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Girls With The Mostest Breast Implants, Augmentation, Cosmetic Surgery Forum for Women.
   
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drdisaia Approved Man Boobs


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Posted: Sat May 26, 2007 1:27 am Post subject: |
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| admin wrote: | | Hello... curious as to your opinion on a mesh sling? what it is used for and if you have used this procedure and do you value it? |
I have read some South American surgeons have used a mesh sling of sorts for breast lifts and reductions. I do not think any American surgeons have used them as they are not FDA approved. Their use in the US might entail some liability if there were to be a bad outcome.
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John Di Saia MD
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Luxx DD Cup (Double Dang!)


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Posted: Sat May 26, 2007 10:33 am Post subject: |
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| drdisaia wrote: | | Luxx wrote: | Hello Dr. Disaia:
I'm in need of your opinion, when you have time:
The pocket on my L side is too big (long story), therefore, the implant rests too far laterally causing discomfort and I lack upper pole fullness. My PS is strongly opposed to reducing the pocket with sutures because he's concerned with causing permanent nerve damage/pain. His recommendation is to switch my current smooth silicone implant to a textured silicone implant. He feels that this would reduce the pocket size and reshape the breast. Do you feel that this is a viable option - would it work?
Thank you!
P.S. I'm almost 7 months post-op. |
I actually tend to fix these cases with sutures. I haven't caused any problems yet doing so. These can be hard cases though so I can't fault him. Maybe his technique works for him. It wouldn't give me enough control. |
Thank you, Dr. Disaia. Based on what my PS said, I'm lead to believe that he hasn't used this technique in the past for reducing pocket size. I can understand why it wouldn't give a PS much control over the outcome. Would switching to a larger implant fill in the pocket or would I be better served by finding a surgeon more willing to reduce it with sutures? I appreciate your feedback! |
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drdisaia Approved Man Boobs


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Posted: Sat May 26, 2007 11:21 am Post subject: |
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| Luxx wrote: | | drdisaia wrote: | | Luxx wrote: | Hello Dr. Disaia:
I'm in need of your opinion, when you have time:
The pocket on my L side is too big (long story), therefore, the implant rests too far laterally causing discomfort and I lack upper pole fullness. My PS is strongly opposed to reducing the pocket with sutures because he's concerned with causing permanent nerve damage/pain. His recommendation is to switch my current smooth silicone implant to a textured silicone implant. He feels that this would reduce the pocket size and reshape the breast. Do you feel that this is a viable option - would it work?
Thank you!
P.S. I'm almost 7 months post-op. |
I actually tend to fix these cases with sutures. I haven't caused any problems yet doing so. These can be hard cases though so I can't fault him. Maybe his technique works for him. It wouldn't give me enough control. |
Thank you, Dr. Disaia. Based on what my PS said, I'm lead to believe that he hasn't used this technique in the past for reducing pocket size. I can understand why it wouldn't give a PS much control over the outcome. Would switching to a larger implant fill in the pocket or would I be better served by finding a surgeon more willing to reduce it with sutures? I appreciate your feedback! |
He might be worried that sutures wouldn't hold that is if there is not enough tissue to hold them in the position he wants. A larger implant can thin the tissue in this area even more making the problem worse as it stretches. He might think that textured silicone might scar in staying there. Gel implants weigh more than saline implants...so gravity tends to win. This one is hard to figure especially without seeing you. _________________ Best Regards,
John Di Saia MD
Orange County, Ca.
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Luxx DD Cup (Double Dang!)


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Posted: Tue May 29, 2007 7:26 pm Post subject: |
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| Quote: | | He might be worried that sutures wouldn't hold that is if there is not enough tissue to hold them in the position he wants. A larger implant can thin the tissue in this area even more making the problem worse as it stretches. He might think that textured silicone might scar in staying there. Gel implants weigh more than saline implants...so gravity tends to win. This one is hard to figure especially without seeing you. |
Thanks again, Dr. Disaia! Although my PS did mention that sutures may not hold, his stated concern is that the nerves can't be seen during surgery. The reason to not go with a larger implant makes perfect sense. Yes, my PS thinks that the textured implant will scar in, which would close the pocket and improve the shape. But I still see your point, there's no control over the outcome. I'm going to go for a 3rd opinion (the 2nd approved of suturing), but despite the discomfort, I'm not going to rush a decision. Your input was very much appreciated - wish you lived in my area! |
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Boobsnj H Cup (Holy Hooters!)


