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6-months post-op update
I'm very pleased with the results. I'm so glad that Dr. Krochmal suggested the larger 440 cc implant size because my breasts have turned out well-proportioned to my torso. There are days I think I could have gone even bigger, but, as is, my clothes fit so well now. The scars are still reddish but not raised and are well hidden under a bikini top. Breast fold insertion is best for shaped implants so that the pocket can be sized and shaped to snugly enclose the implant to assure that it stays vertically oriented.
The dual-plane submuscular placement does result in some animation when flexing my pectoral muscles, so if that's of concern, subglandular or subfascial placement would be a better choice. I was more drawn to the lower risk of encapsulation occurring with submuscular placement.
These highly cohesive silicone implants are firmer than the gel type so as to maintain their anatomical shape. My breasts felt very firm soon after surgery, but they have become much softer with time, and now match the density of my natural breast tissue. With a push-up bra, I can achieve a modest amount of cleavage on those occasions when fashion calls.
These shaped implants do not "bottom out" as do other types. There has been some settling to the point where a definite crease has formed, but not to the extent that I pass the pencil test, if you know what I mean. These implants also do not lose projection when lying on my back the way saline and round silicone gel implants do. But I have no trouble sleeping on my stomach, and, of course, these implants will not rupture the way others do. Even so, I purchased Mentor's MemoryShape Extended Warranty for $200 that extends their product warranty from 3 to 10 years.
Three Months Post-op
As a trans woman nearing the end of my transition...
Provider Review
The first thing I noticed about Dr. Krochmal was how handsome he is. Okay, I know that's not what this review is all about, so I'll focus on more substantive matters....I did a lot of research on plastic surgeons in the Chicago area looking for one who I thought would best meet my breast augmentation needs as a trans woman, now 3 years into my transition, and having topped out at small B-cup breasts. I was looking for a surgeon who is comfortable working with all the implant types and sizes, placements, and incision locations to select a method and product appropriate for my age, frame, and self-image. Dr. Krochmal spent nearly two hours with me during consultation to come up with what we both agreed was the best plan. I had many questions which he answered in detail, even acknowledging one or two that he didn't have an answer for. Dr. Krochmal put me at ease right from the start, and being transgender was not an issue in any way for him or his staff. I felt very much at ease preparing for and going into surgery, having met the attending nurse, Jodi, and visited by the anesthesiologist who answered a few questions I had. Every step of the way was carried out in an organized, professional manner, including my interaction with Jill, the patient coordinator, and the people at the front desk. Everything proceeded smoothly from initial consultation to final follow-up. I was very impressed. My recovery was monitored by the doctor in three follow-up appointments that were quite routine because I experienced no complications, and my incisions were healing beautifully. Dr. Krochmal even suggested a treatment for some old hypertrophic scars that had not healed well. I appreciated the fact that MAE Plastic Surgery is located in a NW suburb of Chicago with plenty of free parking. I have no reservations about recommending MAE Plastic Surgery and Dr. Krochmal.