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30 Year Old, No Kids, Weight Loss Needing BL/BA, surgery back on! - Golden, CO

ORIGINAL POST

Hi everyone! I'm new to this blogging thing, so...

Rockymountaingirl
$9,900
Hi everyone!

I'm new to this blogging thing, so excuse any rambling that is sure to occur over the course of this experience.

I recently booked a BL/BA with Dr. Vath in Goldeb, CO after years of hating my breasts.

A little background: I was an overweight kid...constantly teased and bullied through most of my formative years. In high school I developed an eating disorder (go figure) and lost a ton of weight in a short amount of time. While I love my new look overall, it left my boobs looking like I had breastfed 3 kids- deflated and sad.

I went on three consults (Dr. Vath was my second) and in the end chose him for his calm and calculated approach and honest demeanor. I put my deposit down, and am scheduled to have surgery Sep 14.

Now the jitters have kicked in and I am regretting my decision. I go back and forth as to whether I should go through with it. My poor husband, who has been so supportive, just wants me to be happy, but is getting tired of my indecisiveness, I'm sure. Anyone else out there have major doubts after booking surgery???

I feel like this may be a good outlet. I have only told 2 people I am even considering this. I am a vey "natural" person, and have many typical granola friends who I feel will chastise me if I go through with the procedure.

So scared and don't know what to do!

Rockymountaingirl's provider

Steven Vath, MD

Steven Vath, MD

Board Certified Plastic Surgeon

4.9 | 341 Reviews
PROFILE

Replies (1)

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August 23, 2016
You are in great hands!!! Dr Vath is amazing and I've had two augmentations with him. I also struggled with an ED, anorexia, but after 22 years with it I finally got help. I've been in recovery since 2008 now do I know it's a terrible thing. Hugs. As for regretting my decision, only the size not the surgeries. I was unhappy right away after my first but have been thrilled since my revision!! Check out my revision review if you'd like. I uploaded lots of comparison pics last night.
August 25, 2016
Thank you for your kind words of encouragement. They help more than you know. So you were happy with Dr Vath? How was recovery? I'm in the dental field and going back to work on day 7 post op. Only a half day but very nervous that people will know!
UPDATED FROM Rockymountaingirl
20 days pre

How to tell/not tell people?

Rockymountaingirl
What did everyone use as an excuse for their breast augmentations? I am taking off work Wednesday-Tuesday, and going back half days the rest of that week. I work in the dental field, and do not want anyone to know I had my surgery (having modest implants placed).

What's a good excuse for why I'm moving slow and can't lift anything?

Replies (3)

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August 26, 2016
Hi SuburbanHippie, I have not had a breast augmentation, but I will be having a tummy tuck with Dr. Vath in October. You could tell them that you hurt your back or slipped and fell while you were off and it's still a bit sore. That should cover the slowness and you not being able to lift anything. I hope your procedure goes well and happy healing.
August 26, 2016
Thanks for the tip! I'm thinking of telling them I pulled a muscle, or I can just say I had a lump removed from my breast so that's why things are tight. We will see what happens. Happy healing to you as well :)
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August 26, 2016
Here are a couple options:

You can tell the truth, but leave out the details. That's what I did. I told people that I'm having surgery... but I did not explain what kind of surgery. Most people respected my privacy and did not ask for details. For the few that did ask, I explained that it was "private female issue which I would prefer not to discuss." Most probably thought I was getting fibroid cysts removed from my uterus or getting a hysterectomy. Any case that statement pretty much shut them up.