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Posted: Sun Jun 03, 2007 1:41 pm Post subject: |
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Dr... If I was bottoming out, or the pocket was dissected too much, would wearing an underwire bra 24/7 help or prevent it from getting worse, or possibly helping it? _________________
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drdisaia Approved Man Boobs


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Posted: Mon Jun 04, 2007 10:57 am Post subject: |
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| Boobsnj wrote: | | Dr... If I was bottoming out, or the pocket was dissected too much, would wearing an underwire bra 24/7 help or prevent it from getting worse, or possibly helping it? |
It might help a little. How large are your implants? It might just be the weight. _________________ Best Regards,
John Di Saia MD
Orange County, Ca.
www.ocbody.com |
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Boobsnj H Cup (Holy Hooters!)


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Posted: Mon Jun 04, 2007 9:59 pm Post subject: |
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| drdisaia wrote: | | Boobsnj wrote: | | Dr... If I was bottoming out, or the pocket was dissected too much, would wearing an underwire bra 24/7 help or prevent it from getting worse, or possibly helping it? |
It might help a little. How large are your implants? It might just be the weight. |
My implants are saline smooth Mentor 500. L/filled to 585-R/filled to 600cc. My leftie has a db and is the one that is too dissected. I had the ba almost a year ago and righty is great, but I'm not happy with leftie. Alot of girls on here told me that their docs recommened wearing an underwire 24/7 but mine never did. It's also going to cost another $5000 to get the lift, he insists that the pocket is fine and he had to dissect it because it was higher than righty...there is no defention compared to righty. Just wondering about the bra, if it might help or make things worse? I wasn't allowed to wear an underwire for six weeks after my surgery. Hope this helps...If you want I can send pics, even though they are quite embarressing. _________________
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drdisaia Approved Man Boobs


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Posted: Tue Jun 05, 2007 9:00 pm Post subject: |
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| Boobsnj wrote: | | drdisaia wrote: | | Boobsnj wrote: | | Dr... If I was bottoming out, or the pocket was dissected too much, would wearing an underwire bra 24/7 help or prevent it from getting worse, or possibly helping it? |
It might help a little. How large are your implants? It might just be the weight. |
My implants are saline smooth Mentor 500. L/filled to 585-R/filled to 600cc. My leftie has a db and is the one that is too dissected. I had the ba almost a year ago and righty is great, but I'm not happy with leftie. Alot of girls on here told me that their docs recommened wearing an underwire 24/7 but mine never did. It's also going to cost another $5000 to get the lift, he insists that the pocket is fine and he had to dissect it because it was higher than righty...there is no defention compared to righty. Just wondering about the bra, if it might help or make things worse? I wasn't allowed to wear an underwire for six weeks after my surgery. Hope this helps...If you want I can send pics, even though they are quite embarressing. |
A bra shouldn't hurt. What does your surgeon say? Often an exact match is impossible. How far off are they? _________________ Best Regards,
John Di Saia MD
Orange County, Ca.
www.ocbody.com |
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Boobsnj H Cup (Holy Hooters!)


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Posted: Wed Jun 06, 2007 9:08 pm Post subject: |
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| drdisaia wrote: | | Boobsnj wrote: | | drdisaia wrote: | | Boobsnj wrote: | | Dr... If I was bottoming out, or the pocket was dissected too much, would wearing an underwire bra 24/7 help or prevent it from getting worse, or possibly helping it? |
It might help a little. How large are your implants? It might just be the weight. |
My implants are saline smooth Mentor 500. L/filled to 585-R/filled to 600cc. My leftie has a db and is the one that is too dissected. I had the ba almost a year ago and righty is great, but I'm not happy with leftie. Alot of girls on here told me that their docs recommened wearing an underwire 24/7 but mine never did. It's also going to cost another $5000 to get the lift, he insists that the pocket is fine and he had to dissect it because it was higher than righty...there is no defention compared to righty. Just wondering about the bra, if it might help or make things worse? I wasn't allowed to wear an underwire for six weeks after my surgery. Hope this helps...If you want I can send pics, even though they are quite embarressing. |
A bra shouldn't hurt. What does your surgeon say? Often an exact match is impossible. How far off are they? |
Here ya go...before and after _________________
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drdisaia Approved Man Boobs


