First Consultation - Mr Ramakrishnan

Hi everyone

I have my first consultation booked with Mr Ramakrishnan this evening and I am feeling a tad nervous. When I booked it I figured that I had to go through the whole PCC thing first so I wanted to get that out of the way. Was a little surprised to be seeing the surgeon first up but hey ho. I am wanting a BA but have a sneaking suspicion that I will need an uplift as well. 

Cookie has kindly provided the consultation notebook for me. Does anyone else have any tips? You would think I was going for surgery not just a consultation today - what a wimp!

xx

aw I was a nervous wreck at getting my non boobs out but they have seen literally 100's theses surgeons all shapes ad sizes and in my case nothing at all lol

so please dont worry and enjoy this

have you got some pics of the look you want to take with you xx

Hi there mr ramakrishan is my chosen surgeon. He is very kind and makes you feel at ease, you will be fine:) I'm still pre ba, looking at end of jan x

Ah, honey, be excited. Don't be nervous, easier than done - I know!! Like Tink said, enjoy this  

Good luck!! Xx

Enjoy it! It's the start of your journey! Wear a white vest too if possible as when trying on the implants it's great to see what they look like xx

Aw thanks ladies!
I have a few pics and will be wearing a white vest now. Thanks for the tips! xx

Let us know how you get on babe xx

Mr Ramakrishnan is a BAAPS surgeon babe and works for Spire so you won't have to deal with any PCC at all. The service provided will be a lot more personal sweetie. You'll be given approximately a 40 minute to an hour consultation and ALL surgery advise will come from the surgeon only. He will have a secretary that will arrange appointments, but that's it babe - all meetings will be with the surgeon.

Good luck hun and I hope the notebook helps. Xx

Will update you all afterwards.

Nice to hear that you have had a good experience so far Doughty. I like him given he has reconstructive surgery experience, especially important if I need an uplift.

Thanks for the info Cookie. Also pleased that I don't have to deal with the high pressure stuff that I have read some of the PCC's put on you on my first consultation.

Bring on 7pm.......when you are nervous about something doesn't the time drag!

x

Yes, its not nice to have that pressure applied over something so important in your life hun, but you'll have none of that through Spire, they're a very reputable clinic which I'm sure you'll find for yourself from the moment you walk through the door. Xx

I am actually seeing him at the Nuffield. I haven't read anything bad about them but are they as good as Spire? x

Yes, the Nuffield are good babe. As he works at spire too though, its worth weighing up what Spire offer against the Nuffield to get yourself the best deal 'if this is the surgeon for you' he may also have his own practise as well, so another option you might want to look into.

Also don't forget to ask him if he has ASC insurance. Its an insurance only available to BAAPS members, its not written on the consultation notebook hun, so maybe write that down on there to ask. But if he has opted in, for a small fee (£150-£200) you could get yourself two more years aftercare which would start 'after' the clinics aftercare runs out hun. Xx

so are you going private then and not through a clinic?

He will be exactly the same as he would be anywhere and as you say you havent read a bad thing about him so all good

you will love it and come out on a high after talking boobies x

My husband is sick of me talking about boobs already and I am only at the beginning of my journey. Haha. Oh well I am sure he will appreciate it in the end 

Sorry Tinkerbell24 I didn't answer your question. When you say through a clinic do you mean like Tranform or THG?  I am considering doing a consultation with one (or both) of them. I know THG have a clinic in Essex but I believe the resident consultant is Mr Russo and I am not sure that I am too keen on him.

Would you recommend seeing a clinic over a private hospital? I only stumbled on Mr Ramakrishnan and read good things about him and he is local so I am open to suggestions to research for my next consultation (will try to do the regulation 3 and see what they all say).

xx

Cookie might need to help me here is Spire like THG mya etc or is it like the nuffield and bmi

no no clinic or private are both good I went private with BMI so its really down to the person but yes please do see more than one even if you love him tonight dont do anything hasty and book there and then lol xx

With Transform and the THG you will be dealing with PCCs, it will be a different experience to seeing a BAAPS surgeon. You won't have a personal service and will always have to deal with a middle man.

Whether you go through spire, the Nuffield, or his private clinic doesn't really matter nhw, what matters is the surgeon. Once you find your surgeon you can then locate where they work, in this surgeons case you most likely have 3 options and then all you're doing then is calling and asking about aftercare, when you find out who offers the best aftercare go with them babe.

