First Breast Augmentation and Lift – October 6, 2004
Second Breast Augmentation -700 cc Silicone
Tummy Tuck - Lower Body Lift – Liposuction – February 2, 2006
I am a 54 year old mother of three sons. I have gained and
lost weight several times over the 34 years Hubby and I have been
married. From a high of 260 to a low of 125 and pregnancy, my
breasts had lost their volume and developed stage III ptosis.
After staying at my doctor’s recommended weight of 155 pounds for
well over a year, I decided it was time to do something about my
breasts. I was ashamed of them. I was ashamed for my
husband to see them. I was ashamed for my doctors to see them. My clothes did not look as good on me as I knew they should. I
had to wear a 36C bra to gather the loose breast tissue and hold it
in place. If I had only had a breast lift, the result would
have been a full 36B. I couldn’t see spending all that money
and only have a 36B to show for it.
All my research was done on the internet. I started with
Google and Yahoo searching for breast augmentation. I found
several forums and joined them. The ladies on the forums were
very helpful to one and all. The signature (siggy) pictures
added a bit of personality to the otherwise cold typed postings.
After a few weeks I started participating in the discussions because
I felt comfortable. The comments I made were based on my
research, comments I had read, and my consultations.
I had three consultations. The first was with Dr. DeWire of
Richmond, VA. He came very highly recommended by the staff and
members of the forums. I sent him pictures my husband took of
me, by e-mail, and received a prompt reply. He wanted to do
two separate surgeries. The first would be the breast lift,
the second the breast augmentation. I asked about silicone,
but he did not address my question in his reply. I was very
disappointed and decided not to go with him because I did not want
to go through two surgeries. I am afraid of not waking up.
My second consultation was with Dr. Fontana of Waldorf and Silver
Spring, MD. He described in great detail what the single
procedure would entail. His preference was for full-under the
muscle placement. He also said I was not eligible for silicone
and it would be illegal for any doctor to augment my breasts with
silicone. He also said the surgery would take about 4-1/2
hours. He was going to take that long to make absolutely sure
there was no bleeding. I knew I was eligible for
silicone implants based on my research. My research also told
me that 3 hours was a normal time for my surgery. I did not
want to be put under for that long. He quoted me a price of
about $13,000, partly because of the long surgery time.
My third and final consultation was with
Dr. Lowe of Annapolis, MD.
He had all the right answers. He asked if I wanted silicone or
saline (silicone!). He asked what size I wanted (full 36C).
He asked what shape I wanted. When I paused on that one, he
volunteered “perky”. Right answer! When I asked how long
the surgery would take, he said 3 hours. That was when I knew
he was the one. I was quoted a price of $9,345 for the breast
augmentation with mastopexy and areola reduction. My implants
would be MENTOR smooth round moderate profile 3rd generation
silicone gel implants.
My husband was with me for all meetings with doctors and staff.
We discussed everything in great detail during our nightly walks.
My initial consultation with Dr. Lowe was on July 13, 2004. My
preoperative consultation was on September 16, 2004 with my surgery
three weeks later on October 6, 2004. My preoperative photos
were taken at the September 16 appointment. I had to put down
a $500 deposit at my initial consultation to reserve the operating
room. The remaining amount was due at my preoperative
consultation. The wait from July to October was pure hell.
Each night during our two mile walk, hubby and I talked about little
else. My husband was doing as much research as I was so we had
a lot to talk about.
At my preoperative appointment and right before my surgery I told
Dr. Lowe that I had changed my mind and I wanted to go bigger.
I told him I wanted a 36D cup. He asked me three times to make
sure I wanted to go larger. At one point I said “forget C I
want D.” I am very happy with my decision to go bigger.
Hubby and I spent the night before my surgery in a hotel within
walking distance of the surgery center. I was paranoid the car
wouldn’t start or there would be a traffic problem during the 20
minute ride or the bridge would fall down. I wanted to leave
nothing to chance. We went to Copeland’s for dinner to
celebrate. Before dinner and before bed I took a Valium.