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Posted: Thu Jun 07, 2007 8:54 am Post subject: |
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| Boobsnj wrote: | | drdisaia wrote: | | Boobsnj wrote: | | drdisaia wrote: | | Boobsnj wrote: | | Dr... If I was bottoming out, or the pocket was dissected too much, would wearing an underwire bra 24/7 help or prevent it from getting worse, or possibly helping it? |
It might help a little. How large are your implants? It might just be the weight. |
My implants are saline smooth Mentor 500. L/filled to 585-R/filled to 600cc. My leftie has a db and is the one that is too dissected. I had the ba almost a year ago and righty is great, but I'm not happy with leftie. Alot of girls on here told me that their docs recommened wearing an underwire 24/7 but mine never did. It's also going to cost another $5000 to get the lift, he insists that the pocket is fine and he had to dissect it because it was higher than righty...there is no defention compared to righty. Just wondering about the bra, if it might help or make things worse? I wasn't allowed to wear an underwire for six weeks after my surgery. Hope this helps...If you want I can send pics, even though they are quite embarressing. |
A bra shouldn't hurt. What does your surgeon say? Often an exact match is impossible. How far off are they? |
Here ya go...before and after |
You had tuberous breasts. Your left was more affected than your right. You would have been better served with a modified breast lift at the time of your augmentation. Did your surgeon tell you this at the time? I would love to use your images as an example to future patients in a similar place who want implants and no lift if you don't mind. Considering this you look pretty good. I would advise a lift. _________________ Best Regards,
John Di Saia MD
Orange County, Ca.
www.ocbody.com |
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Boobsnj H Cup (Holy Hooters!)


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Posted: Thu Jun 07, 2007 10:21 pm Post subject: |
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Thanks! And yes, the surgeon told me that I would most likely need a lift. However, he said the BCPS (correct me if I'm wrong, because quite a few of other dr.s that I interviewed said the same thing), that they were recommending doing the lift seperatly, due to, if there is a problem it's challenging at times to discover where did the problem occur? Lift or implant?
In all honesty I did/do not want a lift. It might sound silly to you but I dread the fact that he would cut my nipple. It totally skeeves me. I know I probably sound immature, but I was trying to avoid the areola lift. And certainly did not want an anchor lift. He did tell me everytime I went back that I would benefit from the lift. But again, we're talking another $5000.
Oh, what's your take on the bottoming out question? He said no way, that if I get the lift it will look much better. He also said that he could move the nipples over more center (this was bothering me too), meanwhile my dh practically lost his lunch lol.
Oh...sure, if it'll help someone by all means you can use the pic, Just glad you don't know my name and have any face shots lol...how embarressing! _________________
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sexy F Cup (Fabulous Fakes)


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Posted: Sat Jun 09, 2007 2:09 am Post subject: |
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Boobs, i think you have had such a huge improvement, it is wonderful. I too was tubular and I did not have a lift. I think my breasts were a little less tubular and only my left was effected by being tubular, my right was *almost* normal. I ended up bottoming out in the breast that was more tubular. I think my surgeon overdisected the pocket when he was scoring the tissue (to release the constriction - tubular breasts are constricted, that is why they dont develop properly). I had the pocket sutured and now i am pretty even. Not perfect but to me it is dealable. I guess i am used to not being perfect since being tubular is such a huge imperfection. Well I should really take some pictures soon. I know when i look in the mirror I am happy but you know, sometimes pictures accentuate imperfections and I don't want to feel bad so I don't take pictures :)
I think maybe just correction of your pockets would help you a lot. It looks like your left pocket is loose and it casues your nip to point outward a little. I think that can be fixed pretty easily with bottoming out revision. also it looks like you may still have a little constriction under the nipple which is normal in people who had tubular breasts. You can see that it is not perfectly round under your breast yet, it could also be called double bubble but since this is due to being tubular i think it is more of a constriction situation. I am not a DR so I don't know these things for sure. Your right breast looks great. Your left breast is ALMOST there. I really think a small tweak is all you need, I don't think you should get a lift if you can avoid it. You look great and I personally think lifting the crease and closing up the pocket on the left side will match it up to your right side a bit more creating symmetry. Wearing an underwire bra can help but it has to be done shortly after surgery. When your body is still healing. Once your body is mostly healed, underwire wont do anything for you. It may keep your boob comfortable but it won't correct the situation.
Let me know if I can do anything to help you :) |
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Boobsnj H Cup (Holy Hooters!)


