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Long Researching Breast Augmentation - Coral Gables, FL

UPDATED FROM J in Florida
4 years post

Ugh...decisions!

J in Florida
WORTH IT$6,400
Can't sleep and losing weight due to stress. Supposed to have surgery June 14, but still undecided on going to new dr in Weston for $8,500 (who may or may not do lift-will decide during surgery) or going back to original surgeon for $2,800.
5'5",117lbs, 500cc Mentor mod + both surgeries with Benilli lift.
Seeking 3rd augmentation for larger size, but conflicted as some PS's say I need a lollipop lift and two drs say they'll be able to achieve the look I want without a full lift, but say I'll probably need one in 10 yrs if I want. Do I risk it now and go with new dr and possible lift at $8,500 or do I got back to my original surgeon for $2,800 who will do a lollipop lift and larger high profile implants? I'm scared of my surgeon since after first-slight double bubble and after second felt too wide and flat from a 2nd Benilli lift. Please advise.

J in Florida's provider

Leonard A. Roudner, MD, FACS

Leonard A. Roudner, MD, FACS

Board Certified Plastic Surgeon

4.8 | 121 Reviews
PROFILE

Replies (5)

May 25, 2017
Am I crazy to want to undergo another procedure just for a larger size and try to get closer to the look I want? My boobs are ok, but tired of avoiding and buying some clothes and wearing push-up and padded bras with inserts to get look I want. Isn't that the whole point of a BA-to get look and size without a bra??Some days I love them, most days not. I worry about scars if have to undergo a lollipop lift (not sure I'm mentally there to accept and undergo extensive recovery and healing) and worry about losing nipple sensation since I loss some due to last surgery. Any advice!???
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May 26, 2017
Hi. We can only offer you our advice. Ultimately...you gotta make the decision for yourself. I would go with the lift. Especially if you are going for bigger implants. When I say bigger,,,,I mean bigger than what you have had. If you are just going to have to get one anyways,,,I would seriously do it now. You will have firmer boobs,,,period. I had a full anchor lift...I had to. I had really bad sagging prior. Yes,,,the whole point of my doing it was to have amazing boobs without a bra. I know you worry about losing nipple sensation....but its just part of the procedure. You gotta kinda weigh the pros and cons for yourself. As far as the doctor goes...........I don't know. If you want to try your same surgeon for the $2,800,,,,go for it. There is a big difference between $8,500 and $2,800. You gotta choose what makes you most comfortable in your gut. You know what I mean? Follow your instincts. If that means going to another surgeon,,,do it. I know you are scared of the scars....but they aren't that bad. As long as you have a good surgeon,,,and as long as you are vigilant with your scar therapy. Thats my advice. Hope it helps you make a decision. :)
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May 26, 2017
Personally I think your breasts look absolutely amazing and natural! Theyre big to me lol. But you have to be happy of course.
May 28, 2017
If you do decide to go for it, I would do the full lift because that would allow the surgeon to shape your breasts and lift them, giving the full results you're looking for. I'm set to having a full lift a year after my augmentation, and I chose to do it staged because after the implants settle, it makes it easier for the surgeon to predict the end result of a lift. However, that's something I discussed with my surgeon before hand, and I like you I had a revision.
Ultimately it's your decision, and the most important thing is discussing expectation vs deliverance. Can they guarantee you'll get the results you want without the lift? See pics of your drs patients after a full lift, and without one. Compare, and follow your guts.
May 28, 2017
Thank you so much for this. I believe if I do it, it'll have to be a lollipop lift or nothing to achieve the closest I can to my goal. My question is stick with my surgeon or go with new dr. All risks, just new dr is more, but sees my needs and I think can deliver. My dr still does great work and amazing with scars. He just only uses Mentor and not sure that'll give me the look I want. I was looking at new Inspiras or high profile Mentor 650-700. Advice?
May 28, 2017
