Full lift w implant exchange-downsizing w capsule removal, out of town patient.

I'll try to make this as brief as possible. 30yrs...

I'll try to make this as brief as possible. 30yrs old, 3 kids, 5'4 and weight fluctuates between 147-160. Pre op was a 36B? Very deflated and just wore the bra for comfort and to appear as though it actually had some sort of boobs.

I had my first augmentation here in town on 6/2015, transaxillary incision, mentor mod profile, 475 filled to 500L/525R. These were 14.2cm in diameter with 4.9cm in projection. He specialized in "natural scarless augmentation" and thought it was absurd that I'd need a lift (one consult I went to recommended a crescent lift on the left side). From the beginning I was unhappy with the shape and size, not the look we discussed. They weren't attractive, just a fuller old me. I have always experienced slight pain in my right breast and at times it appeared a little more round up top. When discussing my concerns my PS said "I don't know what to tell you, buy a new bra" brushed off my concerns and sent me on my way at my 3 month follow up with a $6,000 quote to upsize to a different profile.

12/2015 I had my revision, or implant exchange with a new surgeon. We switched the saline out for silicone. This time through the inframammary fold, Allergan Natrelle, style 45(uhp) 700cc on both sides. These are 13.6cm diameter with 6.4cm projection. There seemed to be a mix up from the beginning as I thought we were doing HP, and left the size up to him depending on what fit best in surgery. He too must have thought he used HP instead of UHP based on his notes in my chart. All was well in the beginning, no where near the pain I experienced the first time around. All of a sudden around 3 months post op I started experiencing pain on the left side. Thought I was over reacting and that it was nerve regeneration. Well as the months passed (March2016-August2016 to be exact) it became more persistent, all while my PS insisted that it wasn't the implants or surgery sending me on my way spending less than 10 minutes at a time with me when I'd go in to see him. The last time I saw him, his comments were less than polite or sympathetic and I left the office crying. His proposal was to open me up, downsize about 200cc and close me back up, nothing more. All for about the cost of implants, bra and maybe anesthesia fees.

Since then I have been on the search for a new PS to help me rectify this mess I've gotten myself into. I found a PS about an hour away who brought some light to the situation, advising that although my nipples weren't pointing down or sagging to my belly button, the reason I was unhappy from the beginning was due to me needing a full lift (lollipop or anchor) to reshape the breast, reposition the areola and downsize the areola.. along with implants of course. Although she was more helpful than my last 2 PS's Her short time in practice scared me and as you can imagine I'm a traumatized from this all wondering who I can trust to just fix my boobs so I can move on with my life! Not to mention all of the costs of all of this. I've been a member on realself for quite some time (under a different user name) and have followed many different ladies on here for quite a while and decided that I was going to search for a dr out of town. I kept coming back to dr. Vath in Denver, CO and all the amazing work he has done. I've read nothing bad about him, the reviews seem legit, his scars are near perfection, the man just seems like he's awesome at his job and he stands by his work..which is something I need at this point considering everyThing I've been through, should there be any complications I need a surgeon who will do anything they can to help me without brushing me off and charging me an arm and a leg!!

Here's to better, new, long lasting results!!! Will post more details regarding my phone consult and booking surgery soon...

Just a random update...nerves--clinic staff--traveling arrangements--etc....

There's so much I've been wanting to share but haven't really had a 'reason' to add an update and not to mention I've been busy and trying not to obsess. Obsessing has only led to anxiety, stress, worry and time going sooooo slooooowww. But there are a few things I want to share and journal about.. so here it goes. Hopefully I don't bore anyone and please excuse my jumping all over from thought to thought.

