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POSTED UNDER Breast Augmentation REVIEWS

Deflated After Children. Fall River, MA

ORIGINAL POST

I went into breast augmentation completely blind...

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swmandy555
WORTH IT$6,900
I went into breast augmentation completely blind and have educated myself so much that I now feel qualified to perform the surgery on myself!!! LOL! I went back and forth between over or under the muscle, saline or silicone, CC's to get, shape and texture...and of course THE SURGEON.

I've decided to go with 475 cc, smooth/round, moderate profile, saline implants in the subglandular (over the muscle) position. I am going to a double board certified surgeon in Fall River. He is a cosmetic surgeon AND a Gynecologist. I saw several surgeons for consults and they all had negative things to say about him being a Gynecologist. I was skeptical and hesitant at first but out of all the doctors, he was the kindest, most informed and most educated in my opinion. He told me every detail of the procedure and how EXACTLY he would handle it if anything went wrong. His surgical center is directly across the street from a hospital and he really listened to all my concerns and accommodated my anxieties. If anything, I feel much more confident in a surgeon who can perform hysterectomies and stop major bleeds while delivering babies. It makes him more competent with the female body. In his defense, he's double board certified because he has equal expertise in both Gynecology AND Cosmetic Surgery. Here is the most amazing part....he is performing the surgery on me with local anesthesia only. I will be mildly sedated but will not be under general and will be wide awake without the risk of my breathing being complicated or the necessity for intubation. I know that sounds crazy to some, and he does offer deeper anesthesia, but he accommodated my anxiety and can do so safely. I would MUCH rather not be put under for this surgery. In fact, I wouldn't get the surgery if I had to be.

Currently, my main concern is that I'll have chosen a too flat implant that will make me look heavy. I am 5' 10", 139 lbs and have a wide space between my breasts. Because I have some sagging but my nipples are above the crease, the subglandular placement with large implants will give me enough of a lift to avoid the Frankenboobie surgical lift.

swmandy555's provider

Mark X. Lowney, MD

Mark X. Lowney, MD

Board Certified OB-GYN

swmandy555

swmandy555 rating for Dr. Lowney:

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Replies (17)

