Completed Original Surgery
Before reviewing this timeline below, please check out my 2020 Breast Lift/Implant timeline so that you follow the journey in chronological order. Click here to go back in time.
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First Surgery:
450 CC’s (Left and Right)
High Profile, Mentor, Memory Gel
Lollipop incision on right breast
Half of an anchor incision on left breast
December 18, 2020 Dr. Ary Krau
Private Practice, Miami FL USA
Revision Surgery:
350 CC’s (Left and Right)
Moderate Plus Profile, Mentor, Memory Gel
Full breast lift incisions on both breasts
April 6, 2022 Dr. Ary Krau
Temporary Office, Miami FL USA
Before reviewing this timeline below, please check out my 2020 Breast Lift/Implant timeline so that you follow the journey in chronological order. Click here to go back in time. Check out My Story to get an even better idea of how I came to the decision to have a breast augmentation in the first place.
Before reviewing this timeline below, please check out my 2020 Breast Lift/Implant timeline so that you follow the journey in chronological order. Click here to go back in time.
Ultimately, I decided to get the revision surgery. After months of thinking it over, and deciding whether or not the size of the implants were right for me, I realized that if I was going to go under anesthesia again for an incision revision, then I’d exchange the implant too. Check out my full Breast Augmentation journey (including implants and lift) here.
I felt they were too big for my body & frame, and after the time and energy I spent waiting to have the surgery in the first place, I had to be fully and completely happy with every aspect.
I went in to Krau’s temporary office on the 5th of April for my pre-op appointment. When I was getting the surgery the first time around, I was able to speak with Krau the day before the surgery (at pre-op). This time around, I did not see him. I met with the nurse who went over my vitals, settled my balance (since I was adding new implants in a smaller size), and received my surgery time for the next day.
SIZING:
I was careful to be as articulate as possible with Dr Krau’s Physician Assistant about the size I wanted to achieve, and how I could meet my goals. She told me, based on what I explained to her, to ask Dr Krau the following day HOW MUCH BREAST TISSUE HE WOULD REMOVE, and determine the CC number from there. My goal was to be atleast two full cup sizes smaller. She explained that approximately 100grams of breast tissue is equivalent to a half cup size. If 100 cc’s is also equivalent to one full cup size, I would need to ask Krau how much tissue he’d be removing in order to come to a number on CC’s. I estimated that I would want to reduce to 350cc’s at the largest, before having this conversation with Krau. To be continued the next day…
I was instructed to arrive wearing something that zipped or opened easily in the front (I chose a hoodie), and pants that I wouldn’t mind if they got soiled (they stay on during surgery). I picked up my sister from MIA airport and we headed to Walgreens to fill my prescriptions. I also wanted to get some last minute supplies and other light snacks that I would be able to stomach while the anesthesia wore off:
Everything else, I already had at home:
Today’s the day! Again, this isn’t Krau’s normal location. The chaos in a surgical center is usually pretty high, but here it was 10-fold. The disorganization, delays, and confusion on behalf of the staff was heightened to level 99. It was unlike any other disorganized surgery center I had ever seen before. (It definitely wasn’t this chaotic at his private practice location.) I saw Dr Krau right before going into the O.R. and took the opportunity to ask him why he’s in this location. He told me that his facility is under construction and being remodeled. He’s adding 5 operating rooms (!) and bringing on several other doctors to his private location in Bal Harbour, FL. I didn’t get an anticipated completion date, but as someone who lives only a few miles from his Bal Harbour location, it was miserable to drive what felt like hundreds of miles to-and-from Davie, FL to see him out of someone else’s surgical center - and three days in a row: pre-op, surgery, and post-op.
SIZING:
Dr. Krau told me that he would be removing atleast 200 grams of tissue, which equated to about 1 cup. I decided to go down to 350ccs, and also change the profile of the implant from high profile to moderate. This would bring me down 2 full cup sizes (they felt as though they were ginormous) and change the projection just a bit.
The following shows Krau marking me up for the revision. At 1:40 we discuss sizing of the new implant based on the amount of tissue he plans to remove.
I always spend the first 2-4 days after surgery - any surgery - sleeping. Anesthesia knocks me TF out no matter what the procedure is. I barely eat, drink, or use the restroom. I forced myself though, to drink as much pedialyte and water as possible so I could help flush out the anesthesia quickly.
