41, Active, 2 Kids - San Jose, CA

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*Treatment results may vary

I've been considering a breast lift for a very...

I've been considering a breast lift for a very long time. I recently came across the Horndeski method and I am very intrigued by the possibility of no vertical scar. I found a doctor in my area who is being trained by Horndeski and I'm considering being his 5th patient. I've been pouring through reviews on Real Self to help me make a decision. Will the light, perky boobs be worth the risk, pain and scars?

Can't decide

I'm leaning toward waiting...still interested but just can't decide if the perky boobs will be worth the inevitable pain and scars. Took these swimsuit photos to help decide. What would you do?

Scheduled in September

Well, I've scheduled it and will go for a perconsult next week. I'm still a little nervous but am hopeful that it will turn out well.

Feeling Optimistic

My surgery is next week. ???? I've been watching another recent Horndeski patient for a couple of months and am so pleased with how she is looking. It gives me a lot of confidence to see recent work going so well. I'm going in to meet Dr.H next week and have my measurements done. I'm going to emphasize my desire to a) have a scar as close to the natural fold as possible and b) have balanced nipples that are not too high or too close. I've already spoken to my surgeon (Dr. Lowen) about this and he has been very receptive. Those two things seem to make or break the experience that people have with this method. I will also be hyper vigilant about after care and hope things go well for me. ????????

Pre Op Visit

My apt went very well. I met Dr H and Elisa and both were friendly and assured me that I was an excellent candidate for this procedure. They did a full mark up because Dr Lowen is learning. It was nice to go through it because I felt comfortable asking detailed questions about where exactly the incisions would go and also the size and location on my nipples. Details matter. After the Mark Up I asked if I could sit down with Elisa. I wanted to get specific recommendations about after care and since this procedure is new for my Dr and his PA , I wanted her wisdom. I can see why people like and trust her so much.

I waked away feeling very optimistic. I'm a good candidate. The length of my breasts (which I've always been self conscious of) is a very good thing for this procedure. Dr Lowen is meticulous and careful and wants to do a good job. Dr H has a ton of experience and will be there during the entire surgery along with Elisa. I know some people would be reluctant to be a "practice" patient, but I'm feeling good about it.

Post Surgery

The surgery took a long time and I haven't seen what's under this bandage yet but I'm optimistic. I like the size and shape and there is definitely plenty of upper pole fullness. I've got drains and pain meds and am just going to take it easy for a few days.

4 Days Post Op

I took off the bandage and showered today. I wanted to get my breasts into the bra asap in order to maximize the "shape as you heal" process. I have to say that it was a shock to see them for the first time. They look nothing like my previous breasts and I got a little faint as I looked down and saw all of the wounds. This is a very comprehensive surgery. I was under anesthesia for close to 10 hours. That is longer than it takes Horndeski but my doctor is still learning the procedure and he is very detail oriented. They had originally estimated seven hours of surgery time. As you can see I have a lot of upper pole fullness. They are definitely smaller and a lot higher. I was a low hanging 34DDD before and I'm a 34DD now. I'll probably end up a 34D once the swelling goes down. The scars are big but they look tidy so I'm hoping the healing process will make them minimal. The "divots" on either side (under the crease) I'm told will soften and round out (fingers crossed). I will have the drains removed tomorrow and I am very much looking forward to that.

2 Weeks Post Op

Feeling more like myself. Off all pain pills and antibiotics. Still wearing bra 24/7 (plan to for at least 3 months). Can get around and do life, just can't reach high, lift heavy or do cardio. Not painful but they are sensitive. Can't give good hugs yet. Get intense "tingles" from time to time. No doubt due to healing inside. Still no sensation in right nipple. Left working fine (almost too good). Overall very happy with results.

Bra's Matter

Thanks to another Real Self user I learned the importance of The Bra. In this procedure, after-care matters a lot. The breast mounds are reattaching to the skin around them and the muscles below them and The Bra is literally shaping them as you go. I'm capitalizing it because The Bra becomes a nearly permanent feature of your life for many months after surgery. You wear in 24/7. I only take mine off to shower and once I'm dry it goes right back on. I'm actually to the point of appreciating its support-most of the time.

