Boobjob for girlfriend 600-700cc size

[ByTor]

So I'm a long long long time visitor to the BEA and finally found a girl to settle down with. We are considering Dr. Revis in south florida and going from an A or smaaall b to DD size. Done as much research ad possisble but know there are some experts on  this site.  Dr revis has hinted at 700cc hp or 600 mod+.  My concern is we would be out of state patients with a previous consult saying 530cc was max and the risks of complications of going big first time. Revis seems too push the larger sizes and god bless him but we would only have one follow up in person. Is the payoff for having luxury style boobs worth the risk of being out of state/cost or "settling" for doctors that only follow charts and use one style of profile.

[notasurgeon]

So I'm a long long long time visitor to the BEA and finally found a girl to settle down with. We are considering Dr. Revis in south florida and going from an A or smaaall b to DD size. Done as much research ad possisble but know there are some experts on  this site.  Dr revis has hinted at 700cc hp or 600 mod+.  My concern is we would be out of state patients with a previous consult saying 530cc was max and the risks of complications of going big first time. Revis seems too push the larger sizes and god bless him but we would only have one follow up in person. Is the payoff for having luxury style boobs worth the risk of being out of state/cost or "settling" for doctors that only follow charts and use one style of profile.

If he can get them in, let him go for it.  Infection is your big worry in the post-op phase.  Take post-op antibiotics.  Way more important, do the staph eradication regimen in the week before surgery:
•   Chlorhexidine (Hibiclens) washcloth scrub (not simple wash) daily.  Concentrate on pits, tits, and groin, but don't get so aggressive as to damage the skin.
•   Mupirocine (Bactroban) or Bacitracin nasally bid
•   Rifampin bid
•   Doxycline bid
This protocol has proven to provide decolonization in almost 100% of cases for 3 months.  Another effective means for the skin is daily soaks in ¼ bathtub of warm water with ½ cup of chlorine bleach.

[ByTor]

Great points. Thanhk you. Some gave suggested using bio oil preop
 too help in the recovery.

[MasterDragonfly]

I'm in agreement here. Dr Revis isn't interested in taking high risk cases, as problem patients will likely eventually share their hard luck stories. A good reputation can go a long way; similarly, a damaged reputation can put a serious squeeze on the profession.

That said (and if this option interests you), inquire as to whether going with post-operatively adjustable implants is an option. And, see whether doing the periodic fills is something you can do yourselves (if you take the appropriate precautions, or whether you could hire a nurse to come by your home to do this as needed. (Local doctor/nurse is recommended; anytime you DIY with your body, you assume additional risks.)

That way, she could start with a more modest initial volume, then once the incisions have healed (might need to wait 2-3 months to add some assurances), try the first 100cc fill.

Just trying to think outside the box here.

[Scott13183]

Hey ByTor,
Kind of in the same boat as you, long time lurker and settling down myself.  My fiance is booked with Revis this December.  We did a good deal of reading on justbreastimplants.com forums, and there was a lot of positive feedback on his work which helped.  He said 700, or even 750cc would be an option for her. 

That's a tough call.... I'm nervous about traveling out of state, and maybe not so much on the chance of infection, but something bad like a hematoma forming after the surgery and her having to go under the knife again out of state and with a different surgeon.  I don't think I'll get over that until after everything is said and done, but he has a good reputation with out of state visitors.  Looking at a lot of the docs in my state, some of their before and after pics were lackluster, and mostly on the small side of things with barely anyone going over 500cc (at least on the before and after pics shown).  Ya, you can go up in stages, and maybe have less risk of complications, but there's still risks involved with having to go under multiple times to get to a goal size.  Regardless, I'd still want to go to a good surgeon and take the risk on some travel versus a local surgeon that has no desire, and little experience with larger sizes.  Boobs seem to be his bread and butter, and still does smaller as well as larger sizes on his before and after pics.  So it doesn't seem like he just wants to force larger sizes and risk patient safety. 

Looking on some sites like realself.com and the surgeon comments there, some plastic surgeons are just adamantly opposed to doing larger sizes, and some of it seems to be their opinion on aesthetics, perceived complication risk, etc influencing their opinion more than them being able to satisfy their patient's wishes.  I guess what I'm trying to say is, some docs just don't like or lack experience with large size implants, and they might steer you towards a smaller size to still keep your business.  It seemed like there were a lot of first time patients on the JBI forum that managed to go fairly large the first time around and do ok.  I think the biggest thing though is the surgery itself going well versus the followup stuff anyways.  Best of luck to you both. 