I will first start out by saying that I was like 90% sure I was choosing dr vath before my consult, but after securing a date and putting down my $500 deposit I started questioning my decision and my own judgement as I don't want to nake a third mistake!! Stressful to say the least... I will say that Kari (my patient counselor) has been amazing!! From responding to my emails and answering calls and my questions.. she has been great! She's put my nerves at ease and has spent so much more time with me just bringing me back to reality and comforting me than I have gotten from both of my past surgeons. I need this.. and I love this!! All clinics and surgeons need this!! Makes me feel like I'm dealing with my regular primary dr, someone who cares, is supportive and knowledgeable, and isn't feeding me a line of bull!! She spent a decent amount of time with me on the phone last week and never once made me feel rushed or like I was wasting her time! Did I mention I need this?! :)

Secondly, after becoming more aware of my symptoms from discomfort and just being the overly analytical person I am, I believe that my left breast (the one that hurts) is not under the muscle as it's supposed to be. The muscle appears to be over the top of my implant, rather than being stretched over/across the implant it's almost like the implant was shoved up inside and the muscle is shoved up on top of the implant. Which explains the flex animation, being able to feel the implant under my areola, the pulling feeling from my sternum across the top of my breast to my armpit area AND the reason why wearing a bra hurts (added support if the implant pressing up and stretching my muscle more). I hope to god that this can be fixed and that it won't go back up over the implant with this next surgery.!!

Third, along the lines of traveling for surgery I've taken some tips from another RS member and i believe we have found the best (and most cost effective) route for flight, hotel and car rental. Southwest is definitely cheapest airline and Costco definitely has the best deal for car rental.. still trying to figure out the hotel stay :)
-- along this note I have my pre op nov 21 with the nurse and I am currently waiting for a packet in the mail with additional information. We are flying out 2 days before surgery. The next day I will have my pre op and meet dr vath in person and the big day the following day (on a Thursday) I have decided not to leave until Monday as I wanted a follow up before I head home and to allow time for any unforeseen complications, so the following Monday I will see the nurse and we will fly home later that night. I'm hoping Tuesday night and Wednesday before surgery we can explore the area, have some fun alone time and make the best of our "mini vacation" as I'm not too sure I'll be able to be out and about after surgery like I was with my revision, but I suppose we will see when the time comes.

Lastly, size!!! Ohhhh dreaded size.. the 2nd hardest part about this whole ordeal (1st finding the right PS ;-) ) I'm on the fence with size and I know I have a while to think about this but it's driving me nuts!! I keep analyzing the sizing charts and I feel like I'm going from one extreme to the other or not small enough.. ugh! Sucks!! Thankfully my husband has been so supportive this time around. We've talked so much this time and I wish I had his support like this the first time.

Ok that's it for now, I know I'm missing something and I definitely plan to add pictures at some point. I know it doesn't take long to update and add pictures however I wanted to add more detailed pictures to try to better illustrate my concerns/problem areas and sadly don't have time to do that right now, but I promise to soon so it's easier to VISUALLY see what I am trying to explain..i can be more of a visual person at times ;-)

until next time... xoxo :)

Received my surgical packet in the mail!!

I just wanted to post a quick update.. I received my surgical packet in the mail today and HOLY MOLY! Lots of useful, important information. Nothing compared to the information I received from the last 2 surgeons, that's for sure! Starting to become a pro at this.. :-/ I told my husband when this is all said and done I'll be able to work in this field guiding and hand holding the patients and I should get a job at a cosmetic surgery center... lol... laughing, but serious haha! But in all seriousness my packet is more than helpful, answers any of my little "worry" questions in the back of my mind and then some but at the same time not overload and very honest and straight forward--no surprises! I feel like I'm in good hands :) with everything else going on in the real world right now this is a very reassuring feeling especially considering I am an out of town patient and haven't had the chance to meet the Dr, staff or visit the clinic in person yet I feel a great sense of inner peace. Overall I will say that all of the obsession and panic and ups and downs I felt the last two times is nothing I am experiencing this time around! More so just making sure I'm doing everything right as far as booking flight, hotel and car which is a whole new world to me!

Any who, I feel like this was a long post/update just to share how much I LOVED the detailed, honest and informative packet I received in the mail today :):) but why the heck not share this in case anyone else needs the help or reassurance of my surgery experience! (Oh and I'm still working on the picture deal, I actually forgot until JUST NOW.. I've been dealing with some other things that have taken priority, unfortunately, but I do know photos will help others and my review so please be patient with me as my life settles down and I find time to make a detailed update with these photos. I want the photos and my update to be detailed and not scattered all over with my thoughts all over the place)

All for now!! TaTa!!!

