Treatment Provider

John L. Burns Jr., MD
Board Certified Plastic Surgeon
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I went last Wednesday June 19th for my preop appt....

I went last Wednesday June 19th for my preop appt. I had already emailed dr burns back and forth several times before we even met! That was a good first impression. I decided I wanted to use Dr burns after seeing his before and afters and reading his glowing reviews on many websites. Then I find out he also does pediatric cosmetic surgery on babies that have vascular birth defects AND Dr Burns volunteers with one of his PS partners to perform surgeries for people in poor underdeveloped countries! Wow! His bedside manner IS second to none. I drove 2 hours to see Dr Burns and it was definately worth it! During my preop we decided on Mentor HP Cohesive gel unders. I told Dr Burns I wanted to look like Salma Hyack and even brought pics of what I wanted.

Friday- surgery day (posted a little late)

I arrived at Dallas Plastic Surgery Center at 1130am and only waited for 5-10 before before being called into the back. I had a two hour drive to get to Dallas so I was already anxious. The nurse took my blood pressure temp and weighed me. I weighed 139 since I've had no food or water for 18 hours! I was given thigh high compression stockings to prevent blood clots then slipper socks to put over them. Then the wait continued. After 20 minutes the anethisologist came in to start my IV. I am a very difficult stick and today being I was dehydrated made my IV the most difficult part or the surgery. The anesthesiologist was super nice. She explained everything she would be doing and what to expect when I woke up. She said I may feel scared when I wake up because of pressure but that was completely normal. She even apologized for me having tiny squiggly veins and told me she's usually the good guy. After a couple sticks and digs she finally got a pediatric line in and I got up and walked into the operating room. In my hometown operating rooms are in the basement of the hospital. This operating room was beautiful. It was an all glass corner suite on the 6th floor in downtown Dallas. The nurse made sure she let me know that no one could see in- not that I really cared. I was ready for my new boobs! I was helped onto the operating table and a heated blanket was put on me. The anesthesiologist said she was giving me a benzo thru IV to relax me then she put oxygen over my face. A few minutes later she gave me what I am guessing was propaphol ("Michael Jackson") and I was out. I woke up what seemed like a second later in recovery. I immediately remembered anethisologist telling me about pressure. And I felt it. Every deep breath caused more pressure. On a scale of 1-10 I was feeling a 3 for pain. I wanted to look at my new boobs so bad but was scared to move. I had read so many stories of people waking up n pain and didnt want to disturb Anything. The dr asked if I hurt I said yes (although looking back I think I was more scared of hurting than truly hurting so nurse gave me an oral Valium and IV dilaudid. 30 minutes later I assisted in getting dressed and finally saw them- i was grinning from ear to ear. I finally had enough courage to touch them! I finally had full boobs again!! Then I got into a wheel chair and was wheeled off to my car. Because I lived so far away we chose to stay in the 5star assisted living facility located walking distance from surgical center. What a great choice. We had a nice suite in a medically staffed facility that was used to catering to plastic surgery patients. They even had 5-6 extra pillows there waiting on me and served me dinner in my room. Before surgery I selected steak potatoes peas Cesar salad and strawberry shortcake for both me and my husband. I brought ginger ale and saltines in case I was nauseated but after missing several meals I went straight for the real food and ate every single bite. And it was delicious. And for anyone having surgery there at Dallas plastic surgery center I HIGHLY recommend staying at the assisted living facility. Not only were the rates outstanding ($120 a night) the fact that We could park 10 feet from entrance to our room and not have to walk through a hotel lobby.

First night post op -Friday June 21st

I had a remarkable first night- I has ZERO PAIN! I was very consistent in taking lortab every 4 hours and Valium every 8 hours plus took my anti nausea medicine even tho I want nauseated. I felt some pressure and felt exactly like I did when I was drying up my milk after nursing my son for 18 months. I am here to give you ladies hope. I was terrified of pain and had none. After eating full meal at 5 pm I rode with husband around midnight to get some more food. I kept expecting the pain to hit thinking the local was about to wear off and the pain never came.

Provider Review

Board Certified Plastic Surgeon
9101 N. Central Expy., Dallas, Texas
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Overall rating
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Answered my questions
After care follow-up
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I originally thought this was and Excellent dr with an Excellent staff. I originally said it was Great overall experience. I drove over 150 miles to use what I thought was a wonderful surgeon. I decided I wanted to use Dr burns after seeing his before and afters and reading his reviews. I am now changing my review after 6 months. I had originally asked if I should have a BA alone or with a lift. After seeing my pics via email I was told BA only and although I thought I needed a lift but went with the advice of dr. My immediate post op results were nice. High and round like I wanted. However week after they became saggier and saggier. I had asked for DD and now have to buy special bras as I have saggy G/H cups with a 32 band size. My breasts now hang down to my elbows! After seeking two second opinions I am being told that my behind the muscle silicone implants are not behind the muscle and that my pockets were made too low. My only way to repair this is to now have two more surgeries- one to have my implants removed for 3-6 so a lift/ reduction can done and allowed to heal and them pay for yet a third surgery to have implants out back in. Again after receiving this devestating news I sent pics to dr burns office and asked what they recommend and I was sent an $8000 estimate to have a lift. While I do know that there are no "guarantees" in cosmetic surgery I have been told by not one but two ps that I definitely should've originally been advised to have lift with BA. My coworker who had the exact same presurgical size and shape as me had a lollipop life with her BA and looks amazing and now I am having to plan two more surgeries and am very upset. My implant "pockets" were placed too low and what was supposed to be "behind the muscle" now looks like "rocks in a sock" with implants that have fallen over 8-10 inches. I really wish I would've been adamant about the lift originally . So I guess this is partly my fault. Although I am very embarrassed by my looks I will post pics so others can see. I wear a bra 24/7 as the skin on my upper breast pull so much and my shoulders have huge indentions from holding up such tremendous weight- they are actually raw skin! While my results may not be typical of this dr I feel everyone need to see my end results while searching for a PS and deciding what surgery to actually have- I relied heavily on reviews from others and was shocked when my quote for corrective surgery was higher from my original surgeon for one surgery than my two second opinions for two surgeries for other well known and reviewed PS. I am hesitant to return to the same PS that did original BA- especially since he recommended only one surgery while both other PS Said combo lift with implants put back in would not be a good idea. Next week I will seek yet a third opinion and will continue to update. I hope I have good news yet after reading pros of two stage lift I am leaning towards this as before it's all over I will have ended up spending close to $13k and going "under the knife" three times is around a year. I welcome any opinions or advice.