[ByTor]

Thanks for the info guys.  Sounds like we've been the same thing, Scott.  Same sites and everything, ha.   I think we are going to go with Revis, now just looking at travel and hotels.  His price is a 1000 less than what they charge here so that's some resources that can be used for that stuff.  Like you, I don't think I'll feel comfortable until we are back home after everything.  What got me is our docs here only use mod profiles or have horrible narrow opinions about what a woman's breast should look like.   She's been on JBI and looking at all the results and comments and it's helping both of us.  She's at 5'9 145-150 with what we think is a bwd of 13 or 12.5.  If she wanted something smaller in the 350cc range, I think we would have stayed home, but she's the one looking for the larger size (no complaints from me ) so I do feel great about going to a doctor who does them routinely.  Just want everything to go smoothly.  Actually, by now, she's the one that seems calm and ready about the surgery (gone from no more than 550cc to really considering the 700cc hp), and I'm the one having logistics nightmares.  We were at a car show the other day and both talked about how awesome it will be next year with a nice tight shirt on or something showing off massive cleavage 

[MasterDragonfly]

We ran into the same resistance here in Dallas, back before finally settling on Dr Liland.

There was one surgeon in particular who had some very impressive work showcased on his site (if you don't limit your search to breast augmentation). But during the consult, she showed him pics, he scrunched up his face and said, "You actually like that look?" and proceeded to say he could go "as much as 700cc".

I don't recall whether it was prior to that or subsequent to that, but he used to be on a weekly radio show about cosmetic surgery, fielding questions from callers. On more than one occasion, he indicated that he always had the esthetic look topmost in his mind, that anything larger than a D-cup was no longer esthetic. I'm trying to remember the exact words he used, but it was definitely unfavorable. What he failed to point out was that it was his own sense of esthetics, and failed to note that he might have some bias in the matter.

[Night Lord]

On more than one occasion, he indicated that he always had the esthetic look topmost in his mind, that anything larger than a D-cup was no longer esthetic. I'm trying to remember the exact words he used, but it was definitely unfavorable. What he failed to point out was that it was his own sense of esthetics, and failed to note that he might have some bias in the matter.

That is so irritating! I just posted about how erroneously D's and DD's are seen as the end all, be all. Here it is:
http://forum.bearchive.com/index.php/topic,9985468.0.html

[ByTor]

Filled out the paperwork now just bargin hunting for plane tickets/hotels.  Probably going HP 700.  Fun times ahead.

[Aragorn]

Hi ByTor -

Just a word of caution - DO NOT worry about going TOO BIG!   A gal that is 5'9" and weighs 145-150lbs will carry and look totally different than a gal that is 5' tall and weighs 100!!   If you have ever looked at Sarenna Lee ( who is 5' tall and tiny) she has 2000cc implants, and yes they look big!  BUt those 2000cc, 34HH breasts look like DD cups on someone who is much taller and broader! 

If your GF is this size, I wouldn't have her consider anything less than 800cc, and absolutely go with silicone, OVER the muscle!  As someone who's wife has gone through (4) different surgeries, starting at 400cc to 800cc to..... (really big!)  I tell you, don't go with the "why bother's" (as we consider anything under 800cc on a tall gal!)  If she was 5' 100lbs, I would say you're in the ballpark at 600-700cc - but not on a gal that tall!  She (and you) will end up being dissappointed, and go back a few years later, spend lots more $$, and want bigger!  Remember too, on anything over 600cc, a 100cc jump doesnt really make much difference - from 500 - 800cc, a 150cc jump = about a cup size - from 800cc to 1400/1500cc, 200cc = about a cup size, and over 1500cc - 2000cc about 250cc per cup size.  These are rough figures, but fairly tried and true.

Dr. Revis has an excellent reputation on the east coast - but from our experience, we would definitely reccommend at least 800cc.  If she is around a "b" cup now, this should put her at around a DDD/E cup, which sounds big, but will look way smaller on a tall gal like her, than on a 5' tall gal - just somehting to think about!

Take care and good luck!
 

[Aragorn]

One more thing By TOr - another excellent surgeon in south Fl. is Dr. Jason Pozner, if I remember in BOca Raton.  He has a fabulous reputation, and is big on silicone too - the Mentor 800cc HP's are awesome - don't get bogged down in 100cc here, 100cc there, or the difference between Moderate and HP - just go with the best - silicone, HP, bigger.  I know some gals who had 600cc on their first surgery, then jumped right to 1500cc on their second.  Every person is different.  Also, if your GF is active at all, DO NOT go under the muscle!  Every time their chest muscles flex, it distorts the implant, and is damaging to the chest muscles - eventually causing them to atrophy, etc.  Again - speaking from experience here!.

Good Luck!

[MasterDragonfly]

... eventually causing them to atrophy, etc.

This sounded familiar. So I searched my emails.

Found a discussion I'd had with Dr Shoaib some 4 years ago.

