Dr Teitelbaum, amazing! Anatomicals! 2nd Opinion!!

I did today what I should have done ages ago!!

Went to get a second opinion on the anatomicals from an expert I really admire & love!!

Since I first started researching BA's, when I found his site, I thought it was amazing, exactly the beautiful, natural result I am looking for.. 

He is literally the foremost authority on anatomicals in the world, he even did the breasts of the ladies on the anatomical Natrelle catalogue!!

But because he is based in America I never considered going to see him.. But to be honest over the last 3 months I have done so much research & grown up so much as a person that I realised yesterday that I should try to go for what I really want in life than always being scared of what other people think..

Because I found Dr Payne & he first proposed this solution to my rippling (anatomicals, under the muscle) I was so grateful, I didn't want to upset him by going to someone else... especially as he seemed pleased that I came up from London to see him.. But because he said he couldn't choose my implant for me when I asked him if he could choose the implant, he said the decision on size and projection would be left to me to choose with his PCC.. he just gave me some guidelines saying because I am a bra size 32 if I go up one I would be 120cc more etc 

Which for me, is a big burden because I didn't know much about anatomicals at the time, there were no before and afters to look at with different sizes.. the only galleries online were belonging to Dr Teitelbaum but he uses mostly moderate profile & Dr Payne said I would choose between high & extra high.. but because I had a bad experience where I had round high profile overs when I was younger which looked so fake on me, I was worried..  I don't want to have the rounded look anymore... and because I am not a plastic surgeon I didn't feel like I could easily make the decision as to what size to go for & projection..

Anyway after 3 months of worrying of what size & projection to get, measuring myself, doing research here & elsewhere, trying to look at different women's & surgeon's photos, even chatting to a plastic surgeon and reading about the ideal breast dimensions,... I decided yesterday to contact Dr Teitelbaum directly for his opinion, as he is known for the natural beautiful look I want, & is an authority on anatomicals and would therefore the best person to get a second opinion from as to what size & projection I should go for for my body frame..

I spoke to his surgical coordinator Vicki, who from the start was informative, knowledgable, knew exactly what I wanted and more importantly what I did not want. She completely understood my worries about going xhp, 

She understood my concerns about projection given my previous experience of looking fake with high projections & is going to arrange a telephone consult with the amazing Dr Teitelbaum, after I send over my details & a few (naked! eek).. photos. 

I feel so relieved talking to her, & explaining what I want to achieve & avoid, it is nice to speak to someone who understands your needs & why you are worried..

I also would recommend to anyone who doesn't have the 100% clarity to get a second opinion because it means you have more information to choose from & at least can be sure you are making the right choice!! 

Should have been braver & done this from the start, & am so glad I've found the perfect solution, someone who is skilled with anatomicals, and is known for the natural look, & is willing to do my consult virtually (because I feel bad about showing my body in it's current state!) but more importantly, does give a direct opinion as to the best size & projection, which for me, I want at this stage, as Dr Payne is a bit more relaxed & says the surgeon cannot choose & the patient must choose.. 

Will let you know how it goes, but I feel privileged that I have two amazing surgeons, experienced in anatomicals, Dr Payne & Dr Teitelbaum, to consult, and will hopefully have all the answers I need to make the best choice as to my surgery.. 

I think every surgeon is different. My surgeon likes using anatomicals. He suggested a size and profile for me. So it took the weight off my shoulders a little. As it turns out I love my boobs now and couldn't wish for better. I always wanted anatomical and I'm one happy bunny now. It's nice if a surgeon helps a little if you are unsure. After all they are the professionals. Xx

Yeah I would love for Dr Payne to make the decision for me in terms of how to achieve what I want but he says he doesn't make the choice for the patient.. 

And he doesn't have a signature look either.. 

But with the info that I have now & knowing better that I want natural proportions (not too rounded on top or too much upper pole projection) hopefully he can advise which is best for me & my frame.. 

& with Dr Teitelbaum's expertise in this area it should hopefully help me to come to the best decision

Hi,
May not be what you want to hear but I  personally would avoid a surgeon that isn't willing to choose the best implant that meets your desired result ,after all they are the experts! It shouldn't be left up to you to work out what size fits best anatomically.
With discussions at consultation along with perhaps pictures of the results you are hoping to achieve and your body measurements the surgeon should be able to work out implant sizes for you. Can't believe the surgeon sending you off to work that out for yourself albeit with the assistance of a PCC.
Another concern this raises ,should after the op the results not meet your expectations or wrong implant choice causes a complication the surgeon could then perhaps hypothetically say that it was your decision to have that sized implant, then where would you stand?
X

No I think if I chose something that was way out of proportion or wouldn't fit he would intervene but he is known for giving the patient choice as to what they want to achieve.. 

