23 Year Old Silicon Under the Muscle to Fix Tuberous Breasts. Vancouver, BC

I only have two weeks until my surgery date. It is becoming a lot more real and making me quite nervous. I've wanted implants ever since I was in my middle school years, as my breasts never quite developed to what I had become to know as normal. I has always figured that as I grew, they would get their shape and size, potentially developing until I was 21. I was extremely disappointed when I realized that this is what I had, and in the past couple of years of online browsing figured out that I have tubular breasts. Now this has been an extremely self conscious part of my body, and has given me a negative opinion of my entire body as well. Every thing looks out of proportion and if I'm carrying a little extra weight, the extreme constriction of my breasts just seems to make everything look worse. I barely let my boyfriend see me topless, I wear my bra all the time, and I let nobody see my breasts.

I decided to look into Dr. Pugash, not only because he has excellent reviews and is rated one of the best, but he also preformed my mothers BA, and she would also recommend him. I emailed an inquiry about December 2014, and received a very quick reply from his staff, letting me know when bookings were being taken for. I booked only my initial consultation as I wasn't 100% sure I was going to go through with it, as it is a large chunk of money. The first appointment I had was in July 2015, and there I met with Dr. Pugash. I didn't really know what to expect, but both him and Simone were professional, and easy to talk to. I have to say she is one of the sweetest ladies I've met. We went over incision site, potential size and choice and shape of implant. Before pictures were taken, and measurements were done. It seemed quick and painless, but Dr. Pugash has done this a lot, and has a lot of information. I wish I'd brought a notebook to just jot down some information as it was all verbally communicated. I did not feel as though I was just a sale or rushed at all, but I did not really have any other questions for him, I has just stressed the point that I was more concerned about the shape of my tuberous breasts and not the size primarily. I did email Simone a few weeks later with a couple of questions and she was quick to reply and informative as well. It was at this appointment I booked both my pre-op appointment and my surgery date for 2016 (the soonest they had available).

I had my last pre-op appointment in January 2016. I tried on sizers and we went over information for both before and after the surgery, what I'll need, prescriptions, and chose cc's. There was a lot more paperwork this appointment, reading a large package of precautions and what if's. I did not find Dr. Pugash to come off cold, I am not looking for a surgeon to hold my hand and tell me it's going to be okay, rather I'm looking for someone who is one of the best and has the experience to fix what I need. I feel confident going to Dr. Pugash and that he knows what is right for my body. In regards to my tuberous breasts, he felt I did not require a lift, and that areola revision leaves scars that could potentially ruin the look I want. In the end I decided under the crease, silicon round implants, under the muscle, at 375 cc. I'd chosen the 350cc sizer, and he recommended going up 25 cc to accommodate for going under the muscle. He'd told me to get sized after surgery at an actual lingerie store and not a Victoria's Secret or La Senza, which I understand why. (I've been sized from an A-C in those stores).

The next day I'd emailed back asking if I could come try sizers on again. I'm not wanting big breasts. I would want to fit a C cup max, and not be a D at all. I've come to realize that cup sizes are all mismatched anyways and none of us wear the right bra. But regardless I was second guessing myself on the 375. Simone said I could come in just to see her since I didn't need to see Dr. Pugash and she could help me with that, so I went in and tried everything from 250-400. She was patient and encouraging, yet I am still stuck on size. I've narrowed it down between 325 and 350 cc, and she said she'd order both in for the surgery date so I could choose then. I know a lot of ladies who have had BA's say they wish they went bigger, but I do like the look of smaller breasts.

All in all the experience so far has been professional, and I am excited and nervous for February 16!

Some pictures of what I'm hoping for, considering they are tuberous I have to be a bit more realistic in terms of after pictures. I realize I won't have tiny areolas, and that there will still be some difference in shape.

Putting together a list for items after the surgery. I know some women go all out, but I'm trying to keep costs low. So far I have:
-back support/pillow
-pineapple juice
-advil/tylenol
-new sports bra
-ice packs
-water bottle with straw


What else did you find absolutely necessary or wish you had?