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a-calm-night · 7 years

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MY BREAST REDUCTION 2017

INTRODUCTION: One of the first things I did when I began considering surgery was google other people’s experiences. It was instrumental in deciding that it something I wanted to do, and took away a lot of the fear and uncertainty out of the decision. If those people hadn’t taken the time to put their experiences into written words I may not be where I am now, so hopefully by doing this I can help another big-boobed individual take their first step to a more comfortable life.

I was totally flat-chested until I was about 14-years-old, and then in the span of 6 months shot through the ranks until I could no longer accurately determine my size. I knew one thing though, because every fucking person who laid eyes on me felt the need to tell me: they were big. I’ve had a lot of shitty experiences because of my body; from being referred to as ‘Tits’ by boys I thought I had become familiar enough with that they would bother to remember my name, to being called a slut on multiple occasions by a friend’s mother all because I dared to show a little cleavage (which is hard not to do when they’re that size. Now that I’m older I can’t believe that an adult would say that to a young teenager. Seriously disgusting behaviour). I know that in their own convoluted way most of the time when people made comments they meant it as some sort of compliment but by the 500th time you hear that shit its like, look, I KNOW they’re big, okay? I LIVE WITH THEM. I KNOW THEY’RE BIG. STOP. TELLING. ME.

Then there’s the physical aspect of it all where everything hurts all the time and you can’t run or jump around or dare to move too quickly. Theres’s the back issues and the shoulder issues and the neck issues and all the rest of it. That sucked too, but to be honest it was always the mental and social side of things that bothered me the most.

I’d say I was around 17 when I first started looking into surgery. I kept telling myself that I wanted to do it and that I would do it but just kept putting it off out of fear and aversion to being cut open. I’m 21 now, and it was in January this year that I kicked myself into gear and started making actual moves towards it. I’d started taking anti-depressants a few months before that time and I think that having that extra motivation, confidence and energy was a huge catalyst.

THE SET UP: I went to my GP and asked for a referral. The GP asked me some question re: why I wanted a reduction, why I thought I needed one etc and once she was satisfied asked me if there were any surgeons I had in mind. I’d done some research and picked out a surgeon in my city that I liked the look of. She was one of the only Docs in Adelaide that actually had a gallery of her surgeries on her site to look at, and she had over 10 years experience specialising in breast augmentation - you can look at her website >here< if you want. The GP recommended another local surgeon who I had also already looked into, but a lot of her reviews said she had an attitude problem and as someone who has difficulty even making eye contact with people I really didn’t think I could handle that, so I asked for a referral for my pick instead.

Dr. Anderson had gone away for the new year, so it wasn’t until March that I was able to get in to see her (or February, or maybe April? My memory is really fuzzy on that for some reason). Anyway, when I had my appointment with her she took a look at my breasts. Her thoughts were that they were too large for my frame, with quite a lot of asymmetry (which is correct, I’d say my left side was a good 2 or 3 cups smaller), and that genetically they’d grown more on the top that the bottom which had resulted in a saggier appearance (also true, my nipples were far too low). Then she sat down with me and explained what the procedure would be and how she would do it. She asked me some questions about my health and family history, and gave me some information sheets. It was quite fast-paced but not in a rude way - it was just another rodeo for her while for me it was something life changing. After we were finished I went out to the front desk and the receptionist lady asked me if I wanted to book my surgery there and then, or take some time to think about it. I’d liked Dr. Anderson and was already set on my course of action so I decided to book my surgery date on the spot. Originally I was set for the 16th of May but due to some education I was fulfilling at the time I later had to move it to September the 18th. The suspense was maddening, I just wanted to get it over and done with.

THE SURGERY: Dr. Anderson decided to go with an ‘Anchor’ incision for my surgery, with some liposuction on the right-hand-side where I had some excess fat on the connection from my armpit to my breast. The anchor incision is described as:

The “anchor” breast reduction incision pattern follows around the perimeter of the areola, moving to a vertical line from the areola down to the breast crease, and then horizontally along the breast crease.