I didn't know much about what I wanted at the time I met him, I just wanted to be fixed but I have plenty of photos, more aware of what look I want so hopefully we can work together to achieve that..

Hi, I'm afraid I completely agree with mirren. There seems to be no point seeing an expert in breast augmentation when you have to make all the dicisions yourself. It may pay you too go for another consultation. Express that you like the sound of anatomicals for a natural look, but one thing I would say is that round implants also give a natural look too. It all depends on person to person. Xxx

& he was kind of there in the background when I was discussing sizes with the PCC, but he didn't really comment.. I think he does both the fake & natural look & isn't the kind of surgeon to dictate to the patient whereas I think Injust need a bit more guidance because I don't just want to go bigger I also want to avoid looking fake (I hate the fake look Inget in swimwear see avatar) but also hopefully with a bit more width & avoid rippling. 

Dr Teitelbaum on the other hand is more prescriptive because he has a signature look & works to achieve that & therefore tells the patient what to choose

Someone can correct me if I'm wrong, but I don't see how a surgeon can have a signature look when every woman's anatomy is so different. You would on,y enhance what you already have with implants alone. I hope you are not taking offence newstart. We are very honest on here but of course this is only my opinion. It's good to have discussions like this and hear from other girls as it widens your knowledge. Xxxx

A surgeon shouldn't be dictating what you should have, but he also shouldn't be letting you decide on your implant. You and your pcc have no medical training, how do you know what's correct and safe for your body. Your implant should be a collaborative decision between you and your surgeon. Mirren is absolutely right, where would that leave you standing if you dont like you're results? "Well you chose those implants so it's your responsibility, we have no obligation to help". 

I would not be happy or settle for this. I understand you're booked and paid with Mr Payne, but you are still within your rights to see and perhaps switch your booking to another THG surgeon, one who will look at your body, listen to what you don't like and what shape you want to achieve, and come to a decision with you. Never settle, this is your body you are letting someone cut into. 

Anne, some surgeons do have a 'signature look', but that doesn't mean that's the best look for you. Any surgeon who tells you they 'only do unders' or similar isn't thinking of what's best for you, just what they deem themselves good at. There are of course certain skills involved in some implants and placements (furries for example) that some surgeons just will not have. This is why we recommend plenty of consultations so you have options to look at what's best for you and your body.

I do have a full second consultation booked with the surgeon. He wrote to me in December saying that he would be happy to see me again for a consultation but initially I did ask the PCC in October if I could see him again in November to discuss the sizes & projections as Inwas coming up to Birmingham to see a friend but she didn't offer me an appointment & I was too shy/embarrassed to ask for another consult if Dr Payne didn't accept (he probably wasn't aware I wanted to see him I realise now) & I then decided to try to determine the size myself..

I totally respect his expertise & technical skills, I decided within 10 mins of meeting him because that's the time we had at the start due to my taxi getting lost that he had the solution to my problem & I don't doubt that it's the way forward. 

However I think sometimes too much choice is a problem. When I said signature look I didn't mean like a fashion designer, but for me a good surgeon is like an artist & sculpts your body. Some artists create a preferred result & can create say a natural look. Dr Payne does variety of looks & I think is a bit more flexible in letting the ladies choose the preferred result whereas Inneed someone to say for the result you want or best aesthetic result go for this implant, size & projection.

This man works for you, not the other way around. If you want to see him, never be shy or embarrassed. Make sure you get what you want out of a consultation. Also, why are you trekking all the way to the midlands? Does he not hold consultations in the London clinic?

Sorry I haven't responded, to this, but I will today. It's a bit delicate.. But it's my fault not Dr Payne's. also I'm kind of glad it's taken me a while to get to this point because I am more educated about the surgery & what I would like to achieve & also what will be best for me in life in terms of size, projection etc.. And also more brave in terms of asking for what I want..

