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Thread: When Plastic Surgeons Disagree

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    Veteran Member beckatron's Avatar
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    Dizzy When Plastic Surgeons Disagree

    I've been steadily losing weight and lot of it for the past year. I'm within 20lbs of my final goal (20 of FAT, not 20lb in general) and I've lost a lot of bewbie fullness, especially in the upper pole/half of my breasts. I was a full DD before, now I'm down to a D.

    I would LOVE large breast implants and as I get closer I've been doing a lot of consultations with PS. No one I've consulted with can agree on which procedures I'd need to get the breasts I want: VERY BIG, ROUND, NIPPLES UP, FULL UPPER POLES.

    I have very mild sagging - pseudo-ptosis - where my nipples are above my inframammary crease by about 2cm but my excessive weight loss has created loose skin-ish at the top. Its still tightening around my tummy so I figure it'll tighten around my bewbs a bit too but not a lot more.

    After 6 consultations I've had 6 different responses.
    a) get a Benelli/donut lift and an under muscle implant (my choice of implant)
    b) get a full anchor lift and a dual place silicone gel
    c) overfilled salines (650-800) will fill out what I want with no lift - as I want quite large this sounds very appealing to me
    d) get a Benelli lift and an over the muscle silicone gel
    e) get a lift, wait 3-6 months, then implants if I still want them
    f) get overfilled implants and when I replace them to go smaller (who says I'll go smaller?!) get a lift then

    Because everyone is telling me different things I don't trust any of them. I've started telling the last few doctors what others have recommended (after they've given their opinion) and they've not only disagreed, they've said the other doctor's ideas will turn out horribly.

    I don't mind shopping around for what I want but I am a very serious student and timing for class is crucial. I was hoping to do them late July-early August so I could be able to take notes by the second week of Sept (will take a few months off work) but I don't trust any of these doctors now! I have made all the necessary preparations to take the time off, be financially comfortable, have someone home to look after me, etc. but there's no way in hell I can use a doctor I don't trust completely.

    SWers have been so helpful so far - what would you ladies do? I know you're not PS but we've seen a lot of boob jobs - do you know anyone in similar situations? The PS boards have been helpful but the number of women in my situation, especially wanting so big, is pretty limited.

    If I could find a surgeon that I truly trusted elsewhere I would travel in a heartbeat.
    Last edited by beckatron; 03-30-2011 at 04:06 PM.
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    Banned Melonie's Avatar
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    Default Re: When Plastic Surgeons Disagree

    Every type of 'lift' surgery involves large incisions to remove significant amounts of the breast skin. The Binelli a.k.a. 'donut' lift, which removes breast skin around the perimeter of the areolae, attempts to hide the resulting scar at the boundary where the darker colored areola and normal breast skin meet. The 'anchor' lift involves removing breast skin from the underside of the breast, with no way to hide the resulting scars. Additionally, both procedures risk cutting nerve tissue, blood vessels etc. Thus in terms of personal opinion, 'lift' surgeries should be avoided at any cost ... even if it means getting 800cc rated implants overfilled to 1000cc in order to tighten up the loose breast skin !

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    Veteran Member beckatron's Avatar
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    Default Re: When Plastic Surgeons Disagree

    Quote Originally Posted by Melonie View Post
    Thus in terms of personal opinion, 'lift' surgeries should be avoided at any cost ... even if it means getting 800cc rated implants overfilled to 1000cc in order to tighten up the loose breast skin !
    That's what I understood as well - not to mention the additional financial benefits of working in the industry with industrial-grade breasts I really love my job, have for years and see much bigger as a smart investment towards early retirement.

    The doctors who recommended lifts, especially the conservative one who recommended an anchor lift, cited future sagging from oversized implants as a reason to avoid them. I don't mind having them redone/re-investing in a long-term investment, but have you experienced any sagging from yours?

    If all the doctors disagree strongly, how did you find one that felt "right" to you? I know there's no "right" (maybe some wrongs) but its really tough to trust my glorious new body to someone that's claiming they know "better" than the rest of their profession.
    Toronto-based, very rough draft, constantly asking for input!

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    Featured Member FiendishGyrator's Avatar
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    Default Re: When Plastic Surgeons Disagree

    Haven't you seen any implants firsthand you've REALLY liked and asked thegirl where she got hers done?

    I've seen both the big circle around the nipple and what I realize now is an anchor scar and while both didn't look good, I never understood the anchor scar choice because it was so ugly. At least with the nipple scar it's semi-camoflauged and can be more camoflaged (but not all the way) with nipple shields.

    Melonie's definitely the source for this (obviously.) but I'm curious--is it impossible or just too painful to go under the muscle with such large implants? I thought under the muscle kept implants more firmly in place.

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    Banned Melonie's Avatar
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    Default Re: When Plastic Surgeons Disagree

    Here's another thing to consider !!! As an exotic dancer, if you were to get implants filled to 1001+ cc, under the 'Chesty Love' IRS letter ruling the costs of your BA would become fully deductible as a legitimate business expense. At probable personal tax rates, this would amount to the government paying for 1/4 to 1/3rd of the cost of your BA ! The implants have to be filled to more than 1000cc though to qualify as being 'professional' sized. And 1001+ cc worth of implant will be able to tighten up your breast skin nicely without the need for skin removal. Also, the 'right' plastic surgeon will totally understand the economic need for 1001+ cc implants if you're willing to explain that you are a 'professional' exotic dancer instead of a soccer mom.

    As to future sagging, I've had several sets of implants over the years and none of them developed any significant degree of sag. However, every time I got a new set they were always bigger than the last set so my breast skin was 'retightened' in the process. Eventually, if I ever want to return to a normal breast size, I'll undoubtedly have to go through a lift surgery with breast skin removal and resulting scars. But that's a lot easier to deal with eventually as a 'grandma', when other body parts will need lifting and tucking as well !!!

