The pain sucks, it lasts longer than childbirth, but it's worth it! I'm 2 months post op (under the muscle, 450 cc's, round high profile) and it's still uncomfortable sleeping at night and kinda painful when I get up in the morning. The pain is now localized to the underside where the muscle was cut. I also had a lift with mine...not doing well with the lift but that's because I got a staph infection and my body rejected the disolvable stitches. My lift is gonna be re-done. The implants have dropped as far as they're gonna drop and they're nice and even now...for a few weeks one was a little higher than the other...that's normal. We've been doing implant massage daily...I think that really helped.
I think one of the best ways to find a good doctor is to simply ask around. If you see a woman who's obviously had them done and you like them, ask her which doctor she went to and if she was happy with the experience. Women are usually pretty good about talking about this stuff. I asked around at my gym mostly. By word of mouth I found out who to avoid and who was recommended. I met with the doc and saw pleanty of before/after photo's. One doctor I went to said that due to patient confidentiality he couldn't show me pics...I later found out that he messed up two of my friends. One of your decisions will be what kind of implants to get and weather you will want over's or unders. I strongly recommend under the muscle...your future mamograms will be clear, you won't risk your breasts sagging from the implants, and they will look more natural (you won't see any bag seams or rippling).
Some good websites are:
http://www.allaboutplasticsurgery.com
http://www.justbreastimplants.com/
http://www.implantinfo.com/
http://www.plasticsurgery.org/public_education/procedures/AugmentationMammoplasty.cfm
http://www.floridacosmeticsurg.com/augmentation/breastaug.html
You asked...
What should I look for in a MD?
Make sure you go to a few doctors and get a feel for them. Your instincts will probably be right. Maybe find out what percentage of his operations are what you are going in for. Many plastic surgeons do implants...some specialize in them. Like I said...ask around for recommendations of local doctors...don't just use the phone book.
What questions should I ask?
I forget all of the questions I asked...the websites above will give you pleanty of ideas though! You'll probably learn more about implant surgery from the internet than you can at any one doctor's office.
What is the surgery like?
It depends on what kind of implants you have done and what kind of incision. If you do go under the muscle, you'll be in a lot more pain when you wake up from surgery, that's for sure! There will be some pre-op paperwork, meeting with the anestesiologist, etc. You'll have to remove all body jewelry, nothing to eat or drink from midnight the night before. You will probably be put on an antibiotic before and after surgery for a few days. I woke up from surgery and it felt like someone had dislocated my shoulder and I had awful pain going down that arm...later I was told that the doctor had a hard time fitting the implant in under the muscle on that side. That pain was worse during the first 48 hrs than the implant pain itself.
The recovery?
Recovery is pretty hard the first few days and nights. I think I slept maybe 2 hrs. at a time. You will sleep propped up for a few weeks. I showered the day after surgery...actually, the night I was home from surgery I was outside walking around and visiting with my neighbor. I'm stubborn and didn't want anything to keep me down. LOL I was in pain though for a good 2 weeks. Texgrl had warned me NOT to let the pain meds wear off for the first week...she was very right. LOL A couple of times I woke up and the meds had worn off...I couldn't even open the bottle myself...had to wake up my husband to get my pill. Oh...it was a good 2 weeks before I could open a medicine bottle myself...I should have just left it open! I had to go to the doctor a week post op for him to change the tapes on my sutures, then a week later for the tape to come off (I assume this is because of the lift incisions, don't know what it's like for others). I didn't have to wear any special garments post-op. I did wear a sports bra that zippered open in the front and tank tops with shelf bras. It's very difficult to get into normal clothes. You'll have pain when you stretch your arms back to put on a jacket. Weeks later you will still have shooting pains that feel like electrical shocks...mine went right to my nipple and nearly knocked me down a few times. You probably won't be able to wear a regular bra for about 6 weeks. Most women can go back to work a week after surgery.
What do you know now that you wish you had known before the surgery?
That I should have left the medicine bottle open! LOL Also, since I had an infection, I would suggest getting a culture done right away if you wind up with infection....otherwise it's just a longer, more painful recovery until they get it under control. A culture will show what kind of infection you've got (I had staph) and a second part of the culture will show what antibiotics work best on it. This process takes a solid week to complete.
Do they get in the way of training?
Initially they do. You'll be weaker and in some pain, but eventually your strength will return.
Can you train chest as hard as before implants?
Supposedly you can. I haven't reached that stage yet...actually I still haven't trained chest at all yet. Even back work is still kinda weak because it involves the pec muscles a lot.