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MissS last won the day on May 27 2019

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  1. I have researched this extensively because I am deciding between implants or fat transfer. In Australia, surgeons are not great at fat transfer. They haven't been doing it for very long, and will tell you that it's best for patients who have a fair amount of fat to be liposuctioned away, and that they can't inject much fat into the breast, and that you may need to have multiple procedures. If you want someone in Sydney, Dr Rastogi or Dr Wessels are good options. Rastogi does lovely liposculpture and he has before and after FT photos on his website. Another option is Dr Chin in Brisbane but he posts no before and after photos online and I haven't seen any of his pics. Make sure you get someone who is good at lipo, not just the breast fat transfer. In the US, surgeons have been doing fat transfer for longer. They transfer much larger volumes of fat. There is a surgeon called Dr Bednar in North Carolina and he is the most experienced. He has been doing this for 10 years and does 300 patients a year. I know some Australian women fly over to see him. He transfers large volumes - I'm talking 500cc of fat per breast (20-30% of that cc amount includes tumescent fluid from the lipo). Other US surgeons are Dr Burns, Dr Coleman and Dr Khouri. The benefits of FT are that it uses your own tissue so there is no risk of "breast implant illness" or ALCL, or capsular contracture or any of those issues to do with a foreign object in the body. Once the fat has connected to a blood supply, it stays there permanently and behaves like normal fat. If you gain weight in future, it will go to those fat cells, that are now in the breasts. It looks very natural. The disadvantages of FT are that it is soft so you need a lot more fat than implant to get the same volume, and because the fat is soft, you don't get a lifting effect like you do with an implant. It is almost impossible for them to fill the upper pole because of the way gravity affects the fat in the breasts so you cannot get that full upper pole look that you can get with implants. Once established, the FT breasts will age and sag like breasts which are naturally large. Another disadvantage is that how much fat will survive is unpredictable. They can inject a lot of fat but after a year once it has all settled, your breasts may not look much fuller than they do pre-surgery. You have to take into account the risks of liposuction - the donor sites can end up with lumps and bumps and adhesions, and cellulite on your legs can look worse. My main concerns about FT are health-related. Because not all the fat that they inject survives, the fat that dies can form lumps in the breasts. There are 3 different types of lumps that can develop. They can look and feel strange. They calcify and can obscure breast cancer during mammograms and ultrasounds (I have confirmed this with my mammogram sonographer, and my friend who is a sonographer). So there is no known increase of breast cancer, but there is a risk that they could miss a breast cancer, because the calcified fat obscures it. If you develop lumps, they can try to aspirate them or liposuction them out, but that can leave deformities on the breast. They have done studies showing that women who have had FT have long-term inflammation in the breasts. There is an article about it here: https://journals.lww.com/prsgo/FullText/2017/12000/Ultrasound_Diagnosis_and_Treatment_of_Breast_Lumps.8.aspx?fbclid=IwAR06h5ZTQKJ97BMgwXNkBQckCm2Sb4irlC57VPnSZUnDZlMisyO11b1DhkQ My main concern is that this technology has only been around for 10 years. Not many women have had this procedure - far less women than have had implants. The long-term risks of cancerous changes to the breasts are unknown. I hope this helps - I have consulted numerous surgeons about this and done lots of online research and read medical journal articles about it, and I'm in some facebook groups about fat transfer, which is how I know so much about it! I love the idea of it but ultimately it suits some people and not others, and it has some risks, just like any procedure.
  2. Sorry to hear what you're going through Jen! Thank you for sharing this with me.
  3. Thanks so much for helping me everyone. I did actually go to see a psychologist about this. She said that she thinks I want this, but am fearful about it and that is just fear and anxiety. However, as you all say, I know that no one can make this decision for me or know what I want, whether it be the health professionals or you lovely ladies on this forum! If someone could wave a magic wand and fix my breasts tomorrow I would 100% do it. It's the implants that I'm not 100% sure about... because of all the risks and lifelong expense. For a whole year I looked into breast fat grafting and even considered going to the US to get it done but I'm very skinny and every surgeon said I just don't have enough fat, so for me the only way to make my breasts look better is implants. It's implants or nothing. It is so helpful to get your perspectives though because you made the decision and went and got the implants, whereas none of my friends or my psychologist have been through that. It does sound like all of you were more sure than me that you wanted it done. Argh. I have been thinking about this for sooo many years and done so much research and consulted six surgeons. I just don't want to keep umming and ahhing about this until I'm 50, wondering do I want it, should I get it done, would it look good, is it worth it etc. It's a horrible state to be in! I just want to make the decision and be done with it! I oscillate so much. One minute I think yes they'll be great I'll be fine, 5 minutes later I think no it's not worth it I just can't do it. I am supposed to see the surgeon for my pre-op appointment early, 3 weeks before surgery. I could pull out after that appointment. Do you think I should cancel now if I'm not sure, or go through with that appointment? I should have waited until I was 100% sure before booking surgery, but I was just so sick of thinking about it and I thought just do it to put an end to this indecision! Now I feel under more pressure. But maybe the pressure is good because I can't go on wondering about it forever, I need a time limit on this decision.
