Treatment Provider

Bryan Gawley, MD
Board Certified Plastic Surgeon
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Keeping it real

I would be remiss if I didn't include the fact that yes, recovery is no walk in the park. I don't want to oversimplify this by any means in my review above. Sleeping in a certain position, not being able to lift much of anything nor put my hands over my head, and feeling very sore and right were indeed elements of this surgery that are just impossible to avoid. But these annoyances pale in comparison to the satisfaction I feel from the results I've gotten.

After having two kids and finishing nursing, my...

After having two kids and finishing nursing, my breasts were sad. Always a natural full C cup, my breasts had decreased a cup size and were left looking deflated and saggy. I knew going into my consultations that a full anchor lift plus implants would be recommended, and I was prepared to undergo the two procedures at the same time. As I described to my PS, I desired lifted, round, and firm breasts with considerable upper pole firmness. We agreed that a full C/small D cup would be perfect for me - a size that I could play up with the right bra and top, but also remain demure if I should choose to do so. I didn't want the sheer size of my chest to prevent me from achieving a "girl next door" look; at the same time, I made it perfectly clear that I wanted a distinct change in size from what I was currently sporting. We also discussed areolar resizing, as my nipples were a little on the larger side. This resizing is done as a part of the mastopexy (lift) procedure.

In August of this year, I underwent a full anchor lift with 397 ccs of silicone implants, placed under the muscle. I also decided to receive (for an additional fee) a local anesthetic administered during the surgery to optimize my pain management post operatively. I filled my pain prescriptions as well, just in case. A couple hours later and I had my new boobies! Pain management was a breeze (thanks to the additional anesthetic); I only took about half of the prescribed pain medication. I had my post-op appointment the following day, during which my ace bandage and cotton was removed, and I had my first glance at my new breasts......I loved them IMMEDIATELY! I had some swelling, of course, but I could clearly see what was achieved: upper pole fullness, beautiful round shape, and no signs of droopiness whatsoever. The size was exactly what we had discussed. I also luckily got away with zero bruising. The nurse fitted me with a frontal closure sports bra and informed me that I could switch into any comfortable sports bra upon returning home.
A few weeks later, I had my second post-op appointment and everything continued to look great - the implants have settled nicely so while I don't look as swollen, I have still retained the upper pole fullness I desired. I've played around with different sports bras for fun, and wore my bikini for the first time at about 3 weeks post-op -- it was one of the best feelings I've had in a really long time!!! Now, at almost 6 weeks post-op, my mobility is increasing as I am able to have a larger range of arm motion without feeling my incisions under the breast. I have been careful to follow all post-op instructions (lie on back, not side or tummy; do not lift more than 5 lbs for the first 4 weeks, minimal physical exertion, etc), and although I "cheated" a few times with lifting (I have a four year old and a two year old, come on!) I feel that abiding by these guidelines has really helped this healing process go as well as it has. I am now using Maderma and silicone strips on the incisions for faster healing and to make the scars as invisible as possible. Would I do this entire experience all over again? Absolutely. I am so, so happy.

Provider Review

Board Certified Plastic Surgeon
8913 E. Bell Rd., Scottsdale, Arizona
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Doctor's bedside manner
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Highly, HIGHLY recommend!!!! Dr. Gawley was my last consultation out of 5. The moment I met him, I knew in my heart that he was the guy for the job. He is extremely friendly and easy-going, yet listened intently to me when describing my post-op goals. After his examination, we discussed realistic outcomes from surgery, as well as his recommendations for the best way for me to achieve the look I wanted. Dr. Gawley exudes an appropriate, honest confidence in his abilities, and I immediately felt I was in great hands. Each of the staff members I encountered - from administrative staff, to his patient coordinator, to his nurses and anesthesiologist, was courteous, friendly, knowledgeable, and accommodating. Just before surgery, he came in to review everything we had discussed so that I felt calm and reassured. Most importantly, I feel that Dr. Gawley genuinely cares about his patients - not only for their physical outcomes, but for their well being as it pertains to how they ultimately feel about themselves as a result of the surgery. I had surgery in the morning; he called my home that night to see how I was doing. His nurse called me that very day, as well. My calls were always returned promptly. And the bottom line is - which I think we can all agree is the bottom line in these matters - he gave me EXACTLY what we had discussed and what I had asked for, with clean incisions that are healing beautifully. I feel that cosmetic surgery is such a delicate combination of science and artistry; when you take the risk in allowing someone to alter your appearance, you only hope that that person is equally strong in both areas and uses them in harmony. I LOVE the outcome, and I'm so happy that I followed my instincts and teamed up with Dr. Gawley.