But don't choose a clinics or amount of aftercare over a surgeon. The surgeon is the person who is going to putting a scalpel to your body and changing your shape for life. The choice of surgeon will also determine the risk of complication - all surgeons have complications come back, some just can't be helped such as CC and rupture, but the surgeons skill can determine a lot in terms of complications and we here at Breast Buddies have personally found that the clinics using BAAPS surgeons do have the least number of complications. Xx

Ok thanks again for the info. I did have a look at Transform and THG surgeons but couldn't see BAAPS listed in any of their qualifications. Is that because none of them are qualified to that level or just because I am missing something?

xx

Good look tonight honey. Enjoy it and make as many notes as possible. If someone is going with you get them to make notes x

nhw wrote:Ok thanks again for the info. I did have a look at Transform and THG surgeons but couldn't see BAAPS listed in any of their qualifications. Is that because none of them are qualified to that level or just because I am missing something?

xx

To become a BAAPS member a surgeon must have at least a FRCS which many surgeons at the larger clinics don't have, so it could be said that the majority of surgeons at the larger clinics are less qualified yes. There are some though that do have a FRCS and are very good surgeons... But BAAPS surgeons don't stop there. They go on training when they get 2 sponsors from BAAPS after also being in a consultant post for at least 6 years, they go training in BAAPS as a 'trainee member' its not until the members feel the surgeon is up to standard that they will qualify as a full BAAPS member and even after that their work is monitored and kept up to date. Xx

and with the BAPRAs is that where they have been reconised for reconstructive surgery too xx

All the best for this evening, I am sure that afterwards you will feel just fine and more confident in your decision......

My Ps works for Spire, also privately and NHS but I am having surgery at my local BMI with him. He has very good credentials, as yours sounds like he does too.

I also was worried I may need an uplift.... I think I was worried of this most...so know how you feel and know whether you do or not, you'll feel better after your appointment. As you will be much better informed.

Thinking of you!

x

Ok so the consultation went ok but not sure that the recommendation was exactly what I wanted to hear. 

The recommended size was a 330cc and I was given some implants to try in my bra but they seemed huge to me (although the bra was not terribly flattering to be fair). I had thought I would need an uplift but Mr Ramakrishnan recommended just a BA but it would have to be at least 330cc. They would be overs as unders not necessary for someone my size. 

So mulling over that I kind of got used to the size sample and showed him some pictures of what I like and what I don't like. Basically he said based on the pictures of what I don't like that I should have an uplift, but that he doesn't recommend doing the two procedures together. So I should have a BA and then if I am not happy with the results have an uplift after 6 months.

So lots and lots to think about. I am 5ft9.5" and about 10.5 stone, size 10ish so I was thinking that 330cc would be tiny for me but the ones I was given to try seemed huge. I know the real thing would be different but now I am really unsure of what I want and I don't particularly want to be going through surgery twice in a year.

Glad I didn't go in cold as then I would have been really confused! Thanks to the forum for all the information I had up front.

xx

aw glad that it went ok for you

as for the size of implant a 330cc maybe just what is needed on your size and frame its all to do with the anatomy of each of out own bodies

as for the uplift part Cookie will be able to tell you more on that but im sure that it can be done at the same time

So def after reading how oyu feel see more surgeons and see what comes along with them

good luck and look forward to hearing more!! xx

Obviously the 'look' you're wanting is a lot smaller than what you have already to work with.

Because of the skins sagging your surgeon has to fill the skin to create a better look for for you, but in filling the skin, its not going to give you what you want and they can't just out a smaller implant in there because it would be simply like throwing a ball on a sock hun.

So, to achieve the look you're wanting you need to have some of the sagged skin removed to create a smaller breast for the look you like.

Some surgeons like to do this in 2 procedures, but research has shown that the risks of doing the procedure in one go (BA/uplift) are no higher than doing it in two procedures... If you liked the surgeon you could maybe go back and discuss that with him. I could link you to the research if you'd like to take with you.

Or.... You could go and see another surgeon babe, which I think is a good idea anyway, because I because we all should have at least one other consultation to compare with before making any final decisions babe. Xx