Cosmetic Surgery Blog

When I had my first breast augmentation surgery, I chose sub-glandular placement of my implants under my plastic surgeon’s guidance. Now at the time (June 1998), I must admit I did not know as much about breast augmentation as I do today. I was opting for transumbilical breast augmentation (TUBA; through the navel) which I am a huge proponent of, so if I could avoid the breast lift scars, I was surely going to do so!

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Usually the choice between saline and silicone is usually just an aesthetic decision. For me I feel the choice is an easy one considering my active lifestyle. Just this morning I went on a balloon jump and, although my opening was slow this time, I have had hard openings (which can cause the chest strap to do a number on my boobs. Although I am presently implantless, I am in the process of scheduling consultations to get them back! The last thing I need is a messy rupture which will require more downtime, and less active-time.

I am also worried that in the event of a silicone rupture, it is possible that every bit of silicone will not be removed. I just don’t feel the need to risk local complications from having inflammation from silicone being in the pocket area.

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Of all the things I wish I could change about having breast augmentation, the single, solitary thing I could change than most, would be the one thing that I could not. And that is what my breasts looked like beforehand. What you are left with largely depends upon what you have beforehand.  You will not have scarfree, tight, Playmate breasts if you have stretched out, thin skinned breasts beforehand.  But since I cannot change that factor, I must say there are things I wish I knew before ever having breast augmentation.

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Stephanie Kuleba was 18, a senior at West Boca High School in Boca Raton, FL, was already accepted to college, and was already thinking ahead to attending medical school and being a doctor. “Was” is a sad word here. Stephanie died after having breast augmentation surgery in the office of a Boca Raton plastic surgeon.

A lot is being made of the fact that Stephanie was having breast surgery. A lot is being made of the fact that she was a blonde young woman, in a well-to-do town, who was already beautiful, and was the head cheerleader at her high school.

Those facts are neither here nor there. Stephanie died because of an inherited condition called malignant hyperthermia (MH) that made using gas anesthesia very dangerous for her. She had never had any anesthesia in the past and there was absolutely no way for her, her parents, or her plastic surgeon to predict that having gas anesthesia was dangerous for her.

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Mae West once said, “Too much of a good thing is wonderful.” For many things, this is not true. For example, it is not true for breasts.

Although many women long to have larger breasts and undergo breast augmentation to get them, there are also many women who got a bit too much in that department. For them, too much of a good thing is a problem.

Overly large breasts can lead to unwanted attention, which can be embarrassing or worse for a girl in her teens whose breasts get too big. Other young people may make fun of her, boys crack bad jokes about her, and she may get even worse attention from strangers. She may avoid wearing anything that is not baggy and start to hunch over to hide her bosom. Take part in sports and have her breasts bounce about? Forget that. Her self-esteem can plummet severely.

I speak as one who understands that embarrassment. I developed very early and was the first girl in my class to get a training bra: First by a whole year! I still remember some of the dumb jokes I got. I hunched over a lot. Although I’m not so large that I need reduction, I can certainly relate. (I am also not out of proportion. I carry some extra weight around both top and bottom, so imagine an hourglass, ummmm, one with a lot of sand.)

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