But how I would describe it is that she cuts underneath the boob fold, then in a line up and around the nipple. Y’know, like an anchor shape. She then takes out the excess breast tissue, and brings the nipple upwards to a more aesthetically balanced area before sewing everything back together. Then everything gets taped up with hyperfix dressings. Drains are inserted to take away the excess fluid your body produces to replace what is lost, and are removed 24 - 48 hours after surgery.

THE ACTUAL SURGERY: I was told to check into the hospital 6.30am. I woke up at 2.30 that morning freaking the fuck out. I was determined and excited, but still scared. Of course I’d entertained the thought that everything could go horribly wrong and was getting flashbacks to the unhealthy amount of ‘Botched’ episodes I’d been watching leading up to The Big Day.

This next section is very long so I’m going to do dot points to seperate it out a bit.

- Check into hospital. Sign in at desk, fill out some paper work. I’d had to fill out and send in a booklet of admittance information detailing things like my height, weight, current medication, living address, next of kin etc so they already had most of my information.

- Nurse comes to take me up to the second waiting area, where I sat for maybe 10 minutes before a different nurse took me into the pre-operative area. She took my weight and then we went into a curtained-off room where she went through and confirmed the information I’d given them and had me sign some consent forms. She gave me my hospital gown to change into and one of those towel-fabric dressings gowns, and a blanket. I also had to wear these super sexy surgery stockings that went up to my groin and were very tight, to stop blood clots from forming during surgery. Then she painted me up with this detol-like disinfectant and left to let it dry.

- Dr. Anderson comes in a draws up her incision patterns. The anaesthesiologist also came in and asked a few questions like when I’d last eaten and if I was a smoker, confirmed my weight and height and some other details. Dr. Anderson took a ‘before’ photo and left to get scrubbed in. - Man comes in and gets me set up in a wheelchair and a heated blanket before rolling me across the hospital to the room where they’d be performing the surgery. There was a little room with a bed that I got into and was introduced to one of the nurses who’d be assisting, and she confirmed my info again before I was taken into the operating theatre.

- Lay down on the operating table and meet the other guy who’s assisting. At my initial appointment with Dr. Anderson after I decided to book my surgery with her they had me fitted with a post-operative surgery bra, which they now laid underneath me so they could easily do up after they were done.

- The anaesthesiologist put an IV in my arm and put a mask up to my face and told me I would fall asleep in a few seconds. That was a strange experience. I was totally awake one second and then I tasted this awful acidic taste, was hit with a brief but blinding headache and then boom... gone.

- Next thing I know I’m waking up and there’s this absolute angel of a nurse (who I never actually saw ‘cause I had my eyes closed the whole time but her voice became my crutch in that first post-op hour) asking me if I wanted some water and showing me where my pain relief button is. Apparently I had a lot of pink surgery paint on my face which she made a valiant effort to remove and put some lip balm on my lips because they were super dry and I was really dehydrated, not having had any food or liquid since the day before (gotta fast before surgery so that you don’t choke on your vomit while your under anaesthetic).

- I was in that post-op area for maybe an hour? I was drifting in and out of unconsciousness and doped up so my perception of time was pretty screwy. I just remember angel-nurse telling me my room was ready and that she would be guiding the bed there. Apparently the beds have sensors or something that follow marks on the floor so all the nurses have to do is press a button and the bed drives itself, thought that was pretty cool.

- They took me into my room and I fell asleep again until I hear my mum’s voice asking the nurse how I was doing. It was a few hours later and she’d come in to visit. The hospital staff were doing their afternoon tea round so I had a coffee and some cake, and more water. I literally cannot describe how thirsty I was, even hooked up to an IV drip. Mum sat with me for like an hour but I kept passing out on her so we decided there wasn’t much point in her hanging around.

- The nurses came in once every hour to take my blood pressure, temperature, and oxygen levels. I had an IV in my left arm and another tube I think was probably the pain relief. The drains were coming out from both sides just underneath my armpits but they were really thin and I didn’t even realise they were there until I went to the toilet later and had to hold onto the collection bags. I had a blood-pressure cuff wrapped around my other arm so that they didn’t have to bother me to connect it every time they came in, and an oxygen reader clipped to my finger, and I had a vice grip on my pain relief remote. I didn’t actually use it all that much but it was comforting knowing that it was there. I also had these weird massage things connected to my legs to keep the blood flowing.

