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Shape over size! My BL/BA journey - to 2 years post op.

UPDATED FROM Mdlg5
2 years post

Photo Journal Reposted & A few tips

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M
Mdlg5
WORTH IT$9,500
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

Mdlg5's provider

Steven Vath, MD

Steven Vath, MD

Board Certified Plastic Surgeon

4.9 | 343 Reviews
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Mdlg5

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Replies (5)

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S
December 14, 2018
Thank you for these wonderful tips. I know they will come in handy to those researching and so forth. ❤️
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M
December 15, 2018
Hi spunkcow, you’re most welcome! And thanks for stopping by! :-)
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S
December 16, 2018
Thank you I have been contemplating a revision. In February it’s 3 years since my ba/bl, I would like to go smaller and have a more flattering shape over CC size. I want to thank you for sharing this information with everyone.
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M
December 21, 2018
You’re most welcome! And thanks for stopping by… :-)
S
December 26, 2018
I am scheduled for feb 22 which has been scheduled for a month already! Too much time on my hands! This site is very helpful but also a little scary! My ps recommend 275 to 295cc over the muscle. I am now a 36 saggy d. I want perky full boobies!
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M
December 26, 2018
Hi swaddell, thanks for stopping by. Have you thought about starting up a review or treatment experience journal here? It’s a great way to get feedback and support from others in this community. And you don’t have to rate your doctor unless you want to. Wishing you the best with your upcoming surgery! :-)
M
December 30, 2018
Great info! Wondering what was your BW? I am 13cm; many PS said I needed more cc for the width but I ended up with perkier-fuller boobs than I wanted. Some days I like them. Most days I want to hide the cleavage that I have from the wider implants (they are, by no means HUGE, they re just too full for me; I like a flatter European look). So I'm considering going from my 250-300cc to 200-250 or maybe even smaller. I can always augment when I want, but I don't like having to hide them. Thanks for your input.
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M
December 31, 2018
Hi mylarbbunny, my BWD is approximatey 12. However I will tell you my PS did not measure me for BWD. He simply looked at my breasts and my wish pics... and going by those two alone he guessed what size implant I might need. I know my PS would also never push a certain size implant any of his patients despite their BWD. This is one of the reasons I recommend picking your PS wisely. Sometimes I think PS push a certain size implant on their patients to make the work easier for themselves. They’re hoping the implant will create the perkiness… as opposed to relying on their surgical skills. If you’re looking for a new PS for revisions I highly recommend mine. Good luck.
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M
December 31, 2018
Hi mylarbbunny, my BWD is approximatey 12. However I will tell you my PS did not measure me for BWD. He simply looked at my breasts and my wish pics... and going by those two alone he guessed what size implant I might need. I know my PS would also never push a certain size implant any of his patients despite their BWD. This is one of the reasons I recommend picking your PS wisely. Sometimes I think PS push a certain size implant on their patients to make the work easier for themselves. They’re hoping the implant will create the perkiness… as opposed to relying on their surgical skills. If you’re looking for a new PS for revisions I highly recommend mine. Good luck.
UPDATED FROM Mdlg5
2 years post

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

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M
Mdlg5
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. :-)

Replies (5)

