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Female Breast Reconstruction After Weight Loss Surgery
1. In my pre-surgical consultation for gastric bypass weight loss
surgery I remember asking my surgeon “will I lose my breasts?” He assured
me, yes indeed, I would lose my breasts. Nine months and 100 pounds later
they were gone. I was embarrassed by my after WLS breasts, now deflated
skin balloons hanging low on my chest. My breasts – my sexual pride and
joy for so many years - were now ugly sloppy flaps of skin. I loathed my
trimmed down naked boy-body. Something had to be done.
First effort: I increased my exercise: bench presses and
butterflies. That didn’t help. Any exercise that works the pectoral
muscles will help tone the chest, but not the breasts. Breasts are not
muscle tissue, they are fatty tissue, and therefore do not respond to
weightlifting or resistance exercise of any type.
Second effort: I tried some rub-in creams ordered from the back
of a fashion magazine. They promised to grow my breasts by two cup sizes.
The promise was a lie; don’t waste your money.
Last step: Consult with the plastic surgeon. He congratulated my
weight loss, complimented my muscle tone (I really did do a lot of
resistance exercise) and then he suggested mammoplasty & augmentation. He
would take my deflated skin balloons, put them back front and center
where they belonged and inflate them with implants. I was about 18 months
out of surgery and had maintained my weight loss for two or three months.
I felt confident the time was right to get on with the “finishing
touches.”
The surgery was done under general anesthesia in surgical suite
at the plastic surgeon’s office. He removed excess skin, lifted my
nipples and repositioned them and inserted implants beneath the pectoral
muscles. He closed the area with surgical tape and bound me in a surgical
support bra. After I was awake from the anesthesia my husband took me
home to rest and recover.
There was a great deal of pain from the muscles being lifted and
moved in surgery. Also, the weight of the implants seemed great on my
chest. Sitting was the most comfortable position. Lying down or standing
caused discomfort. I took prescription pain medication for six days and
then over-the-counter pain medicine for another two weeks. At first the
breasts didn’t look normal (what’s normal about implants?) and I had the
equivalent of breast postpartum sadness asking repeatedly “What have I
done to my body?”
However, as the pain subsided so did my sadness or regret. My new
breasts settled nicely onto my new small body and to this day I do not
regret the procedure. I feel like a sexy, curvaceous woman – the woman I
never thought I’d become.
For a detailed explanation of breast augmentation I recommend
this article by Kimberly A. Henry, MD and Penny S. Heckaman WebMD Medical
Reference from “The Plastic Surgery Sourcebook” found at www.webmd.com
“Breast augmentation, or augmentation mammoplasty, has become one
of the most frequently requested plastic surgery procedures by women of
2. all ages. It is most commonly performed to increase the size of small
breasts, correct a difference in size between the breasts, and for breast
reconstruction following mastectomy for breast cancer. A breast implant
is inserted either behind the breast tissue of each breast or behind the
pectoralis major muscle, the major muscle of the chest wall, thereby
increasing the size of the breast.”
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