Revision Breast Augmentation and Modified Anchor Lift
Dr. Andrea Koegel – Redo Breast Augmentation / Lift -
September 29, 2005
I started this when I was 47 and am now 51 years young.
is my amazing journey of the past 4 years.
Starting with my first Breast Augmentation which was performed in June 2004 until
my redo on September 29, 2005 – the changes are phenomenal.
The pictures you will see are a bit scary and shocking at first, as
all mastopexy (breast lifts) photos usually are, but you will see
the fantastic transformation between the two surgeries. The
photos are graphic, however there was no pain associated with this
procedure. I did experience some soreness and itching
from the blisters post op with my redo, which was caused from an
allergic reaction to the tape that I had on the incisions – however
the pain was totally manageable.
It's been quite the journey to say the least and one I would do
all over again, minus the first breast augmentation and the wasted
money on that one procedure. But what you will see what a
difference two different plastic surgeons can make. I have
documented the entire process showing my first BA when I should have
had a lift. The fear of the scars and the length of surgery
were overwhelming to me, so I elected to try to just have a breast
augmentation with no lift the first time. Deep in my heart I
was hoping that just the BA would be enough to lift my breasts back
up to where they use to be before having children.
Shortly after the first BA – I knew I was in trouble with my
decision I had made. Besides needing the lift I also found that the
first plastic surgeon over-dissected my pockets and as you can see
in my photos, the outcome was a total mess.
So a year and a few months later, I finally had to do something to
fix this "mess" and went back to the PS whom I should have had do it
from the beginning! I've taken many pictures from day 5
through now to show how a lift originally looks and how the
progression of the scars fade and actually become meaningless.
I also did all of this in hopes to help others who like me are
afraid of scars and having a lift. The best words of wisdom
from what I have learned are to listen to your plastic surgeon if
you are marginal or in need of a lift procedure.
breast augmentation is nothing more than enlarging what you had pre
operative. Every flaw, problem, etc. will be magnified with
getting just a straight BA. Unfortunately I learned the hard way,
with going with the least invasive route the first time, and it was
the worst decision I have ever made. It took me a couple of
BA’s to get this right, so anyone reading this should try to learn
from my mistakes, as it will save you time, money and pain in the
The implants that were used for my second BA and lift were Mentor
Cohesive Gel - 400ccs. Moderate Profile, with these dimensions:
14.5 cm. diameter with 3.2 cm. projection. And the lift
procedure that was performed was called a “Modified Anchor Lift”.
I upgraded from my first Breast Augmentation in which I had saline to silicone
implants, and I can say without a doubt, that silicone implants are
100% better. They feel so much more natural and the results of
the second surgery are just phenomenal.
Thanks for sharing my
journey, I sincerely hope it helps some of you in your decision
making process of what you might need in order to get your brand new
set of “perky” breasts again. And, even today 3 years
later – I can still pass the pencil test with no problem. The
lift is perfect and holding. If there is any advice I can give
any of you is that in order to preserve your new breasts so that
they are still appearing perky is to always make sure you keep the
implants supported with some kind of bra or a cami top with a built
in bra inside of it. Going the extra mile with always keeping
your breasts supported will give you years of a great result from
First Breast Augmentation
After 2 kids, ages 19 and 22, my once incredibly perfect
breasts were shrunk, saggy and horrible to look at – at least in my
own mind. More than anything I missed having the cleavage and
firmness I had once had. I learned to hide my flaws with
wearing a padded Miracle Bra from Victoria’s Secret, however sadly
enough once the bra came off at night my “secret” was over!
I had shown my sister-in-law a new bra one day and she started
laughing at the loose skin on the upper portion of my breasts. So, this was the incident that prompted me into thinking I had to do
something about this permanently. I read everything I could
possibly get my hands or my “mouse” on…..including looking non-stop
at pictures of breast augmentation so I could get an idea of what I
might be able to achieve. I think I saw more pictures of
“boobs” than most men do in a years worth of Playboy! I soon
became obsessed at what I could look like once again.
One of my friends recommended a doctor where I live – and I made
the first call to schedule a consultation. I soon found out
that this doctor was recommending a lift for me. I was not
receptive to all the possible drawbacks of this procedure, so I
closed my mind to it, when in essence I should have listened to my
surgeon. I left the office not scheduling the surgery as all
of this information was too much for me to think about. I
thought I would just have to live with ugly boobs the rest of my
I ended up calling my own family practice doctor for a
recommendation for a plastic surgeon to do this surgery for me;
however the plastic surgeon was over an hour away. I was not
giving up my quest to find the right surgeon, so I continued to ask
for referrals from anyone who had some sort of breast surgery.