  4. I am 35 too and I have exactly the same issue and I've been to three different top clinics in Melbourne and they have all told me that there is nothing that can be done for under eye wrinkles! I keep thinking that there must be something that can be done because you don't see celebrities with lines under their eyes. My wrinkles are directly under my eyes, not crows feet. Like you, the makeup and concealer makes them look worse. They make me look so old and tired. The people I consulted all said that you can't do botox under the eyes, only in crow's feet, and filler under the eyes only works if you are hollow in that area, which I am not. One guy suggested some micro needling or laser to improve the skin firmness but he implied that it was quite expensive for the minimal result that I'd achieve. I'm very interested if anyone on here has any solutions!
  5. Hi girls, is it normal to feel anxious and full of fears and doubts about the decision to get a BA, or did most of you feel 100% sure about it? I am booked in for next month but I'm not sure if I'll go through with it. My breasts are deflated from breastfeeding, and I would love for them to look better. However, I have so much anxiety about it and I don't know whether that is just something I should push through, or whether it means that this isn't right for me. My fear is that I could hate what they look like because I'm so used to my petite figure, and I'm also scared of complications, and breast implant illness (which I know is not proven). How did you girls know for sure that you would like breast implants? Or did you go into it with doubts and fears like me? I really can't tell if this is nerves and fear in the lead up to surgery, or if this means that I will hate having implants. I am scared that I'll hate them and they'll look terrible on me and I'll regret it! Here is how I'm thinking about the decision: Option A: stick with what I have now. I'm a deflated 10B. In clothes, with a push-up bra, I look fine. People are always telling me that I have a great figure (because I'm slim and fit). I'm size 4-6, short, hourglass shape, former ballerina and I have one of those very "tiny" bodies with a small skeleton. Also, I'm a 35 year old mum and am not out clubbing or anything... I go to school, the shops etc and I definitely don't "need" better boobs, I look fine with clothes on. However, in the nude I have these sad empty droopy boobs and they have affected my body image and sense of identity and sexuality, and intimacy. I've tried for 6 years to accept them and like them but I just don't. Option B: get them done. My hope would be to have small, but full breasts. However because I am pigeon-chested and have loose skin from breastfeeding, the surgeon has said I need to go bigger than I want. I'm scared that this will ruin my small figure and make me look fat and dumpy, especially because I'm short with a short waist. I'm also scared I would be more self-conscious of fake boobs than I am of my current empty boobs... it's an unknown. I have been super anxious about all the risks of complications and breast implant illness plus the knowledge that in future I will need replacements etc and it all gets very expensive. So... I booked in because I have been researching this and talking to my husband about it for 6 years and a couple of months ago I rationally thought that I'm not happy with my boobs now, so I should try the implants, I only live once, etc. However as you can tell even though I am booked in, I'm still not 100% on the decision. But maybe I will never be? And I don't know if all these fears are just normal fears and nerves and anxieties in the lead-up to surgery, or if this means that I'm not sure enough to go ahead. I don't want to cancel then keep thinking about this for another 6 years, I either want to do it, or decide not to do it and then never think about this again!
  6. I'm in Melbourne and I consulted with a lot of surgeons here but couldn't find anyone whose results I liked. The popular ones are Craig Rubenstein, Chris M O S S, Mark Ashton. In the end I went to Sydney. , Dr Rastogi (cosmetic surgeon not plastic) and Dr Tavakoli. Their results are beautiful. In my opinion they get a much more natural look than the Melbourne surgeons... but that's personal preference.
