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*Treatment results may vary

Photos 6 weeks (I think)

Grrr...photos did not attach.

On the plus side...

I'm attaching a current photo. My right breast is slightly higher than my left, but I'm hoping with time and massage they will even out. If not I'm still ok with the result. My nipples are looking more circular, which is good.

On the plus side workouts have been going well. I've been able to run some, swim (before spitting stitches), use elliptical, bike etc. I'll get there:-) It's much easier than post-partum workouts!!! (I also didn't work out much my second pregnancy.)

I've started back to some weight training (lots of lower + some upper). I was even able to do 2 sets of 5 push-ups :) I could do 2 sets of 20 pre-op, but I want to build back-up slowly/conservatively. I could see a 5K in the near future :-)

Spitting Stitches :(

Well, at 4/5 weeks when my scars were all nicely healed + I got the go ahead to resume workouts swimming etc gradually to normal, I hit a bump in the road. At 5/6 weeks my right breast started spitting stitches on the T part of the incision at the bottom of my breast. It looks awful (like a giant pimple + I have like 3 or 4 in a row) :( I was worried it was infected because I had been swimming + such, but I think it is fine. There is some pus + blood that come out (ew gross!) and one the stitch actually came out when I was cleaning it with hydrogen peroxide. Regardless I'm going in tomorrow to have the doctor take a look + to be sure. I guess this happens, but it is not a fun bump in the road with recovery. Apparently it is kind of like a splinter + the stitch has to come out for it to start to heal. Other than the ugly looking scar underneath I am very happy with my breasts, size, feel, shape etc. I'll add some photos shortly. I just wanted to share for anyone else who runs into this ugly bump in the road.

Provider Review

Plastic Surgeon
Punta Pacifica Hospital, Panama City,
Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

I really like how professional and friendly my doctor is. His staff is amazing (especially Nitza and the nurse Lily yesterday). He has been awesome about spending time with me and answering my questions. I was so nervous the first visit and he was very calm in dealing with me. Wait times have been on longer side compared to US, but that is always the case in Panama so it is one of those things you come to expect + get used to here. I researched Dr.Picard-Ami in-depth and I was very impressed by his credentials before going in to meet with him. It is very scary looking for a surgeon outside of your comfort zone + when you do not speak the native language of the country well. Not only was Dr.Picard-Ami impressive on paper, he truly cares about his patients, the final outcome + he is an impressive surgeon. He was so wonderful during all the pre + post op meetings so far and I would certainly recommend him to anyone I know based on my personal experience with him here in Panama. I am so thrilled with my results so far!