M
September 26, 2018
B E A U T I F U L!!!
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M
September 26, 2018
Thank you so much! How are you doing? :-)
M
September 27, 2018
I’m doing well, loving my new boobs. Dealing with boob greed but they are still great! You look amazing!
H
September 26, 2018
Very happy for your! You look great! Thanks for the tip about zinc oxide.
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M
September 26, 2018
hereandnowOO, thank you! How are you doing? Will you be doing an update soon? Silicone sheeting is actually my first choice of scar therapy for early on; however imo zinc oxide ointment is a nice option if you have a sensitivity to silicone products and tapes... or to put on your incisions in between your silicone applications. Zinc oxide is also the main active ingredient in calamine lotion. Although I prefer Walgreen’s zinc oxide ointment (vs calamine lotions) because has it has a lot more zinc (40%). Google “the benefits of zinc oxide for scars” to find some interesting articles and studies on the subject. Talk later. :-)
F
September 29, 2018
Oh wow! Your boobs look amazing! Do you ever wear a bra? I love for the first time in my life that I don’t have to and often don’t but I worry that I’ll start dropping prematurely.
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M
September 29, 2018
Thank you for your nice words. To answer your question: I may very occasionally wear a sports bra when working out, but the majority of time I do not wear a bra. This is all with the blessing of my PS. Although he provides bras to his patients postoperatively for safety and comfort; he (among other PS) also believe if someone is going to bottom out it’s very likely to happen whether or not they wear a bra. The understanding is the cause of bottoming out is due to implants too heavy for the patient’s lax skin... not because the patient didn’t wear a bra. Lol. Not all PS agree with this despite the fact there is no scientific evidence to support that wearing a bra prevents sagging or bottoming out. Interestingly once I stopped wearing a bra my skin tone got much nicer and smoother. It actually looks better now than it did when I was younger and used to wear a bra. And as you can see I’m not sagging. :-)
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M
September 29, 2018
Thank you for your nice words. To answer your question: I may very occasionally wear a sports bra when working out, but the majority of time I do not wear a bra. This is all with the blessing of my PS. Although he provides bras to his patients postoperatively for safety and comfort; he (among other PS) also believe if someone is going to bottom out it’s very likely to happen whether or not they wear a bra. The understanding is the cause of bottoming out is due to implants too heavy for the patient’s lax skin... not because the patient didn’t wear a bra. Lol. Not all PS agree with this despite the fact there is no scientific evidence to support that wearing a bra prevents sagging or bottoming out. Interestingly once I stopped wearing a bra my skin tone got much nicer and smoother. It actually looks better now than it did when I was younger and used to wear a bra. And as you can see I’m not sagging. :-)
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J
October 1, 2018
Omg I LOVE your nipples! I want mine that perfect!
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M
October 1, 2018
Yes I think Dr. Vath did a great job! Thank you!
UPDATED FROM Mdlg5
1 year post

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

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M
Mdlg5
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. :-)

Replies (5)

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U
July 22, 2018
They really look amazing now! You made the right choice for yourself and they look absolutely beautiful now! So happy for you!❤️
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M
July 22, 2018
Thank you so much! I appreciate you stopping by and your nice compliments… :-)
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U
July 22, 2018
I also have noticed how much different lighting and angles can really alter and distort the appearance of my breasts in photos. I can make them look so completely different just changing lighting lol. Kinda cool though too. I like the variety! :)
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M
July 22, 2018
Yes it really makes a difference how you light things. You can conceal a lot with lighting as well. Lol. However I try be as honest as possible in my pics so people have a realistic understanding of what they may experience with scar healing and the overall healing process….
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T
July 22, 2018
Stunning! Age is just a number. But you look 20 years younger:) enjoy your results!
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M
July 22, 2018
Thank you so much! So true about age... :-)
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M
July 23, 2018
I just stopped by your journal to see how you were doing. Do you plan on doing an update soon? Judging from your last update it looks like your areola asymmetry had resolved a little bit. I’m curious to know how things are going.
R
July 23, 2018
Beautiful, thank you for posting updates.
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M
July 23, 2018
Hi stillreal, thank you so much for stopping by and for your nice comments. I see you also have a review here. I’ll be sure to stop by and check things out… :-)
NY
July 23, 2018
You look stunning! Absolutely perfect!
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M
July 23, 2018
Thank you so much! I appreciate the nice comments. How are you doing? I’ll have to stop by your journals and check things out… :-)
NY
July 23, 2018
You are so welcome! I am doing pretty good. My husband and I did the first day of Ragbrai yesterday and my butt and my back are sore, but it was awesome!
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M
July 23, 2018
So I had to Google “Ragbrai” to see what you were talking about. That’s great! Bicycling is one of my favorite sports. How many miles did you go?

On another subject: are aware of the Real Friends program here? See link below which will take you to a page about the program. You may notice I have the RF (RealFriends) badge on my user name. It’s lots of fun to being part of this group... and you also have an opportunity for free goodies being a part of this program. I actually nominated you for this program a short while ago after meeting you on the Embrace treatment board. If you’re interested in the program you can also nominate yourself via the link below. In fact having more than one nomination will make you stand out more. Talk later. :-)

https://www.realself.com/about/realfriends
NY
July 23, 2018
We went 43 miles! It was a long, but fun day! Thank you for the real friends info! I may just do that and thank you for nominating me! That means a lot :)
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M
July 23, 2018
Yes there are certain requirements such as having a review, being active, and just being supportive and nice... all of which I believe you meet. Imo nominating yourself is good because it lets them know you are truly interested in the program. Good luck. :-)
NY
July 23, 2018
It means a lot to me that you think of me that way! This is such a wonderful and supportive community!