Awesome Job by Dr. Keith Jeffords (After Not So Awesome Job by Another PS) Smyrna, GA

I’m thin (5’11, 158lbs) and have always had super puffy nipples. They stuck out of my shirt, they were embarrassing and have prevented me from taking off my shirt for the last 15 years (I’m 30) and have been something that has been on my mind daily for as long.

Eventually, I got up the courage to discuss it with my wife, who was super supportive. Scheduled my consultation and was elated that I was finally, FINALLY going to get the procedure done. Did some research, found a board certified plastic surgeon in my area that seemed to get good reviews and scheduled a consultation. I should’ve researched the questions I asked better, but I figured, for a PS this must be pretty straight forward.

The first thing that should’ve tipped me off was the fact that I did not see a lot of before/after photos, however, when he started feeling around, he said I was an idea candidate for Lipo and that if he felt it was needed, would perform excision (but also said he didn’t feel hard glandular tissue that would warrant it). He seemed SO confident, I was sold.

Day of the surgery, I was marked up, sedated (w/ Local) and he did his thing. I was told 200ccs were removed. It seemed low to me since I’m thin, but figured it was primarily comprised of glandular tissue. He did not do any excision. 3 days later, I took off my binder for the first time and the contours were awesome, but the nipples, the reason I had this done didn’t look as flat as I would’ve expected for this surgery, especially the right one. I read on this forum that the body heals asymmetrically, so I figured it would eventually get where it needs to be, after all, the left side seemed improved (though also not what I would’ve expected).

During my first consultation, he was telling me how I looked great. I told him how I didn’t feel it and it didn’t seem like things were great. He was telling me how I’m early on and just kept smiling and telling me how great I looked. I was reassured and told myself that at the next apt, the swelling would go down and I’d have the chest I wanted.

Over the couple of weeks that followed. The bruising went away. The swelling went down, and the nipples were as puffy as ever (and actually seemed more prominent since I guess some of the fat around the area was removed) and I was devastated.

At the next consult, when CLEARLY my chest looked the exact same as the day before surgery, the PS told me I looked great and I could finally go running without my shirt. I explained my concerns and he told me that I just have more skin on my nipple and that is just the way it was. I found that hard to believe since 1. It looked the exact same as before surgery, when I ‘was a great candidate’ and 2. Because it’s a horrible, but fairly common condition we all have and I’ve seen people with the exact same ‘Befores’ as me with perfectly flat and great chests ‘After’.

A few months later, I booked a consultation with Dr. Jeffords, who met with me, walked me through an ungodly amount of pictures of Before/Afters of people that had exactly the same type of chest as I did. He knew exactly what he was talking about as far as undermining the skin, even if I didn’t actually need lipo to get the chest totally flat. Further, his PA, Ben was SUPER INSANELY good at answering my questions over the following weeks and never seemed frustrated at the 1000 questions I’d asked. Everyone put me at ease.

Simultaneously, I had another meeting with the original PS, where he finally agreed to do a revision. He said he would ‘donate his time’ and all I’d have to pay for was Hospital fees. I was put off by the fact that he was making it seem like he was doing me a favor, when I had the same exact nipples before and after. I was just 3K poorer. He told me he would perform the excision, but did not mention anything about Lipo-ing or undermining the skin. I knew at that moment that while he was a cheaper option, I couldn’t be reasonably confident that I was going to walk out with the results I was paying for.

I went with Dr. Jeffords and 1 week in, SO SO happy I did.

I was taken quickly and got marked up by Dr. Jeffords, who spent a lot of time pre-surgery going over any questions that I had, exactly what was going to be done and generally putting me very much at ease. I was excited and anxious. Mostly anxious about not coming out of surgery with zero perceptible difference (as above). They injected something in my IV and I was out like a light. It was my first time under general anesthesia and it was an interesting experience. One second I'm waiting for the drugs to kick in and the next second

... I wake up and its over. I was told everything went well and was already in my compression shirt and vest.I was in a little more pain than the first time with Original PS, but I was happy about that as it felt like 'more' was done... LIKE EXCISION!

The results LOOK GREAT! A huge huge improvement over last time. Totally flat. Right now I'm very very happy. I know there will be swelling and things like that over the next couple of weeks, but its such a huge improvement Smiley He also spent a lot of time with me today telling me how to care for the scars and just made sure I was totally comfortable.

I'll post after pictures that I got a little later on.

I've learned a couple of things:

1. Lipo ONLY is NOT enough
2. Going to an experience Gyne specialist makes ALL the difference in the word. Dr. Jeffords had a much clearer understanding than the original PS and its that knowledge and learning curve, of a very specific problem, that is worth the cost (and not having to get a revision).

Here you can see my pre-op pictures--->3 months later there was ZERO change

I posted 2 days post op Dr. Jeffords where the results were amazing and it will only get better as things heal.

The bruising is fading and regaining mobility more and more everyday. Most importantly, my chest continues to have very little swelling and things are perfectly flat! There is some creasing on the nipples, from formerly stretched skin, that I'm assuming will resolve over the next couple of months. Right now, my focus is on dealing with those drain scars. I purchased Silicon sheets today and am giving them a try. Will add more pictures shortly. Every time I lift my shirt up, its like the chest I always wanted. I go back at 4 weeks and at that point the sutures will be removed I believe.