I ran into someone who recommended the same plastic surgeon as my
family doctor did, as she was looking for a good plastic surgeon for
a breast reduction. I decided at that point that this plastic
surgeon was going to be the one for me! I called his office
and even before speaking to me, I knew in my heart he was the “one”.
I made the appointment for as soon as possible, as I was hoping to
get this done for my 47th birthday, (which at this time
was a month away).
I thought in my own heart that I was well informed by the time of
the consultation and asked so many questions from the sheets I had
printed out about the surgery. I made sure I had my pictures
of what I was envisioning my results to be and also of what I didn’t
like. I felt very comfortable with this surgeon, and liked the
way he took the time to answer all of my questions. His wife
is his nurse in his practice and that made me feel really good about
the entire process.
After measuring me we discussed the issue of needing a lift or
not. He thought I would have a 50-50 chance of not needing
one, so with those odds I decided on just having the straight breast
augmentation, and take my chances on the end result. Going
into this procedure, I was like most women having one breast that
was slightly bigger and saggy with the nipple also being lower.
I felt very confident in my heart that the given the high
recommendation of this referral that I would have a great outcome.
After the consultation I booked and paid for the surgery
immediately. I was very happy and nervous all at the same time
because I was going to have new boobs for my birthday after all.
Pre-Op for the surgery was five days later, and the actual surgery
was booked in eight days!! I was on an emotional
rollercoaster, as all I did was dream about boobs and I couldn’t
sleep. Definitely border-lining obsessive with this entire
Because of my chronic health issues with fibrocystic breasts,
lungs that are not great due to smoking, having chronic fatigue
syndrome/fibro, and aorta insufficiency, I started to panic!
My plastic surgeon was not all that concerned about my pre-existing
conditions – except for the fact that I smoke and I have a heart
condition. The thought of
anesthesia was scarring me because I
was concerned with breathing and not waking up.
I had to get all of my records from my cardiologist faxed up to
the plastic surgeon’s office, and also had to have a mammogram done.
Everything was looking good, so surgery was a go. I had
surgery on the main surgical floor because I had to have general
anesthesia instead of twilight due to my heart valve. That
scared me as well. The night before surgery I had serious
thoughts of calling off the entire procedure, as my emotions were in
high gear with all the anticipation of doing this. Not smoking
also was contributing to my stress factor, and just made things look
overwhelming! Surgery was set for 11:00 AM and I had to be
there by 10:00 so I could sign all the documents and paperwork.
The “living will” was hard to sign especially with my daughter
looking over my shoulder.
Shortly thereafter, I was taken to a room where I was getting
ready for surgery. All the monitors were hooked up and I was
given a warm blanket. My blood pressure which is normally on the low
side was higher than a kite along with my pulse racing. The
anesthesiologist made a visit to me, to see if this was going to be
a go. The anesthesiologist had such a calming nature about him (he
was just awesome) – shortly my blood pressure came back down within
normal limits and after he put in the IV I knew I was on my way.
My plastic surgeon came in shortly after the anesthesiologist left,
and started to mark me where the incisions would be. I was
very emotional as I was being wheeled in to surgery, telling my
girls that I love them. I remember being wheeled down the hall
and wanting lotion on my “parched face” and my bangs pulled out of
the cap. I do not remember anything else till I woke up
sitting in recovery. The surgery only took an hour and 20
The first thing I asked for was a cigarette, which
surprised the nurses! I didn’t get sick at all and had
virtually no pain, and my new implants looked awesome. I asked
for a cup of coffee in recovery which tasted so good, but I was
still craving that cigarette, so I asked if I could go home. I
knew of course I shouldn’t smoke, but I really needed one badly.
My girls were telling me all the things that I had said coming out
of the anesthesia, which seem to delight them no end! Three
hours after surgery began I was finally on my way home. I was
not experiencing any pain yet, but was anticipating it as I knew
that there was pain associated with this procedure. However,
surprisingly I didn’t have any real pain to speak of. I went
home with drains and was told to return for my first post operative
appointment four days later to have them removed.
I took my pain medication every four hours along with the
antibiotic. I drank pineapple juice, and ate applesauce,
yogurt, and kept drinking a lot of fluids for the first few days.
I was lying in a semi upright position in the recliner chair with
pillows under my knees - on the sides of me and behind my head.
A couple of days later however, my back was hurting quite a bit, so
I found comfort in having a heating pad applied for a few minutes.
I only needed help emptying the drains for the first couple of days.
The sports bra that I was sent home in was tight, and I found a
great deal of relief in pulling it away.
