Friday, August 5, 2011

Whoops! More about my boobs!

Just got informed that I forgot to mention the approach I chose for my surgery. Teehee. 


Going into the planning with the surgeon I had wanted axillary (armpit) incisions and completely sub-muscular implants. After meeting with my doctor twice we decided that we are going to do the incision at the bottom of the areola. The implants will be under the pectoral muscles, but not under all the muscles. It will be a "partial" job. Ha ha ha. Okay, might not be the best term, but that's what I'm going for. There are many reasons for this decision.

#1: My surgeon suggested it. I'm not gonna lie. If the man (or woman) who's going to cut you up tells you a way that they think will look the best... just go with it. They know more about what they're talking about than you do. No matter how many books you've read or blogs you've perused, you have no idea (unless of course you're a surgeon as well). Also, they know what approach they're most comfortable with to achieve the look you want.

#2: Surgeon explained that going through the axillary tissue is more traumatic (more digging around in tissue), more difficult to see what you're doing and where things are going, and... there's a risk of increased sweating. EWWW. I'm sweaty enough. (Sorry for that tidbit of TMI, but I run at an unusually high temperature).  I researched around a little more and realized that the findings about the areolar incisions weren't that scary. I don't have much in the way of "sensation" anyway so I'm not really concerned with the "decreased sensitivity" that can happen in like 5% of women. The nerve structures that attach to the nipples actually come around from a woman's back. The incision is made at the base of the areola and goes down. Talking to my fabulous roommate of awesomeness who has been a BSN for 15 plus years, most of those years being an OR nurse (part of them with a plastic surgeon) made me less than nervous. Also... more comfortable with surgeon suggestion. I want him to be able to see where he's putting my boob. I picked him for the realistic and absolutely beautiful breasts he creates. I'm going to have to listen to him on how he creates them.

#3: I don't have enough breast tissue to obtain the breast shape I love (that looks the most natural) if I got the implant completely under the chest muscles. There's just not enough there. My surgeon is going to have to do a procedure (that is very common) that has the bottom of the implant not under the muscle to achieve the realistic looking breast. Otherwise I would end up with torpedo tits. And I'm not having that. No way, no how. So, once again, bowing to the wisdom of the double board-certified physician who makes beautiful hurraybies. 

#4: I don't remember if I mentioned it, but I'm getting silicone. They now make the breasts with a gel (as opposed to the liquid filled implants that were banned several years ago). They feel more realistic, they don't ripple nearly as much, less likelihood of popping, and... the coolest thing... the cohesive gel doesn't go anywhere if it is lacerated. My surgeon showed me one that he intentionally slit a LARGE slit in. He squeezed it and the gel pushed out in a weird gel-hemorrhage thing. Then, when he released the pressure, the gel sucked right back in. There is not much risk there. I am comfortable with that. And, once again, I don't have enough tissue up there to make saline the optimal choice. When you have as thin of breast tissue as I do, if you put the saline in, it can ripple all over the place just from normal movement. I don't really want to look like I have a water bed strapped to my ribcage, so I'm just going to pass on that.

So there you have it. Sorry I forgot those crucial bits as I was talking about my future boobies.

1 comment:

  1. PICTURES! Do you want the one I took at the meadery? I'll send it to you anyway--Theophilous