I started my Breast Augmentation journey back in the mid 1980’s
when I finally decided that enough was enough with having small
breasts. I was going to take the plunge and have implants put
in. I was in my early twenties at the time and had a very good
job so everything was right about the timing. I have always
been thin – 5’-6” tall and usually around 110 lbs. sometimes less,
and not having much breast tissue seem to add to how small I was all
around. I wanted to appear fuller so I could finally have some
First Breast Augmentation
I already knew who was going to be doing my surgery. My
plastic surgeon’s name was Dr. Stanley Morgan, located in Pasadena,
California. He had helped me through a very traumatic time
when I was younger with an accident, so I knew this was the plastic
surgeon I trusted. At the consult, I was told I could get
250ccs., and this was really all I wanted to be, as I thought at
that time a C cup was huge. I started out with a large A – small B
going into this procedure. The implants were called a bi-lumen
implant, with the silicone in the middle and saline outer core
around the outside. At this time, all breast augmentations
were traditionally placed over the muscle. I was so excited to
finally have this done, as one of my good friends was Dr. Morgan’s
nurse, and she helped me through the entire process.
Dr. Morgan had an in office surgical suite, and I also had this
procedure done with local anesthetic and IV sedation (with valium).
The PS had given me a valium tablet to take before coming into the
surgery so I would be relaxed. Once I got there, I got
undressed and the nurse administered another shot of Valium (IM).
I was floating at this point. I walked into the OR suite,
where Dr. Morgan started an IV and I had just a very light cocktail.
I was not put under to have this procedure done, but I did drift in
and out during the operation. I was done in less than hour,
and I went home in just a bra and because I had smooth shell
implants, I was to massage my breasts as often as possible. I
remember I was on top of the world; I had the most beautiful breasts
I had ever imagined. I didn’t need anything stronger than
Darvocet for recovery pain for this procedure. It was the most
liberating feeling I have ever experienced in my lifetime (up to
then), having this procedure done. I was never so happy.
Two years passed, and a lot happened in my life, I got married and
my husband and I were soon expecting our son. Suddenly, my breasts
grew to a very full DD during the time I was pregnant; and loving
every minute of it. I could tell before my breasts became
engorged with milk, that the implants were getting a little firm,
but didn’t give much thought about it. After the birth of my
son, because of my career, I decided to forgo breastfeeding, so I
decided to take the dry up pills that were available at that time.
After all my milk had dried up I noticed my breast implants were
still firm. My size returned with no problem and there were no
battle scars of having a baby! I was very fortunate not to get
any stretch marks. My implants still looked great – but they
were firmer than normal. It wasn’t too long after this time
that I noticed the implants were getting excruciatingly firm and I
started to have severe pain. The distortion of the breasts
from the capsular constriction was very noticeable. I decided at
that point to go back to the plastic surgeon to find out what was
going on, as I knew in my heart I had the dreaded capsular
Upon examining me, Dr. Morgan told me I did indeed have at least
Stage III capsular contracture. He felt with a “closed capsulectomy”, that this would help loosen up the harden scar tissue
in the capsule. I personally had never experienced anything
quite as painful in my life as having a closed capsulectomy on Stage
III capsular contracture. He did advise me that I should
consider another surgery; however, this was around the time that my
husband and I started to try for another child. So, I decided
to not have the surgical intervention at that time. I know how
much your breasts change during pregnancy, and I didn’t want to
waste money on surgery until I was through having children. I lived
with this problem for over 6 years, as unfortunately as fate would
have it, I was having a great amount of difficulty of carrying
another child to term. I went through several miscarriages
throughout these years, and it took a toll on me emotionally and
physically. By this time my breast implants were in
Capsular Contracture and visibly distorted and as hard as bricks.
Second Breast Augmentation
The breast implants were so hard and distorted it was unbearable
to sleep on my stomach. And forget about lying on my stomach
at the beach! The only way I could do that was to dig two
holes in the sand where my breasts would go. The implants were
like rocks, which were totally unmovable.
By the time I make it back to Dr. Morgan’s office, he informed me
that he was retiring, and that my current plastic surgeon will be
buying him out.
Dr. Daniel Casper - Pasadena, Californiabecame my plastic surgeon at that point. I was pretty
much a mess too, but I was very fortunate as I had very good health
insurance and would pay for bilateral open capsulectomies. All
I needed to do was to pay for the new silicone implants. I was
excited to get these rocks out of my chest!
Dr. Casper suggested that I go with silicone 450ccs. textured
implants over the muscle. He felt it was better to keep the
placement I had, since I was active physically. Due to the
fact he knew the surgery was going to take longer because of the
advanced capsular contracture I had, it was scheduled to be
performed over in the Huntington Outpatient Surgery Center, as he
felt I might need
general anesthesia this time.
Everything was set, or so I thought, until Dr. Casper’s nurse at
that time thought that 450ccs. would be much too big on me. I
listened to her analogy of why she felt the implants would be too
large for my frame, and was swayed into going with smaller implants.
