C/D bra size
-lip zones: backs/outter thighs/flanks
R2 stats: 5'11, 195lbs, transferred 620/720ccs 07/21/20, 40" overbust, 36DD/DDD
lipo zones: stomach, inner thighs
Now that that's out of the way:
I AM IN LOVE!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! This has been such a journey, y'all. Since way before I even knew who Dr. Bednar was, back when I was still considering implants. Never went down that path, thank God, and here I am today with perfectly imperfect NORMAL breasts!!!!!
One note specifically for tuberous patients. After round one, I asked Dr. Bednar if he thought I would benefit from a mastopexy to make my breasts more round. He was vehemently against it. This second round increased the footprint of my breast in such a way that the breast tissue doesn’t hemorrhage out of the areola creating that ‘snoopy nose’ look that’s characteristic of tuberous breasts. They’re still somewhat pointy but in a natural, teardrop way. I don’t feel self-conscious when I take my shirt off. As someone who was mortified by her “deformed” breasts for years, this is life-changing. I am a different person because of this surgery, I am more me than I’ve ever been and I owe it all to Dr. Bednar.
If you don’t want to read a novel, feel free to stop here, LOL.
Noteworthy things: I got these puppies during an extremely stressful time. Huge transformational life events, death in the family, and global pandemic. I actively worked to keep myself serene but life happens. Your body is recovering from major surgery, carve out restorative time in your day, no matter what. And just keep visualizing sticky fat!
Diet: This question has been asked a ton so I wanted to be a guinea pig. I started keto again in April 2020 and maintained it through my recovery. I did add low amounts of carbs in the form of blueberries, yogurt, sweet potatoes but I stayed in ketosis (tracked with a blood monitor). This isn’t medical advice, of course, but there was a theory that being in a fat-burning state would negatively affect retention. I didn’t find that to be the case. But I made sure to eat in a calorie surplus the first 6-8 weeks especially. I ate lots of leafy greens, healthy fats, and protein. R1 I went off the deep end with carbs and it made my swelling/inflammation worse and recovery harder.
My pre-op was the same day as surgery, this meant that I couldn’t consent to any additional procedures at this time (since you’re already on feel-good meds). Keep this in mind if you’re undecided about adding lips or anything else.
I wanted to see about adding stomach lipo on. I hemmed and hawed because only a few ladies had posted about their results and I had heard it was an unfavorable place to transfer from. Dr. Bednar felt I was a good candidate to use as a harvest site and emphasized that I must be willing to do the post-op work. I emphatically agreed and I cannot tell you how freaking happy I am with those results. I also wanted to ask about filling in my hip dips, he said my result looked so good he didn’t want to touch it. I just had to trust his professional opinion. I wouldn’t want to compromise the “Bednar Booty Pop” anyway.
Recovery was much easier than round one, this doesn’t mean it was easy. Walking around like the Pillsbury Doughboy will take the pep out of anyone’s step. I slept in a recliner for three weeks, it’s easier to get up throughout the night and impossible to roll over. My secret weapon was walking. I bought a treadmill and put it in my office so I could do this surgery in July IN TEXAS. Sitting is the enemy when it comes to FT recovery, we have to keep moving. It’s so good for the lymphatic system, general healing, blood flow and retention. Breathe deeply and imagine those new fat cells getting nourished with oxygen.
I woke up with lipo foam under my garment. From what I read the office used it, then stopped using it, then started using it again. I am SO HAPPY I had the foam, I feel like I owe 50% of my results to that. I wore it 24/7 for 10 days and then as needed after that, especially at night. I bought additional foam on Amazon and would switch the board position from vertical to horizontal every time I brought my garment down for MLD to keep the swelling uniform.
My first round, I couldn’t have lived with professional manual lymphatic drainage. This time, I saw Dorothea once before and twice after and was on my own after that because of COVID. I did this RELIGIOUSLY. 2-3x per day for 20-60 minutes per session for the first month. I took special care to coat my stomach in emu oil and do some gentle massage on the knots that kept forming and releasing. This is a normal part of stomach lipo recovery, just keep working at it. I rolled as well (starting 3 weeks+ post) but my hands were most effective. At 3 months post-op, I still have some numbness but my stomach is smooth and gorgeous (and I’m not a fitness model lol).
I gained +15lbs from R1 to R2. Because of the lipo at a lower weight, my inner thighs and stomach were becoming problem areas. Getting the additional lipo evened me out and I look so proportionate now. Now I can lose weight and look amazing, or stay the same and look amazing. This was worth even more than the second round of BBs to me if I’m honest.
I feel like I touched on all the bases but if you have any additional questions, I’m an open-book (if you didn’t get that already LOL). I couldn’t have done this surgery without this page and all of you. Eternally grateful. Xoxo

R1: 04/12/2018 720ccs, harvested from flanks, outer thighs, backs of thighs
R2: 07/21/2020 720 & 620 ccs to create symmetry, harvested from tummy and inner thighs
Long post ahead:
OHMYGAWD I love my lipo results. The boobs can stay too but A FLAT STOMACH??? Unreal.
I went in at 180lbs the first round and 195lbs this time. I had gained more in my stomach and inner thighs so the shaping he did this time made SUCH a huge difference.
This round has certainly been easier. Partially because I knew what to expect but mostly because of the lipo zones. I'll take ab and inner thigh lipo any day over flanks.
I've been using my treadmill daily for 20+ minutes. Keeping active really has been key for my recovery this time. Minimal pain, occasionally uncomfortable with that "skin too tight" feeling after sitting for a while. Easily fatigued but less lately.
I used an ab board for the first 10 days and now just as needed, some days I'm puffier so I'll slide it in my garment for a few hours and it really helps.
Been doing MLD and dry brushing every single day on myself, sometimes up to 90 minutes. Began rolling my stomach at three weeks. Doing small massages on any hard/swollen spots in my stomach with emu oil.
My bruising got worse the first week and is just now lightening up. I was mixing my emu oil with arnica gel for a couple weeks but I think arnica alone is more powerful.
I let my stitches fall out naturally this time using hydrogen peroxide on them 1-2x per day. Once the scabbed healed and fell out, the stitches went with them. Much easier than having my husband so microsurgery on me.
Got into my stage two around eight days, I keep cycling through whatever is cleanest/tightest. I wore regular yoga pants for the first time yesterday and was comfortable. My belly is still numb but it's not too weird.
I started doing workouts with bands a few days ago. I want to stay in shape this time, I'm much less worried about retention. I know my body loves fat and had such a great result last time.
Sleeping on my back is even easier this round, been getting some of the best sleep of my life. I stayed in a recliner for the first few weeks because it was easier for me to get up, but I'm in the bed now and sleeping through the night.
I think that's about it!! Super happy so far, we'll see how everything settles in the next couple of months.
I tried to cover everything, but let me know if you have any questions!
Edit: oh! And I stayed keto throughout my recovery. I’ve added blueberries, never more than a cup in one day. Some full fat yogurt. Sweet potatoes once. Kept my calories around 2500 so I’m not in a deficit. Supplemented with protein powder on days it was hard to eat more. No added sugar, no grains. I’m sure that’s helped my healing this time.