Treatment Provider

Jake Lim, MBBS, FRACS
Specialist Plastic Surgeon
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Post Op Day 335: 11 months and very happy

Not much new to report since three months ago. I posted some more comparison photos at 20 day intervals.

Skin and nipple sensation is still diminished. I can't tell if it has improved or not. If I scratch the skin, I can feel it. It is not the way it was before surgery.

I went skiing last month and fell quite hard on my right implant. The muscle felt like it was being pulled. It was not painful. I told my ski instructor that I had breast implants because I was concerned immediately after that fall. He's 20 years younger than me and he's been teaching me for five seasons. He did not know about the implants. He thought it was funny when my mother confronted me about it. He likened it to a teenager hiding their tattoos: "there's nothing to see!"

The fifth comparison photo: pre-op versus now. The left incision was made just above the sunspots under my nipple. When Dr Lim told me he would make the incision there, I was surprised because that's a long way down from my nipple.

Post Op Day 260: size 12D / 14C (34D / 36C)

Here are further comparison photos, 20 days apart. As far as I'm concerned, they have "dropped and fluffed". I am not conscious of them most of the time.

Sometimes I wonder if I should have taken the moderate plus profile (330cc), instead of the high profile (345cc), because these breasts make my upper body look broader. I already have broad shoulders and a short torso. Dr Lim did not instruct me to choose one profile over another. The choice was entirely mine.

I saw Dr Lim last month for my six month post op check. He is happy with the result and took some photos. He advised that I should have ultrasound performed every two years in place of the mammogram breast screen. He also suggested that I consider replacing the implants after about 14 years because "implants are not permanent". There is considerable difference of opinion between plastic surgeons about the lifespan of breast implants. I noticed on this web site that some doctors have recommend swapping them out. Others say that they can stay in there for life. If I am feeling well and happy with these implants, in 14 years' time, I would be reluctant to go under the knife again.

The lumpy bit in the upper right side has diminished a lot but it's not completely the same on both sides. Before surgery, the breasts were asymmetrical. It is not obvious unless someone is really peering at me (which would be a creepy thing to do anyway). Any asymmetry before surgery will still remain after surgery.

I found a video on this site, where a patient with one breast a little higher than the other was taught to put pressure on the upper part of the higher breast so that the skin beneath the nipple would stretch.

https://www.realself.com/video/how-to-balance-breast-implant-asymmetry-using-massage-techniques#.V2T-7VeIz-b

I bought a couple of balconette bras and found that size 12D (or sister size 14C) fit me more comfortably. I read that 100-150cc would be expected to add one cup size. In my case, 345cc has brought me from 12AA to 12D.

Skin sensation: right side of right nipple beginning to return. Below both nipples is still quite numb. If I put my cold hands on that skin, I feel nothing at first. Then, after a little while, I can feel a faint sensation of cold. It is as if the nerve endings need a little time to respond.

Nipple sensation: can feel when they are moved or bumped, which is not the same as if they are being lightly touched. I hope it does improve. After eight months, I expected it to be better than this.

Scars: right side is fading faster than the left. Dr Lim expects them to take at least two years to disappear because Asian scars take longer to heal. I know this to be true from previous scarring.

Post Op Day 200! Size 12C (or 12D depending on the bra manufacturer)

Breast measurement is now 88cm. Pre-op (underbust) was 78cm. I am so glad that I went through with this surgery. I do not regret doing it later in life because there were serious safety issues twenty years ago.

I am not a more confident person after the surgery. I am not performing better in anything. I am not more motivated that I used to be at anything. I don't walk with a changed posture. I am as lazy and disinterested as ever.

However, I do feel happier. When I see myself in the mirror, I look at the new breasts and I'm really pleased.

I chose high profile over moderate plus profile because I wanted maximum projection. Being flat chested all my life, I thought more about projection than the overall shape.

Thanks to everyone for reading and commenting. I have enjoyed following your journeys as much as posting about my own. The comparison photos are spaced twenty days apart so that you can get an idea of how long it takes to drop and fluff.

Provider Review

Specialist Plastic Surgeon
Corner Mons and Darcy Rd., Westmead, New South Wales
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I wanted a surgeon, who was skilled, experienced and a Fellow of the Royal Australasian College of Surgeons (plastic surgery). Dr Lim listened to what I wanted. He wanted me to be realistic about expectations. His team are helpful and courteous. After my first consultation, I received a folder of notes about the procedure and all of Dr Lim's pre and post operation instructions. Due to personal commitments, eight months passed between my first consultation and the procedure date. Westmead Private Hospital is a well equipped and well resourced hospital. I feel safe having my procedure done in a hospital. The nursing staff were amazingly courteous during my short stay there. The facilities were clean and very comfortable. I had my own private room with ensuite and TV. I was well cared for on the day and after the surgery. Furthermore, the service is very well priced considering it was conducted in a private hospital with a consultant plastic surgeon and consultant anaesthetist. (If I had requested Mentor round implants, the cost would have been about $2,000 less.) I am happy to recommend Dr Jake Lim to anyone seeking a breast augmentation in Sydney.