Treatment Provider

York Jay Yates, MD
Board Certified Plastic Surgeon
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2 Years Post Op

2 years ago on September 15, 2016, I received the IDEAL implants. I wanted to pop on here and give an updated review really quick.
I am still extremely pleased with my decision to get them done. Just like in my 4 month post review however, I still wish they were a little smaller, but overall I am really happy with them. I love how natural they look and feel. I love how they are saline. I love their shape and I love that no one knows until I tell them! The scar has healed really well also.
Highly recommend them! One day when I get them re-done, I will probably go slightly smaller and also have them look a tiny bit faker as some days I feel like they make me look top heavy.
If I ever get into the shape I want to (abs, toned, muscular) I’ll need to take more photos and see if I still look proportionate. It’s seriously so awesome that people have no clue they are fake. Dr. Yates from Utah did such a good job!

4 month post op pictures


My REAL Thoughts of the IDEAL Implant 4 Months Post Op *Updated Photos*

Today marks 4 months post operation. Since day one they have felt like a natural part of my body and I am so happy I have them! I could be happier, but I’ll get to that in a little bit. No balance issues, back pain or difficulty doing anything. I did experience slight pain in the left side when pushing or pulling anything, but that healed completely in 3 months. Their shape is delightful when my arms are at the side, however I do see some slight double bubbling occur when my left arm is raised. You’d think after all the research and time I spent weighing all my options and categorizing all the pros and cons I would have avoided the so-feared and dreaded double bubble.
I have a lot of things to say to those of you who want to get implants and I hope my words can help you make better decision about your breast implants.
First and foremost, trust your PS. If you’ve chosen a surgeon I would hope you have complete confidence in their skill and ability, so be sure to trust in their judgement as well. Dr. York Yates is an incredible surgeon that I traveled almost a 1000 miles to have and I regret not going with the implant size he first recommended to me. I thought I knew better about what I wanted than he did, which leads me to my next point.
Second thing, do as much research as possible before getting your breasts done. Be as educated as you feel necessary. But do not walk into the office for your consultation with a specific size in mind. I thought after all the research I did and all the pictures I looked at, I needed at LEAST a 400cc to reach the desired fullness and size I wanted. So when I heard the number 370cc leave his lips I felt a tinge of sadness. I focused so much on a single stupid number, rather than focusing on something that mattered so much more to me. Now this leads me into my last point.
Finally, remember what your greatest fear is about the implant. For me, it was a toss-up between always thinking “I wish I went bigger” and ending up with an obvious “double bubble”. The biggest complaint people have with breast implants is wishing they went bigger and I didn’t want that to be me. If I was going to get them done, I wanted to do it right the first time. I also didn’t want to have a double bubble, which only occurs when you go outside your natural breast width diameter (bwd). When you can see your real breast above and on top of your implant. So I was juggling between wanting to go big enough to never feel like I made the wrong choice, and small enough so a double bubble couldn’t occur. I ended up with a double bubble because I went too big. Again because I thought I knew best. Let me show you the statistics I couldn’t see because I was blinded by that damn number…
IDEAL Implant. I am a 12.0cm bwd in both breasts. My left breast is significantly smaller than the right and requires a different size implant.
370cc fits in an 11.8cm bwd 
405cc fits in a 12.0cm bwd
440cc fits in a 12.5cm bwd
There’s a chart online you can find with all this information for the different sizes. 
370cc originally for my larger right side and 405cc in my left. This would have fit my bwd almost perfectly. Dr. Yates knew what he was doing! I didn’t even notice the bwd importance, all I could hear are numbers. The crease of my left side needed to be lowered, so the risk of a double bubble was already there. I might have avoided it completely if I had just gone with the correct bwd implant. Instead I went with 405cc in my right and 440 in my left. A .5cm wider implant. 
When deciding on the size I wanted to go, I did not bother to look back at the bwd. I almost left the office that day with the original recommendation but I had two things on my mind causing me anxiety and agitation. The first thing was actually the 3D vector image. I thought my breasts looked too small and frankly scary. I wish I had never seen that! Haha The sizers worked much better for me than that freaky little 3D Vector image of my boobies. The second thing was of course the number 400cc… I couldn’t leave feeling so much doubt, so I turned around and had the office order me the size up and I actually felt really good about it. Looking back I realize I shouldn’t have relied so much on how I “felt” but instead rely on the stats, the bwd number. I normally rely on stats and logic, so looking back I am just annoyed at myself for not being true to who I am, to let me feelings make that decision for me is such a disappointment, so much I can’t explain it. 
The next morning I went in for surgery, was measured one last time to see if the larger implants would work, and Dr. Yates said he could do it. I should have stopped him there and asked, “Will I get the results I want if I go with that larger size, I want breasts that fit within my frame that are large and full, with no risk of double bubbling?” And then reinforce my inspiration photo. Because I have a feeling he would say, they won’t look like that photo they will be bigger and we are going outside your natural breast diameter, so the risk of a double bubble is definitely there. And that would have been the moment I would have realized we needed to go with the smaller size. 
This is on me. Not on Dr. Yates, he did everything I asked and what I asked for was the wrong thing. I’ve toyed with the idea of getting them redone to that smaller size. But I can’t justify it yet. I haven’t emailed him asking for a quote or anything yet either. I hope to stick it out for another year, work really hard on getting into great shape, maybe with an increase of muscle mass I’ll feel like they look more proportion to my body. I have gained about 8-10 lbs since surgery so maybe I just feel pudgy and top heavy. Sometimes they remind me of big ol’ utters, which is just scary. I feel more confident with clothes on than without. But again maybe that has to do with the weight gain. Regardless, I can tell you this is really how I feel about my IDEAL implants 4 months post operation. 
Let me know what you think. Are they too big? Do you think the double bubble/size is worth another surgery?