Another option would be to tell them that you pulled or injured a muscle. That would also be the truth if your implants are being placed below your pectoral muscles. Hope this is helpful.


if
August 26, 2016
Thanks for the advice! I told everyone I am having a minor "personal" surgery. No one asked questions. I'm more worried about when I go back to work if I am moving slow and can't lift or reach for certain things. I may use the "pulled muscle" excuse. Thanks!
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August 26, 2016
You're welcome. I think it's always better to tell the truth as much as possible. Not to mention it's good karma. So when you go back to work why not say that you are still recovering from your surgery and your doctor doesn't want you to do anything strenuous. Good luck with your surgery!
August 26, 2016
Thank you! How is your recovery coming? Hope all is well :)
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August 26, 2016
I'm doing OK although everything is very swollen and bruised at this time. it's that first 72 hours where everything feels and looks horrible…. Hope to make it through smoothly. Thanks for asking.
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October 4, 2016
You look simply amazing. I have had the doubts like you as well but seeing you gives me courage. I'm saying I had several breast biopsies (true) and now getting the area "fixed". People take it with a grain of salt!
UPDATED FROM Rockymountaingirl
15 days pre

Pre-op done!

Rockymountaingirl
Just finished with the pre-op appointment. I also had a second consult with Dr. Vath-that man is amazing. I had serious doubts when I woke up this morning, and almost called the whole thing off. My stomach was in knots, and I was pretty much an emotional wreck going into the appointment.

My husband came with me as he wanted to meet the surgeon and get all of the instructions for my post-op care. Dr. Vath came in and we reviewed everything regarding the surgery/expected outcomes, etc. My husband and I got our questions answered, and I felt so much more at ease! He has such wonderful bedside manner, and I truly appreciate the detail is goes into. I am a complete type A personality, so knowing exactly why and how the surgery is done was important to me.

Now the waiting game begins...2 weeks and 2 days. Still nervous, but now it's overpowered by the excitement I feel for finally being on my way to getting this accomplished and hopefully being comfortable in my own skin for once in my life.

Replies (2)

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August 31, 2016
Yes I know exactly how you feel. I forgot to mention in my prior post that Dr Vath is also my surgeon. I'm now six days post op on having had a similar surgery. I had a breast lift with implant exchange to downsize. I've got a ways to go on the healing… but so far I feel results are amazing! If you want to see my review with before/after's click on my profile and scroll down to the link for my "Breast lift wth implant exc..." review.

A couple questions: have you decided what size cc and type of implant you're getting? Also have you thought about posting some before pics in your review here? One of the nice things about this review section is if you upload a photo you can delete it at a later time if you want to. It's different from the "ask a doctor" section where you don't have the opportunity to delete your question or photo/s after the fact. Hope this info is helpful.
August 31, 2016
I am having the worst time trying to decide on size!
I know it sounds crazy, but I would be perfectly fine ending up with a full B after all is said and done.

I am leaning towards 235cc or 255cc, but am still unsure. All of the sizers seem huge to me.

I feel like Dr. Vath is very hands off when it comes to choosing size. Did you feel that way as well? He just said "pick whatever is comfortable". I have "wish boob" pictures, but no one to look at them and help me out.
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August 31, 2016
Hi rockymountaingirl, That's a difficult question for someone else to answer. Size is a very personal thing. And what looks "natural" (or "busty") to you may look different to someone else.

Originally dr Vath was very hands off, but he ended up giving me more input... especially after letting him know in more detail what my goals were... and why I wanted his opinion. I didn't want him to choose my size. I wanted him to help me achieve a goal that I wanted.

Also, my situation was more complicated. I had 400cc implants in me already and wanting to go smaller. So it was not as simple as trying on rice sizers. My original thought was to go anywhere from 215 to 255. As mentioned above my concern was more about the overall shape and perkiness.

Unfortunately the PS that did my prior augmentation "liked big boobs" ( I heard after-the-fact from two other doctors ), which is why I ended up with 400cc... even after telling him I did not want to look large. Apparently he didn't think DD was large. This is one good reason you should never let your PS pick the size… unless you absolutely know and trust him.

Did you bring along photos to show Dr. Vath. It helped that I brought along like photos..., it gave him an idea of what kind of look I wanted. After seeing the photos and examining my breast he agreed that 215cc was the best choice for the look that I wanted. I think it also helped that I told Dr. Vath that I would rather err on small rather than being too big. FYI, one of Dr. Vath's assistance told me that he personally prefer smaller breasts. (Disclaimer: He never told me that himself. It's simply hearsay). However if true, this may possibly be one of the reasons that he prefers to be hands off in choosing the size. He really wants the patient to decide for them self .