- I pretty much slept for the first 6 hours or so, drifting in and out and waking when the nurses came to check all my stats. The lady I was sharing a room with was watching the news, I had a TV too but I didn’t want to turn it on and have the sounds clashing together so I just listened to hers mostly. I had my phone on the table connected to my bed but I felt to groggy to really use it. They brought in some dinner (tomato pasta and mash) I thought it tasted pretty good. I’m not sure if hospital food just has a bad rap or if it was because I was SO hungry.

- My roomie left around 7pm and I had the room to myself after that. One of the nurses came in and folded back the room dividers and curtains so I could see out the windows, which was a nice thought. The hospital is up on a hill so you get a view of the highway and the city in the distance so it was nice to have something to look at. I didn’t sleep much that night but I’d been sleeping all day anyway and was still kind of dopey so I wasn’t that bothered.

- Morning eventually came around and I had some breakfast and the nurses came in and asked if I was feeling up to going home. I had the option to stay another night but I was feeling pretty good and just wanted to go home to my own bed. Dr. Anderson came in checked everything out, and the nurses got me set up with my prescribed pain killers. They took out the drains, which didn’t hurt nearly as much as I’d been dreading. It was more of a strange and uncomfortable pulling sensation. The lady taking them out had me take a deep breath and exhale as she pulled them out, which is a technique I would highly recommend.

- I was discharged around 10:30am, went home to bed, had some lunch, and slept a lot. You’re supposed to sleep sitting somewhat upright which was a lot easier in hospital with the adjustable bed, but at home I had to prop myself up with pillows which was pretty uncomfortable but for the first day or two I was too tired to really care. Later, I ended up sleeping on a beanbag but this post is long enough already so I’ll make a seperate one detailing the recovery so far.

THE PAYMENT: I live in South Australia so my experience with this is probably vastly different from someone who lives in another country, or even another state. I’m lucky enough to have private health insurance which means that I didn‘t have to pay for the hospital stay itself, and was able to get some of the other fees at a lower rate.

There were three categories of payment: The Surgeon, the anaesthesiologist, and the assistance fee.

In my case, the surgeon was owed $5000, the anaesthetic was $500, and the assistance fee was $750. I’ll be getting some money back from the Private Health fund from the assistance, but I’m not sure how much. $5000 for the surgeon is a bit more expensive than some of the others I looked into considering I can’t claim that payment with the PH, but I knew I wanted Dr.Anderson so I was willing to pay. Surgery... is expensive. I’m lucky enough to live at home with my parents who charge me only a pittance to live with them, and have a relatively stable income as an aged care worker. I’ve always been a hardcore money-hoarder (AKA, a cheapskate), and knowing that surgery was something I wanted gave me the extra motivation to save enough to pay for it all.

That being said, if you live in Australia you can go through this procedure under medicare! The reason I chose not to do this is because I wanted to choose my surgeon myself, choose which hospital the procedure was done in, and choose when the surgery itself would be performed. I don’t have all the info on this but its my understanding that through medicare you don’t have much of say in who, where, or when its done. One of my coworkers is getting her mammoplasty done through medicare so if anyone wants more info regarding this, I can ask her no worries :)

This is all a lot longer than I had intended for it to be and I’ve been writing for hours so I’ll stop myself here. I am almost at the one-month post-op milestone so I’ll write a seperate post detailing my recovery in a few days.

If anyone has any questions regarding this surgery please, please, feel free to ask. It makes it so much less scary and easier if you have someone you can grill for info, and I’m happy to be that person for anyone considering surgery no matter what stage you’re in. Having this surgery is honestly the best thing I have ever done for myself and I really encourage anyone who wants it to look at all their options, because now that its done I cant imagine having to carry that weight around for the rest of my life.

Before I forget, I was somewhere around a 12E before have come down to a 10DD at this stage. Doesn’t seem like that big of a difference but they will likely go down again as the swelling reduces. They took 400~ grams from my left and 600~ from my right. I feel fantastic :)

#Breast Reduction #mammoplasty #Breast Augmentation #Breast lift #Surgery

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