Treatment Provider

Martin Jugenburg, MD
Certified Plastic Surgeon
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Revision - Sept 2015

Dr. J kept following up with me so we could wait out the healing process, and then see what we could do from there. I'm very impressed that he stuck to his word when I first consulted with him - He'd said if there were any issues after the surgery, he would make sure I was happy, and he did.
We scheduled revision surgery in Sept 2015 to reduce areola size, to try to bring them up and closer together, and to change the implant to a textured one and also smaller. I'm SO happy he changed the implant, I feel like he went above and beyond to make sure the results would be more along what I expected this time. I definitely prefer the smaller size, and plan on going even a little smaller when these implants wear out their life span in a few years. Apparently the textured one is better for my needs as well.
The one thing I have to say I was disappointed about was that when I woke up, I was surprised to find out I had drains put in. This wasn't something we'd discussed, so I can only imagine it was something he decided to do mid-way through surgery to improve the healing process. At the end of the day I trust his professional opinion and I like to think if he knew he was going to do it beforehand he would have told me, so I'm sure it was an impromptu decision. And at the end of the day it worked out, he made the right decision!
As annoying as the drains were, they were only in for a week and the healing process was TOTALLY different from the first time! I had no bruising, very little swelling - it was fantastic! I was up and moving so much quicker than the first time around (whether that's because of the drains or because it was round two, who knows), and I was back to work in a week.
Anyway, I'm still healing but will post pictures when all is said and done. I'm giving major kudos to Dr. J for making sure I was getting as close to what I hoped for, even if the first results weren't "terrible" by any means. I'm sure there's lots of people who would have been happy with what I had after the first surgery, but it just wasn't what I expected or wanted. Here's hoping these results last a little longer than the first time around, but at least I know he tried his best!

2 months

So disappointed in how wide they are, I can't fit into any tops without it stretching unnaturally and pulling. If I slouch and push my arms against them they look fine, but when I stand normally or move (see reaching pic) you can see they stick out width wise a couple of inches and it's awful. Areola also stretched quite large, and I was so adamant on small areola like wish pic 1. I'll see about revisions at 6 months, because tops are not fitting me due to the sheer width. I went from a D cup to DD, so I know how large boobs fit, and this is an unnatural width thing not a size thing. Is it because of the pocket he made? Anyway, I am very impressed with the scar healing and yes they are incredibly more symmetrical than pre op. But I have to admit how upset I am about the width and areola size. I've been wearing a pushup and pushing them in nonstop since cleared for it in hopes of bringing them in but I feel like it's too late...

Team review

I meant to add this to my last post. I had some rejected stitches that were causing pus to seep through the tape; after calling Kim, sending pictures via email and going in twice to have some stitches removed it seems they've calmed down. I'm now taking the tape off daily, cleaning and putting poly on the 2-3 little openings I have, and re-taping. No more weekly appointments, I'll be going back in 2 weeks though.

I feel like this is where Kim and the team deserve recognition. Though I've certainly had administrative issues in the past, once the surgery was completed I have had no issues at all. They have been far more prompt with my follow up appointments, always squeezing me in when 'emergencies' popped up, and always responding to emails and phone calls quickly along the way. I can't praise Kim enough; between quickly faxing a new prescription for me when I was at my worst, reassuring me when some of the stitches opened on a late Sunday night, and being supportive and prompt when I had issues with the surgical bra, I have really felt taken care of and respected through the recovery process. I think the team puts most of their time and energy into actual patients more so than at consultations (who knows how serious some people are for surgery? I don't blame them) so I can certainly see how that may explain the drastic shift in service (not like anyone was ever rude or unhelpful at any point in the process though!). Anyway I did want to send out kudos to the team, because when that panic sets in a little bit and you're wondering if things are going wrong, Kim knows exactly what to say to calm those anxieties and not make you feel bad for needing help!

What I've learned the most from this is to trust your gut. The surgical bra not fitting QUITE right, the little bits of pus that didn't seem like a big deal resulting in open stitches, the tape hurting more than what seemed fair (causing skin tears, burning, and weeks of sleeplessness), all of those things I felt like I was being a big baby about and were just part of the process. In fact, in each of those instances I waited days if not weeks before asking for their professional opinion, which means I was in pain a lot longer than I needed to be. So don't let your ego get in the way like I did, trust your gut and ask for a second opinion (not to put down any of the other RNs, but it seems like Kim has seen it all and is confident in her recommendations so I'd recommend speaking with her directly).

Provider Review

Certified Plastic Surgeon
100 Front St. W, Toronto , Ontario
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It seems like a small thing, but the fact that he showed me full attention when I was asking questions was why I chose him. I am now very confident in my choice, especially after meeting with 2 other surgeons. He also didn't try to convince me that there was nothing wrong with my left breast as another surgeon had done, so I didn't feel judged. It also seems like he is competent with breast lift techniques (vertical sling) and as this is my main concern, it appealed to me. I've had some administrative issues with the clinic that are concerning to me (no one replying to e-mails, when I've left messages or canceled appointments they have not called back or canceled as per my message, incorrect cost quotes, them being 1-3 hours late for EVERY appointment I've had so far), so it hasn't been the most professional experience on that side of things. Also at my last appointment Dr. J noticed that they had ordered silicone implants for me when I had never considered silicone due to cost, so I'm extremely lucky I had made another appointment just before surgery and he double-checked or I would have had to cancel my surgery the day of as I cannot postpone my time off. Ultimately everything worked out in the end, and I found it most important to trust the surgeon than anyone else in the office at any clinic. The rest of Dr.J's office is extremely kind and quick to rectify problems (Nora has been fantastic at replying promptly to e-mails), so they do have a great team who will make you feel comfortable.