Relevant snippet:

Tissue expansion has different effects on different tissues, some tissues hypertrophy and other atrophy. Those that atrophy include: muscle and fat, and those that hypertrophy include blood vessels. So, yes, the muscle will thin as it is stretched, but in most women that's not an issue because the movement made by the muscle (adduction of the shoulder joint) is compensated by the other shoulder adductors (including latissimus dorsi, which is a very strong shoulder adductor).

[ByTor]

Excellent points. I would love it if she maxed out with the 800 silicones. Just wonder about the risks is all. Also, are overs better than unders for that big round juicy look?    Every place seems to say go unders, but she is active. Workouts and some lifting for her part time work.  Shes going to have a post op day 1 follow up then we head home and do follow ups via Internet.  Any concerns there?  We are driving. Her friend should be coming. Is a 11 hour car trip day 1 too much or should the drugs take care of that if all she has to do is lay in the back?

[MasterDragonfly]

11 hours in the car is a long trip when you're feeling well.

11 hours when you feel like crap will feel like forever.

11 hours when you're taking post-op meds? No idea. But if she suddenly feels ill, where do you go?

[Aragorn]

MDF is totally correct on this one ByTOR - My wife stayed in the hotel close to the DR.  for up to (4) days after each of her surgeries - Her first surgery (with itty bitty 400cc implants) was the absolute worst - that time she went UNDER the muscle, and it was horrific for her.  All her other surgeries ( I was wrong last time - acutally (6) different surgeries, including expanders) were OVER the muscle.  Plastic Surgeons tend to want to go UNDER to hide the implant (and in some cases, I believe, bad surgery work!) 

I would definitely stress again - especially if she lifts weights - DO NOT GO UNDER THE MUSCLE!   If you go with silicone implants, you won't have to worry so much about "rippling" (which they try to hide by going under the muscle)  THis is mostly a Saline problem.  Go over the muscle-  in our experience, depending on her skin, experience of the surgeon, AND especially if she goes with silicone, it certainly is possible to jump to the 800's in one shot - some surgeons might not want to do this, but others will.  She may be uncomfortable for a couple days, BUT not nearly as much as if she were to go UNDER the muscle with smaller implants!!!

AGAIN!  Smooth, (not textured!!!) ROUND, (not anatomical) Mentor 800CC HP (high profiles)  Great implants, look anbd feel wonderful, silicone looks more natural, and they are readily available from almost every PS.

GOOD LUCK!!!

[Aragorn]

One more thing - with silicone implants you will have a larger scar than with a saline implant - this is because they fill the salines up after they have been slid in through a tiny scar - sometimes even from the armpit or around the areola/nipple area.

Dont worry too much about the scar - the best surgeons (Dr. Revis and Dr. Pozner certainly fall into this category) can put even an 800cc silicone implant through a relatively small incision (maybe 1" tp 1 1/2"?)  They have the most control and can achieve the best "placement" by going through the Inframammary fold (under the breast)  Though many like to go through the nipple, because it can hide the scar a little bit more, this can least to nerve damage in the nipple - could also cause problems in the future if she intended to have children and breast feed!  There is also some data that suggests that a greater incidence of infection can occur through nipple incisions, because of possible disruption of milk ducts this way, and the naturally occuring bacteria there - though these surgeons have such excellent reputations that this is highly unlikely.

In any case - if you both like the "FEEL" of soft, yet firm, silicone is the only way to go!  Saline can feel almost hard - all depends on what the two of you prefer!

OK best of luck!

[MasterDragonfly]

I remember Suzanne (Dr Baeke's wife/nurse) saying how her husband would always try to minimize the scar, even with silicone implants, typically keeping them to at most 1.5" long.

Regarding periareolar vs inframammary fold incision:

- there seems to be a east vs west cost thing going on (as reported by a local Dallas surgeon), where the west cost surgeons tend to lean towards the periareolar incision, and further east the surgeons seem to prefer doing the inframammary fold incision
- nipple numbness can occur with inframammary fold incisions as well; it's a common (mis?)belief that cutting proximal to the nipple is the only possible cause of nipple numbness, and this simply isn't true; the nerves which service the nipples originate lateral to the breasts, and numbness more typically occurs as a result of the breast implant pressing against the nerve which is running along the chest wall

Case in point: my wife, cherri, who got inframammary fold incisions, and experienced sensation loss on one side.

It's difficult to generalize what incision causes what for whom, since it seems some breast augmentation surgeries create an augmented sensitivity for the nipples (to the point that some women really don't much care for the newly acquired oversensitivity). The more appropriate general rule is this: any surgery carries with it some risk.

Regarding whether to go over vs under the muscle: I would earnestly recommend that the patient play to the surgeon's strengths/recommendations. Remember that the surgeon wants success as much as the patient, because problem patients take up time and may not produce additional revenue, not to mention running the risk of spreading negative references. If the surgeon genuinely says "It doesn't matter to me, I'm equally successful with both approaches", then you could flip a coin or make the decision based on whether you actively exercise in the gym, etc.

