Tag Archives: breast augmentation

Round 2 – A Second Visit to Boob Doctor 5 (this time with the spouse along for the ride)

Let’s recap. I had five Round One breast augmentation doctor consultations and brought girlfriends with me to all of them.  After meeting with them and reporting everything I learned back to you here, we took a vote to determine which doctors would advance to Round Two.  You selected Doctors 4 & 5. I have no problem with that.  They were both great doctors who seemed very capable of taking excellent care of me.

Note: Doctor 1 is still in the back of my mind, too.  I like that she is a she. I like that I told her about my blog.  I like that she was willing to digest everything I learned from all of the other doctors with me.  I had actually made a follow-up appointment with her as well but had to cancel due to a family illness.  She’s still floating around in my brain somewhere. 

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It was a regular weekday morning around here, except that it was cold. Fall is finally creeping into our Southern part of the world. My husband and I managed to drag ourselves and the kids out of bed and get everyone to school on time.  And then it was time to drag him to his first Boob Doctor meeting.

This morning, we paid a second visit to Doctor 5. He’s the doctor that suggested a lift somewhere between a mini and a full and silicone implants (280 to 300cc).  His practice specializes in breast reconstruction after breast cancer.  My friend, Melissa, came with me last time.  Remember?

When we walked into the building, my husband had the same reaction I did. He said he felt a little out of place seeking cosmetic surgery in a facility that specializes in the treatment of often very sick women.  We sat down and flipped through the pink albums on the tables in waiting area together. I got a better look at some of these testimonials this time around.  I saw smiling faces hailing from Mississippi, Indiana, Missouri, Arizona, Minnesota and California – to name only a few places.  The one word used over and over again in the letters from these women and their families was “hero.”  They clearly had amazing results and relationships with these doctors.

Oh, and did I mention there were cookies? Delicious and pretty pink ribbon almond cookies for Breast Cancer Awareness Month. Yes, of course, I had one.  And then they called us back.

My husband and I got situated in the examination room and I found myself tutoring him, whether he liked it or not, about everything I’d learned so far. I spent the most time revisiting everything I learned from Doctor 5 during my first visit. I wanted my husband to be able to speak as knowledgeably as I now could and maybe even help him formulate some questions.

Then, the doctor came in.  He’s a very easygoing, down-to-earth person who I think quickly made my husband feel as comfortable upon first meeting as he did with me last time.  The three of us discussed the median lift that Doctor 5 proposed, with an L-shaped incision, and then talked a bit about the implants themselves.  At my first visit, Doctor 5 talked mostly about silicone and I knew they were his preference.  Still, with all I’ve learned to date, I might just be leaning to saline and wanted to be sure that was also an option with him.  It, of course, was.  He said that if I have any reservations about silicone then I should go with saline … because I need to feel comfortable with everything.

He reiterated his earlier points about not going too big and not going wider than what I’m starting to perceive as my freakishly narrow chest base.  He also explained and emphasized the lengths he takes to prevent infection during surgery.  We basically talked about everything we discussed in my first visit to get my husband up to speed with everything.  It was good having him there.  I think he feels at ease with this doctor and much more part of the process now. He even made a joke about making sure I’m not hooked up to the garden hose to fill up the saline implants.

Do people tend to make jokes when they’re more relaxed or more nervous?  I actually think both are true for my spouse.

One of the doctor’s assistants brought in a few silicone implants for us to handle.  I think it was my husband’s first time feeling them. (At least, I hope it was.)  I could see the scientist in him at work.  And, before he could say it, I jokingly blurted out, “Do you think we could feel a side by side comparison of silicone and saline within the patient?”  Doctor 5 politely laughed my sad, nervous joke, one that he’s probably heard every day since he entered the practice.

Then, we each had questions about insurance.  My husband wanted to know if any complications that arose in surgery would be covered by our insurance.  I wanted to know if he offered any products that came with an insurance policy such as Doctor 4.

And he basically answered our questions together.  The short answer is no … to both. Complications arising from surgery are not necessarily covered and his facility offers no contractual insurance for its work.  However, he added that, to date, he has not had any issues arise either from surgical complications or implant defects. And, while he didn’t discount these possibilities completely, he emphasized that they are very rare.

As far as surgical complications, he said the number one issue is infection.  And he takes such great pains to avoid it that it has never manifested itself in any of his patients.  As far as implant defects, he said he personally guarantees all of his work as well as the products he uses. Thus, if an issue such as a leak arises with one of his surgeries, he corrects it … immediately and at no charge.  It does nothing for him to have a very dissatisfied patient out in the world.

And, after taking up about an hour of this doctor’s time with my extreme thoroughness, we each shook his hand and thanked him for yet another very informative visit.  Then, we gathered our things and headed out.  My husband whispered that it was hard not to look at the boobs of every woman in the office to determine if they’d joined the club.

And we walked out through the waiting room together … but not before I could grab another cookie.