I highly recommend them for everything that ails you. They may
not fix it, but you don’t care. I threw away my bra and
panties to mark the transition.
B-Day morning we got up and I showered. I scrubbed my old
breasts hard with a washcloth and Dial soap to make sure they were
good and clean. I did not use any deodorant or makeup as
instructed. At 6:45 we drove the 0.2 miles to the surgery
center. We waited in the car for 10 minutes and went up at
7:00 sharp. We were the first there (Surprise). They
took me back and put me in one of those fashionable medical gowns
and started an IV. They gave me antibiotics, anti-nausea, and
a relaxant. Hubby came back and sat with me until the doctor
came to mark me up. The anesthesiologist talked to me for a
while and then I waited and waited. About 8:45 I was wheeled
into the operating room and moved over to the operating table.
I was laid out with both arms out to the side. I started to
think “I wonder when they are going to put me out”, and then I woke
I woke up wondering where the hell I was and who put those elephants
on my chest. It then dawned on me where I was and why I was
there. I checked and I had BOOBS! I was in the operating
room for 3 hours and the recovery room for 2-1/2 hours. They
sent me home with hubby about 2:15. Hubby did not leave the
surgery center for breakfast or lunch.
I wore a white T-shirt and no bra to the surgery clinic and a 2XL
HOOTERS T-shirt home. Everybody made a comment about it and
loved it. One of the other plastic surgeons asked where the
orange shorts were. I was too out of it to reply.
I had two beautiful, great, wonderful, new “450cc Mentor Smooth
Round Moderate Cohesive Gel Mammary Prosthesis”, and one butt ugly
surgical bra. The girls were high, hard and boxy, and I loved
them. I had cleavage and when I hugged hubby my boobs touch
first not my tummy.
Dr. Lowe performed a breast augmentation mammaplasty with mastopexy.
The implants were placed partially under the muscle. He had to
do a full anchor lift because my nipples were 3 inches below where
they should have been. (Think of Granny in Playboy.) My
incisions run along the bottom of my breasts from the center to the
outer edge. They also run up to and around my areola. My
areola has been reduced to 50mm in diameter.
I slept in a recliner and hubby tracked my drugs and made sure I
took all of them. He slept in the other recliner. He
went with me to the bathroom every time I had to go. When he
changed the dressing because a bit of blood had seeped through he
gave them both a light kiss. I ended up spending the first
four nights in the recliner and a few other nights when I was tired
of sleeping on my back. I took the pain and muscle relaxants
religiously for the first seven days. I then switched to extra
strength Tylenol. I had to take them on and off for about
eight weeks. Remember, I had a very extensive surgery.
I have had three post operative appointments. The first was at
day one. The doctor took the surgical bra off for the first
time and checked for bleeding and swelling. Everything was
just fine. I was told I could take a shower when I got home
but had to wear the surgical bra for three days and nights. I
then could switch to sports bras. I had to wear them 24 hours
a day except when I took a shower.
My second post operative appointment was at day eight. At that
time my steri-strips were removed, getting them off felt so good.
Some of the discomfort I was feeling was from the steri-strips
pulling on my skin. I was told that I had to wear a sports bra
24/7 for two more weeks. Then I could wear a regular bra but
no under-wires for the first three months. I could go braless
if I wanted too. I was also given a strap to wear two or three
times a day for one hour each time. I used it for three or
four days and stopped.
My third appointment was at five weeks. My breasts were still
a little high and need to drop and fluff a bit more. The scars
are healing just fine. Some of the dissolving stitches had
started coming through the skin so the nurse pulled them out and cut
them off. The nurse referred to it as “spitting stitches”.
My three month appointment was uneventful. Everything was
healing just fine. I have more appointments at one, three and
Dr. Lowe and the surgery center staff did an outstanding job.
I am very glad I went for the larger size. I only wish I had
done it a year ago.
