Treatment Provider

Steven Vath, MD
Board Certified Plastic Surgeon
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Photo Journal Reposted & A few tips

I while ago I deleted my pictures. I've since decided to repost them. Hope they are helpful to those that are considering this surgery/journey. I just shared some of these pre-op tips below in another members journal and thought I would post them here as well:
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1. Pick your plastic surgeon (PS) wisely. I think choosing the right PS is the most important decision you can make - more important than the type/size of implants and all of the other matters mentioned above. Breast lift surgery is one of the most complicated surgeries with a very high revision rate. I probably did as much or more research on the PS I chose then on all the other subjects combined.
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2. In addition to researching implant type/size do a little research on breast shape/ratio. I often see is a lot of focus on “bra cup size” (which is not really an accurate measure of the breasts) and not enough attention to breast shape (45:55, 50:50, etc) or areola size (i.e. 38mm). And imo a beautiful shape will render nicer results than a poor shape with extra cc. If you don’t know much about these subjects google “45:55 ideal breast scientific study “and “38mm ideal areola size” to find interesting articles and studies. As I’ve mentioned to others you don’t have to agree with the research findings; however by reading articles on these subjects you will learn the scientific terminology which may help you communicate better with your PS.
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3. If you're traveling for your surgery like I did, check out my travel tips in my 7 Dec 2017 update.
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Lastly check out the breast lift surgery guide here (url copied below) at RealSelf which has a lot of other info that you may find helpful. Good luck and Happy healing to all!
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https://www.realself.com/guide/breast-lift-with-implants-overview#doctor

2 + years since initial surgery & 15 + Months PO of revisions

It's been 25 months since my initial surgery and 15 + months PO of revisions. Not a whole lot to say other than I'm very pleased with my results... and my PS is amazing! I think my pics demonstrate that I've retained the lift quite nicely, especially given the fact that I do not wear a bra. I may have mentioned this in other updates and posts: studies have shown that wearing a bra can make actually make you sag more. Google "15 year French scientific bra study" for details. In any case not wearing a bra has worked out well for me. :-)
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My scars continue to improve each month. I'm no longer taping my incisions, but just applying a little zinc oxide for sun protection and to help with healing. Fyi there have been some interesting studies showing the efficacy of zinc on keloid and hypertrophic scars. I thought I had a couple small granulomas on the edge of my areolas (could have just been hypertrophic spots), but after applying a zinc oxide ointment to them for the last several weeks they're almost gone. I still have some minor scar issues such as a slightly puffy/dark areas in my right imframmary crease; I believe these areas will continue to improve with time. Considering my tendency for hypertrophic scars (which I've had with prior surgeries) I think I'm doing great with my scar healing. Please feel free to ask any questions. That's all for now. :-)

23 Months PO of initial surgery & 13+ Months PO of revisions

Everything is going well. Some scars (i.e. revision scars) are still visible depending on the lighting. I trust they will continue to fade with time as the others my scars have. The 1st pic collage show my breasts at different angles in different lighting. You can see how lighting changes everything including the appearance of size. I actually prefer shooting my breasts in direct bright lighting as shown in the bottom right pic of the 1st collage; direct lighting flattens the image and makes my breasts look smaller giving me a more youthful athletic appearance, imo. Mind you I just turned 63 last May, so naturally my definition of "youthful" and "athletic" may not be same for others. Lol. The second collage is a before / after (as of today). That’s all for now! I hope everyone else is doing well. :-)

Provider Review

Board Certified Plastic Surgeon
725 Heritage Rd., Golden, Colorado
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