Provider Review

Board Certified Plastic Surgeon
2121 N. 1700 W., Layton, Utah
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I had previously seen one other plastic surgeon in Tacoma, Washington and after the 30 minute discussion we had about my breasts and what I was looking for I just knew he wasn't the one for me. After having that experience I decided to just take the risk and set my pre consultation and surgery down in Salt Lake City. I had been looking into getting BA for about three years and Dr. Yates's website was one of my main sources of information. He was one of the first surgeons I ever looked at since I became interested in BA while I lived in Provo, Utah. As I continued doing more and more research I kept coming back to his website to compare other surgeons to Dr. Yates and no one -I am telling you- no one could even compare. From the professional quality, lighting, and plethora of the before and after photos, as well as the actual breakdown of costs, pros and cons to the super detailed information about each implant offered, no other plastic surgeon's websites where I looked in all of Seattle, Bellevue, Portland or San Francisco stood a chance against Dr. Yate's in Layton, Utah. Since I had recently moved to Seattle, I was now an out-of-state patient so I did an online consultation with him where I privately emailed him photos of what I already had going on, some inspirational/wish list photos as well as some "please do not give me these type of boobs or I will die" photos. He was super responsive and I already felt like we were on the same page with what I was looking for. Meeting him for the first time felt like I already knew him. He was very kind, listened to everything I had to say, told me straight how and why certain photos I showed him worked and didn't work with my breast situation. Some of my main concerns were where the nipples would face, from the profile position I didn't want my nipples to be pointing down, I also didn't want the volume above my nipple to be greater than the volume below. We discussed implant size, took photos, checked out the 3d imaging software and tried on sizers. The whole experience just felt so good. I didn't feel nervous at all knowing the next day I would be going under for surgery. I had his personal cell phone number, his staff were all super kind and responsive as well. Very professional and very personable. Flying down to Utah to go to the right surgeon was the best decision I could have made. Let's not forget about the anesthesiologist. I knew for a fact I didn't want a tube stuck down my throat to assist my breathing. I will breath on my own thank you so very much! He sat down with me about 10 minutes before surgery and went through my history, told me exactly what would happen and I knew right away I would be totally taken care of. To be honest, anesthesia to me is scarier than the actual breast augmentation surgery, so not only was I looking for a skilled surgeon I was also looking for the right anesthesiologist. Dr. Yate's office literally had everything I was looking for. Oh also, the certified surgery room was conveniently located in the actual office i had the pre-consultation in, so I didn't have to be in some nasty hospital which was not only safer but ended up saving me money as well. I recommend Dr. Yates wholeheartedly. He carries every brand of implant, in lots of sizes and profiles and is prepared and happy to help achieve the look you are going for. He was super upfront with exactly what he was thinking, which implants he would overfill and to how many cc to give me the symmetry I so desperately needed. He sounded like not only a super educated surgeon but also an extremely skilled artist. I am 5 days post operation, off all medication except for the mandatory antibiotics, feeling great with full mobility and hardly any pain. Boobs are still swollen of course but they are getting softer and softer everyday!