These are the two that I've been using. Important features include: underwire, high center, no push-up pads inside, snug fit that gives lift, tightly fastened shoulder straps. I'm a full size smaller than I was before so I had to go out and get new bras. These are the two I'm using most. Notice the white tampon in the second picture. I've been using these to separate the boobs because they are very close together and I don't want perpetual cleavage. I've also been sleeping on my back (instead of on an incline) to encourage the breasts to move apart a bit.

Before & 1 Month After

I had my apt yesterday and got all of the tape off of me. Feels so good to be rid of it. The incisions have mostly closed up. There is still one small opening on the underside of my left breast that needs a couple more days to heal. I finally got to see my nipples without the tape and am pretty happy with the size and location. The redness you see is from my skin reacting to the tape. I should have taken it off a few days sooner. You can see how much fullness there is in these photos. I'm very happy with the size, location and shape of them. They aren't perfect but pretty damn close! For the next month I will be focusing on scar therapy treatments. I'm very happy with the location of the incisions and it is my mission to help them heal as smooth and flat as possible. I'll do a separate post on my scar treatment strategy.

Scar Therapy

I'm starting scar therapy today. The incisions on my right breast have completely closed up. I still have a small opening at the bottom of my left breast so I am using a patchwork system of treatments. I'm using the Embrace for the upper edges of the scars under my armpits. It's expensive but I want to make sure that those lines are as flat and smooth as possible. I'm using Scar Away underneath the breasts and possibly on the nipples.

My right nipple still has no sensation and there are patches on the outsides of my breasts that feel deadened. I'm told it can sometimes take a couple months for the sensation to return. I've been using a few supplements to support recovery and boost my immune system. Being in good health obviously allows the body to heal more quickly.

3 months Post-Op

First of all I want to say that I love the way my new breast look despite the fact that it has required a lot of work to keep them healing properly. Every time I shower I have to go through a whole ritual of moisturizing them, taking care of any minor openings, and then applying silicone gel and taping them to minimize the scars. I do believe that all of this work will pay off in the long run.

Around the two month mark, I had a couple of irritations along my nipple line. As it turned out there were a few rogue Montgomery glands that needed to be removed. My surgeonI moved them using local anesthetics. I was grateful not to have to go back under General anesthetics, but it was uncomfortable and took quite a while. My experience is uncommon, but not unheard of.

At the four-month mark I can stop wearing a bra 24 seven. I've been very conscientious about this. My breasts are still standing high with nice projection and good shape. They are also prone to dryness and peeling from so much coverage.

Cleavage imperfections

Not an angle people typically see, but these are the end of the seams at the cleavage. The right side has a fold that will need to be fixed. The left has a tiny "dog ear" that will be addressed around the one year mark. Both are hidden pretty well by the breast fold and not visible at all in a bra.

Scar Therapy Update

I used Embrace and Scar Away for a while but neither really worked for me. My skin was very dry so I needed something disposable. I found this silicone tape for $7 on Amazon and would put BioCornium underneath it. I'd apply it after I showered and leave it on for two days, then shower and repeat.

4 Months Later

I made the four month mark. This is the point I was told that I no longer have to wear The Bra 24/7. It feels nice to sleep without a bra again. My breasts are still very perky even though they have softened quite a lot. I still don't have a crease under my breasts but when it does happen the scars will be just above them. I'm happy with he placement of the lower scars. I'm still working on getting the scars on the sides of my breasts to fade.

Almost 5 months later

Here are my latest photos:
I still have nice fullness, there is still no crease below my breast. I wore the bra 24/7 for 4+ month and I think that helped.

I'm still having issues with Montgomery glands around the nipples. Not all of them were removed so they tend to flare up monthly in co junction with my cycle. The red spots you see on the nipple scar line are from that. My Dr has gone in several times to remove the glands but it was time consuming and difficult to have new stitches every month. I'm letting my body do its own thing to see if these glands will find a natural resolution.

I still have no sensation in my right nipple and right "side boob" under my armpit and across to my back. I'm pretty sure it's not coming back.

My scars are flat and colorless below the breasts (and in a very good location), but the scars on the sides are still quite purple. That's the most noticeable part right now. I look forward to them fading to a skin color.

My nipples are not perfectly even and that is truly the thing that I dislike the most, but overall I'm still very, very, very happy with my results and don't regret doing it at all.

9 Month Update

Loving the freedom of going braless this summer! Also love wearing strapless swimsuits that look great without anything holding up the girls! They aren't perfect but I love them!
Dr. Lowen

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