Treatment Provider

Ralph R. Garramone, MD
Board Certified Plastic Surgeon
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I interviewed 3 plastic surgeons. Did not like #1,...

I interviewed 3 plastic surgeons. Did not like #1, however I loved #2, Dr. Jeffrey Lang. However, even though breast reconstruction is 100% covered by insurance, his office said I had to pay up front and then get reimbursed! Since I didn't have $6000+ laying around I went with Dr. Garramone who was recommended to me.

Didn't care for him from day 1. His bedside manner to me was lacking but I'd wasting 3 1/2 months from my breast cancer diagnosis to a date that was suitable for both my breast surgeon (who did the mastectomy) and Dr. Garramone.

Since I had tissue expanders, I went back about once a week for fills until such time as my skin wouldn't stretch anymore. Then I was to have the exchange surgery, where the tissue expander is replaced with permanent silicone implants. Sometimes I had to wait a long time, other days I would get in pretty quickly.

After the exchange surgery I was not happy with the way they looked. I was told to give it some more time. I had the exchange surgery in December and while they look better than they did at first, one is noticeably higher than the other one, they are too far apart where the outside edges look like they are under my armpits and I have some very obvious divots. Got my records and went back to plastic surgeon #1 who I still don't like. Apparently, in my area, no plastic surgeon does the DIEP surgery or Flap surgery. They all do the tissue expander and then implants.

I wish I had checked into all this more thoroughly. Considering I had cancer and was forced to have my breasts removed and have major surgery, I would have liked a better outcome.

As I since have found out from breastcancer.org, not all plastic surgeons are skilled at reconstruction. It's a completely different procedure than an augmentation.

Pretty obvious - I had a double mastectomy

Pretty obvious - I had a double mastectomy

Provider Review

Board Certified Plastic Surgeon
12998 S. Cleveland Ave., Fort Myers, Florida
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Dr. Garramone did my breast reconstruction after mastectomy. While people I know who had the same procedure with a different physician received pages of after surgery care, I received nothing. When I asked if I should be wearing an underwire bra, his response was "you can". I don't feel reconstruction is his speciality. My breasts are practically under my armpits and they are not nice and round like all the "after" pictures in his office. Plus I have 2 divots which look terrible if I move my arms a certain way. I expected much better results.