It took me a long time to sit down and write a review.
I was 19 when I first went to Dr. Egrari for breast enhancement surgery to correct tuberous/hypoplastic breasts. I'm 28 now. My goal was just to look normal. The initial surgery I felt that my implants were too wide and laterally placed. I then got very severe capsular contracture (cc) - which is of no fault of Dr. Egrari - and had to get them replaced.
I downsided and my breasts looked better but I very quickly developed cc again and got explanted later that same year. With both sets of implants, I had very noticeable muscle flex/animation deformity which, of course, is a risk with partially submuscular implants. I do recall him saying that I would still be able to live an active lifestyle with submuscular implants and him saying he works with lots of active women. Sure I was still able to be active, but my breasts also looked weird when I moved my arms so I don't think that's a great selling point.
I have no sensation in my nipples or lower pole of my breasts, which I knew was a risk going into this but disappointing all the same.
My areolar incisions look pretty good. The one thing I don't like is that still to this day I can feel bumps from stitches.
During my explant, Dr. Egrari went through my inframammary fold. The original incision for my implants was circumareolar. He said he removed the entire capsule and that the scar tissue was extremely thick.
I was not aware of this at the time of my explant, but many doctors attempt to repair the muscle during explant as animation deformity can persist. Dr. Egrari did not and I had severe tethering and when I flexed my pec muscles - this includes minor arm movements- the lower portion of my breast would pull in and up.
I went to see Dr. Egrari about 5 years after my explant to discuss the muscle flex issues. I am out of state so it is hard for me to see him on a regular basis. I told him my concerns and he explained there were limited options. Where I got particularly frustrated, was when he told me my static appearance looked good. This is perhaps my biggest grievance with plastic surgeons, they seem to laud themselves on their work based on still images of women's breasts. Women are not stationary beings. I use my arms and chest muscles all the time and the fact that doing so now causes a noticeable deformity is something I think a plastic surgeon should be more cognizant of. It is embarrassing and physically uncomfortable.
I was fairly distraught after Dr. Egrari basically told me there wasn't much he could do for me. He did give me an 11K (I think that was the cost) estimate for fat grafting and gave me the name of some other doctor who did more fat grafting. While I was crying, he asked if he could take pictures of my breasts. That was a pretty rude move in my opinion.
I have since had my muscle repaired with strattice with another doctor. Because the muscle had healed so that it was basically only in the upper pole of my breast, just pulling the muscle down and attaching it with strattice improved the appearance of my breast. I followed that up with fat grafting from a very well known doctor in NC. My breasts look so much better though I do have residual adhesions that still cause some movement when I engage my pecs which I will likely address at a later date.
I understand some of my breast issues are of no fault of the doctor, but based on my conversations with other doctors on realself and in person, he should have addressed my muscle issues upon explant. I was incredibly disappointed in my final in person interaction with him and found his bedside manner to be rather lackluster in the end.
If I could do it all over again, I would likely just pursue fat grafting.