Well, I believe you'll have to do a pro and con list as silly as that may seem. I changed my Mentors for Inspiras and like them better, however, I think the most important thing to consider aside from feel and quality of implants is getting the diameter for HP right, because they are narrower than the ones you currently have. My Inspiras feel great and full, I had little breast tissue (though they were saggier), and I have no rippling. My Dr explained to me that both brands (Mentor and Natrelle) are equally good, and deliver great results, and their differences are minimal. So let's say you need an implant of 14.5cm in Mentor HP their 650cc is 14.4 and 5.7 in projection, whereas the Inspiras 650g are 14.5cm diameter and 5.9cm in projection; slightly bigger, because they're fuller, but under the skin it would be undetectable. Then the 700 from Mentors are 14.8 diameter and 5.8 proj, and the Inspiras equivalent is 695g with 14.75 diameter and 6.0 proj... so the Mentors are half a few mm wider and project 2mm more... then again, under the skin undetectable. Just feel both implants, see which feels best for you, make sure you discuss what you want, bring pics, discuss the lift, and safer to go with the 700 if they fit your frame because the 50cc difference as you see in measurements for both implants are minimal. Good luck!
May 28, 2017
Why did you switch to inspiras then? I read they last longer in a lift since firmer. They also offer more projection then Mentor and I know the dimensions. I'm looking at 540-630 grams or 650-700 ccs. New dr proposed the new SSF Inspiras which are firmer then SRF and depending if he gives me a lift or not during surgery-I told him I'd leave it up to his best judgement. If I'm going to do this I want the biggest diff and most projection and cleavage I can get or what's the point? How much diff will this give me? I feel that inspiras would be better for what I want since mentor to me seem too wide, flat, offer least projection and look too natural. I don't want to wear a bra and get the high up look.
May 29, 2017
I changed to the Inspiras because I didn't want to go over 600cc and since my dr told me that he thought 14.5cm diameter (of any implant) was the best fit for my BDW, if I used smooth HP I would have had to choose the 650cc from either brand, however, the Inspiras textured implants measures 14.5cm for the 605cc. Basically it was because of a personal compromise. I did however, choose their highest cohesive round: They have the Responsive Touch and Soft Touch. Soft touch is the one I chose because they're more cohesive, however, they're not as soft as the Responsive which is what most women choose. At first I chose Mentors Mod + 520cc... essentially all the different implant styles I researched and considered were basically the same width. For the high up look and fullness you want, then you better consider the Inspiras because they're definitely fuller and it seems your heart and guts tell you to choose them. The full lift is something you should discuss with your dr., but from what my dr. told me, it is the only way to make them stay round and up. Trust your instincts :-) Now, as I stated, once they settle I'll do a full lift, and I chose it this way because I want to make sure I get an even result, even though thousands of drs get it right the first time no problem, I have an annoying eye (I like everything symmetrical) and after a frank conversation with my surgeon, he told me the best guaranteed is to give a lift either before I put an implant or after a yr of placing one. I know mine don't look super perky without a bra, but I can fake it till then. Every surgeon is different, and I chose mine because being that my first was a lying ass (who I got my money back from lol), I wanted one to be as real as possible and have good bedside manners. I'll be posting an update so you can see how they look now, my story is ongoing, so I know this is not the end result yet.
May 29, 2017
Aww, thank you. I wish I felt that way. Still after two BA's I'm sad, unhappy with lack of fullness and projection and not looking fake. I'm tired of wearing push-up/padded bras with inserts to achieve the look I want.
June 23, 2017
Did you go through with the surgery? Any updates?
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August 17, 2017
I am curious too, did you do the surgery? Updates pls? Thanks
UPDATED FROM J in Florida
4 years post

Omg! 3rd BA scheduled

J in Florida
Hey guys! I booked my surgery for this summer with Dr. Messa III. I'm hoping to get the look I've wanted for a long time. I'm very nervous and scared and not sure if I should do it or not. I'm conflicted about doing a vertical breast lift or just higher firmer implants and no scars. Anyband all advicevwould be most helpful. He told me if I delay the lift, I'll need later in. If I do surgery now, I want to be done with it (unless medical issue) and have no regrets.
Is it worth to do lift now with scars or wait and deal with my implants as is until replacing.

