Treatment Provider

Joseph J. Castellano, MD
Board Certified General Surgeon
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*Treatment results may vary

12 weeks post-op

Today I had my 12 week appointment. It was short. Just a final check on things are settling. I haven't posted since about 3 weeks post. I met my surgeon again at 6 weeks and was cleared for all normal activities again. I have been avoiding chest workouts however. I work in ICU and have been hack on full duty lifting and turning patients since 6 weeks. I have also avoided chest compressions during codes. The first few times I ran, I wore two sports bras. Something I read online and was told to do by a co-worker. I had absolutely no pain and the movement of my breast was minimal while running. I have since started wearing just one very supportive bra.

At 8 weeks post op I went on a ski strip where I skied blacks and moguls without any issue or pain. I also lugged my bags and equipment around without the slightest discomfort. I have work regular bras occasionally since 6 weeks but I honestly feel most comfortable in a sports bra. Plus I wear scrubs most days which is pretty much pajamas so why wear a regular bra?

I am VERY pleased with my results. They look great and natural. They size is perfect. I feel that they fit my frame nicely and I don't look fake. They have softened up significantly. My scars are not visible but can be felt slightly, but with massage they have continued to get better and better.

Dr Castellano and Pam have been great from the start. Always honest, pleasant, and prompt. I have never been left waiting in the office for more then 2 minutes past my appointment time. They are easy to get in touch with if you need anything. They get to know you by name in the office too which is nice. It makes me feel like I'm not just another set of boobs.

I highly recommend Dr Castellano and his staff to anybody looking for a breast augmentation.

Implant Size and Profile

Naturelle Inspira SSM
Moderate/Midrange profile
345cc Right
360cc Left

Long post warning! One day pre-op to 3 weeks post op.

WARNING: Long post. One day pre-op to 3 weeks post op.
Hello Ladies!
I haven't updated simply because I didn't think anyone was reading this anyway. I will fill you in on how things have been though!
The day before surgery I spoke with Pam the coordinator to just discuss what to do that night and the next morning. I had a scopolamine patch for nausea I applied after taking by CHG bath that night. Nothing to eat or drink after midnight. CHG shower again in the morning but don't wash my hair. I also spoke with the anesthesiologist so he could get a little background on my health. Honestly there wasn't much to say. He also reminded me about not eating or drinking after midnight.
The morning of surgery I woke up, showered, and we left. I wore some loose fitting sweats, t-shirt, and zip up jacket. I opted for flip flops because they are easy to put on when you can function well. My boyfriend drove us and we got there a little early. I was so nervous by this point because it was becoming real. We walked inside and got taken back to the pre-op area within minutes. I am so glad I was the first case of the day at 0730. The nurse took my vitals, confirmed my NPO status, had me change into a gown, and got me settled. I got to keep my sweat pants on thank goodness because it was so cold! My nurse was so sweet and comforting. Dr. Castellano walked in and marked me and then we waited. I remember saying to my boyfriend that I was so nervous and even asked him what I was doing there. Then the nurse came back and told me she was going to give me versed and then walk me to the OR. The nurse in me asked "your going to give me versed, then you want me to walk!?" I mean that makes me a fall risk. She told me she would just throw me over her shoulder since I am so small if I couldn't walk. After that I don't remember anything! I woke up in recovery with my surgical bra on and being reminded to not lay on my side. I am a side sleeper so it was difficult. I was then asleep again. I remember asking her for nausea medicine and after she gave it she went and got my boyfriend. I didn't really have any pain or discomfort at this point. I remember the anesthesiologist coming back in to see me and I remember Dr. Castellano coming back in to see me as well.
Around 10 I was discharged home. I wasn't nauseous again until I got in the car. I opened the window for some fresh air and fell asleep. I remember opening my eyes about half way home and felt the nausea again. Next thing I know we were home. Its only about a 30 minute drive. My boyfriend had to help me out of the car and put me in the bed which I don't remember much of. I woke up a few hours later in my bed surrounded by pillows and asking for a pain pill. I didn't hurt, I was just scared of hurting. My boyfriend told me to go back to sleep, which I almost immediately did. I woke up again a few hours later and got up, took a pain pill, and did some laps in my house. Again I wasn't hurting, I was scared of hurting. My chest just felt a little tight. My mom came over later while my boyfriend went to work for a few hours. She had me go outside and walk and helped make some dinner. I took a flexeril and percocet and hour apart before going to bed. The night wasn't bad, I was actually pretty sleepy still and slept good on my back.
The next morning I had my first post op appointment. My boyfriend drove me. Bumps in the road hurt some when driving but not terrible. I did take a percocet before we left though to keep the pain away. I got to take a look at the girls and learned my massages. I thought they were HUGE. I knew I was swollen and they would go down so I didn't worry. After all Dr. Castellano was able to put in the size we discussed. It wasn't the biggest implant that would fit or anything like that, but it was most appropriate for the look I wanted which is natural and proportionate. I didn't do much besides go to my firs post op, walk around the house, and do my breast massages all day.
The whole week was pretty much the same. I lounged around, increased my walking each day, and did my breast massages. I was able to take 9 days off work luckily. It does help that I am a nurse and work 3 12 hour shifts each week. I took a total of 4 percocet and 6 flexeril during my entire
On post op day 7 I went to see Dr Castellano again. This appointment was really short. He looked and assessed and switched me from 4 massages to 2. He also cleared me for work and reminded me about my restrictions for work. I went back to work two days later. I could feel my chest tighten up walking around all day but I never hurt or needed any kind of medicine. I was charge nurse and taken out of patient care for my first two weeks back.
I saw Dr. Castellano at two weeks post op again. I asked him about some bruising that didn't look like it was getting any better. He said its normally and wasn't concerned. I can see why though because now it is pretty much gone. He took off my steri-strips and I could finally see my incisions. They looked really good. I also got scar gel to start that night. I was told to keep sleeping on my back and was cleared to get back in the gym. I can only do the stationary bike, lower body, and core but that's okay with me!
My boobs are still a little sore and stiff in the morning but it gets a little better everyday. A little massage really helps when I wake up. They have gotten noticeably softer. Only complaint is that my boobs are a little itchy. They sit in a great position though they never really sat that high. I don't have zingers but never really did. I just have a little back pain but this could be unrelated to my new boobs. Maybe from sleeping on my back? I'm not sure. I still have to make a conscious effort to make sure I don't overdo it with my arms. I see Dr. Castellano in January, so ill update then. Feel free to ask me any questions! I'll add pictures later.

Provider Review

Board Certified General Surgeon
105 S. MacDill Ave., Tampa, Florida
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Dr. Castellano was very nice, honest, and didn’t seem rushed at all talking with me. He took his time to get to know my preferences and explained his preferences and reasons behind them.