My story is to alert women as to what can happen, even if you think you have researched BA very well. I went to two consults in Feb of ‘98. My first choice was booked till May. My second choice was actually more qualified and had a March opening. He is a professor of PS and Chief of the P.S. Dept. at a Med. College. He is a member of both the ASPS and a ASAPS. I saw him in his private office, he agreed to my choice of McGhan 350 cc textured anatomicals, under the muscle.
The morning of surgery I saw him, but after surgery, my husband told me a different doctor talked to him about my case. At the 24 hour post-op check, when the binder dressing was removed, it revealed quite a bit of swelling, gross unevenness, bruising, very high placement and distortion and hard rippling. Even he was surprised.
At the 1 week post-op check, they were just as uneven, distorted and misshapen. 2 weeks post-op, no change in appearance, with him saying if they needed fixing, he would do it. By 6 weeks, other than a reduction in swelling, there was little change. High, hard, uneven. He agreed they were not right, stating the pockets were too small, they were mispositioned, the R was implanted so that 3/4 of it was above the nipple and with them being textured, it was not going to drop. The L top pole orientation had slipped from 12 o’clock to 3 o’clock and was about 1 1/2” lower than the R. He thought the hard puckering was due to being overfilled from 350 cc to 360 cc.
For the re-do, he agreed to waive the surgeons fees. I asked if he needed to use new implants, he said "no, I reposition them all the time (a red flag!) and never have a problem with reusing them". McGhan has a different story about explanting, then reimplanting implants. (although I've come to understand it is "common" practice) At this point I obtained my op reports and found a 1st year PS resident “assisted” in my BA, of which I had no knowledge. I saw my PS in his private office, and he did not mention the use of residents, nor did I ever see/meet one!
With the redo, I made him promise there would be no residents, even in observation, he agreed. But as it turned out, when I filled my post op meds, the resident was listed as the prescribing Dr. At the 24 hour post op check up, he informed me he put 325cc in the R and 300cc in the L and those volumes were okay in a 300 cc implant. He also said he lowered the crease in both of them by 1 1/2". I told him I had 350cc anatomicals, not 300’s and they needed to be filled to the rated volume. And that he was only suppose to lower the R one 1 1/2" so it was even with the L. Apparently he read the 1st operative report wrong, he thought they were 300 cc’s. e checked the chart and sure enough, I had 350 cc implants. He just shrugged and as he walked out said, “well maybe they won’t ripple as much now...”. At the 1 week check up I expressed my dissatisfaction with the under fill, as there was no upper pole fullness, the upper pole area just “collapsed” in. He said “it’s livable, all you need to do is wear a pushup bra to get your final shape”, and “Crease fold fatigue? Don’t worry about it!” And as far as the continued 1 1/2" crease unevenness, "no one is going to see that."
It was then I started investigating via the web and found Nicole's website, and realized how poor my results were. There was no way I would allow this PS to touch me again. I lived with the unevenness, the L bottoming out and being lower then the R by over an inch and the very noticeable caved in upper pole. I was finally able to afford a 2nd redo in May ‘00.
Since it was BA # 3 and having been on Nicole's site for almost two years, I really thought I had every question and answer dealt with. I decided on a PS who was a forum sponsor and I was approved to the Mentor Adjunct silicone study. After going over the literature, I decided on 550 cc high profile textured silicone. My new PS was concerned about ripples from the textured shell, he prefers smooth shell’s to help decrease the incidence of ripples. His nurse’s research determined the high profiles “were not available”. I assumed they weren’t available in any shell.
When he and I went over the dimension’s of a 550 cc smooth regular, I balked. They were too wide for my narrow chest and had less projection than my 350’s. He then agreed the mod profile would fit better, but I could expect ripples because they were textured. He said he would try to get them in my original areola incision, which extended from 9 o’clock to 3 o’clock, but that he might need to increase the areolar incision “a little”. Again I assumed, thinking “a little” would be maybe from 10 o’clock to 2 o’clock!!
I agreed, saying if it didn’t heal well and was discolored from the other two incision’s on the areola, I would just have the color tattooed in. Imagine my surprise when I found out that “a little” involved an incision from 10 o’clock to 2 o’clock, then extended out, perpendicular to the areola, onto the breast surface by 1 1/2 to 2 inches! But I had agreed to an incision that was “a little bit larger...”.
All in all, I’m very happy, I love the size, shape and proper positioning. I am rippled, esp in the cleavage area, to the point of not being able to show my cleavage, but a snug top works well! My PS warned me and he was right. The silicone is so incredibly soft, almost the texture and feel of when I was 25 or during pregnancy.
My point is, let nothing go answered. Do your own calling to the implant companies and get explanations to everything. Three BA’s in 2 years should not have happened. Trust doesn’t take you very far when the outcome is poor. And it’s hard to have a re-do when your faith in the PS is shaken.
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