48 Yr, 5'3 150 Lb Replacing 270cc over Muscle with the New Seintra Silicone 510cc - Kinston, NC

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*Treatment results may vary

Replacing 15 year saline implants with the new...

Replacing 15 year saline implants with the new Sientra Gummy Bear using existing over the muscle pocket. I've read so many reviews it would be best under muscle but after 2 consults recommending using existing pocket. I wanted 600 cc which is what I thought would give me a D or DD cup. I asked the doc to fill up my pocket to its limit and ended up with 510cc's. I'm concerned I'm only going to end up with a full C. I was a very small C or Full B with the 270cc Saline. I look very round not a huge projection. Definitely bigger than I was just worried I should have gone larger and if the doc could have given me 550cc or 600cc perhaps that would look too big on me... Maybe the larger size would have caused me issues such as bottoming out... I have read on this site about the drop and fluff that makes you feel and look larger. Does anyone know if this occurs with someone that has had replacements over the muscle. The majority refers to under the muscle...

4 days post op!!! I think I'm over obsessing my size...

Since I'm over the muscle they seem to be dropping really fast! I was told since replacing implant in same pocket I didn't have to massage or wear a sports bra and to actually go braless waiting on tape on stitches to come off. It is really starting to itch!!! Anyone else over the muscle that is dropping fast? Afraid of bottoming out!!! I will take Picts and update soon! It is very helpful seeing and reading the updates!

Pics 4 Days

Additional pics

Day 1 after surgery

8 Days after surgery pics

I went to Victoria Secrets to be measured for bra size. I was very surprised that I was a 34DD! I tried several styles on with simple T-shirt. My nurse informed me that I should not wear regular bras until 3 months post op. I didn't buy anything but it was nice to see them in the bras!!!

8 Day Pic

Swollen left breast with pain

Yesterday I had pain in my left breast. This morning it is very swollen and hurts! I contacted the doctor. He thinks I may have fluid collected in the pocket. Have a 9:30 am appt. tomorrow morning. He said he may have to open my pocket back up and remove fluid and put in antibiotic and input a drainage tube. He said sometimes the body absorbs the excess fluid and sometimes it had to be removed by adding a drainage tube. He did day it might just be inflammation but to come prepared for surgery :( . Not what I wanted to hear but at least I don't have to pay if he does have to go back in... Concerned and freakjng out!!! I hope it's just inflammation. Have any of you had this happen.

2 weeks post op'

Great news it's just inflamed tissue. I'm taking anti-imflamtory medice every four hours and doctor will check on me in a couple if days. No lifting or stretching, I was told I may have pulled something and inflamed the tissue. I'm gonna take it easy for next couple if days. No compression sports bras only light weight non confirming bras. I'm so impatient!!!

19 days Post

Still have significant swelling and pain in left boob. Sainting to hear back from doctor. Aleve and warm compresses around the clock has not helped! Feeling sad :(

24 Days Post Op

Hi everyone! Been off the radar sick with chest cold. It's been 24 days and time has flew by. My lefties is still larger than the right. I no longer have pain it's just more firm and larger than my right. My doctor has instructed me to begin taking 1000 iu of vitamin E daily for a couple of months. Here are some updated pics. Is anyone else having an issue with one breast larger if so I would love to read about your experience. I am hoping for a better result as I did not have this issue prior to the replacements....

29 Days Post Op

Feeling excited! Looking more symmetrical. Leftie is still not as squishy but is a lot softer. Vitamin E and time is making a big difference. It is so important to have patience and allow healing time for the final results! I feel like I have been an emotional roller coaster with the healing process. I can definitely see that they are evening out and have excepted one is going to be larger than the other. It's not noticeable in a bra. I appreciate the positive comments thru this process.

29 days Post VS wireless 34DD

For to add VS Pic

6 weeks Post Op

Looking good after six weeks. A little pain at incision on left side just need to continue with vitamin E and massaging.

Additional photos

4 mths post op

Just a few pics. Currently researching a great revision surgeon. I am wanting more projection and cc's. I wNt to get it right this time!!! Pics in swimsuit was a disappointment considering how much I've already invested. I'm convinced it's all about the right surgeon and communication to ensure we both understand the desired results I'm trying to achieve.

Added other side view

Swim suit pic

Desire more boobs!

Wish boobs

More Wish boobs using internal bra

7 month pics

I thought I would post my 7 mth post pics of the Moderate 510cc's. I can't wait to get the HP 800's!

1 Year Post Op Pics

This year has flew by... Still not as content as I had hoped. I have lateral displacement along with they sit low on my chest. Pousti and Revis said I need a pocket revision/capsulorrhaphy and implant replacement to obtain the look and size I desire. Curios if any of you have implant diameter of 15.5 with 6.0 projection with 800cc HP Silicone this is what Revis is suggestion based on my current pics and wish pics. I do feel my breasts look and feel very natural just not proportionate to the rest of my body... I have a big butt! Lol

Dr Revis has also suggested the internal bra

I forgot to add this to my update.

