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POSTED UNDER Breast Implants REVIEWS

33 Yr Old Mother of 4 Breastfed Kids. 5'7", 128 Lbs - Vancouver, BC

ORIGINAL POST

I am so thrilled to be getting this done. I have a...

1HappiMama
WORTH IT$12,000
I am so thrilled to be getting this done. I have a small frame with cup size A breasts. I have had 4 kids, and breastfed all 4 of them for about a year each. The largest I became while breastfeeding was a full C.

My breasts are basically empty A's now, and the nipples are a bit droopy. Apparently this will be fixed when an implant "fills them back up".

I am seeing Dr.Pugash on March 10 for the procedure. I have chosen to get 450cc's, high profile round silicone implants.

I first saw Dr.Pugash three months ago for a consultation. I was fortunate to get in quite quickly. I was then able to get a surgery date quite quickly too, which is why this has been a bit of a whirlwind for me.

I am getting an elective mammogram on Feb 10 for my own peace of mind. I have a family history, and want to make sure all is clear before heading in. I have no reason to suspect anything other than a clear result, so I feel good.

I will update photos after the procedure!

1HappiMama's provider

Eric Pugash, MD

Eric Pugash, MD

Certified Plastic Surgeon

4.8 | 217 Reviews
PROFILE
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Replies (5)

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February 8, 2016
Hey happimama! I'm also a Pugash girl having my surgery two days before yours. Your write up sounds exactly like mine. I was able to get in a lot sooner than I expected as well which is bitter sweet. I have yet to go for my consultation (the 22) where I'll hopefully get to choose as big as you. For some reason I figured he would recommend 375 or 400cc. Curious what your height and weight is? I sure hope I can get 450 as well. I have more sagging than you, your breast still look great for 4 children by the way.
Curious as to how you were able to snag a mammogram appt. my doctor said there was no reason to send me for one based on my age ( I ain't no spring chicken..33) did you call and book one yourself or did you get a referral from your doctor or Pugash? Thanks

I look forward to following your story. All the best
February 8, 2016
Hi Chicmommmy, thanks for your comment! I am 5'7", 128 lbs.

It is so great that you and I are so close in our procedures. Let's definitely keep in touch during the recovery!

So - regarding the mammogram. My mother had it and recovered without the use of chemo in her 40's, and my paternal grandmother had it (and survived) during the 70's but I sadly never learned the details other than she had a mastectomy. So given my immediate family history, I was allowed to force some hands so to speak. I went to my family GP and had him create the requisite referral form and I basically called it in myself. I told them I was having an elective surgery where this mammogram will act as a baseline for breast health before the procedure is done.

Regarding size, it was actually surprising to me that I chose 450cc! I have a friend who has been mentoring me who also has had her BA with Dr. Pugash. She went for 375cc and looks amazing and full. When I had my sizing appointment last week, he placed a 350, 400 and a 450 on the table. I tried them all and said that I thought the 400 was safe and close to my breastfeeding size. Maybe a tiny bit bigger, but nothing special per se. I tried on the 450 and laughed and said, "well this is definitely a bit larger but it's still surprisingly modest and balances my body". I asked to try on the 425 but he didn't seem to have it in that day. He said that the sizers are larger than what we will actually end up with as implants and when placed under the muscle, like mine will be, we lose a further 10% too. I asked Dr. P about whether he felt I could do 450 and he said absolutely and that nobody has ever come back to correct going a bit larger.

I went home not feeling 100% about picking the 450cc. The next day I called Simone. I told her how I was worried about wide breasts, size, etc. She put me at ease saying that the round silicone high profile is a narrower implant and will not look wide. (SO happy about that.) She allowed me to pop in again the next day to try on once again. And an interesting point that will help you too, is that the sizers and the bra are actually pretty poor representatives of what we will look like. The bra allows the sizers to sag like old lady breasts. Ashley at the front desk was amazing for pointing this out to me. She told me to tighten the shoulder straps quite tight to help lift the sizers. When this happened, the 450 looked much better. I tried on the 425cc's, which I regretted not trying.

What I learned is that if I liked the look of the 425, then go with the 450 because of the sizer discrepancy and the 10% loss after being installed under the muscle. If I liked the look of the 400, go with a 425cc. So for me, the 400 was too small, and the 450 was a bit too big. I loved loved loved the look of the 425. So getting the 450 will get me that look. If I like the look of the 450, I would have to get the 475 or 500cc. Ha yah right. [RS bleep] boobs!

