Treatment Provider

Gary M. Horndeski, MD
Board Certified Plastic Surgeon
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I was concerned about if this could work on me. I...


I was concerned about if this could work on me. I am 40+ with dark skin and Hypo-tropic scarring issues. Initially we thought I may have been a candidate for a mini ubl, but once I went to get fitted for a bra at 3 different places(Dillards, Sonma,& Intimacy) I found that I was measuring as 32-34 G cup or DDD. Yet I had been wearing 36 DD, I was the wrong bra size obviously. I contacted them via email to see if I could have the procedure done on Feb 1st and they did make arrangements to squeeze me in.
I then contacted my primary doctor and made an appointment for blood work, UA, EKG and request a copy of Mammogram to be sent to Dr. H asap. Got the results back and was clear to have the full UBL.
Contacted Staybridge hotel and book a room (1 bedroom King Suite w/kitchen) for 5 nights. Purchase 6 bras on clearance from Nordstroms Rack (delighted to find my size). Then went shopping to find button down shirts to accommodated the drains and the fact that lifting my hands/arms above my head would not be allowed within the first 4 weeks.
Feb1 Day 1:
Get up and go to Dr. H's office to confirm what we are doing and how the procedure will be handled. He was very nice and yes he may talk fast for people that are not from the east coast, but I understood everything he said. Once we got done speaking my hubby handled the bill and then we went across the parking lot to the surgical center. We checked in and got prepped for surgery at 11 AM and I think we got started by noon. The time is fuzzydue to the sedation.
Work up sore and probably complaining about pain because it was painful. They gave me something and then I only remember waking up in the bed at the hotel.
My husband was excellent at draining the fluids over the next 72 hours post-op. I looked in the mirror the next morning and found I was swollen, my hands, feet and belly. I pretty much rested the entire day and loaded up on muscle relaxers & pain pills. Could those 22 saltine crackers have anything to do with that??? on to the next topic.
32 hours post op he and the PA came by the hotel to check on me and to remove the chest cast, so I could put the under wire bra on. We tryed on a couple and Elisa felt that the Chantelle Bras (http://www.herroom.com/chantelle,bras,support,cha001,001,186,24.html) would be best for me to start out in. Now this was for my shape and size of course.
Day 3
I am looking in the mirror as I get out of the shower and question was the best decision, because my breast looks deformed and much smaller. I did not have implants only a lift. I know what I see now is the swelling and really I can already tell that I have some relief of back pain. To soon for me to judge what I feel at this time.
They spoke with me an said thing will fall into place just have to give it time.
Day 5
Well ladies let me suggest you make sure to use a stool softener while taking the meds, because after five days on meds, my lower intestines said no to releasing waste. I then got senkot and prayed that would help. Also prior to him releasing me to go home, I told him that I could hear squishy water sounds in my right upper breast area the night before, But of course I could not produce the sounds on command during my follow up visit. We visit with him and he tells us we can go home because that things were looking good so it was ok for us to head back to North Texas.
Day 6
I am stressing out about this fluid retention in my right breast area, only because I have drains in still but the fluid is not moving as fast as it was in the left breast. I sent a video to them asking what should I do to counter a possible seroma, hopefully I will get word back in the morning and keep you guys posted.
I may have to go back to Houston for a day trip to get this matter resolved.
Will keep everyone posted.

Feb 10th 2013 (10 days post op) I am not sure if...

Feb 10th 2013 (10 days post op)
I am not sure if it me or what but I feel like I am having hot flashes at night. What in the world is that about? Yes I am over forty, so maybe that is what is the deal. We went to the Mall yesterday to look for some button down blouses for me to were and I got exhausted pretty fast so I grabbed four items rang them up and went home. I think I should still take is easy, I was not able to try the clothing on without my husbands help, so we waited until we got home. I purchase a few Kensie Hoodie dresses and they worked best for me with the zipper.
I am still taking the Antibiotics and I will be so happy to be of those. My GI tract is getting back to normal and I am not as bloated. Ladies please please adhere to the other comments about constipation, even if you have never had issues before, better to softener prior to surgery. Think twice about that steak or heavy meal the day before also. Drink water and stay hydrated the week prior to and proceeding surgery. You will be glad you did and sad if you don't. I did not heed the advice and it took me the regular girl 6 days to get "back on track". I think the muscle relaxers and pain pills put our intestinal track in some type of stoic state and it seems to shut down. Just eat healthy meals that are easy to digest and things should be fine.
There is still limited movement in my ability to move my arms in the upward position. I took for granted how high a glass in the cupboard really is, so I have been having the family to leave dishes out on the cabinet so I do not cause extra strain on my healing tissues.
Showers are a blast, but thank God for hubby's that don't mind washing your back and shoulders...somehow I think they may like this task. It take me a long time to shower because I am not able to move those arms as fast, plus I really am taking extra caution in rinsing off all the soap. My left nipple is healing different than the right one, seem to be more swollen. I have sensation in the nipples, but the breast still feel a tab bit numb and very hard still. I enjoy the shower and take my time because this is more time out of that bra. Wearing a bra 24/7 is so annoying, maybe its because it is under-wire, or perhaps I just hate wearing the thing all the time. Whatever the case may be I am going to follow the rule and pray that the final outcome in over the next few months will yield the result I so desire. I think the last time I posted I was complaining about fluid in upper pole area of my right breast and I still have it. I went to purchase the Arnica Pills & Cream to help with inflammation, I have used these in the past and they do work. While shopping I found this lotion called Indian Hemp & Haitian Vetiver with Neem Oil for Anti-Inflammatory, Moisturizing and Healing. I have been using it as soon after I get out of the shower and I can tell a difference in the nipple dryness and perhaps it will help with the inflammation also. Every day for 10 minutes I have been using this solid brass balloon ( that my daughter made in sculptor class) to lay on the spot where I hear the water sound. It seems like it helps and that the fluid may be decreasing in that area. Of course the doctor would suggest this would happen regardless of my tactics, but the mind is the best healer of our bodies.
My back is feeling GREAT! Like I am so serious, this is wonderful and unless you have back pain, you cannot imagine what a joy it is to not have any. My tummy is still swollen or something so I am ready to hit that gym hard, I have been eating and snacking on horrible things and not working out so I have gained at least 5 lbs, that okay because I know I can work that off in a week or two.
Sleepy in the recliner and it is not really good sleep, but some is better than none.

Feb 14th I am 14 days Post- Op and the fluid I...

Feb 14th
I am 14 days Post- Op and the fluid I had in the upper right area of my breast is all but gone. Elisa contacted me today to check on me and request that I send them photos of my progress. I will send them in the morning and post those to the site also.

Provider Review

Board Certified Plastic Surgeon
14887 SW. Fwy., Sugar Land, Texas
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My goal was to find a doctor who could do a breast lift without the vertical scars and during my search I found only 3 doctors who may be able to achieve this. Dr.H just happens to be within driving distance for me, so I made an appointment and we had our skype session and communication via email with him and his PA Elisa.