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    Featured Member CherryBomb954's Avatar
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    Default Re: When Plastic Surgeons Disagree

    Quote Originally Posted by Melonie View Post
    Here's another thing to consider !!! As an exotic dancer, if you were to get implants filled to 1001+ cc, under the 'Chesty Love' IRS letter ruling the costs of your BA would become fully deductible as a legitimate business expense. At probable personal tax rates, this would amount to the government paying for 1/4 to 1/3rd of the cost of your BA ! The implants have to be filled to more than 1000cc though to qualify as being 'professional' sized. !!
    Not to derail the thread but WHOAH! I was under the impression that all exotic dancers could claim BA's on their taxes no matter the size? Curious....

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    Default Re: When Plastic Surgeons Disagree

    ^^^ more than a decade ago, the US congress declared cosmetic surgeries ... including breast implants ... to be ineligible for tax deductions since their primary 'benefit' is personal in nature. Or stated another way, if tens of thousands of housewives choose to get 'normal sized' breast implants with no business purpose whatsoever for doing so, it is entirely arguable that if a stripper or waitress or any other young female also chooses to get 'normal sized' breast implants that it is also for personal and not business purposes - and thus not tax deductible. This is often referred to as the 'Housewife Test', and not only applies to deducting breast implants but also to deducting tanning sessions, department store make-up, bikinis and nighties, hair styling, or anything else that a housewife might spend money on with no business purpose whatsoever for doing so.

    Soon after the congressional action on cosmetic surgeries, a feature dancer named Cynthia Hess ( stage name 'Chesty Love') wound up fighting the IRS in court over the deductibility of her very large 'professional sized' breast implants. The court ruled that, because large 'professional sized' implants imposed a burden in terms of 'normal life' situations ( i.e. unwanted advances, heckling by housewives, back strain during physical activities etc ), that it was clear to the court that her 'professional sized' breast implants were primarily for business reasons not personal reasons - and as such could remain as a legitimate business expense tax deduction. As a result of her court case, any girl who A. works in a profession where 'bigger tits means bigger tips' i.e. dancers, waitress etc., and B. gets implants that are 'professional sized' i.e. larger than any housewife would normally choose, can also take this tax deduction. While there is no officially published IRS standard, in general implants must be larger than 1000cc ( each ) in order to be considered 'professional sized'. Chesty Love's implants upon which the court ruling was based were in the 4000cc ballpark. See

    As to dancers I know who have attempted to deduct 'normal sized' 300-400-500cc implants as a business expense tax deduction, in general attempting to take this deduction will attract an IRS audit. It then depends on the auditor whether or not the entire expense will be disallowed, whether some percentage of the expense will be allowed, or where the entire deduction will be allowed. I would dare to say that much of the difference depends on how closely the audited dancer allows the IRS auditor to 'inspect' those breast implants !!! The obvious flip side of course is that IRS auditor will also be 'inspecting' how much money the dancer reported as earning versus how much money she was actually spending etc.

    ~
    Last edited by Melonie; 03-31-2011 at 11:23 AM.

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    God/dess 4everresolutions's Avatar
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    Default Re: When Plastic Surgeons Disagree

    ^The OP is Canadian, so she wouldn't need to go 1000+cc's for her implants to be a tax write off....

    Beckatron - I say just fill 'em up! I had a Bellini lift, it doesn't make a huge difference but it does 'perk' em up a little; so see if you can combine that with a larger implant.

    Have you considered travelling for your BA? They're less expensive in the US and have some great doctors. Check out Dr. Revis in Florida.



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    Default Re: When Plastic Surgeons Disagree

    ^^^ yes you are correct about the Canadian dancers being able to deduct the entire cost of their BA's regardless of implant size.

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    Veteran Member So Fine Divyne's Avatar
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    Default Re: When Plastic Surgeons Disagree

    What about getting an internal bra? A coworker who frequently has plastic surgery just had her boobs redone. There is a procedure that is done where they build what is called an internal bra that lifts the boobs without the scarring of traditional lifts and keeps them up. I do believe, however, it can only be done on your second BA because as I understand it there has to be a pocket already created for the internal bra to be adhered to. She went bigger and received the internal bra and an impant exchange. It seems the internal bra was designed to correct ptosis and breast reconstruction and plastic surgeons jumped on the bandwagon to make breast implants look even better. Also internal bra is different from strattice. Here's a link to more info about the internal bra:http://www.consultingroom.com/Treatm...nal-Bra-System
    http://www.womenhealthcenter.net/int...a-surgery.html
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    Veteran Member beckatron's Avatar
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    Default Re: When Plastic Surgeons Disagree

    I've decided on Dr. Revis in Fort Lauderdale, with him making the decision about donut versus crescent lift on the table. He's also going to make the final decision about ccs on the table as well, he has a bunch of ideas/photos of what I want. Can't believe I'm going to travel but he really was to only one who made me comfortable! His emails were so thorough and I really like his work. I'm sending a deposit today, whoohoo!!

    I'm going to stay 5 days post-op in a hotel before I fly back home.

    Eventually I'll go back smaller (well, I think that now) and probably need an internal bra - he sent a bunch of info - but not yet. Maybe I'll just keep 'em big... I dunno where I'll be in 10 years so I'll re-evaluate then.

    Now I need to decide August versus November for surgery - I'm worried about school - but I do trust him to make a lot of final decisions for me. Incredible given where I started! A PS in my area is also going to do my 3 and 6 month follow-up appts.

    Thank for the many PMs recommending him, I'm slowly going through and answering them all. SW rules!
    Toronto-based, very rough draft, constantly asking for input!

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