So good luck with your procedure! I will read your profile now; something I I should have done before writing you back! Keep in touch. Happy to answer any questions.
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February 9, 2016
I can't thank you enough for the wonderful information in regards to your preop appt. I've been thinking about it constantly as to what sizes he may offer me. Since our stats are so close I'm hoping I get the same choices. It's funny I thought I'd be dead set on 400s but now that you mentioned your experience maybe I will consider the 450 since a lot of size is lost under the muscle. I do have quite a bit of sag from nursing my two kids ( not enough to need a lift however) so I'm also hoping a bigger size will fill out my sad little boobies. On the other hand I'd hate to be THAT mom picking up her kids after spring break with [RS bleep] star boobs. Lol. Did you wear a tank top to your consult or a tshirt? Were they tighter fitting? As for my profile, I'm off to go update that now as I don't think I've done much with it!

Thanks and enjoy the rest of your weekend
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February 23, 2016
I'm so glad I came across your post again! I really needed to read this today . So yesterday I went for my preop at Dr. Pugashes office. Simone brought in the 400 and 450 sizers to try on. Pugash , Simone and my husband basically all decided the 450cc was the one to go with. Me thinking they were w little big. Again I was hung up on numbers, which I know I shouldn't be. After about 10 minutes of humming and hawing doctor pugash told me to get dressed and then came back and went over a few things . By the end of the consult (barely listening to him and still thinking of size) i to said to him so I guess make note in my file that I will go with 450 and he said to me well I already did. So basically without saying it he thought that was the way to go. I'm so black-and-white and all I wanted him to say to me was I think you should go with the 450 ..,straight to the point but I guess that was his roundabout way of telling me. So we paid and I left his office and all I could think about was giant boobs . My husband assured me that everything would be fine and they would be wonderful and just like Dr. P had said no one has regretted going bigger . So as soon as I got home I lurked real self after dr pugash told me not too and sure enough I come across a lot of girls going with 400cc but they happen to be about 5.2 in height and around 100 pounds. i happen to like the looks of their results so I guess the cc I'm getting for my height of 5.6 and weight of 125 -130pounds should be a good result for me. I also have some sag so will need a larger size to fill out the girls. So fast forward to this morning ...I find your post and I swear we are booby twins. Pretty much exact in stats, size, age and surgeon. ( we're only two days apart in surgery) . After reading your post I feel much betters about my 450cc thank you for taking the time to comment . Not going to lie ,I was going to call Simone this morning and change it to 425cc which is really only 2tablespoon difference . I look forward to hearing about your results and possibly seeing your pics .
February 24, 2016
That's awesome!! Let's keep in touch. You know what is funny, I spoke to Simone the other day asking her if there was a reason why DrP didn't give me 475 or 500 to try. Like you, I have been "real selfing" which I have been advised not to do, and have also seen girls our size with 500 and they look more balanced! So suffice it to say I am a bit confused. I am waiting to hear back from Simone on what DrP says about the cc's recommended. I can tell you that I "believe" 450 is right, but I told Simone I would like to be a bit bigger than when I breastfed. (Get my surgerys worth!) Actually I will post those photos on here. So she is sending the pics to DrP for his comment. Simone seems to believe they don't have 475's; and that they only go up in 50cc increments after 450. So 500 is the next level. I asked her if there was a reason why he only gave me up to 450, and she said yes. So he definitely takes his sizers seriously. Okay let me post my nursing photos. Thanks for writing!! Excited!
UPDATED FROM 1HappiMama
15 days pre

Posted photos of when I was breastfeeding to show size of 34C

1HappiMama
This is just for reference in terms of what I did look like at one point while breastfeeding, and then to compare to what I look like now. I am hoping to be bigger than this, although this is a nice size. I just want more "oomphf".

I sent these to my doctor yesterday to confirm that what we are doing - 450cchp, will achieve a bigger but comparable look to this. Or else I might have to ask about 500cc's??