By the time I came-to, and started exploring (removing the tape/dressing, checking out the incisions, etc) I was devastated at what I saw. When we discussed the possibility of revision, at no point did he tell me that my incisions would be longer and more prevalent than the first time around. OF COURSE, with as much footage as I captured, I don’t believe I was recording during the visit where he recommended the revision. Regardless, it wouldn’t have been the time to discuss incisions because the potential for the breasts to change between that time and surgery was still very high.
In hindsight, and watching all of my videos and reading through my experience, I can see how it might have been on me to ask him specifically about the incisions, but I didn’t. So when I checked things out underneath the dressing, I was a little depressed on this day.
Video update: no talking, just a visual of what everything (incisions and areolas included) are looking like at 10 days.
OK I was a little dramatic - who ME?!? - when I said (on one of my IG stories) that the scar goes to my armpit. It does not. I feel like I’ve said this so many times but as someone who initially wanted to see a doctor that could place implants and fix tuberous breasts with little to no scarring at all, this was a very sad experience for me. In the end, I’m still very happy with my results. They are absolutely beautiful, the size and shape are phenomenal, the placement of my areola, the fullness at the bottom and the natural slope at the top - Krau hit the mark on all of that. I can’t stress enough the difficulty I’ve seen surgeons face when correcting tuberousness. Lift or no lift.
To talk about realistic expectations for a moment, I knew going into this that regardless of the doctor I chose, Tavakoli is literally the only surgeon in the entire world, globally, that would be able to correct tuberousness without any scarring. (It blows my mind and I don’t know how he does it.) Once it was confirmed that I wouldn’t be able to see him as an international patient, I had to accept my fate. It is what it is. From that moment I prepared myself to have scarring, bottom line.
Around this time, as I shared photos of my progress on my socials, I also got a lot of questions about how/why they look so full and perfect already. It’s important to know the difference between what happens to the body during a first time breast-augmentation, and a revision augmentation. I’ll explain:
During a first time BA, and depending on where the implant is going to be placed, the body isn’t ready to hold that implant in a way that will end up looking like a breast, no matter what size that implant is. The surgeon needs to create a pocket for the implant to “live”. Essentially they carve out tissue where the implant will sit for the rest of its lifetime. Once that pocket is created, the implant is placed (either “over” or “under” the muscle). If you hear people talking about OVERS or UNDERS, this is what they’re referring to - the pectoral muscle placement. During the initial stages of recovery after a first-time BA, the skin has a lot of stretching to do in order to comfortably accommodate that new foregin body inside us. As the skin stretches out, and as the implant starts to drop into the pocket that the surgeon created, this process can be referred to as “dropping and fluffing”. Once it’s dropped into place, and once the skin has stretched out as much as required to accommodate your implant size, your dropping and fluffing phase is over, and your breasts finally stop changing. This can take 6-12 months for a lot of people. It took about 6-8 for me.
During the revision, that pocket is already created, that skin is already stretched out. So, unless you’re placing a significantly larger implant, you likely won’t spend a lot of time in the drop/fluff stage, if you even do at all. In my case, the implant that I chose during the revision was not only smaller in CCs, but it was smaller in profile (I went from high profile to medium profile), so it was placed into the pocket that was initially created, and my skin didn’t need to stretch much to accommodate it.
A caveat here: in my case, Dr. Krau removed some fat/breast tissue when he did the revision, and essentially revised the “lift” portion of the initial surgery. As a result, the skin is sutured back together a bit tighter at first. Depending on how much tissue is removed during a revision, there could be a little bit of stretching afterward.
I’m super super happy with my results.
OH. MY. GOD. PANIC!!!!
I woke up today, and saw a tiny little bit of pus on the lift incision under my left areola. I initially had no idea where it was coming from. My incisions have LONG since turned to scars, and at this point - in my experience with all the surgeries I’ve had in my lifetime - there should be no reason for pus appearing out of nowhere unless there’s an underlying issue. Freaking out, and all the worst scenarios racing through my head, I immediately scrubbed my hands x 3 with antibacterial soap and started to inspect. As I squeezed, more and more pus started to come out. I was having a meltdown. I’m thinking Dear god…all I need now is for some complication to occur, after all I’ve gone through to get to this point. I’m pleading, mentally PLEASE PLEASE, let there be no permanent or recurring issues, what is happening?!
Here’s a video of exactly how it went down and what I discovered…. 😩
(LOL @ my comment at 3:54. It usually takes me forever to fully wake up in the morning. NOT TODAY! Also big shout to my web developer, who has to put up with this gruesome and sometimes traumatizing content. 😂)