  7. I know a little bit about this because I'm booked in with Dr Rastogi and he uses PU implants. Silimed are now banned in Australia because they were found to have some contaminants on the surface of the implants. Apparently it was caused by a problem with their air-conditioning (a few Melbourne surgeons told me this in consults, so I'm not sure if that's true). Anyhow, you can still get PU implants, but they are manufactured by Polytech, a German company. It does seem, from what I've read, that the PU implants have a higher risk of ALCL because they are highly textured.
  8. That's very scary, the poor lady! I'll keep doing research and I've contacted the Breast Registry because the TCA wouldn't help me, but Rastogi, Tansley, and Polytech all said there has only been one case of ALCL with the Polytech PU implants. I wonder whether this lady's were the Silimed ones? Either way I want to choose low-risk implants, and it is surprisingly hard to get reliable info about the incidence of ALCL with different implant types
  9. Thanks girls. I phoned Miroshnik's rooms but it's impossible to get any help over the phone. The girls have such attitude!! Very disappointing and surprising, I imagine he would lose a lot of prospective patients due to the unwelcoming and unhelpful receptionists. I have tried explaining that I just have a few questions and is there anyone I can discuss them with before booking a date and paying a deposit and committing to surgery, but they are very "computer says no" and just say if you have more questions you'll need to discuss them with Dr M, and pay another $250, and he's not available until November.... by which time the December date I want will be gone. It makes me concerned that I am just a number there. Rapport is important to me, particularly because I'd be flying up from Melbourne for the surgery. I want to feel taken care of and this experience now makes me suspect that after surgery, especially once I'm back in Melbourne, I'll be very much on my own and if I ring with questions, who will help me? He doesn't seem to have a patient coordinator or anyone on staff who can assist patients. So disappointing because I do think he gets beautiful results but I want a good experience and I want to feel like they will look after me - especially when you're willing to pay such a premium. I'm definitely leaning towards Rastogi now because when I call, you get to speak straight away with the patient coordinator, who remembers my name (the Miroshnik girls don't seem to remember who I am even though I flew all the way up for a consult just last week) and she put me through to speak to the nurse, who was lovely and spoke to me for ages about all my questions and concerns. Rastogi himself even called me quickly for a chat about some questions about ALCL. It only took 10 mins of his time but made me feel so much more like he actually cares.
  10. Thanks ladies. I can't tell you how much I appreciate you taking the time to reply to me and share your experience, information and advice with me. Even though I have done so much research, you have told me things I didn't know. I've been researching my BA all year, and have consulted six surgeons, and they have been very superficial when it comes to details. I would not have know that the PU implants can mean your natural breast tissue is removed when they remove the implant. Sounds pretty awful. Rastogi and his staff told me that the Polytech PU implants are the lowest risk for ALCL. I was told the same thing by Dr Patrick Tansley in Melbourne. Incidentally he is a plastic surgeon, so I had no alarm bells that only cosmetic surgeons use these implants. Both surgeons told me they are the "safest" because of the lowest risk of ALCL and lowest risk of CC. I told them both I was concerned about the PU coating breaking down in the body and they said it isn't toxic (but they didn't say that it didn't break down) hence why I emailed Polytech to ask if it breaks down, and they said it doesn't. Hmmm!!! Miroshnik uses the Mentor implants and if those are safest I think I'll just go with him! Plus of course he's a plastic surgeon, and seems extremely well-qualified.
  11. Thank you. Can I ask you why you wouldn't choose the poly implants? I asked Rastogi's staff and they told me that they have the lowest risk of ALCL compared to textured implants... is that incorrect? I've googled but haven't been able to find anything showing what the risk is with different implants. I was worried by reports of women on this forum sayihng that the coating breaks down in the body but I emailed the manufacturer Polytech and they told me that isn't true, that even after 9 years implantation 99% of the coating is intact. I definitely want to choose the anatomical implants with the lowest risk. My health is very important to me.
