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Breast lift with implants mastopexy Horrible experience

UPDATED FROM mooretime

Update (pics) not pleased with Peter Raphael

mooretime
I started having strange symptoms, autoimmune problems, hairloss. My left breast was always hot. I got my implants taken out a few days ago by another surgeon. My left silicone Mentor implant had ruptured. I thought the new implants were safe(er). They’re not.
I’m happy they are out but was scared of what my breasts would look like after. I had dd breasts before. I have a C now and I’m 20lbs heavier than I was. Dr Raphael performed a mastopexy/lift when he put my implants in. I originally had large Areolas, and I loved them. I asked him specifically not to cut them small in the mastopexy. He said he’d only cut them down a little bit. His exact words. I was very explicit about this....And he agreed. My Areola is so small....when my nipple is erect I have no Areola. It didn’t look horrible with a big implant in, the implant stretched it out.
But now with no implant.... I’m just..... shaking my head. At post op, I asked him why he did that. He said He always cut them that small. I have a big nipple, I didn’t want it, it’s really not proportionate and my Areola has a sexual function on top of that.... I cried hysterically at my post op appointments. He said he cuts them all to 36mm, but he cut mine to 38mm. Mine are 35mm. That’s the size you’d cut it to if you were removing breast from a transgendered person. It’s suitable for a male. The smallest standard size for women is 38mm. A reasonable size for him to cut them down would have been a 40-42, considering I said don’t cut them down!! He said well what’s done is done. He didn’t give me a chance to say “no” you’re not my doctor. I have two breast two diff sizes. No Areola, it seems he liposuctioned my breast so I have fat chunks missing. I will not get another implant. I developed very bad autoimmune disorders and have researched Breast Implant illness. I’m praying my health improves. I’m thinking about possibly fat transfer to my breast but I need to know more about it and find a doctor I implicitly trust. I’m in no hurry. I would not advise anyone to do surgery with Peter Raphael. I did two other procedures at the same time of my implants with him also and had very bad results, and again he didn’t do anything close to what I asked.

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Peter Raphael, MD

Peter Raphael, MD

Board Certified Plastic Surgeon

4.8 | 46 Reviews
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Replies (2)

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April 24, 2018
Very sorry to hear about your auto immune symptoms. I hope they resolve. This may not be what you want to hear but you really don’t look bad at all, especially given your implants we’re just removed a few days ago. I have often wondered what my breast would look like if my implants removed; and I think I would be pleased if they looked as good as yours do now. Your scars have healed very nicely; and the overall shape also looks nice, imo. With more time your breast skin should tighten and the overall appearance should improve. Your areoles are small but as you say your nipples are contracted in the picture. 38mm is considered the ideal size by many. However give or take a few millimeters is not really considered abnormal, especially with a smaller breast size. Mind you 3 mm difference is .12 of an inch. The loose skin from just having the implants removed can also make give your areolas a collapsed appearance. I hope you will return in a few months to update with pics when your skin has tightened up some more. My two cents.
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April 24, 2018
Quick question: did you PS use permanent sutures with your areola reduction? If so having the permanent sutures removed would allow the areolas to stretch.
April 24, 2018
I don’t know if he did. I Peter Raphael doesn’t offer much information.
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April 24, 2018
You should ask your PS for a copy of your surgical records. It may be mentioned there. You could also ask if that is his usual practice (i.e. permanent sutures). Some people can also tell when pushing down around the edge of the areola the suture thread may be slightly palpable. Also the Doctor’s Q&A may be a good place to ask how to tell whether you have them or not. See links copied below to the other questions on the subject.

https://www.realself.com/question/montreal-qc-removal-permanent-sutures-in-areolas-years-after-benelli-lift-and

https://www.realself.com/question/doctors-permanent-stitches-the-nipples-for-donut-mastopexy
May 8, 2021
I think the after is much better with small as it’s more youthful
UPDATED FROM mooretime

Uneven breast lift with implants. (Picture)

mooretime
I’m going to get the implants removed. See what tissue I have left. Revise the lift. 80 percent of the consults I’ve been to, to try to fix this.... have said it’s an acceptable result. 10 percent say they can’t fix it. If it’s acceptable to you.....

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UPDATED FROM mooretime

Dr Raphael botched my boobs

mooretime
I left it up to Dr raphael to choose the implant size that suited me. I needed a lift and maybe a reduction but I don’t know what he did exactly. The implants I have 455cc uhp. They are quite narrow for my chest width. One breast is narrow while the other isn’t. He took fat somehow out of my boob so its narrow and doesn’t sit on my chest right. I wouldn’t have chose an implant that big. I had at least D’s to start with. A narrow uhp implant sits on my chest like a ball.

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