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January 17, 2015
Congrats on your decision. Our befores look similar and with my first BA I had 225 silicone overs and I felt rippling from the beginning and then developed cap con, so with my revision I now have 350 under the muscle silicone and all is well. My docs never let me consider saline, especially with the first with overs, so I'm surprised yours is letting you do that. Check out my reviews if you get a chance. My first doc claimed overs would look better also because of my sagging like your doc said but I can tell you that's not true for me because my unders look amazing and no rippling at all.
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January 17, 2015
thanks for sharing your stories ladies...from my research it appears as if most docs stay clear of over the muscle,,some refuse to do it period...idk
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January 17, 2015
My revision surgeon was pretty appalled that my first surgeon recommended overs. He only does unders because of the better outcomes aesthetically and medically. Do lots of research. I had and I thought the risk for cap con was small if I was healthy and took good care of myself with my overs...until I got it. Idk either. It's a guessing game. I loved the recovery for my overs, tho, compared to my unders with Strattice. But the cost of a revision is so ridiculous, why take the chance, ya know? All we know is what we've experienced for ourselves. Love my boobs, tho, even with all of that!!!
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January 17, 2015
In my case, I refused to consider implants under the muscle, for various reasons stated in this article http://emedicine.medscape.com/article/1273174-overview#3 I also will not consider silicone as I do not want that in my body. Because of going subglandular, I was faced with a microscopically higher chance capsular contracture and rippling (less of a chance if you ask some docs). I am also 100 percent opposed to a lift. With these stipulations in place, my surgeon recommended subglandular. He regularly performs lifts and said that below the muscle without a lift would lead to a snoopy deformity. I am also an avid fitness buff and do not want distorted implants. The idea of my implant being where my breast naturally houses itself is also appealing.
January 17, 2015
Just seen this...all inplants have silicone one way or another...the outer shell of saline inplants is made of silicone...talk to your surgeon.
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January 17, 2015
The silicone outer shell isn't a material that has the viscosity to travel into your tissue and lymphatic system like the gummy gel can if it ruptures. I have a medical background and have seen what happens with a silicone rupture. Old and new forms.
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January 17, 2015
I thought the same thing but I can guarantee you will see and feel rippling with saline overs, and that will look worse than the snoopy deformity. And cap con risk is more like 30 percent for overs. Obviously you have done your own research and convinced yourself that this is what you need so go with your instincts. We are just sharing our own real stories.
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January 18, 2015
You need to read this entire article you posted. It doesn't convince me to go with overs if I were considering them again.
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January 18, 2015
Luckily I wasn't trying to convince anyone of anything ;)
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January 18, 2015
Good point :)
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January 17, 2015
Know what's super annoying and inappropriate? Someone posting their "personal story" to my blog in an attempt to persuade me to change my mind based simply on their limited, non-medical opinion. The path we each choose is appropriate. I'm sorry your experience wasn't positive. I see no reason to defend my well thought out choices. Further, if I make the wrong choices, I've made them based on my best approximation of risk assessment. They're my mistakes to make and while I appreciate your concern...I'd refer you to the beginning of my original post...where I stated that I've done my research. That alone should be enough warning to silence the critics of my choices and allow this post of mine to be positive.
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January 18, 2015
Lol! People r passionate about boobs huh? I suppose they're trying to protect u from what happened to them... But geesh! Anyway my niece is also considering overs with a local anesthetic. She also has a huge fear of going under anesthesia. Just want to say I went with silicone unders but totally think u should do what u are comfortable with and completely respect ur personal preferences. Gonna follow u for my niece. And I have also had same thoughts of overs as far as that's where my actual boobs is so can relate to that too! Good luck ur gonna love ur new boobies!
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January 18, 2015
Thank you! Im so excited to see the end result. My surgery is 2/21 and I've had so many consults already. I keep going back and forth on size but I'm thinking I'll stick to 475. If you want to see an awesome video for your niece...watch this!!! It's a local anesthesia only implant procedure. Under the muscle with a mild xanax sedative only. I consulted with this doctor and he was awesome but too far of a drive to do in the follow up period. Dr. Michael Gartner http://m.youtube.com/watch?v=E-eCRFq-FgI
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January 18, 2015
I'll send her link. Thank you! As far as size, i went with the largest dr recommend. I was going for the full voluptuous look and thought I'm only 11 days out I feel like they are going to look big and natural! I was having panic attacks while getting ready for surgery,it was a nerve racking event for me but my recovery has been awesome so far! Only one more month for you glad u found a doc that is able to give u what u want.
January 21, 2015
Sounds like you have researched well. Look forward to reading the rest of your story.
February 5, 2015
Great article you linked in the comments. Looking forward to seeing your before/after pics :)
March 15, 2015
Good luck with your surgery!
UPDATED FROM swmandy555
Day of treatment

Amazing results!

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swmandy555
I had my surgery this morning at 8:30am. It was very straightforward and nothing I worried about came true. The doctor and his staff were so professional! To start, the doctor walked me into the surgical room (which his nurse Jamie had shown me at the last visit...because I like to have no surprises) and he had a board on the wall with my procedure, allergies and stats listed. He then put me under a warm blanket and started an IV with saline only. It wasn't painful at all. Then the nurses and doctor read over my medications and showed me labels. I was getting an antibiotic, steroid and benadryl (because of multiple allergies, the doc wanted be very proactive), as well as the lidocaine/epi combo to numb the breasts only. The doctor introduced each medication slowly and watched me closely for reactions. I was still a little nervousness so he offered to pray with me! How amazing is that? He is the most gentle, kind hearted doctor I've ever met. He answered my MANY questions (I'm an anxious talker) and he showed me such respect and no frustration. Then he asked how I was feeling and got started on the procedure. I could feel the tugging and pulling as he prepared a place for the implant. I could also smell the cautery tool. He talked me through each step and before long he was stitching me up. He then have me Gatorade and walked me to a mirror to see the results. Let me tell you...they are perfect! I can imagine how they'll look as they drop and the swelling decreases. My husband then bought me breakfast and drove me home. The drive was pretty painful but that's because I refused the pain meds. The doctor offered to make it totally painless :) I've been icing ever since and so far Tylenol works for the pain. We'll see tomorrow! I'll post pics tomorrow of the afters...but let me give you some more before pics. I took them last night and she I saw how gross I looked...my decision was MADE!!!!

