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POSTED UNDER Sientra Breast Implants REVIEWS

Subglandular Sientra 355 cc smooth round mod+ gummy bear implants with GalaFORM mesh dissolvable scaffolding

ORIGINAL POST

Subglandular Breast Augmentation for Psuedo Ptosis

jm3316
WORTH IT$10,500
5 days until my surgery! My first consultation was in December of 2018 and we decided on subglandular gummy bear implants in order to achieve optimum lift. The implants won't be seen because I had a good "pinch test" and since they're gummy bear, there won't be any implant "rippling.' The exact size and profile is TBD because he will be using sizers on me during my surgery. Thinking somewhere between 350-415 ccs and moderate to moderate plus profile.

jm3316's provider

James Fernau, MD, FACS - Account Suspended

James Fernau, MD, FACS - Account Suspended

Board Certified Plastic Surgeon

jm3316 rating for Dr. Fernau:

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Replies (7)

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May 24, 2019

Good luck at your upcoming surgery!

May 30, 2019
Thank you it went so so well!!!!
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June 16, 2019
FYI gummies ripple too but let’s hope that doesn’t happen girl! Good luck, can’t wait to see your results. Also thank you for sharing your journey with us. Can’t wait to follow!! ❤️❤️
June 16, 2019
I had gummy bears over the muscle for years and they rippled pretty badly, i don't think any implant is immune from it unfortunately :( you had much more breast tissue to begin with than me though, maybe why mine was obvious so fingers crossed you never experience it or notice it!
June 16, 2019
Hmm! Ok. I guess we will.hust wait and see. Yeah the upper pole of my breasts were really firm to begin with even though they were on the smaller side with "psuedo ptosis" (what my PS said they were with the nipple vs IMF) so I hope not. Unfortunately, no result is perfect. I also know that a lot of what we look at for "wish results" or celeb/model/porn star (whatever it might be!) perfect boobs with pictures taken in perfect lighting are a lot of times people who can get them redone and redone and redone however much they'd like. I am prepared to see things that I didn't anticipate because hey that's reality. Did you do anything about it? Also I think that if they ripples that your implants would have still rippled much less than a saline or liquid silicone implant?
June 18, 2019
yes, you are right about the wish pics! and also, many wish pics are of real breasts as well, which can be difficult to replicate with an implant.. i may have gotten much worse rippling if the implant was saline! Maybe i just got unlucky, and i had zero breast tissue to begin with so the chances of me noticing it or it being noticeable was going to be much higher in my case. I had to get them removed in the end. After the rippling began, i started getting capsular contracture unfortunately :( grade 3 in one breast, funnily enough i never felt tightness or discomfort having the grade 3, but when i took photos and looked at them, they were not pretty! so i got rid of them. I never got re-implanted but i am considering it again. Just because of my experience i wouldn't get the gummy bears again and maybe i'd go under the muscle this time .. but i have a friend who has them over the muscle and she has no rippling! so it CAN happen with gummies, but... as i said, maybe i just got unlucky :( so fingers crossed, rippling is not your experience!!!
June 18, 2019
I think that perhaps it could have also been the placement? If you had/have very little connective tissue then subpectoral or even a dual plane approach is most likely better. Also consider an internal dissolvable mesh scaffold to prevent bottoming out or capsular contracture? I see your point, that all implants can ripple. I do know that gummy bears will ripple the least of the three since the silicone is the most cohesive of any implant type. Yes you're right about a lot of people showing "wish pics" that are too far fetched. If I have any advice for people, its important to find a good amount patients with the same (or very similar) pre op breasts as you do, and then look at their results. Are their results what you want or what you don't want? I made two albums on my phone (one "yes" album and one "no" album) to show my PS. I didn't save it on real self though because they make it public and I didn't want to offend anyone. I wish real self would allow you to save private notebooks.
UPDATED FROM jm3316
2 days post

So comfortable post op!

jm3316
2 day post op update: Ok, so my instructions were to not look at my new boobs until Friday (which is killing me!) , But I need to leave the surgical bra on until my 3 day post op visit. I have help showering with a handheld showerhead from the waist down, making sure not to get the bra wet. I'm not moving too terribly much, but Im making sure to walk around or go on easy walks outside without moving my arms too much.
So far, I'm feeling great. Dr. Fernau has a strict 2 week protocol that you follow before surgery (then also a protocol that you follow the night before surgery) and its amazing. During the surgery, I had no bleeding whatsoever. After my surgery, I experienced NO nausea....in fact, I ate at Panera only hours after I woke up from my surgery and although I ate on the lighter side (just to be safe), I had no discomfort whatsoever. I am only taking Tylenol and Motrin for pain...NO oxys. Dr Fernau makes sure you're in superhuman health before your surgery. I have a lot of energy since I'm good at taking my vitamins and protein shakes.
As far as what I can feel through the bra, my boobs feel like they're going to look PERFECT. I will update with after photos as soon as I can!
Also: the team did sizers during my surgery. They started out with the 420 cc moderate plus silicone sizers and decided that those were too big for me, and slowly worked their way down to seeing what less and less ccs looked like. They ended up going with 355cc moderate plus profile Sientra gummy bear implants, saying that the size looked really pretty. I can't wait to see them!

Replies (9)

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May 30, 2019
How exciting! One more day and you can see them! Happy Healing
May 30, 2019
You sound great so happy for you...1 more day!!!! Cant wait for your pics :)
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May 30, 2019
Make sure you keep us updated! Can’t wait to see the pictures ❤️
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May 30, 2019
Congrats on your BA! Was there a certain size you were trying to achieve? I’d be curious to hear about the strict protocol before sx? Can’t wait for you to post your after! Take care & happy healing. ❤️
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May 30, 2019
Congrats on your surgery! Glad you are feeling good so far. Can’t wait to see your results! Happy healing to you!
UPDATED FROM jm3316
4 days post

Yesterday: 3 day post op photos

jm3316
They are def more symmetrical in rela life when I am just standing straight up and not holding my phone with one arm! I can't wait for them to soften up and "drop and fluff!" The nipples should also rise up a bit when the implant falls into it's pocket.

Replies (4)

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June 3, 2019

They look great! Thanks for the update!

June 3, 2019
Oh look great! It took me like five weeks for mine to settle significantly - def worth the wait! Congrats!
June 5, 2019
Thank you!!
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June 16, 2019
D&f is different for everyone and can take anywhere from 3-12 months to complete. But it’s worth the wait!!