  12. Thanks girls. I've actually consulted six surgeons (!) and these are the top two, so I'm deciding between them. I don't want to consult any more surgeons because I do really like Miroshnik and Rastogi. I phoned Miroshnik's rooms with a couple more questions, because he didn't measure me for the implants the way Rastogi did, and I want to ask if/when he does that, and to check that he won't make me too big. The staff are super unhelpful unfortunately. They all seem to be young girls and they said if I have more questions I need to book another consult for $250.... I just paid $550 for the consultant and was really disappointed that they won't field a couple of questions for me. It would only take 5 mins and I'm about to spend a lot of money on this. This is the kind of thing that makes me think Miroshnik is not right for me, like it's the universe telling me not to go with him... Rastogi's staff are so much nicer. But yes, as you both say, you choose the surgeon for their results not how nice their staff are... I just feel very torn between my head and heart. If I choose Miroshnik because he seems better on paper and get a poor result, I'd be kicking myself and thinking I should have followed my gut instinct. Argh! What to do? Devibear I've seen Tavakoli's work and it looks beautiful, great that you're happy! In the end I didn't consult with him because I'd seen so many surgeons all ready and also because I think he does the augmented look which isn't what I'm after, although I know he does do the mini boob job.
  13. Hi girls, I've had consults with Dr Rastogi and Dr M about a breast augmentation. I want to reinflate my breasts after breastfeeding 2 children. I am petite, with a conservative job. I want my breasts to look small, natural, elegant, and beautiful. I DON'T want them to be big and eyecatching. It isn't me. My heart says I should go for Rastogi. I "clicked" with him. He was lovely and I felt that he paid attention to what I was saying, and what my body looked like. He spent a lot of time measuring me and determining which implant would suit best. And he does lots of small, elegant implants, which is the look I like. However, he is a cosmetic surgeon, not a plastic surgeon, and he uses polyurethane implants. I've read that they can feel hard, stick to your chest and can ruin it when they explant later, and that the polyurethane coating can dissolve in your body. I'm very health conscious and I don't like this idea at all. I also saw some pics on his instagram of girls with quite obvious implants, like a very grapefruit-like cleavage. So my head says I should choose M. I liked him too, just not quite as much. I didn't get a bad gut feel about him, but I didn't get that gut feel about him that says "he is the right surgeon for you." The reasons to choose him are: he's a plastic surgeon, he uses normal implants not polyurethane, he gets a lot of beautiful results, and if I ever did a tummy tuck, I could go back to him to do that too. The reasons against him are: the consult was more rushed and he didn't measure me in order to choose an implant, I felt a bit more like a number, and he does a lot of big boob jobs, which I definitely don't want. I'm scared he'll make me too big. If Rastogi was a plastic surgeon and used normal implants, I would choose him. What do you all think? Any advice on either of these surgeons? And should I follow my head or my heart with this decision? I've never had plastic surgery before so don't know how one makes this decision well.
  14. Hey girls, just saw the updates to this thread. So obviously I can't advise from the perspective of someone who had implants then breastfed, but my main advice to limit the damage to your boobs during pregnancy and breastfeeding is to spend as much money as it takes to make sure you have properly fitted, non-wired bras at every stage of pregnancy and feeding, then wear them all the time. About 50% of the time I went braless (ie I didn't wear bras to bed), and often during the day it was all too hard and I just wore maternity singlets. I think that this is a major reason why my boobs look so bad now, because I didn't support them properly when they were heavy and full of milk. The other things you can do are make sure you don't get blocked ducts and mastitis because when this happens you have to massage your breasts quite firmly and vigorously and again, this really stretches and abuses the skin and tissue. I got mastitis 5 times so this happened a lot and my poor boob got a lot of rough treatment in the form of massaging and squeezing out milk! Good luck with your decision!
  15. Hi everyone, I am very petite and I have a 20-month-old son. After I delivered (v-birth) the hospital physio measured my diastasis recti (abdominal muscle separation) at 8cm. I had to see a physio for a whole year, do special exercises, and wear a split. It has finally gone back together nearly all the way but there is still a gap in the muscles over my belly button. It's about 3 cm. In terms of function, I still can't do ab crunches but I can do all other ab and core exercises like planks. In terms of appearance, my tummy does look weird weird, you can see a bit of a gap in the muscle, and my belly button is really weird and stretched from pregnancy, and I have some stretch marks, but I actually am not bothered by it and have been wearing a bikini to the pool and beach with my tummy on display. Yesterday at the gym I was explaining to the Pump instructor why I still can't do crunches and she said that she is a physio and they say that if it's not 100% closed after 12 months, you need surgery. Does this mean I need a tummy tuck? I want another bub anyway so would wait til after then, but is that true? I was under the impression that tummy tucks were more for excess skin and 'loose' tummies, and for cosmetic reasons. In terms of cosmetic appearance my tummy isn't perfect but it doesn't bother me so I wouldn't spend money getting it fixed purely for cosmetic reasons.
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