My kids and my boyfriend were so supportive during this time, as I
had them all prepared for the worse, and the fact I might not be
able to move by myself for a few days following surgery. I was
actually quite shocked at how easy it was to move and to get mobile
again. My surgeons wife, who is his nurse called every
day to check on me which was really nice, and she had also popped
into the surgical room before my surgery to wish me luck!
His nurse/wife made for the entire procedure to go that much easier
My bed was full of pillows in order to support me when I was
sitting upright and of course sleeping. I had a complete
pillow fort on my bed. The more you can get up and walk around for
even a few minutes, makes you feel so much better. Wet wipes
are a must in the bathroom, and using a sippy cup to drink from or a
straw are all “must haves” during recovery. Using your legs when you
get up is so important - make sure you do not attempt to use your
upper body. At 16 days post op I was feeling great, just a bit
sore, though I did get more tired than usual – but felt new energy
every single day.
I didn't have any real pain just
overall soreness. It was a bit uncomfortable with the bra on
top of the breasts for those 4 days post op. The only problem I had
at all and it wasn't really a problem was on the 4th or 5th day I
had swelling in my stomach and my feet, and had gained 10 pounds.
I called the Dr and was told to get my feet up higher than my heart
which helped reduce the swelling immediately. Other than that,
everything was great and I could not be happier. As far as my new
"boobs" they were settling nicely and not so hard to the touch.
My doctor wanted me to massage my breasts, so I am making sure the
exercises are done as instructed. I kept thinking to
myself this was the best money I have ever spent!
My second post op appointment was at five weeks. The PS
visit went great, and the implants are getting softer by the day.
I was instructed to start taking Vitamin E 800 mg twice a day and
Vitamin C once a day. There are times they are harder than
other times I guess it depends which position I am either standing
or sitting in. I did get a bit freaked out because I had dissolvable
sutures inside and when the steri-stripes fell off – I saw a few
sutures working themselves out of the incision. The scars were
I did get some ScarGuard for my scars – which I used twice a day.
I didn’t apply ScarGuard or any scar remedy until I was instructed
it was safe to do so. You need for those incisions to be
completely closed up, and this can take several weeks.
The end results were – my right breast was a perfect 10 and my
left probably a 7 or an 8. This was pretty good, as remember there
was a 50-50 chance I'd need a lift. I was very happy they
turned out as good as they did without going through with the lift
especially compared to what I had prior this procedure. The
only thing at this point I was thinking was maybe I should have had
the PS overfill the smaller one a little bit more. My
implant size was 390ccs. filled to 420ccs on one side and 430ccs.on
the other side. I started to feel some bubbling and
rippling once the swelling went down. The rippling was not
visible to the eye; however you could feel it once the swelling had
gone down….but I knew of this happening especially with saline
At one of my appointments my PS did tell me that if I was not
happy with the alignment of the areolas; that he could lift my one
side up to match the other. I was still on Cloud 9 even though
they were not perfect, because of what I had prior this procedure
the results were night and day. I was constantly reminding myself
that I finally had the breasts I wanted, and I knew in my mind that
Playboy was not going to be knocking on my door for a centerfold
photo shoot at the age of 47.
At my third post op appointment - my PS seemed to think a lift
would not be worth the scar, so he seemed to be happy with his work.
That was reassuring news, as it was not that big of a deal to me
that the left one was a bit droopy, however it feels and looks more
real than the right "perfect" one. One thing I learned with
this process that getting a straight breast augmentation will only
enlarge what you had to begin with. I knew of the problems I
had going into this, and basically I accepted this, because anything
was better than what I had before surgery.
If anyone would like more information on my first procedure please
feel free to email me or PM me on the forum, as I am still so
thrilled to finally have much better breasts! The
obsessive mode doesn’t go away with surgery, it is only the
beginning. The next phase is dressing your new implants up in
all the gorgeous bras. That is when the real fun begins.
Redo / Full Modified Anchor Lift:
After a year and three months of having my first implants, they
continued to migrate downward and the perkiness I had envisioned was
slowly going away. I became pretty unhappy with this, so I
decided to start a new mission with finding the right Plastic
Surgeon to do my redo. The first surgeon I consulted with was very clear and frank in the
beginning with telling me that I really needed a lift, but I was so
frightened of the scars, I just blocked that procedure completely
out of my mind. I wish I would have listened to her, as she
was so right – and after a year I had sub-standard results.
I still think the world of my first surgeon, his wife and their
staff. He did tell me I had a 50-50% chance of not needing a
lift; and because of my mindset at that time I was not prepared to
go there anyways. I had a result where the implants looks like
two different breasts now so I was getting more and more
disheartened by the day. So I started my new journey with
trying to find the best PS for me.
