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POSTED UNDER Breast Augmentation REVIEWS

The Tale of Two Boobies - San Francisco, CA

ORIGINAL POST

I am currently going through the process of...

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sfscarlett
WORTH IT$8,500

I am currently going through the process of shopping for new boobies. I'm naturally a small B. I'm a runner - 5'8, 125 pounds, I like to think of myself as athletic.

I've been wearing padded bras my whole life and am really considering taking the plunge and getting my breasts augmented. I had one horrible consultation in Toronto, and one good one today back home in San Francisco.

Mostly, I don't want to go too big and look comical, or have pain while I'm running. I would love to even get away with not having to tell my family (they are so used to my padding bra I think it should be pretty easy. I'm excited to look sexier in clothes, look sexier naked and get a confidence boost from a more shapely body.

Today Dr. Chow and I went over my options. I think I m going to do Silicone, moderate profile, 397cc, through nipple incision. The date is tentatively set for July 26th. My husband is going to be undergoing a rhinoplasty 2 days before, so he should be recovered enough at that time to take care of me. I'm kind of a wuss about pain, and the recovery week is freaking me out so much right now. I'm doing research of the possible ways to make this week easier.

I'm nervous about making the wrong decision, the pain during recovery, and the possibility of something going wrong. I'm still only 80% sure I'm going to go through with it.

sfscarlett's provider

Karen M. Horton, MD

Karen M. Horton, MD

Board Certified Plastic Surgeon

sfscarlett

sfscarlett rating for Dr. Horton:

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Replies (5)

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June 27, 2012

Thanks for starting your story on RealSelf! Two days out from rhinoplasty isn't really that much. Any way you can give it a little more time? Your husband is still going to be feeling pretty gross and may not be much help to you.

I hope you're able to get the exact result you want from this! Looking forward to following your progress!

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June 28, 2012
I would go for option two, or picture #2!
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June 29, 2012
Thanks, I have been looking at the community pictures and the photos I see of girls who have a similar frame (small and athletic, 30 inches around). Trying to find one with the end result that I'm after so I have a good comparison. I'm very conscious of not wanting to go too big. Right now I am thinking the 370cc (middle picture above) but I may even contemplate going smaller. What is everyone's opinion of high vs. moderate profile?
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June 30, 2012
Good luck, you'll look great after. I just had mine done today. Pain is manageable so far. I like the way you look with the 370. High profile sounds good, not even sure which was chosen by my doc. He is very old fashion, he didn't want me to be too big or "fake" looking. Lol. Being that you are athletic you may think about them getting in your way. I was super athletic prior to car accident & most of my friends were also. Afew got breast augmentation and the ones who went "too big" for their frame wish they hadn't now. Their number 1 compliant is they get in the way. Just something to ponder on.
Good luck & Take care
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June 29, 2012
I got the high profile. My Doctor told me that high projects forward and moderate sometimes can give you a wider appearance. All I wanted was something natural and flattering for my body so I told him to make that decision once I was in surgery.
UPDATED FROM sfscarlett
21 days pre

I met with a new PS today because I wasn't crazy...

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sfscarlett
I met with a new PS today because I wasn't crazy about my initial consultation with Albert Chow. He just said a few things that rubbed me the wrong way, went off on tangents about irrelevant things, and spoke more to my husband than he did to me. He had recommended submuscular, silicone implants with a areola incision. I met with Dr. Karen Horton today to get a second opinion.

Dr. Horton has an amazing bedside manner and made me feel really comfortable. There were a couple curveballs she threw me that I hadn't considered before. She recommended subglandular silicone implants with an inframammary incision. I had never even considered subglandular so I went home and did a little research on the benefits of this method over submuscular.

PROS
-much less painful recovery as you are not cutting through the pectoral muscles
-provide a lift effect on droopy boobs without having to go through an actual lift
-fuller upper-plane (curve on top of breast) which can mean better cleavage in bras & tops
-lower risk of postoperative bleeding
-easier access to implants if you need to get them redone or have complications
-don't have to go through the "dropping" of submuscular implants which can take weeks or months
-less susceptible to motion deformities caused by the pectoral muscles pushing submuscular implants out of place

CONS
-can appear rounder or less natural looking because there is less "you" covering the implant (submuscular is said to have a more natural slope in the upper plane)
-thinner women with less breast tissue may be able to see/feel the implant, especially in the upper plane.
-ripples from the implant shell can be felt/seen easier (saline implants much more likely to show ripple than silcone)
-harder to detect breast cancer in a mammogram because the implant is in with the breast tissue (better detection with a MRI)
-as breast tissue ages and thins out, the implants can become more visible. Because you are increasing the breast's weight, it will also sag more, but will sag evenly (whereas in submuscular, you can get a "double bubble" effect from the breast sagging and the implant being held in place with muscle
-increased instances of breast feeding complications
-capsular contraction more likely because the muscle isn't constantly massaging the implant. This is debatable, also read a medical study that claimed no increase in CC. Out of 2500 augmentations that doctor saw a 5% CC rate in subglandular implants. Plus, almost all submuscular implants are only half under the muscle (at the top). Can you offset this with more massaging?

Excited to hear people's thoughts on this!

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UPDATED FROM sfscarlett
20 days pre

It's later that same day, sorry guys. Just...

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sfscarlett
It's later that same day, sorry guys. Just thinking about this a lot right now. Today I wore my padded bra and added another padded insert to try to achieve the result I am hoping to get from the surgery. I uploaded some pics of them in a sports bra and a tight tank top.

Right now they feel a little bigger, but I've been wearing them a couple hours and I think I am already used to it. I can't get over how much smaller my tummy looks with these in my sports bra! I feel so nicely proportioned with this size. For the first time I am actually more excited by the prospect of the surgery than scared. I am still worried about making the decision but I was researching more images of subglandular implants and they don't look any different to me than submuscular.

Going to call the patient references that Dr. Horton gave me tomorrow and learn more about their stories and journey. I now feel like I'm 90% there. I have another consultation tomorrow with a different doctor. I just want to feel I explored every option that was available.

Replies (3)

July 3, 2012
Hey scarlett~ I see you're in the process of choosing the best plastic surgeon. I visited 3 different ones and finally picked Dr. Epstein. He had excellent reviews from all his patients and offered Rapid Recovery too. I had minimal pain, wore no bands, had no bruising and took no pain killers! It was an amazing experience. Good luck and thanks for sharing your story:-)
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July 3, 2012
On the profile screen I thought you had it done....the padded bra size looks really good!!
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July 6, 2012
Hi! I am also athletic and I opted for subglandular implants, 335 silicone moderate profile. I am now 8 days post op, and you can see my review here: http://www.realself.com/review/osla-norway-breast-implants-26no-kidsfitness-competitorsurgery-june-27th

I'll be posting more pictures this weekend. I'm 5'6, so a bit shorter than you. To get the result you want I think you should go for 350-400 cc. It's always hard to tell, but I can definitely recommend the subglandular method if you are active. I went back to the gym a week later, albeit just for cardio. I went on the cross-trainer without using my arms, but it felt fine. =)