Updated wish pics

1yr 8th post op pics

It's been over a year and a half now! I've just scheduled revision surgery with Dr. Revis. Surgery date is Scheduled in Jan. 2016. I have lateral displacement and want to go larger. We will also use strattice. I can feel the edge of the implant on my left breast and have indentation ony right. Revis said strattice wasn't necessary if I didn't mind feeling the edge it is only visible in a bra or certain swimsuits and it bothers me and Revis ensures me the strattice will take care of it. Also, with me staying above the muscle the strattice will help with the thinning of tissues due to going larger as thinning tissue above they axle there's a higher risk of visible rippling. The strattice is very expensive! If there's anyone that has used it please message me I am interested to see if it actually works. The internal bra will elimate the lateral displacement and indentation in my other breast... Wish me luck as this will be my last attempt to get the boobs I wish for! Here are some photos I took this morning. One breast is bigger than the other but I forgot torn toon that to him (I had sooo many questions!) after I left I remembered and was surprised he didn't say something about it. Maybe it's just me being overly obsessive (IDK) what do ya'll think?

2 Yr 2 Mths Post Op

Still researching revision.


New Wish pics

After many consults I have found out why my chest eats up the cc's. I have a naturally low crease which means breast naturally sit low on my chest and I have a wide breast diameter... Many consults have said 800cc or larger. I've been above the muscle since 1999 and Dr. Krau stated since I had enough tissue to stay above he would recommend me stay above the muscle because I would be at a higher risk of muscle animation. He stated he would use the same capsule and use either 800cc HP or 800cc UHP with fat transfer. He said it would take 1100 to 1200 cc to get my preclude wish pics because of my anatomy and doesn't recommend going that large or using saline above the muscle especially since I had rippling with my first set of salines. If I go with the HP I'll have more cleavage but less projection if I go with UHP ill have more projection and not sure if I'll keep the same cleavage or not. I forgot to ask... Unfortunately, he thinks I'll only increase the size by 20% maybe a bit more... He did say it could be as much as 30% but couldn't guarantee how much of an increase I would get. I have found a realself member with similar stats and she got 800 UHP Her BWD is 13.5 and my BWD is 14 so I have hope I'm using her pic as my new wish pic. Dr Krau said with my anatomy the previous wish pics are not realistic using silicone because the largest in the US is 800cc and I don't want to go with saline because of rippling... I would love to hear what you guys think!

3 1/2 yr since Revision

It's been a long time since I've posted an update. I've been back and forth about getting a revision to go up in size and deal with lateral displacement. After seeing so many botched jobs I'm terrified I will end up disappointed with worst issues. It's been a love hate with my boobs but I think I'm going to embrace what I have and be happy. At this point I'm not planning a revision unless something goes wrong... I'm trying to focus on trying to lose weight that always seems to make them look larger. Lol. There are times they feel so heavy and not so much at other times. Still trying to find a decent bra without underwire that supports without mashing me flat. The underwire cuts into me and makes me sore. I probably need a good bra measurement. Victoria Secret bras are super cute but not comfortable after half of day wearing it. I think they measure the band to squish the air out of you! My boobs are wide with not so much projection. I get the look I want of course with a bra so I guess that's where I am. I hope all you ladies are happy with your results... over all I think mine are doing well and definitely look natural and are very squishy. In a swim suit no one can tell unless I wear a push up top then of course I get the round ball look which at my age doesn't work for me...
Greenville Plastic Surgeon

Dr. Cummings is very funny and nice. Pre-op visit went great! I did not feel rushed. He answered my questions for the majority but not completely on some questions. He would not commit to size or cc's. He is great if you are going to just increase size or first time BA with no issues. After surgery I did not see him at all. The nurses were great but I expected him to at least pop in to ask how I was before being sent home. I had issues with one breast swelling the nurse "Christi" was very helpful and Dr Cummings saw me and reassured me everything would be fine and it was! I am disappointed that the placent of the plant is low on my chest however he used existing pockets. I would have appreciated the expertise of the surgeon to tell me and make the necessary adjustments. It may have been because pocket adjustment may not have been his specialty or that he doesn't have the trained eye in this area. (This would saver from having to have a second revision). I currently have lateral displacement along with the pockets sitting to low. Otherwise they do look great and look very natural. I've consulted other surgeons that have told me if pockets were adjusted the placement of the implants would be higher my breasts would look larger with better projection. I feel the 510 cc look small which is probably due to the pocket.

3 out of 5 stars Overall rating
4 out of 5 stars Doctor's bedside manner
3 out of 5 stars Answered my questions
4 out of 5 stars After care follow-up
1 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
4 out of 5 stars Wait times
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