Replies (6)

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February 24, 2016
I look forward to hearing what he says. He Probably didn't recommend it for you based on the amount of tissue you have etc. I feel like To be on more the safe side and not go over in size what he is recommending as he is the professional with 30 years experience. I think if we go too big we increase our risk of bottoming out . Look forward to keeping in touch
February 24, 2016
You are right! I just heard from Simone. She said he thinks my breast tissue could be compromised with anything above 450. He said other doctors might do it but he would not. I am happy with 450. So, I guess I feel more satisfied with my decision. (Deep breath!)
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February 24, 2016
I think we both made a good decision although not going to lie I still feel nervous about the number 450. Seems like a lot of women go with 375 -400 but also taking into consideration a lot I have seen have never had children or no to very minimal sag. Which in my case is not me. I'll post my preop size tonight
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February 24, 2016
I think we both made a good decision although not going to lie I still feel nervous about the number 450. Seems like a lot of women go with 375 -400 but also taking into consideration a lot I have seen have never had children or no to very minimal sag. Which in my case is not me. I'll post my preop size tonight
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February 25, 2016
That's so awesome. I think the 450s will bring you to your nursing size. Did he say they would probably be bigger than that even if you go with 450?
February 25, 2016
It's funny but Simone said he didn't want to comment about my breastfeeding size vs what will happen with the implants. I assume he doesn't want to be held liable for any reason.
UPDATED FROM 1HappiMama
6 days pre

Final week. A bit sad?

1HappiMama
I have exactly one week today before I go under the knife.

Some parts of me feel sad, like I'm not respecting the journey my breasts and I have gone though to make them what they are now. (Deflated-ish) after 4 kids.

I feel like anytime I shower or put on a bra, I give them a little squeeze to let them know I love them no matter what... Am I crazy? I just feel like I am betraying my girls!

Anyway I will feel amazing once this procedure is complete and will be happy I went through with it. Just feeling final week jitters and second thoughts about going through all this, but no second thoughts about proceeding. I feel good about my choice in doing this BA.

Anyone else go through this?

Replies (8)

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March 6, 2016
Ugh I feel you! I've been dealing with the exact same emotions this past week as well. I've even been having some anxiety which is a little normal for me at times. Surprisingly today I feel somewhat calm and ready for tues. I'm just wanting to get it over with and start moving forward. Not being able to work out will be the hardest for me. It's a big week for us girls at dr Pugashes office! I believe we are in great hands. I'll be thinking about you Thursday!!
March 6, 2016
Me too with you on Tuesday!!! Big hug. I can't wait to hear how it went.

How have you enjoyed that surgical rinse each night? Lol.

I have been working out like a fiend to be at a good place physically. You are right - it will be brutal not having that time to keep fit while recovering. I saw a foot pedalling device in an elderly recovery isle at my pharmacy and laughed; because I almost bought it!!

I'm literally counting the days now.
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March 6, 2016
I did feel the same way as you. I got mine done Jan 5th and as I don't regret it at all there are times when I do miss my smaller deflated boobies. I am loving mine as they are starting to drop more and feel softer. I go 350 cc I was 32 D. But a deflated one so filled them back up and then some. Good luck with your procedure it sounds like your in great hands.
March 6, 2016
Hi Lanesan1992, thanks for your words. I wonder if I will have that too; missing my old small self. When I run, I love the fact that I am small. But all other times I feel like a boy lol. So it's a tough balance. I think I am going the right route, it will just take time to adjust.
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March 6, 2016
It does take time! I have no regrets though. I run and keep fit so I bought a great sports bra from VS. It has no under wire but has a soft gel under liner to keep the girls up and supported.
March 6, 2016
Hi there, I'm just wondering how come the price of ur BA is so high! How long did u have to wait to see dr. Pugash for ur I itial consultation? I call the lit office last week and was told that they were booking appointments for next year. Currently I am scheduled February 2017! Can't wait to see ur post op update! Good luck!
March 6, 2016
Hey Vcwy! I am paying 8500k plus taxes. I also posted it during the initial quote where they thought I might need a lift - so I should update it!
I was also given a years wait but asked about cancellations and was given a date 3 months later. It was amazing! Then when I had my consultation, they said my surgical date was half a year out. I again asked about cancellations and I was given a date 2.5 months later! I was thrilled. So for me, I enquired in November and have my surgery in 4 days from now! 4 months wait total.
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March 7, 2016
Silicone gel is definitely more pricey than saline which most people don't seem to get anymore. I couldn't believe when Dr. Pugash told me it was 8500 as well . But you pay for the best I guess. I know someone who had theirs done 2 years ago and only paid 6500. The price of everything is going up. Keep in mind silicone has a shelf life of 15-20 years so hopefully that will be it for me for a while . Assuming everything progresses as planned and no complications.