Not to mention there are a lot of doctors here on realself and at other websites that claim the "biggest complaint their patients have is that they wish they had gone bigger." I personally take these kind of comments with a grain of salt. I know a number of women after having had implants felt they had gone too big. Perhaps I'm just hanging out with a different kind of crowd. Who knows?

One other thing I also took into consideration in going smaller (which you can Google about on the Internet) is that it's believed by a number of medical professionals that the larger the implant the higher the risk in terms of capsular contraction and other complications. A larger implant also puts more weight on the breast lift incisions... possibly causing complications.

Anyway, sorry my response is so long-winded… but there really is no simple answer. I hope this is somewhat helpful. Good luck in making your decision. Please keep me posted.
August 31, 2016
No need to be sorry! Your response was extremely helpful! I have been chatting with the patient coordinators about my wants, and they have helped guide me somewhat. I did not have the photos with me for my last consult with Dr. Vath. I am thinking of emailing the patient coordinators and asking if they can forward along my "wish" photos to Dr. Vath for review.

I feel like I'm being such an annoying patient with all of my questions :-/
August 31, 2016
Oh, and Dr. Vath himself said he was excited when patients wanted smaller implants. He loves the "natural" look and prefers placing smaller ones. From the horses' mouth :)
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August 31, 2016
Yes I figured that; he was also very enthusiastic about my downsize.

BTW, I wouldn't worry about being an annoying patient. Certainly he must understand that it is difficult for most people to talk about their breasts. And that it may take a few conversations for you to get the your point across. I also wouldn't hesitate to show him the pictures yourself in person so you can discuss the details and what it is you like about the breast shapes.

One of the subjects that he and I discussed were lower pole versus upper pole ratio... and how one of my desires was to achieve the 45:55 ratio. That info along with my photos was very helpful for him in determining what size I should go with. If you're not familiar with that subject of lower pole vs upper pole ratio, you may want to check out this article: https://www.realself.com/blog/breast-augmentation-end-[RS bleep]-star-look#.V8dJwHhOKrU

Should mention that not everybody desires the 45:55 ratio. There are some that do you prefer more upper pole fullness. The more info your PS has about what you want to achieve with your surgery....
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August 31, 2016
My last sentence got cut off. What I was basically trying to say is the more information you can give your PS the better he'll be able to help you achieve the results you want.
September 2, 2016
Mdlg55 can I just what a Godsend you are to me in this process! I have been following quite a few Dr. Vath patients and I always see your comments and omg they are so helpful! I have also chosen Dr. Vath to be my PS for a MMO with BA/BL this December! This man is so kind and patient and has glowing reviews! Seriously I cannot find 1 bad review and I have looked EVERYWHERE! But again thank you for being so helpful to me in this process!!
September 2, 2016
rockymountaingirl...I have also had a consultation with Dr. Vath and I did feel like he was not really hands on with helping me pick implants he kind of left it up to his patient coordinator/assistant Kari and she was absolutely awesome don't get me wrong but I really wanted more input from him on choosing the right size for my body. What he did do was kind of look somewhat shocked at the first initial size I picked for implants lol I picked around 500cc for one side and 450 for the other, but let me tell ya I already have naturally big breasts (34DD), so right then I could tell that he clearly likes smaller breasts LOL. I am not into getting a natural look whatsoever and I wanted him to be aware of that. He also did caution me that the bigger the implant the more strain it causes on the breast lift, so ultimately I did decide to come down on my implant size since I have large breasts currently. I am going to have another consultation with him because, I totally forgot to show my wish pics and when I thought about it my phone died on me. So I am going to email photos over to Kari for review by Dr. Vath. But being an annoying patient is nothing out of the ordinary and its not annoying, its being cautiously smart which is what I am doing too lol so try not to feel so bad! I hope everything goes well for you my dear! :)