One approach which doesn't seem to get a lot of air play (except for Dr Shoaib, who I think uses it routinely) is the "dual plane" placement, which is apparently a nice compromise between going over vs going under the muscle. If you're undecided regarding over vs under, then see if the surgeon you're consulting with offers (/recommends) the option of dual plane placement.

[Scott13183]

Excellent points. I would love it if she maxed out with the 800 silicones. Just wonder about the risks is all. Also, are overs better than unders for that big round juicy look?    Every place seems to say go unders, but she is active. Workouts and some lifting for her part time work.  Shes going to have a post op day 1 follow up then we head home and do follow ups via Internet.  Any concerns there?  We are driving. Her friend should be coming. Is a 11 hour car trip day 1 too much or should the drugs take care of that if all she has to do is lay in the back?

I hadn't seen any updates in awhile on this thread, but just thought I'd chime in now that we've done the travel bit and had a complication as a result.  My fiance developed a DVT (deep vein thrombosis... basically a blood clot), likely while flying back around 48 hours post op from surgery.  The drive is doable, but definitely get a very good idea on how often, and for how long she should be up and walking (his post-op printed instructions were a little vague), ditch any hormonal birth control with clotting risks (I think estrogen based, but I know Nuvaring had that as the number one side effect listed....) before the surgery (some surgeons say 2+ weeks prior) and make sure she moves/flexes her legs periodically.  Just getting up for the bathroom isn't enough, and even though our longest flight was only 3 hours, with plenty of walking around in the terminal, it wasn't enough.  It's pretty scary stuff, with possibly fatal consequences, and nerve racking in that the treatment is blood thinners (anticoagulants) while you have suture wounds healing.  Not to sound all apocalyptic here, but I wouldn't wish this type of pain on many people.  While it isn't completely avoidable, there are numerous steps you can take to avoid this.  I think that would be my biggest concern.... possibly nausea on the drive back, though that seemed to go away in the first ~12 hours or so. 

[ByTor]

Well. We are on the road now. Doc seems to prefer unders but will ask about it. Size may just be as big as he can do but need to bring them narrower and projection out. Have sideboob already and don't need to increase that gap. Ive seen a lot of Dvts so try to limit the risk. Lots of stops. Break up the trip probably. Apparently there's gonna be a girl there getting a post op visit  in the 1000 range at the consult. Yay waiting room.

[ByTor]

Also Scott. Did you end up going to revis?  Did he ever mention blood clotting?

[ByTor]

Got 700hp silicone mentor smooth unders. Measuring 34 ff right now. Amazingly two days in a car a day after went smooth.

[The_Faker_the_better]

Got 700hp silicone mentor smooth unders. Measuring 34 ff right now. Amazingly two days in a car a day after went smooth.

congratulation - glad all went well - any chance of pics?

[ByTor]

Thanks  Maybe in about 3 months she'll let me. ha. Not much to look at right now while recovering.

[MasterDragonfly]

Holy schmokes! From an A/small B to an FF?? Nice going!

How was the overall experience? Highlights/lowlights?

I take it you enthusiastically recommend him?

[ByTor]

Without a doubt. Him and his staff are great. Where we were out of town they said come in anytime for the consult and post op. Total wait time maybe was 10 minutes in the lobby and room combined. He explained everything. Pain and brusing as been minimal. And the guy is just good. 90% of his work is breat augs and seems to be the man. Can't think of a negative really. a girl after us went from 500 to 1500cc no problems either.

[MasterDragonfly]

Nice!

It's pretty cool to have highly rated, strongly recommended surgeons. The numbers may not be plentiful, but it's still nice to have a choice.

[Scott13183]

Also Scott. Did you end up going to revis?  Did he ever mention blood clotting?

Hi ByTor, we did go with Revis.  As for the DVT, I believe it was on one of the print outs, possibly the generic one about possible surgical risks, then there was something general on his post op instructions on getting up and walking... my main thing was it was somewhat generic.  Looking back, I would have liked something saying walk for x minutes every y interval.  However, it sounds like NuvaRing has blood clots listed as one of the first side effects, and her grandmother has had some, so it could be genetic, could've been the birth control (along with surgery), but likely a multitude of things.  

She ended up going with 800/750cc mod+ unders.  Not sure what she's going to end up at because she has a lot of dropping to do still, but around 31" under, and about 40.5-41" over.  His staff was great and he has a good bed side manner.  I think she's been a little taken aback by the painful recovery, but her bruising hasn't been too bad and the sutures look great.  At a little over 3 weeks, her results look really good. Transportation there was rough.... I wouldn't want to drive not being familiar with the area, and all the cab drivers were Haitian, so accents were rough at times.