And the answer is….

My Georgetown appointment

So it has been awhile since my last post. These last couple of weeks have been insane with my finals- yes finance is finally over and I am officially one year into my MBA- and I helped spearhead a massive campaign to pass a national hereditary breast and ovarian cancer week (HBOC). To say the least, time has been a little tight but I have lots to share and have made some final decisions and feel like a cloud has been lifted off of my shoulders!

My husband and I met with Dr. Scott Spear, chief of plastic surgery at Georgetown University Hospital in Washington DC, yesterday. Now, for those of you reading this that are not familiar with the DC area, I live about 15 minutes from here so in terms of convenience, you can’t get much better than that. Dr. Spear has an amazing reputation with the local FORCE group and as a nationally recognized researcher and plastic surgeon. With all that being said, he doesn’t typically do the one-step, or direct-to-implant, surgery that I mentioned in a previous post is the only thing I am really considering.

Now, I have done a LOT of research and I am much more educated than the typical young woman (and older one at that) that walks in Scott Spear’s office and he could tell. The nurse spoke with us first, and started off by telling me what an implant was and all the basic stuff and I just kinda let her to not be rude but when my husband mentioned that we had talked to Dr. Andy Salzberg in NY (Spear and Salzberg are colleagues and have written papers together but somewhat competitive in a sense) he had a totally different type of conversation with us.

So why doesn’t he do the direct-to-implant more often?

Everyone will tell you, “Don’t go to a doctor that doesn’t specialize in this kind of thing” and I 100% agree with them. However, I trust Dr. Spear. I also trust Dr. Salzberg and he TOLD me that Spear could do the surgery and use to do them all the time. So, being as nosey as I am, I asked Spear why he doesn’t do more of them. He said that as a plastic surgeon, you are a perfectionist and that you always want to go back and fix something- with the one-step you can’t. In his mind, he doesn’t want his name on something that isn’t perfect. I totally get that, and I respect it. However, the rate of a second surgery is about 10-20%. With expanders I would be coming in every 2 weeks for about 6 months and then need an outpatient procedure. I my mind, even if I have to have a second surgery, I like the odds of the one-step way better.

The appointment itself

So I totally thought they were going to take out a magic marker and draw on my chest- I think I saw a movie from the 80s where they actually did this lol. Well, no he did not write on me but he did try to guess the weight of each boob which was quite amusing. He also called me conservative when I got to look at different breast sizes. This was the oddest thing because here I am standing half naked with a nurse, a doctor and Chad all staring at me saying, “Well, what size?” For some reason I thought I would be fully clothes in an office somewhere making this decision. I chose the one, just SLIGHTLY bigger than I am, 375 cc I think it is. He laughed and said not even to bring the 400 over (a full C) because I would have a heart attach. My poor husband. This was the only fun he had the whole appointment. I thought Chad might be a little more vocal about the size and such but initially I thought the 375 was too big and that’s when he said something. I was putting the thing on my chest so it looked gigantic. When I put it on my stomach it looked pretty damn good.

Still want to be me

I have heard some women say, “If I have to go through all of this, I want the best breasts in the world.” They go much bigger, or much smaller, etc. For me, I just want to be healthy and look a tad bit better than I do but I still want to look like myself. I don’t want there to be a noticeable difference (just maybe in a low cut shirt or something haha). What I told Spear is that I also don’t want to have to buy a whole new wardrobe! (Have you seen my dress closet!?) However, on that note, since the appointment I have been wondering what the 400 would have looked like…wonder if I would have liked it or if I would have fallen over and fainted lol.

Funny thing- they said that some people chicken out on sizes at the end or they get bold and excited so he ordered me the 350, 375, and 400 which will all be there the day of surgery. Just in case.

And the answer is…


I have spoken to a lot of women and a lot of plastic surgeons. Some have found Spear to be a little cocky but I found him have the perfect amount of confidence. I also thought he was different from most plastic surgeons I have met. He was slightly older and an academic, a researcher. That has been a large focus of his time and practice and I highly commend him for that. Many plastic surgeons have this swagger about them, “I’m young. I’m good. I charge a ton of money. Trust me.” It was not like that with Spear. I will feel very safe in his hands and want him to be my surgeon.

I have yet to meet with the breast surgeon and need to make sure that she is willing to do the one-step as well (but seeing as she is the Chief of Breast Surgery I am pretty sure it will be fine) so unless I don’t like her- MY SURGERY WILL BE DONE THIS DECEMBER AT GEORGETOWN!!!!!


I am just so excited- I can’t tell you how good it feels to have this decision made. I don’t need to travel. I can be home in my own bed, with my friends and family around. This will be so much easier on my husband and I just ADORE the plastic surgeon. I couldn’t ask for more.



Filed under Uncategorized

3 responses to “And the answer is….

  1. awesome. it feels so good once things fall into place. hopefully things won’t get too stressful leading up to your surgery. the last 2 weeks of waiting is difficult. i nearly went out of my mind. i had the most peace and calm the night before and morning of my surgery.

  2. Katie

    Thank you so much for sharing your experience with us! It is so inspiring to see you being such an advocate for your own health, as well as being vocal and proactive to help others. I’m grateful to say that no one in my family has experienced breast or ovarian cancer, but I’m sure I’ll be able to use what you’re sharing with us to be a more sensitive nurse with my patients. You are wonderful (whichever size boobs you decide on)!!!

  3. Excellent news, Dr. Spear is fantastic and you are in great hands. BTW, I have 375 and they are not huge. you will be fine. And I suspect you will love the way they look in your existing clothes.


Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s