I decided on 350ccs. silicone textured implants. Regrettably,
I wish I would have gone with Dr. Casper’s suggestion, however
expensive lesson learned – listen to your plastic surgeon – as they
have the expertise and the knowledge of knowing what is best for
your body. And he also knew I wanted to be bigger.
Unfortunately, all of this was before any internet forums were
around, so I didn’t have the support group or the advice from other
plastic surgery patients to help me decide on a size.
The surgery was a lot more complicated than expected, over three
hours long. I had gotten a lot of saline through my IV during the
operation, and was not catherized, so needless to say I really was
miserable when I woke up, as I needed to get to the restroom STAT!
Dr. Casper went out to the waiting room where my husband was waiting
and told him the surgery was successful and that the capsules that
the implants were so hardened with scar tissue that he could have
literally broken a window with them, they were literally like rocks.
The amazing thing was the original implants were perfectly intact,
with no problem at all to them. It still amazes me; that the
implants could be inside of me in the worst of conditions possible
Stage IV Capsular Contracture for over six years, and come out
This time waking up from the surgery I could really feel an
elephant on my chest this time, much worse than the first breast
augmentation. I was wrapped in an ace wrap with a bra
underneath. I was instructed not to lift or do anything at all
for the first six weeks after surgery. No lifting anything
over 10 lbs., no vacuuming, no ironing, no activity with any
excessive arm movement. I also was instructed not to get the
incisions wet at all, so no showering until the sutures would be
removed. I was allowed to take sponge baths and I also had my
husband help me with washing my hair in the sink.
The pain from recovery was much more intense this time because of
the work that had to be done due to the capsular contracture.
I was bruised this time as well which didn’t seem to occur the first
time around. All in all, these implants were perfect in everyway and
I was really happy that I had nice soft breasts again, however I
still regretted from the first day about settling on a smaller size.
But I couldn’t complain about how perfect they were. I ended up
having these implants for over eight years.
Third Breast Augmentation
So the dreaded “boobie-greed” bug was upon me in full force
finally, and I decided to go ahead and make an appointment with Dr.
Casper about going larger again. This time I was not going to
listen to anyone else but my plastic surgeon, and I knew I wanted to
Dr. Casper decided on McGhan 600ccs. High Profile Silicone
textured implants – over the muscle. This time because there
were no complications at all, I was to have the surgery at his
surgery center located in his office. I was going to have
twilight anesthesia – and I was on top of the world.
This was one of the easiest breast augmentations I had. I was
wrapped again in an ace bandage with a bra underneath after I had
I was so use to going braless with the smaller 350ccs. implants,
that I thought I could do the same with the newer larger ones!
This was the wrong mistake to make.
These implants because they were high profile implants were very
narrow width wise, and had a ton of projection from the sides.
They started to appear like nuclear warheads ready to be launched.
Getting use to the narrower implant with this projection did take
some time. Within a several months after the surgery, I
began to notice how the creases were not lining up, and I was pretty
distraught! I had severe pain underneath in the crease area on the
left side; that started to show that I was slightly bottoming out.
I should have never been going braless with such big implants with
over the muscle placement! It hadn’t even been a year, and the
results were totally ruined! I also had lost a significant
amount of weight, and the first place I lose weight is always in my
chest area. You could see the “traction rippling” occurring
from the textured implants all along the top portion of my cleavage
area. I knew I had to get this fixed, as I was so unhappy with
what had happened.
Fourth Breast Augmentation
Being an administrator on another internet forum prompted me to
finally do my homework with what was going to be the right choice
for my body and for me. After my consultation with Dr. Casper,
he agreed with me that I was going to try Mentor 700ccs.
High Profile Implants,
over the muscle. I wanted this
to be my last breast augmentation for awhile! Dr. Casper was
going to fix my slight bottoming out by reinforcing my creases.
This surgery was done in his surgery center located in his office
and again under twilight anesthesia. Everything went
perfect….without a hitch. This time I was sent home just
wearing a bra.
It has now been over 6 years post operative
since this procedure, and everything is still perfect! I had
promised my plastic surgeon this time that I would never go without
a bra again. I wear one 24/7, even to bed. These
breasts are still very perky and I have never needed a lift
throughout all of these years.
Over 25 years since my first breast augmentation; and the things I
have learned along the way have been insurmountable! Listen to
your plastic surgeon and do not ever take into your own hands what
you deem is right for yourself. The surgeons know best, they
know your anatomy and what your body can and cannot handle. I
have never had one post operative complication. Why?
Because I listen to my plastic surgeon’s advice and I never
I currently have had implants going on over 25
years, and I have never had one post op complication. Your
plastic surgeon gives you these instructions so that you will have
an easier time with your recovery. Remember to listen and
follow through on all of their instructions. It makes for a
win-win situation! I do hope my current implants will last me a
long time, as I am perfectly content with the results. I
finally have the size I always longed for……and the look I always