Implant Exchange (Downsize), Breast Lift and Capsulorrhaphy - Marietta, GA

Attached are a few before pics and some 1 week post op pics (with shirt on). The nipples looks a little lumpy under the shirt due to being surrounded with tape. I will update soon with some post op pics without the shirt to show progress. The doctor decided to do a little bit of lipo under my armpits on my sides right around the bra line during the procedure to remove some of the excess fat and tissue that was present as a result of going smaller. That has been the most painful of the whole procedure. I actually don't really have any pain at all on the incisions themselves (of course they are still mostly numb) but the lipo area is SO sensitive and bruised. I do feel very tight, feels kind of like I can't stand up straight yet or else I might pull the crease incision apart. It may also be a combo of the capsulorrhaphy being on the sides as well, although the doctor said that should not cause much pain since he used existing scar tissue which has no nerve endings to close the capsule. On about day 3 I noticed some purple bruising on the nipples and started to freak out thinking it may be the start of necrosis. I had my first post op appointment and the doctor said it was normal bruising and everything looked good. They changed the tape over the incisions and after seeing the entire nipple, I felt a lot better and could see the tissue looked healthy. (The incisions are closed with internal dissolving sutures and covered in skin glue with tape on top). He advised me to change the tape every 5 days, and I will go back for a 2nd post op in about 2 weeks.

Just added some new 15 day post op pics. Things seem to be healing well. I changed the tape over the incisions today (doc said to change about every 5 days, not sure how long this will go on though). It is the 3M millipore tape in tan. Supposedly this helps to keep the incisions flat and prevent too much scar tissue from building up, as it tricks the skin into thinking it is scar tissue (at least this is what I have read!) I think I may be having the start of a few spitting stitches on the left breast in the vertical incision. I can feel some wiry edges poking out but no pain or anything, so I will leave them alone for now. I have another post op in about 4 days so we will see what the doctor says. The dark/bloody edge under the left nipple you see is just dried blood mixed with skin glue, it's hardened and isn't oozing; I will just wait on it to fall of naturally, as tempting as it was to just pull it off! On my sides on the rib cage right where the bottom of the bra line is it still feels kind of hard and very tender. I think this is where the lipo was because it's outside of where the incisions are and I think it's further out where he did the internal capsule repair. I will ask about this at the next post op. It also seems that my back around the sides where the bra sits is kind of puffy too right around the bra area but I am not having any unusual pain, leakage, or anything that seems out of the norm so I am sure this is typical.