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Posted: Sat Jun 09, 2007 1:46 pm Post subject: |
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| sexy wrote: | Boobs, i think you have had such a huge improvement, it is wonderful. I too was tubular and I did not have a lift. I think my breasts were a little less tubular and only my left was effected by being tubular, my right was *almost* normal. I ended up bottoming out in the breast that was more tubular. I think my surgeon overdisected the pocket when he was scoring the tissue (to release the constriction - tubular breasts are constricted, that is why they dont develop properly). I had the pocket sutured and now i am pretty even. Not perfect but to me it is dealable. I guess i am used to not being perfect since being tubular is such a huge imperfection. Well I should really take some pictures soon. I know when i look in the mirror I am happy but you know, sometimes pictures accentuate imperfections and I don't want to feel bad so I don't take pictures :)
I think maybe just correction of your pockets would help you a lot. It looks like your left pocket is loose and it casues your nip to point outward a little. I think that can be fixed pretty easily with bottoming out revision. also it looks like you may still have a little constriction under the nipple which is normal in people who had tubular breasts. You can see that it is not perfectly round under your breast yet, it could also be called double bubble but since this is due to being tubular i think it is more of a constriction situation. I am not a DR so I don't know these things for sure. Your right breast looks great. Your left breast is ALMOST there. I really think a small tweak is all you need, I don't think you should get a lift if you can avoid it. You look great and I personally think lifting the crease and closing up the pocket on the left side will match it up to your right side a bit more creating symmetry. Wearing an underwire bra can help but it has to be done shortly after surgery. When your body is still healing. Once your body is mostly healed, underwire wont do anything for you. It may keep your boob comfortable but it won't correct the situation.
Let me know if I can do anything to help you :) |
Thanks Sexy! I spoke to my dr. about the bottoming out & he said definitley not! However, when he would go in to do the lift that he would also go in and like you said release a little more to make it less restricted. The problem with getting the lift, which both my dr. and dr. d said I need, is that I would have to get it on both sides to even them out. KWIM? I have been wearing the underwire 24/7 for the past few days. I am way more comfortable NOT wearing any bra. And like you stated about the pics, me and dh really don't think they look this bad in person. My dr. also said that fixing the crease is a very challenging procedure, one in which I do not think he wants to do. But if I'm serious about getting it fixed then I'll take your advice as well as dr. d's with me and confront him with all this. Thanks for your help.  _________________
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drdisaia Approved Man Boobs


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Posted: Mon Jun 11, 2007 6:37 pm Post subject: |
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| Boobsnj wrote: | In all honesty I did/do not want a lift. It might sound silly to you but I dread the fact that he would cut my nipple. It totally skeeves me. I know I probably sound immature, but I was trying to avoid the areola lift. And certainly did not want an anchor lift. He did tell me everytime I went back that I would benefit from the lift. But again, we're talking another $5000.
Oh...sure, if it'll help someone by all means you can use the pic, Just glad you don't know my name and have any face shots lol...how embarressing! |
You are not immature to not want a lift. You just make a choice. As long as you are OK with limited improvement then it is OK. Pocket modification can only provide minor improvement here. The main problem is that the two breasts have very different soft tissue envelopes around them. Implants only "round this out" to a certain extent. I will add your images to my catalog for in office patient review. Thanks. _________________ Best Regards,
John Di Saia MD
Orange County, Ca.
www.ocbody.com |
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Boobsnj H Cup (Holy Hooters!)


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Posted: Mon Jun 11, 2007 9:50 pm Post subject: |
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| drdisaia wrote: | | Boobsnj wrote: | In all honesty I did/do not want a lift. It might sound silly to you but I dread the fact that he would cut my nipple. It totally skeeves me. I know I probably sound immature, but I was trying to avoid the areola lift. And certainly did not want an anchor lift. He did tell me everytime I went back that I would benefit from the lift. But again, we're talking another $5000.
Oh...sure, if it'll help someone by all means you can use the pic, Just glad you don't know my name and have any face shots lol...how embarressing! |
You are not immature to not want a lift. You just make a choice. As long as you are OK with limited improvement then it is OK. Pocket modification can only provide minor improvement here. The main problem is that the two breasts have very different soft tissue envelopes around them. Implants only "round this out" to a certain extent. I will add your images to my catalog for in office patient review. Thanks. |
Thanks...do you think it will benefit me to wear the underwire bra or do you believe that I'm too far out post opt? I've been wearing an underwire bra 24/7 for almost a week and i have seen a slight improvement, however, I just don't know if it'll go back to where it was once I stop wearing them...I hate wearing bra's! Especially to bed curse _________________
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Brashley G Cup (Good Golly!)


