I got my BA in mid April. I’d never really considered plastic surgery and while unhappy with my lack of breasts throughout my teens and twenties, I found peace in my thirties, got married, had kids etc. I wore a 36A bra and while I could never fill it out it was ok.
Then last year one of my best friends decided to get a BA and it piqued my curiosity. She sought out one of the top surgeons in the area, her results were stunningly natural, and her surgery was a breeze. We were out to dinner a couple of days later and she raved about how excited she was to go swimsuit shopping.
And for the first time, in my forties I wondered what it would be like to actually feel good about my body for once. And so I decided to go for it and with the same surgeon.
My doctor went to a top school, has been practicing for twenty plus years, has a bustling practice, and has graced the pages of fashion magazines and best-of lists. I hit it off with her in my consultation and knew we were in sync on aesthetics and the idea of going small. She looked at my breasts and she said I was a great candidate.
A week before surgery I had my pre op sizing appointment and that’s when it started to go south. A nurse put me in a room with some disclosures to sign, a bag of implants, a sizer bra and made some suggestions. The doctor was running late and I was on my own for nearly an hour before she came in, rushed, and asked what I was debating. I told her I just wanted to be a B cup. She put the 255cc in the bra and said that would be a B and I said ok. She said she was excited to see me in surgery the next week.
The day of surgery I met with the anesthesiologist who explained what would happen and shortly after I was escorted into the OR and seated on the operating table. My surgeon wasn’t there and the nurse said she must be on her way. But she wasn’t. So they started paging her. The anesthesiologist left and the nurse said she’d call him when my doc showed up. More paging. Then the nurse said “She better show up soon. We have a hard out today.” I was filled with dread knowing my surgeon was going to be rushed. The nurses and I made awkward small talk about remodeling, the virtues of uber, rent control, and one’s own experience with a BA. I studied the trays of surgical instruments and got increasingly uncomfortable, missing the pre op lounge. More paging.
Finally she arrived and apologized and said she was on the phone. She flipped open my chart, confirmed my 255s and asked me to stand so she could make some markings and it all happened within a minute or two.
Post op I removed the ace bandage and I was confused. For one I still had an electrical lead glued on my torso which reminded me again what a hurry they were in. But my right side incision was at least a half inch below my inframammary fold and below my bra line. The left side incision was directly in the fold. My right side also felt weirdly lateral. To top it off I put on my 36A bra and I could just barely fill it.
I raised the concerns at my post op appointment and she said I had pre existing asymmetry and she had to drop the fold on the right side in order to make the distance between the nipple and the fold more equal. She said my breasts looked pretty big to her. I was surprised since this asymmetry stuff was new info but I was also relieved to hear it was her intent to mitigate it by dropping the fold, and glad she was happy with the size. I trusted her and agreed to wait and see.
Seven weeks post op (pictured) I went back to see her and said my left side is high and socked in. It’s firm and barely moves. My right side slides around and is quite low. My underwire bra rides up and cant seem to support it. There’s also no curve from the fold under my right nipple toward my medial line.
She asserts that my left breast is so firm because there is more original breast tissue there and the pockets are indeed the same size. She said there’s nothing she can do about my right side because of my pre op anatomy and breast tissue. She can’t dissect the pocket to allow for a curve under the breast because there is no breast tissue there and there is risk of a double bubble.
She said I'm early for a revision since my left could drop up to another centimeter but if I'm too anxious she can drop my left implant and possibly swap that side to a smaller implant to match the right.
She offered if I want her to, she will open up my right and can try putting a couple stitches in to tighten it up but there’s nothing that will move the implant toward the medial line. She said if the fullness under my arm is bothering me then I should get a smaller implant. I definitely don't want to go smaller.
I am lost and full of regret. I considered having them removed altogether but with the right side scar below my natural fold and bra line I feel like there’s no undoing it.
I don't love that my surgeon is asking me to decide whether to open up my right side or not. And the idea that she believes or pretends that this is an acceptable plastic surgery outcome has shaken my confidence. I just want someone to advise me on a course of action that will result in attractive breasts and am currently seeking second opinions.
And painful lesson learned: Its important it is to ask what sort of results to expect and how it will be achieved.