My Decision to go
Slowly over time after my first breast augmentation and breast
lift, I became dissatisfied with my new perky boobs. They
looked good enough when I was naked or had a very tight top on, but
there just was not enough projection when I wore a loose top.
I didn’t expect anything when I wore a sweatshirt or bulky sweater.
I was a 34DD and strangely that was not enough for me. Hubby
never said anything about my boobs not projecting enough. He
was happy they didn’t hang to my belly button.
At about 9 months after my BA & BL I told my hubby I was not
satisfied with my new boobs and wanted bigger. I was very
happy with the width but not the projection. Hubby found and
downloaded the Mentor Product Reference Guide. In it my 450cc
Moderate Profile silicone implants were listed as having a diameter
of 14.9cm and a projection of 3.4cm. The closest Mentor High
Profile implant had a diameter of 14.8cm and a projection of 5.8cm.
This would give me 0.1 cm less diameter and 2.4cm more projection.
Hubby lobbied for me to get the 800cc HP implants but I didn’t want
any more width. He will survive.
I also started researching tummy tucks. I knew I needed one
bad. Three big sons and my loosing 110 lbs was showing bad.
My boobs had been fixed now it was time for the next step.
New Implants and a
At the one year visit with my PS, I brought up that I wanted a
full tummy tuck and bigger boobs. I told my PS I wanted 700cc
HP silicone implants. He thought for a few seconds and then
said “OK”. He then had me lay back and he examined my stomach
to determine the extent of the damage my pregnancies caused.
He then had me stand up and had me turn around so he could see my
back. He then had me sit down so we could discuss things.
He said I would be able to carry 700cc HP implants without a
As for my tummy tuck, I would need more than just a
simple tummy tuck. I would also need a full muscle repair and
a belt lipectomy. The belt lipectomy would make my tummy tuck
go all the way around. My PS and the nurse stepped out to do a
price estimate and hubby and I talked. We agreed that the belt
lipectomy was necessary. When my PS came back in we told him
we wanted all three procedures. He then left us with the price
sheet to decide whether we wanted to put a deposit down right then
or wait. We put down the deposit.
On February 2, 2006 I had my surgery. As before I was
prepped by the surgery center staff and my PS drew reference lines
in preparation for my surgery. I went to sleep and woke up
with my tummy hurting like you wouldn’t believe. I also had
two big beautiful boobs. I was given a shot of pain
medications. After a while hubby was brought back to take me
home. The surgery took 4-1/2 hours and I stayed in the
recovery room for 2-1/2 hours. It was a full day for
My Recovery Again.......
I could not stand up straight. I was told I would not be
able to stand erect for two weeks. They were correct.
When we got home I went directly to my trusty recliner. I
spent two weeks there. I started taking my prescription
medications before the pain killers they gave me during surgery wore
off. However when they did wear off I hurt like mad.
Hubby made sure I took my pain meds on time to keep ahead of the
pain as best as possible.
For the first two days I could not wipe myself, hubby had to do
it. That is true love. I also could not shower until day
three. I was wearing a surgical bra and surgical long-line
pants. I also had four drains. They were removed on day
7. I had a visit on day 3 just to make sure things were going
as planed. They were right I could not stand erect for the
first two weeks.
I went back to work after being off for two weeks. I should
have waited another week. The full tummy tuck with muscle
repair and belt lipectomy was a much harder hit than I expected.
You may have noticed I said nothing about pain from my implant
replacement. The pain from my tummy tuck totally overpowered
the pain from my boobs.
I am very happy with my choice of 700cc high profile silicone
implants. Having a flat tummy after all these years is
wonderful. I can now wear a bikini and feel comfortable.
I would do it all again in a heart beat. The only
loss in my surgery was my tramp stamp. It had to be sacrificed
to my belt lipectomy. It has been replaced by a bigger, more
intricate tramp stamp.
P.S. At my two year checkup my PS said I had the boobs of a
20 year old. He is right.