Replies (4)

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May 11, 2017
I was gonna use dr messa as well when I narrowed my search and chose dr shuster in Hollywood Bc he was just as qualified and closer to my parents . Good luck !
May 12, 2017
Dr. Bernard Schuster? He's my student's dad.:)
Too funny. I considered him thinking I'd get a cut back, but never mix work with surgery...lol
What are you getting done? When is your surgery?
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May 12, 2017
lol that's so funny !!!!!! I will have to tell him .. lift and implant .
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May 12, 2017
Not tell him your getting your breast done but I know someone who knows his child ! Boy or girl ? How old are his kids ?
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May 23, 2017
Have you scheduled your surgery ?
May 23, 2017
Yes, but freaking out and may cancel. Many of surgeons say I'll need a vertical lift and larger implants, but 2 surgeons I saw said they can give me look I want with higher profile implant, but I'll need a. Erotically lift later. I want this to be my last surgery, but not sure worth the scars. Dr. I'm scheduled with said he can give me look without vertical lift, but I may need later on. I told him do what is best, I'd prefer no scar, but then told him last year he said I needed a lift when I saw him-so I decided in him making best judgement during surgery to see if can avoid a lift. Just not sure I'm ready to accept such scars. I'm ok with my breasts-hate size and shape, but not sure if worth more money to undergo such risks and not be happy.
Thoughts or advice?
May 23, 2017
Not erotically lift-*vertical lift.
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May 23, 2017
Welll !! I have to tell you I didn't expect to get a lift either and deal with a major surgery either but, when I think about it the right way is to do lift and implant even though I am not droopy like a lot of people I see on the site . I am super Nervous to and think I'm crazy for doing such a extensive surgery . My advice to you is get the lift now this way u don't have to undergo anymore surgeries the scars will fade and if you go bigger they will just droop faster . Why don't you go for a consultation with dr shuster and see what he says ? He's so kind and highly skilled surgeon .
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May 23, 2017
I went back to look at your pictures ! I think your breast look great and big !!!
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May 11, 2017
Just my two cents, and I can only speak from my own experience.... do the lift now especially if you are going with larger implants. You'll need the lift to hold them up if you want them perky! Also, is there a reason you are going with a lollipop and not a full anchor lift? Especially with larger implants? If you are choosing a lollipop to avoid the horizontal scar, I would reconsider. I regret getting a lollipop lift and several of the doctors that I asked a question of here on RealSelf said I should have gotten an anchor. I had tissue and sag and would have benefited from the anchor incision in order to achieve the high perky look I wanted in my wish pics. Consider the lollipop lift carefully. Be sure to look an a crap ton of pics of your surgeon's work specifically his lollipop lifts and be sure you like that look. I'm looking at a 3rd surgery myself. Either an in office procedure with my current surgeon to do some tweaking.... but eventually I will need to bite the bullet and get my left one totally redone. I've already had one consult with a different surgeon and he said I needed an anchor incision on my left a minimum to help achieve the look I'm wanting. Just really think seriously about getting a lollipop lift if you're getting a large implant. Keep us posted!!! xoxooxo!
May 25, 2017
Aw, you're sweet. Thanks so much. I'm thinking of a lift Messa decides. Just scary.
May 25, 2017
Do you have before and after pics.? I may consider Schuster if I will no longer teach his kid. Why do you need a lift?
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May 25, 2017
No haven't posted ! Will post before my surgery ! So u teach high school or college ?
May 25, 2017
Thinking about going back to Roudner-good surgeon I just didn't communicate my goals good enough with him. He'll want a lift. Just scared to go with a new surgeon period. I know Roudner work.
UPDATED FROM J in Florida
3 years post

Done with consults for revision-confused!

J in Florida
So, I think I've narrowed it down to a few surgeons. Since my last update, I saw my surgeon again and another new one and revisited others I considered before. Here was what I got:
I found that only a 2 of the renowned surgeons I saw have a variety of implants they use so you'll get what you want. I got mixed reviews on lollipop lift or no lollipop lift and now I'm confused. I'd like to get it right a 3rd time with most projection, cleavage and size. I'm very symmetrical and found that Mentor in gels the least amount of projection compared to Allergan.
Also, I'm 5'5", 120lbs and currently wear 36D or 34DD bra, but look like a C and or feel mine are too wide and flat and bras and push-ups don't fit me well because of that as I have moderate plus.
With my implants now I'm at 14.1 cm diameter and I can go a little bit more than that, but don't want to push it too much from what the PS told me without compromising risk of symmastia.
So far I've researched in silicone gel that I'd need high or ultra high profile and came up with
Allergans Natrelle-
Style 20 (HP)
650 cc-14.2 cm diameter, 5.9 cm proj
700 cc-14.5 cm diameter, 6.2 cm proj
(more than that, project decreases)