Sizing charts

Hopefully these upload ok and are easy to view. I just wanted to add the round smooth silicone mentor and natrelle sizing charts to my review for both mod plus and high profile since I have spent much time analyzing them along my journey and I figured they could help someone else.

Pictures as promised!

Whelp!! Here they are in all of their glory!! My befores, after my first BA, and then my 2nd surgery (implant exchange) which are my current. I tried to draw on them with different colors to show the various areas of pain which I will try to explain.

The one photo that is sort of from the bottom view where ou can sort of see my incision and I have one line and a circle--when I press my implant upward toward my collar bone it feels like a vein pulling my nipple down. The area inside the circle is where I feel something under the skin/tissue. Almost like a ripple in the implant shell.. it's strange and that nipple is often very sensitive or tender.

Then the side view where I drew a red circle near my armpit I have some small "dents" which is where the muscle feels "pulled" on.

Then the picture with all the different lines.. lol well I explained the pulling from my fold to my nipple, the green arrow from my cleavage to the side is where the muscle seems like it's slid up and is no longer on top of my implant and it feels like it's pulling from my cleavage to the side near my armpit, and the red line underneath by my fold is where it will feel tight at times like there is a rubber band underneath making it feel tight and constricted.

The photo with the black arrow is me flexing and how that one side causing me pain has the deformity, it's hard to get a good picture of the muscle when I flex to show what I actually see in real life. I'll try to add info to the captions too. Embarrassing :-/

"Trust your surgeon" and "Go bigger", "I wish I went bigger"

I forgot to add something to my last posts, but that's ok, this can go in its own little mini review since it's just some of my frustrations I heard early on and things I hear all the time now that I think EVERYONE SHOULD CONSIDER going into this and that I wish I knew back then when I started all of this, maybe then I wouldn't be in this mess.

"Trust your surgeon" - don't trust anyone!! Lol all jokin aside, in all seriousness I tried this whole "trust" thing and in the end I shut off my own inner intuition and gut feeling thinking I could trust my Dr and his patient coordinator. First make sure you find a surgeon that has good reviews and you like the pictures of their after photos.. the shape, incisions etc. make sure you ask questions and ask them all! Don't feel 'stupid' asking questions, this is a big commitment and if they can't answer your questions they probably aren't the right surgeon for you! Once you have done your research and find who you like and have booked surgery with them...then trust your surgeon! Trust that after he/she has educated you and answered all your questions (without any lines of bull) that they will take care of you and your end result.

"Always go bigger" "i wish I went bigger" -- When I say this in speaking of the REAL boob greed, not the issues with implants being too narrow or not fitting your frame properly. I see this all the time and I was a victim of this myself!! I admit it!! However in my case I didn't think I needed a lift so I was unhappy with the shape of my breasts which was what prompted the revision, I was also unhappy with the lack of projection and upper pole, yes I wanted bigger than my first set, however I think that had I gotten a full lift the first time around this would have given them a different illusion and I would have been happier with their appearance. But remember that going up 25-50 CC's really isn't going to make much of a visual difference so it's probably best that you didn't go larger. Larger implants have higher risks of malpositoning, pain, irreversible damage to your tissue and it's just not a good idea. Don't ignore all the things people say about large implants.. there is different things I have read about what "large" is, some say anything over 375 and some say large is anything over 500.

My whole point is even though we want this surgery and sometimes it's hard to be patient, donyour research even if that means a year or two or five years of research.. you want to get it done right the first time in good skilled hands because it's hard to take back or undo lots of complications. I don't say this to scare anyone but I think it's real and not many people talk about this but it should be talked about more often.
Denver Plastic Surgeon

I haven't had surgery yet or met dr vath in person as I am an out of town patient. I've followed many on here who have had surgery by him and have posted updates frequently, I've read and read and read and read and have decided dr vath is the one for me! The staff at the clinic also seem very nice and helpful! I always get a email response back the same day which is something I didn't get with my past two surgeons. I will add more to my review as things happen along my journey so I can help others in similar situations. As for now I am pleased with how things have been handled.

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