Dr Payne is to me, just amazing, a wonderful surgeon & a really inspirational kind & generous person. If it wasn't for him, I wouldn't even have known that it's possible to fix me without scarring.. my previous surgeon had said I needed a lift, & had not the experience with anatomicals to suggest the option Dr Payne had. 

Now that Dr Payne recommended that option, of going for anatomicals under the muscle, without scarring, it gave me the confidence to think I could fix my faults & this confidence that it has given me has been life changing. Because I honestly thought I would be scarred for life or with complications if I didn't sort it out.. 

He was also such a gentleman & calm faced with my rippling he acted like it was not a big deal & he could easily fix it really calmly without overreacting.. I am also quite embarrassed of my figure & he said it wasn't that bad & that he could fix the aesthetic problems really easily without making it a big deal.. 

Also from a technical perspective, Dr Payne's solution & suggestion is the best out of all that I have heard about even after I learned about these new techniques & started doing more research in the last few months.

So I owe so much to him.. even if there are now other surgeons that I have found that have the same technique or variation on this technique or new styles.. 

In terms of consultations, he does operate from the Midlands, in the UK, but he is so good & well regarded that I wouldn't mind even if he only operated from Germany, I would go abroad for the best surgeons, eg Dr Teitelbaum is probably the leader in anatomicals, which is why I would value his opinion & maybe surgery in LA I probably would go there, if Dr Payne now decides not to go for the anatomicals because I've been worrying or stressing too much the last few months!.

Because I have rippling now & had the problem where I looked really fake with round high profile ones before, I was really impressed that he thought that the anatomicals would be better for my frame & recommended these even though I hadn't considered them before & was worried about rotation & how they would look initially. & he also took the time to explain that rotation wouldn't happen if the implants were long/placed correctly & correct healing, no manipulation.. on a second consult because I had read some horror stories online about women who had rotation just from mopping the floor & from other surgeons advising against going for anatomicals because of rotation.. I think a lot of it is it is such a specialist technique, you need to go with someone with experience in this field & who is trusted in this industry.

It's only that we didn't have time to discuss the implant sizes & the look that I wanted to achieve in person at that consult, &  it is my fault that I wasn't vocal enough to ask for a second proper consult to discuss the sizes & projections, instead of just quietly suggesting it or a phone call to the PCC. I think the feedback that I've got is that the PCC is not the surgeon, and that if I am not getting the answers from the PCC or not sure I need to ask & book another consultation direct with the surgeon. & then it threw me a bit in December when the PCC said only 500-525ccs had been ordered, which are not anatomical sizes in the Natrelle range, and was different from the list I had sent her after my online research, so I don't know if this is because I had been too worried about unnecessary stuff & anatomicals & result & worried the surgeon as a result, or miscommunication in as I haven't been corresponding direct with the surgeon & maybe certain things had been lost in translation!.. 

He also did coincidentally offer to do alternate consults in London & Midlands for me & get my contact details to keep in touch after we first met for the 10 mins from his secretary on his return from abroad but I thought it would be more appropriate to go up to the Midlands because I didn't want to put him out of his way & thought we would be able to get everything covered in the full consult.. His assistant also said no he doesn't go to London at all so I didn't want to inconvenience him either by making him come down only for me.. But obviously now looking back, that would have been ideal & really good for me because it would have given me the opportunity to chat direct & ask questions & get the reassurance & technical answers I need for my case.. I also have worried excessively about this surgery & I think that's because of the rippling & previously looking fake & not wanting to make the same mistake again & not being sure what look to go for.. I'm glad it's taken a bit longer though & that I will have another full consultation because I am more educated now plus knowing exactly what result I would prefer which I now know after a few months research will make hopefully the consult more focused & he will be able to advise.

Hoping all goes well on Sunday. I am also going to go for the second opinion with Dr Teitelbaum after my consult on Sunday if Dr Payne doesn't feel like he can recommend an ideal size or projection, to achieve the more natural look, with the anatomicals, as I would really like to put myself in the hands of the expert plastic surgeon in this field in terms of making the choice which is why I have lined up the second consult if Dr Payne says he can't make the choice for me or then decides not to go for anatomicals because of my previous worries..

Hi Newstart,

I was just wondering how your virtual consult went with Dr Teitelbaum - did it go ahead in the end? 

I too think his work looks the best, and would love to have him do the surgery but am based in Rome so it ain't gonna happen.

Would just be really interested to know how it went/how much you paid for the virtual consult etc, and what advice he gave you in the end?