Style 45 (full or ultra high profile)
800 cc- 14.2 cm diameter, 6.7 cm proj

Allergans-Natrelle Inspiras
Full (high) profile
605cc-14 cm diameter, 5.8 cm proj
695cc-14.40 cm diameter, 5.9 cm proj
695cc-14.75 cm diameter, 6.0 cm proj

Extra-Full Profile (Ultra high profile)
650cc-14.00 cm diameter, 6.5 cm proj
700cc-14.25 cm diameter, 6.6 cm proj
750cc-14.50 cm diameter, 6.7 cm proj

Mentor, I found seems to disappear on me and does give a more natural appearance due to the fact that it has less projection overall. Keep in mind, all silicone look and feel more natural, yet will never give the most projection or fake look unless you use Saline. I don't like Saline, so I'm sticking to silicone.
Dr. Ary Krau-Bal Harbor/Coral Gables, FL (2 offices)- only uses Mentor, said lollipop lift and 800 cc Mentor HP.
Dr. Hochstein-Miami, FL - he only uses Natrelle's and would give me 750cc range HP with lollipop lift.
Dr. Brad Herman-Miami, FL-Natrelle HP 650-700 cc range no lift.
Dr. Charles Messa III-Weston, FL-Inspiras HP 650-700 range, lollipop lift
Dr. Jason Pozner-Santuary Medical Center, Boca Raton, FL-700-750 Ultra High Inspiras and no lift.
Dr. Barry Schwartz-Weson, FL-Only uses Mentor and Sientra (which is surprising)-very nice demeanor and attentive, told me I have a beautiful result and should well leave alone if I was his patient, but if I really wanted that 650/700 cc Mentor HP and no lift. He also said based on my pics, that if I got a lollipop lift I wouldn't get the result I wanted from my wish pictures. He said from a surgeon's eye a lollipop lift would be way to go, but from my wish pictures, he said no.
Dr. Roudner- Coral Gables, FL (my surgeon who did both surgeries)-He only uses Mentors because he has for 35 yrs and said he's more comfy because only brand made in USA, but if I wanted Insprias, he'd order for me and use. He was very attentive and really listened to me. He said lollipop lift maybe and as big as I want and high or ultra high if I wanted. He also gave me a very generous discount.

Overall I liked Pozner and Schwartz, but my surgeon seems good too especially for comfort, price and if I can get the implant type I want. I just don't understand why some say lift and no lift. I'd like the best result without a lift if feasible to avoid more scarring.

Please help! I'm thinking of doing this next summer so I have time.
Thanks for reading and hope this was informative.

Replies (4)

June 27, 2016
I wanted to add both Dr. Pozner and Dr. Messa III use a variety of implants (Mentor, Allergan Natrelles and Inspiras).
Stay away from textured (as they ripple) and won't give you the projection you want.
August 30, 2016
Personally I love your implants and think they suit you so very well. However I get where you are coming g from. What have you decided ?
June 27, 2016
I been in your situation and is hard to get a decision but you went to different doctor and most of the recommend a lift So check on that a big implant is heavier you going to meed a. Lift anyway after check that i have. A lift and to be honest after years the scar is no way to see that anymore
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September 11, 2016
Maybe I missed it but do you currently have Mod Profile Plus or HP???
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September 11, 2016
Oh wait.... sorry. I see now you have moderate profile plus. I can't find many reviews from women that actually like their moderate profile plus implants. I'm kind of regretting getting that profile now. I should have gotten high profile and am going to ask my PS about switching mine out when I see him next. I have an appt. soon because I need a revision (capsulorrhaphies on both sides). I'm gong to ask how much to switch to HPs.
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February 28, 2017
Who did you end up going with? Any update? I currently have a surgery date with Roudner for a revision from a previous doc, but I still want to keep my options open and i am thinking about pozner.
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February 28, 2017
I was just still thinking also about you! how you been? Did you make any decisions? Still thinking of Dr. Krau?
March 1, 2017
Hey there! I like Pozner because he uses the Natrelle implants that are firmer, but offer more projection then Mentor. Roudner only uses Mentor and I think they look too natural and flat which is why I'm thinking of Pozner or Messa III, it's just more money like $7-8,000, whereas Roudner is $2,800 since repeat patient. When is your surgery? I plan on seeing more drs but hope for surgery June.
March 1, 2017
Soon. I don't think I want Mentor implants or I'll go back to my surgeon and get 800 cc HP or Krau in 800cc HP Mentor. I think for the change I want, I'll need Inspiras.