Replies (9)

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February 22, 2015
Wow! What an amazing surgery story. So sweet that he prayed with u. Glad all went well. Congrats on ur boobies!!!!
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February 22, 2015
that before pic leaning over is soo me! lol made me laugh...cant wait to get rid of these..May 01st is too far
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February 22, 2015
That's the pic that pushed me right over the edge. I took it the night before the surgery and had zero doubts when I saw it!!
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March 1, 2015
I love this experience! I too suffer greatly from anxiety and am planning my surgery around my kids fall break this Oct. I'm anxious about being put under and also the pain afterwards, I don't like medication and pain pills so I relate to you in the sense of wanting to decline pain meds. When you spoke to him about your anxiety about anesthesia did he offer local? Also I am leaning more towards saline too for the pure fact that in my own mind it's the safer bet, why did you come to your decision with saline? Sorry for the 100 questions I'm just seeking some comfort in this elective process.
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April 10, 2015
My doctor is one of the few that perform this surgery under local. My choices were to be sedated or not. I chose "not". Even though it's an awake sedation that just makes you feel calm...I wanted to be completely with it. Dr. Gartner of New Jersey also does this surgery if you can't make it to Massachusetts. I chose saline for the same reasons. Silicone gel in my body presented minuscule risks that I'm not willing to take. I'd rather see rippling. And I do feel the rippling sometimes...but it's nothing major and only because I went over the muscle.
March 21, 2015
Wow. Amazing surgery story! You are so brave. I look so much like your pre op photos and share in your anxiety and antimedication desires. I have troubles with anesthesia and didn't know I could do a lighter sedation. Was it at painful and scary being awake? Sounds super freaky. I don't want under the muscle either but not sure my tissue would cover implant enough. Do you hear any sloshing from implant? Can you feel implant? You are a rock star! Way to assert exactly what you want and see it thru. Congrats on the new hoots! Enjoy! You look great!!
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April 10, 2015
The lighter anesthesia made life so much simpler. I can feel the slosh but everyone can feel it with saline. It's only occasionally. Nothing you can hear or see as an outsider.
April 11, 2015
Thank you for your response. I met a doc yesterday that said he prefers local so I think I going to do it. I'm such a lightweight that I bet the Valium will make me fall asleep anyway! Going over the muscle too but under the subfascial layer. He wants to do a lift too. Hope this isn't too much to do while being awake! I am going to have to seriously meditate!! Be well.
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April 11, 2015
It's really not too much. But...get a second opinion on that lift!
UPDATED FROM swmandy555
1 day post

Post surgery pics

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swmandy555
They look much bigger than I think they'll turn out. I went with 475 saline overs. Before and after pics of the same tank top on the morning before the surgery and right after wearing a sports bra only.

Replies (4)

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February 22, 2015
congrats! this size definitely suit your frame..I really like the fill
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February 22, 2015
They will not become smaller. With overs, there's not much swelling initially and saline implants are even bigger than silicone for the same ccs. They look like your wish pics!!!
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February 22, 2015
That's good to know!!! I expected there to be much less pain though :( I have a very high pain threshold and am just taking tylenol but this feels just like engorgement...and I hated that pain!!!
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March 2, 2015
Amazing results! So pleased for you.