The Third Consultation – with a third (and entirely new) option

Remind me never to schedule my breast consultations two days in a row again.

(I wonder if anyone’s ever uttered those fourteen words in that order before.)

It’s really too much breast manipulation, medical jargon and complicated reporting for me (and my shrinking brain) to tolerate in such a short time frame. So, I want to write everything down as quickly as I can before it disappears into a black hole somewhere in my mind after I sort through the junk mail, curse out a telemarketer or something.

Today started off just fine. A nice change from the last two days. After I got everyone out the door and threw myself together in yet another two-piece ensemble (never realized how many dresses I had until they were off limits), Ashley was already outside in the car waiting for me. Again, I would be prompt today since I was not the one driving. We dropped her youngest off at his little school and headed out to meet doctor number three.

We found the office quickly and got to work on my third set of paperwork. I’m always amused at the subtle differences in the forms from office to office. These forms asked me if I was on Facebook.(He better not be planning to tag any damned pictures of me.) I said yes and assumed that maybe I would just be recruited for a fan page of his work somewhere. But who knows?

The waiting room was a nice one, very contemporary in design. And there were abstract paintings here and there of the female form. Seems appropriate, yes? The plasma wall-mount TV was there purely for the purpose of running a tape loop of their best breast augmentation products. My dentist does the same thing. Well, his tape loop emphasizes teeth, of course.

Ashley and I passed the time by flipping through his before and after book. Impressive, as most have been. It didn’t hurt that he seemed to have a lot of particularly gross patients with which to work. (They’re all headless, so I can say whatever I want here!) There was a lot of particularly saggy skin not to mention a whole array of nipple piercings and tattoos (some with their own piercings worked into the design) to help us arrive at our clinical assessment of “gross.”

It wasn’t long before the nurse came out and called my name. She escorted us into the first examination room and seemed surprised that I had a buddy with me. She said she often serves in that role. Do other women usually go by themselves??? (Thanks, Ashley, for coming today.) I took off my shirt and threw on the robe without really even thinking about it, getting infinitely more comfortable with my toplessness lately. (Yeah, that’s probably not a good thing.)

The doctor came in pretty quickly and asked a few questions. I think I had the robe off within two minutes of his arrival. I couldn’t help but notice that his examination included not only my breasts but also my stomach. Immediately, he was able to offer his recommendations to me in a choice of two options:

(A) I could get a lift (the same full lift described at the first doctor appointment) in one surgery and then have implants inserted in a second surgery. Like my first doctor, he strongly urged that these two procedures be performed separately … but for a different reason than the first doctor. He said that, during the combination surgery that includes both procedures, 90% of the blood flow is cut off from the nipple and therefore there is a chance that (look away to the faint of heart) the nipple could die. So, two procedures it is, then. Moving right along …


(B) I could get the same lift and use a grafting technique that injects fat from another area of the body into the breasts to increase their overall mass. He said not everyone is eligible for this procedure and again asked to see my stomach. (Now I get it!) Oh, and yes, I have enough spare fat to move it upstairs. Yay?

I kind of like this new B option.

The upsides? My stomach would be a little smaller and apparently “contoured” following the surgery. Bonus! And there would be no foreign objects in my body.

The downside? It costs more than the lift/implants combo as it involves more actual surgery. The incisions for what I’m going to call the FRP (Fat Relocation Program) are very small and hidden in the bikini area. After time, they and the anchor incision are expected to be barely visible.

And Ashley did point out one significant fact to my now-swimming brain. Yes, option B (the lift/FRP combo) would cost more than option A (the lift/implants combo) … but … there would be no maintenance. With the lift/FRP combo, I would never have to worry about replacements, leaks, explosions or any other ‘natural’ disasters that could ever befall an implant. So there would be no further (unknown) costs associated with this pay-more-now-but-no-more-later option. Definitely food for thought.

Concerning the implants, he said he uses both saline and silicone, the latter of which costs about $1000 more. He said, in his opinion, they are both equally safe and durable but that his patients are typically more satisfied with the authentic feel of silicone. In either situation, problems can occur and replacements are generally required after ten or more years. He added that, with his implant patients, he likes to see them annually to check in on everything. Concerning mammograms, he said there are two schools of thought. Some say the implants obscure a full view of the breast tissue and therefore can be very detrimental in detecting a problem. Others argue that the implant actually pushes up on the overall breast thereby propping it up in its entirety and making it easier to get a full view of everything. So, the score there is still 0-0.

But, despite providing the implant information to me, it really seemed like he was favoring the fat injection method. He made a pretty strong case to Ashley and me about the whole thing. And we saw some ridiculously impressive before and after pictures of mastectomy patients for whom he literally created entire breasts (and sometimes nipples) for these women from their abdominal tissue. They looked incredible. Lovely breasts and a flat stomach was the consistent end result. I can’t think of a category of women who deserve it more.

I have so much to think about. And still a mammogram to attend. What a day …