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Posted: Tue Jun 12, 2007 7:58 pm Post subject: |
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Hello Dr. Disaia!
I have breasts that naturally sit lower on my ribcage and with implants it can get uncomfortable. Underwires sit so low due to my low breast placement that they hurt my midribcage if that makes sense? curse Also, most sports bras hurt because the straps aren't always long enough to cover my breasts comfortably and either compromise with pain in my shoulders (from stretching to lower and cover breasts) or pain in my creases (from forcing breasts up to stay in bra). I have 370cc saline so my implants are not 'huge' by any means - also my stats are to the left if that helps.
What is the best type of lift for me to look into in order to move them up an inch or so and avoid the 'shelf boobie' look that I think I now have??
Thank you so much for your time!  _________________
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Posted: Wed Jun 13, 2007 1:45 pm Post subject: |
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| Brashley wrote: | Hello Dr. Disaia!
I have breasts that naturally sit lower on my ribcage and with implants it can get uncomfortable. Underwires sit so low due to my low breast placement that they hurt my midribcage if that makes sense? curse Also, most sports bras hurt because the straps aren't always long enough to cover my breasts comfortably and either compromise with pain in my shoulders (from stretching to lower and cover breasts) or pain in my creases (from forcing breasts up to stay in bra). I have 370cc saline so my implants are not 'huge' by any means - also my stats are to the left if that helps.
What is the best type of lift for me to look into in order to move them up an inch or so and avoid the 'shelf boobie' look that I think I now have??
Thank you so much for your time!  |
Hi,
Are the implants over or under the Pectoral muscles? After your lift do you want each breast to be entirely lifted up or can just the nipple and areola be lifted up and that would be enough? How much droop remaining would be OK?
Take into account that lesser lifts lift less but with fewer incisions. That is the trade-off.
Got any images? It is hard enough providing any useful info without at least an idea of what you might look like. _________________ Best Regards,
John Di Saia MD
Orange County, Ca.
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liltexasgal B Cup (Barely There)


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Posted: Wed Jun 13, 2007 3:09 pm Post subject: |
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Dr. Disaia,
I posted before about my funky shaped left breast, and you advised me to see my personal PS. Well, I did that at the beginning of May. He says nothing is wrong, now he refuses to see me at all. They will not schedule an appt. for me period. HE also says I don't need any more follow up appointments. I am not even 2 months out.
I have been wearing an underwire 24/7 and things have gotten better, however I am worried that if I stop wearing the underwire it will go right back to how it was before. Do I wear the thing forever? Left is still a bit lower, but that doesnt really concern me, I am just curious how long I need to wear this underwire. Should I make an appt with another PS? Will another PS even see me?
Here are pics of my progress...
In the Beginning:
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KSmitha22 F Cup (Fabulous Fakes)
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Posted: Wed Jul 25, 2007 8:10 pm Post subject: |
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Dr. Disaia,
I think that my pockets are too large - they are naturally that way according to my ps. When I lay down my breasts slide off to the side - just like before I had my lift & ba - I hate this. It was one of the specific things I mentioned in my consults that I wanted fixed. He originally suggested 800cc but that terrified me to no end, I ended up with 550 silicone mod +.
How do I fix this situation? Would it require another complete surgery and what would it entail?
TIA! _________________
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Suebiedoobie A Cup (Almost Boobs)
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Posted: Sun Sep 02, 2007 8:51 am Post subject: |
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Dr. Disaia,
What are the biggest problems for girls, like me, that had very little tissue to begin with and are very small framed when they go "too big"?
I'm not even considering a re-do at this point because I'm extremely happy with my results but my PS told me at one point that you risk complications if you go too big for your frame so I was just curious on your thoughts?
Thank you.
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