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POSTED UNDER Breast Augmentation REVIEWS

3 Kids, 32yrs Old, Breast Augmentation - Fairfax, VA

ORIGINAL POST

I have been anti plastic surgery for a while, but...

momtoaej
WORTH IT$7,300
I have been anti plastic surgery for a while, but after seeing the changes in my body post 3 kids in 6 years, I have warmed to the idea. I will undergo breast augmentation, silicone, subglandular, July 15th, and I am excited and nervous. I will have local and iv sedation over general. I have decided that I will opt for 325-350cc, so a full C I suppose, I am just trying to fill up the skin that has lost volume. Can't wait!

momtoaej's provider

Robert F. Centeno, MD, FACS

Robert F. Centeno, MD, FACS

Board Certified Plastic Surgeon

Replies (8)

July 4, 2014
Look at my pics.. We look very similar.. Just had surgery July 2 and I'm happy so far.. Very very painful yesterday but today I feel better
July 4, 2014
Thanks and congratulations! Did you go over or under? How is your pain today?
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July 4, 2014
I had 225 sub gland for my first BA and ended up a 30D. Going over the muscle really changes things!! But then I developed capsular contracture within a year, so I now have 350 unders. Check out my pics. Depending on your band width, I'm sure that your range will give you a full C for sure. Congrats!! It's quite a journey and after recovery they are so much fun!!!!
July 4, 2014
Thank you sooo much for responding! I am now nervous from yor story! I know there is a risk, did you do silicone or saline first time? When you say going over muscle changed things what do you mean? I just read your page and I am so sorry for the problems you ran into from infection to capsular! Love to have your feedback! Happy 4th!
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July 5, 2014
I had silicone and felt palpable rippling from day one with sub glandular and then developed cap con a year later, so I no longer advocate over the muscle -- I didn't think I was at risk for cap con because I was healthy. Anyway, I loved my recovery with the overs; I didn't love the smaller size because I felt like I still needed push-up bras. When I said going over changed things I meant that you can get big results with a smaller sized implant because you do not lose any volume with overs. And I am not yet comfortable with my unders (5 weeks Monday) because it feels wonky when I flex my pecs, but I think that will change -- I'm just not used to it. Good luck!! Many women live for decades with overs with no complications, so do not make a decision based on my review, and know that even with the complications, this journey has been worth it. I loved my first BA and I love my revision because it feels as if it is all fixed and I get a slightly larger size.
July 5, 2014
See that makes me very nervous. And you went small right? You used silicone, went moderate, and say you had enough breast tissue? I am just at a loss. I don't [RS bleep] the flexing of the muscles either. My sister has unders and it looks so strange. FYI it won't change, it will always be how the implant being held by the muscle will look. Its the one negative I feel of unders. The unnatural movement.... I just don't know what to do!
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July 5, 2014
I don't really care about how it looks when I flex; I just don't want to mess anything in there up by doing push-ups, which my doc says is always a possibility. I will give it many more weeks and I'm sure it will "feel" more normal to engage the pecs, just as when you first get a BA, it feels like your boobs are engorged with milk, but then that sensation goes away because you get used to it. The look of unders is slightly better for cleavage for me, personally. I think I would choose unders more because of the rippling and sagging you get with overs rather than just your risk for cap con. I had to support my overs 24/7, and they were tiny, and I still had trouble that I no longer have. That's worth several more weeks (years) of no push-ups!!! A bigger implant with overs causes even more trouble, too, possibly, which is why my first doc wouldn't even let me consider 250!!! But again, it is your decision. Don't base it off of my opinion :)
July 5, 2014
Thank you so much
UPDATED FROM momtoaej
10 days pre

Did you go over or under?

momtoaej
So I know that most think under is better, but I wonder of those of you that went over how many have capsular contracture? I'm not a huge fan of how the breast move when engaging the chest, working out, getting out of a pool, twisting to the side to pick something up, and breast tissue naturally sits above the muscles in our normal anatomy anyway right? I don't know just talking it all through! Want to make the right decision. I also know I have the space from 3 pregnancies and breast feeding, and I'm not going huge, with silicone, so I hope these reduce my rate. Thoughts?

Replies (7)

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July 4, 2014
Hey mom and welcome. I went under, but there a lot of ladies who are happy with over. There is a great forum on here for June/July surgeries you might find useful to join. There are a lot of women there with loads of advice. What did your PS suggest?
July 4, 2014
He suggests under but that based on size, tissue, and my history I should do just gone with over as they can't predict caps cont. Some get it under muscle too. I didn't see that forum, can you direct me to it? Thanks so much for your advice and time! Happy 4th!
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July 4, 2014
Go to the forums tab and click on it. The June/July forums should be at the top of the page because it is so active. If it doesn't come up the go to the search box and type it in there.
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July 5, 2014
Hello :). Just wanted to say, my PS has been doing breast augmentations for over 27 years. He is a perfectionist and has an amazing reputation, so I definitely trusted in his advice regarding over vs. under. He said he rarely ever does overs and just doesn't like to in general because they never hold up as well over time and there's more risk for complications. I don't really have an opinion on this one way or the other since I'm no professional, just thought I'd share what he said! Maybe it would be helpful to look for other ladies like mamamel1974 who have had revisions from overs to unders and ask them to weigh out the pro's and con's. I can understand your concern about feeling the muscle move over the implant. That totally freaked me out at first and I hated the feeling but after 2 weeks I didn't feel it at all. And the only time anything looks a little strange is if I'm purposely flexing my chest muscles very tightly. Even then, it just makes my boobs look further apart, not ugly or deformed or anything. I don't notice any animation deformity while doing normal every day tasks. What does your PS say is best for you? I don't think the recovery of over vs. under should be a deciding factor if your PS says unders will definitely be better for you, remember that this is a long term investment! Good luck with everything :)
July 5, 2014
My doctor said the same thing about unders as yours but says due to silicone size and tissue I should see a nice result. Nobody really knows why CC occurs, and I've seen bad jobs and immune responses to both, I guess I will just have to put positive energy out there that whatever I do goes well! Thanks for your input I greatly appreciate it!
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July 5, 2014
Your welcome. Keep us posted on what you decide :) Your day is so close!
December 9, 2016
Hi! Any updates? Howhave the overs been for you? I have all the same concerns about the movement and everything. But lookin. For a smaller size. Scheduled in dec 21.. so it's coming up. Dr said j can choose placement I have enough for overs but he typically does under. Thanks for the info!
UPDATED FROM momtoaej
5 days pre

Less than a week away!

momtoaej
I can't believe I am going in for surgery Tuesday. I am so excited, but also nervous. I don't know if I told you guys I am doing local with IV sedation? Not general! I've already talked to doctor and anesthesia provider and they say I will sail through smoothly! No concerns! Have any of you done it that way? I was thinking I should buy something, like a new top or bra, but I am going to wait for measurements! Almost there!!!

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