Treatment Provider

Douglas L. Gervais, MD
Board Certified Plastic Surgeon
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Photos at 18 months


18 Month Update. Revision Required.

I've put off posting this update mostly because I'm not happy with my results and don't really feel like there's a viable solution to the situation. Essentially, my left breast is bottoming out, has a significant scar, and needs revision. I am not happy with the placement of the right implant either. I have persistent pings and twinges (pain) on left side near crease and sternum and have discomfort if I don't wear a bra 24/7. This asymmetry of the dropped breast is very apparent even in a sports bra under fitted t-shirts at the gym or any lighter colored fitted tops/dresses, and so I am resigned to black mostly. Also, when I lay on my back I feel as though the implants slide to the side which I've been told is a result of the pockets being over-dissected.

My PS offered to do a revision on the left breast only as the right was fine in his opinion. Essentially, his approach was to raise the pocket to match my right breast by stitching the pocket and scar tissue into the rib. Price quoted after he discounted his fees was around $2,300. I went to another award winning PS in the area who said he would use internal silk material (alternative to strattice) to strengthen pocket and support implant (he thought stitching scar tissue to rib would just stretch and bottom out again) and would revise both as I wasn't happy with placement of either. This would cost around $8,000 and slightly less if only one breast was revised.

During pre-op appointments my original PS said he would be lowering my right crease to match the lower breast (one that is bottoming out). I wasn't able to visualize how this would effect my results and trusted his judgement. In retrospect, perhaps it would have been better to raise the left side to match my original right crease (I'm not a PS but perhaps this would have yielded better results).

In sum, I feel like I researched and chose one of the top docs in the city and still didn't get the results I had hoped for. Despite my results being not that bad (not his exact words) I don't think he would ever feature my photos on his web gallery and that is a strong testament in my opinion. Further, would I frolic on a topless beach in France...maybe but never with these breasts I went out on a limb financially and am still paying off the original procedure. Unfortunately a revision is out of the question.

Luckily, I have a wonderful boyfriend so isn't a perfectionist and has remarked that he thinks they are quite soft and natural feeling. On the positive side, the procedure, recovery, and staff was amazing. I do appreciate Dr. Gervais' skill and professionalism and so am saddened by my outcome.

3 Month Update

Posting a few photos about 3 months post op. Had a nice visit with my PS a few weeks ago and he recommended a silicone scar gel (SkinMedica recovery gel) to use twice daily before and we would reassess at my 6 mo follow up. We also discussed the asymmetry and lower position of left breast (and movement of incision up breast). Again, something to keep and eye on but he thought there wouldn't be too many more changes after 3 mo.

After looking at my wish pics and comparing results to other women with similar stats it's pretty clear that my breasts look "bottom heavy" (notice nipple is creeping up to center and more breast volume below nipple). I feel like I should have a perkier look esp in light of never having children and having good muscle tone. I'm not sure if this is considered classic bottoming out, but it's not the result I was going for. I'm also very envious of other women's scar healing and placement. This TMI, but I've just started dating again, and am absolutely embarrassed by my scars and not looking forward to explaining them away to a new bf. Sigh. So far I'd give my satisfaction level with this BA about a 6. At least I look better in clothing and swim suits so I guess that's a plus. Sorry to rant. Been holding it in a while;) Here's to hoping things improve....cheers all :)

Provider Review

Board Certified Plastic Surgeon
4825 Olson Memorial Hwy. (Hwy. 55), Minneapolis, Minnesota
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