In January I decided to go back to the first Plastic Surgeon that I had a
consult with. I know first hand that being board certified
does not make a plastic surgeon great; however word of mouth –
seeing results – and recommendations are worth their weight in gold.
My regular doctor (internist) told me she had seen lots of her work,
and that all of her results are fantastic.
I was trying very hard to stop smoking again during this time as
around this same time I had a scare with the possibility of cervical
cancer, however thank goodness everything was okay. September
of 2005, I rescheduled an appointment and had another consult with
Dr. Koegel. The news wasn’t good; as I found out that my breasts
dropped another 2 centimeters since January……my new implants were
slowly heading south! I scheduled surgery for September 29th,
and got the charge card out. I wanted this fixed once and for
all, so what is a few more thousand so I can be happy! I was
not successful in my stopping smoking pledge, but did notice I was
not nearly as nervous this time around compared to the first time.
I knew this surgery was going to be more extensive with not only the
procedure but in time. Dr. Koegel told me I was going to be
under a minimum of 3-4 hours. I have never been under
anesthesia that long, so this was concerning me. Dr. Koegel
gave me Valium to take the night of surgery and also to take the
morning of to help keep me calm. I was okay the night before
so no need to take the Valium, but the morning of surgery I did need
them! Surgery was scheduled at 10:30 AM, and I had to be at
the surgery center at 9:00 AM.
Facts about this surgery seem to not to be as clear as it was the
first time around. The last vivid memory I have is being
wheeled into the operating room and for me to slide over to a small
table. I felt I was going to fall off, as it was so tiny!
My last words to the anesthesiologist were I expected him to make
sure I would wake back up. The surgery lasted 3 ½ hours. The
next memory I have is being in recovery and hearing someone say to
take deep breaths. I was very thirsty with a bad sore throat from
being intubated. The nurse gave me ice chips and sprite, which
I ended up drinking way too fast and certainly not a good thing to
do when you are feeling nauseated.
Arriving home from the surgery, I found my surgeon sent me a dozen
red roses, which was so thoughtful. I was not feeling
too well from the anesthesia and felt very nauseated. I had an
anti-nausea patch behind my ear before surgery, but it didn’t seem
to work. My surgeon had white gauzy bandages wrapped around me
this time and I was given the okay to take a shower the following
day. After my shower, I had to blow dry my bandages so they
wouldn’t be wet. There was very little pain if any, just very
sore and itchy between my breasts.
My first post op appointment with Dr. Koegel was the following
Monday. My surgery took place on Thursday. I had my
bandages removed, and found out I was getting blisters from the
gauze bandages. I was instructed to use Polysporin only and was told
not to use Neosporin. The only thing the doctor put over my
nipples was clear tape like they use to hold IV in. I was
wearing a soft surgical bra in which I had to wear for several
weeks. Seeing my breasts for the first time was a little
shocking – they appeared as though they should hurt. There was
no real pain associated with this surgery, only a little bit of
The only thing that was aggravating was the blisters and
my allergic reaction to the tape. I couldn’t get over how much
better my breasts looked when I first saw them. Even through
the bruising and the incisions and tapes…….I knew this time it was
going to be great. They were perky and the areolas were
aligned finally! Dr. Koegel had to do a lot of internal work
with my pockets, as they were over dissected from the first surgery.
The best thing was I was not experiencing any numbness in my breasts
from the surgery at all……the feeling was there right from the
My main reason of going back to the first plastic surgeon I
consulted with the first time around was that I really wanted
silicone implants and my first surgeon told me I could not get them.
I ended up paying $7,000 more for the redo surgery instead of going
back to the original surgeon for thousands less; however this was
the right decision for me as she did an amazing job with her lift
technique! And I can tell you now that I have never been so
I am currently now three years post op and still elated with the
end result I have gotten. I am so glad I bit the bullet and
decided to get the lift, because as you can see by my photos the
difference is like night and day. I still keep my breasts
support almost all the time in some sort of bra. The crease on
the left side ended up stretching slightly, but this is totally fine
with me as they still look amazing! There are times I wish I
would have gone bigger, but it passes when I see how perfect my
results are in the mirror.
I highly recommend my second plastic surgeon,
Dr. Andrea Koegel at the Hutchinson Clinic in Kansas. She
does amazing lifts and breast augmentations and I can say without a
doubt you will be going to the best of the best with no hesitation
at all. Would I do all of this over again – the answer is yes!
And I am finally so happy I got my “dream breasts”.