Treatment Provider

Andrea Marando, MD
Specialist Registered Plastic Surgeon
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Having carried out all my research on sites such...

Having carried out all my research on sites such as RealSelf prior to making my own decisions about breast surgery, I thought it only fair to share my experience with everyone, in the hope that it helps others make informed choices.
I am sixty years old and have always been slender and have had small breasts. It's never been something that really affected my life, but I had always yearned for a more feminine shape.
I looked into breast augmentation about fifteen years ago, but had done no research, and was shocked to find that I would have to have the implants placed below the muscle. I wasn't keen on the idea, that and my lack of funds at the time, put me off pursuing it further.
Then a couple of years ago, I really got into working out. I've always kept myself pretty fit, but I started lifting weights and began to make significant changes to my body shape.
This was great, but it also magnified the fact that there was nothing I could do to change the shape of my chest, no amount of weight I could lift, no distance I could run, that would give me the feminine shape I was looking for.
So I started looking at breast augmentation again.
I had a couple of consultations. At the first, I felt rushed, and I did not feel that I could strike up any rapport with the surgeon.
The second was with Mr Marando at his consulting rooms in Manchester.
I was with Mr Marando for my first consultation for an hour and a quarter. I went on my own and it was really important to me to feel at completely at ease with the person who would potentially operate on me. Quite a tall order, after all, it's not every day I sit in a room, talking to a man I have only just met, about my breasts.
Mr Marando is an extremely likeable man, he talks very quickly, so he fits a lot of information into the consultation :-). He gave me all the information I needed to make a decision, and based on my (then) current physique, set my expectations as to what I could expect. If I had decided not to go ahead with the procedure, it would have been a totally informed decision, and the consultation would have been just as worthwhile.
However, I decided to go ahead feeling fully confident that Mr Marando was the right man for the job. I went home and spent the next month looking at pictures of breasts, trying to decide what size and shape I wanted. At first it was fun, but then it turned into a real chore.
Eventually, I selected pictures of my "wish boobs", and went back for my second consultation, at which we decided on 375cc, teardrop gummy bear silicone implants Nagor XM3-375 , to be placed sub-muscularly. Mr Marando said he would take the next size down into the operating theatre as well just in case 375s looked too big.
My procedure date was set at 6th March 2017 and was to take place at 52 Alderley an HCA hospital in Wilmslow.
The day arrived and I presented myself at 52 Alderley.
This is a very new hospital, and feels as beautifully hygenic and friendly as you could wish a hospital to be.
I chose to have the procedure under general anaesthetic, so after the myriad of form-filling and more form-filling was completed, and I was marked up before the op by Mr Marando, I was taken into theatre completely unconcious.
In what seemed like five minutes later, I was being roused from my beautiful sleep by the nurse. It was over!
My chest was enclosed in a binding of foam-backed tape, so I couldn't yet see the results of the op. I could feel no pain as I was still under the affect of the anaesthetic. Later, I was given codeine, just in case.
I had a great choice of sandwiches for lunch (including gluten free) and I was definitely ready to eat, as I hadn't eaten since the evening before.
Mr Marando came to see me before I went home, he informed me that the whole procedure had gone well, and he was pleased with the result. I was sent home with a bag of painkillers and antibiotics.
For the next few days I was very tired, I had been told not to raise my arms or to reach out to the sides. That took a bit of getting used to. Although, certain movements were very uncomfortable, such as going up and downstairs, getting in and out of bed, anything that involved moving my torso basically, I didn't actually feel any pain that I felt warranted taking painkillers. I have a high pain threshold, so I think I am probably unusual in this.
I woke up in the mornings with back ache and an uncomfortable heaviness in my chest for about the first two weeks.
I had taken a week and one day off work; my op was on Monday 6th March, and I was going back to work on Tuesday 14th March. By Friday, I was beginning to worry that I would not be able to go back on the Tuesday, as I was still very stiff. I was worried that I wouldn't be able to drive.
On Monday the 13th I went for my first post-op consultation with Mr Marando, at which the dressings were removed.
Wow!
My breasts at this time were very swollen as was the tissue surrounding them, so they didn't look too natural, but despite that I was completely smitten with them. They were way beyond my expectations. Being sixty years old, I didn't think I was going to get such amazing looking breasts. You will see in the one week photo, that my belly is also very bloated, this I was told was normal, and my shoulders are hunched forward, as I was still feeling quite stiff. So not an altogether attractive set of photos, but they do look better in real life, honest.

After my consultation, I went to the hairdressers to get my hair washed and dried, as although, with the dressings off, I could now have a shower and wash my hair (Yay!) I still wasn't able to style my hair myself
The next day I drove to work for my first day back. I was a little anxious, as my movements were still slightly limited, but by Wednesday, I had completely lost my anxiety about driving.
Would anyone at work notice? Well, I have been back for a month now, and nobody has said a word.
It is now 10th April and 35 days since my op. I can do pretty much everything now, apart from lift heavy weights.
A lot of the swelling has gone down; my boobs are beginning to soften up, although they still feel pretty solid. The scars are healing beautifully. They are beginning to feel like part of me now as well. At first, they looked as if they belonged there, but they didn't really feel as if they did. I didn't feel they were safe unless I was wearing my sports bra, it kind of felt as though they would fall off (lol!).
Tomorrow I have my one month appointment with Mr Marando. I shall post some more pictures after this

Provider Review

Specialist Registered Plastic Surgeon
Gallant House, Altrincham,
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I would happily recommend Mr Marando to anyone who is considering breast surgery. He is obviously experienced and very competent, but he will also listen to you and give you considered feedback on your desired outcome. He and his assistant Martina, are both attentive and courteous. I received phone calls from Martina following the op to check on my progress. I really cannot fault them. And I am over the moon with the result.