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Nipple Sparing Double Mastectomy W/ TE's & Reconstruction. Springfield, MA

UPDATED FROM Marie Mello
3 months post

Revision Sientra Textured HP 440cc~ 5' 4.5" 145lbs, Had nipple sparing mastectomy w/ recon

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Marie Mello
WORTH IT
Hi everyone. :)
I had my Revision of former Breast Reconstruction yesterday morning (April 13th, 2015). It went great!
Here are my STATS so someone can possibly relate to my measurements and get an idea of their own situation/future. :)
34 years old. 5' 4.5" 31.5" rib cage (below breast area). 145lbs got to love gaining mastectomy pounds!! (Working it off ASAP) lol. HAD Sientra Smooth Round 320cc implants Moderate Projection (way too small for me and I had tons of excess skin and indents....swapped them during a revision yesterday to: Sientra Textured Round High Projection 440cc's which fit great!

I received Sientra Textured Round High Projection in 440cc's which was an excellent width (12.8cm to close the 4-finger gap where cleavage should be) and also have great fullness which I love.

I still have a couple small dents, as we knew I would, which I may or may not get fat grafting...I know nothing is perfect, especially this road I've been on, so if these dents don't become more prominent, I'll just leave them. :)
I was able to get a few pictures of before surgery all marked up and also a handful of pics when I lifted up my binder that I have to wear until post-op to help keep my form nice.
I'm so happy with my results so far, and can't wait to see my future progress. Lots of pain, especially on left side where incision is...I asked PA what it's from, she said my skin was very thin under my fold and they had to cut and tuck it under while stitching it in place. It's a deep stabbing pain- pain meds work to a point, but I may need a relaxant. I'll see how today goes. :)
Hope you enjoy my surgery journey with pics from yesterday.

Marie Mello's provider

Melissa Johnson, MD

Melissa Johnson, MD

Board Certified Plastic Surgeon

Marie Mello

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Replies (5)

April 14, 2015
Looking good! Very happy for you. My exchange was 1 month ago to 700 ml smooth round hp mentor, I wear a size 14/16. It's looking a little less flat on bottom as I think they are settling in. Take it easy:)
April 15, 2015
Also, wanted to ask why textured implants were chosen this time and not smooth? Take care.
May 8, 2015
I am recovering from a staff infection after 7 week of radiation and my plastic surgeon had to have an emergency surgry to take out my expander. I am told that they want my skin to heal before they start the reconstruction. My question is to you. Did you have a hard time lifting your arm after all the surgery's. I have had the nipple delay, then mastectomy and expander put in but after the radiation I had a huge staff infection that took my breast. I'm recovering now but still can't lift my arm straight up over my head. Radiation Doctor said I rejected the expander ( had it done in Dec.2015) Plastic surgeon said it was all caused from radiation. ??? No one can tell me why.
May 15, 2015
its so awesome that you are happy!! Who did your last revision Dr. Parikh? how are you feeling 1 month out from your revision?
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April 21, 2016
I think you look fab. Hope you're recovering nicely, you're a beautiful woman.
UPDATED FROM Marie Mello
2 months post

More pics of flaws

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Marie Mello
See other update for full details :)

Replies (1)

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April 17, 2015
Trust me your scars look great. I don't know if mines will eva look that good without a laser treatment or something.
UPDATED FROM Marie Mello
2 months post

New surgeon fixing the mess

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Marie Mello
Seeing Dr Parikh Springfield MA for his professionalism in fixing (doing revisions) of reconstruction. Looking for 545-595cc Sientra Textured Round high profile "gummy" implants. If he can't fit that amount, back to TE's for short time.....so blessed insurance paid!
Surgery date: 4/13/15 (coming up in 2 weeks!!) :) here are pics of NOW: 320cc Sientra Smooth Round Moderate profile hunny implants. Major flaws after 2 short months.

Replies (4)

March 31, 2015
Why all the extra skin now? What caused it?
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March 31, 2015
It's from an implant that is too small for my amount of skin I have left. ;) It will be corrected once a larger high profile implant is in.
April 1, 2015
I have 600 cc's in my tissue expander...that's the most the TE will hold. What size implant do you think that will be?
April 1, 2015
What did you have your TE's filled to for him to put in a 320 cc implant?
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April 1, 2015
They could fit anything from 550-650cc's (sometimes that overfills it to fit a nice implant in there with a nice pocket and enough room. It truly depends on what size you'd like to be. :)
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April 1, 2015
I had my TE's only filled to 160 cc's before left side fully ruptured from scar tissue keeping the TE from expanding and it bursts inside. The surgeon fit me with a 320cc which was great for about a week to 9 days and then they flattened out and sunk down a bit. New surgeon is going to place Sientra High Profile (440-500cc's) either in textured or smooth round. I'll know once I awaken :) I asked for projection and some cleavage.
April 2, 2015
Best of luck to you. Praying it is a success.
April 2, 2015
I wish you the best! Keep in touch:)
April 4, 2015
I have TE now filled to 340 and scheduled surgery w 370 sientra shaped- PS recommended shaped for my size. I'm hoping that I make the right decision based on his suggestion. Praying for no rippling- very little now unless I bend over. Your scar placement is great- mine comes up way higher- I questioned original PS and she said that's typical placement- yours is much better!! Good luck w upcoming surgery.