Breast Reconstruction Information Forum

Welcome to the Breast Reconstruction Information Forum. Here, you have the chance to share your own reconstruction mammoplasty experiences to assist others in fulfilling their own breast repair goals. Remember that telling your story is a great way to give a meaningful gift to another human being who could genuinely use the information your have to share�

To share your own breast reconstruction story and help other women searching for plastic surgery solutions to their body image concerns, please use the Breast Plastic Surgery Forum submission form below.

Reconstruction Mammoplasty Forum Submissions

Here, you can find reader submissions to learn which surgical techniques worked well for other patients around the world. This is a great way of knowing which breast reconstruction procedures performed best for other women before undergoing any operative technique yourself.

Paulette's New Breast

Share Your Breast Reconstruction Story!

Breast Plastic Surgery Forum

Please note that all fields followed by an asterisk must be filled in.

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

City

Country

Age*
Age*

Reasons for Wanting Surgery (check all which apply)

	Confidence Boost
	Increase Self Esteem
	Poor Body Image
	Depression
	Body Dysmorphic Disorder
	Simply to Look Better
	Simply to Feel Better
	Further Career Goals
	To Compete Better with Peers
	Become More Sexually Attractive
	Declaration of Autonomy
	To Spite a Family Member/Loved One
	To Please a Loved One
	Physical Pain/Discomfort
	Asymmetry
	Physical Dysfunction
	Ptosis/Breast Sagging
	Disproportionate Anatomy
	Repair Injury/Mastectomy
	Correct Congenital/Developmental Condition

Other Details

Reaction of Friends, Family, Co-Workers
(check all which apply)

	They were Horrified
	Poor
	No Reaction
	Generally Good
	Excellent

Other Details

Type of procedure

	Breast Lift
	Breast Reduction
	Breast Augmentation
	Breast Reconstruction
	Non-Surgical (Please Specify)
	Other (Please Specify)

Details

Incisions Used:

	Periareolar (Around Nipple)
	Inframammary (Under the Breast)
	Transumbilical (Belly Button)
	Transaxillary (Underarm)
	Vertical (Bottom of Areola to Inframammary Crease)
	Anchor
	Other (Please Specify)

Details

Breast Lift/Breast Reduction Patients

	Crescent
	Benelli/Donut/Concentric
	Regnault
	Vertical/Lollipop
	Full/Anchor Incision

Details

Breast Augmentation Patients

	Over the Muscle/Subglandular
	Under the Muscle/Submuscular
	Dual Plane/Partial Submuscular
	Subfascial

Details

Implant Type (check all which apply)

	Saline
	Silicone
	Round
	Shaped
	Textured
	Smooth
	Other (Please Specify)
	High Profile
	Moderate Plus Profile
	Moderate Profile
	Low Profile
	Overfilled
	Underfilled

Implant Size & Other Details

Surgeon's Name and any relevant information

Satisfaction Rating

	Regret Undergoing Surgery
	Low
	Medium
	High
	Thrilled

Reasons for Satisfaction Rating

Have you undergone any other plastic surgery procedures?

	Yes
	No

Details

Are you considering other future procedures?

	Yes
	No

Details

Bra Size Before Surgery

Bra Size After Surgery

Your Story
Please write as much or as little as you would like to share. The more detail, the better. Your story will help women to plan their own surgical procedures, so by sharing, you have a chance to give something meaningful to others�

I am Sending Photos to be published with my Story
(instructions for sending photos at bottom of page)

	Yes
	No

I certify that this is my real story and I give permission for my story to be published on Breast-Plastic-Surgery.Org
(Last Name and Email will not be published)*
I certify that this is my real story and I give permission for my story to be published on Breast-Plastic-Surgery.Org
(Last Name and Email will not be published)*

	Yes
	No

Please enter the word that you see below.

PHOTO SUBMISSION INSTRUCTIONS

If you intend on sending photos to accompany your submission, please check the box on the form and send the photos to

IMPORTANT!!! Please write the words PHOTO SUBMISSION in the SUBJECT LINE of your email.

Breast Reconstruction Information Forum Thanks

Thank you so much for taking the time and effort to share your valuable reconstruction mammoplasty experiences with the world. We appreciate your submission and hope it will make a real difference to someone searching for the specific informational guidance you provided. Your story of self improvement has now grown beyond your own body and has actually enhanced the lives of others around you. You should be pleased that you have just helped others achieve their own body image goals. Thank you again!

Breast Reconstruction Information to Breast Implants & Breast Lift
2/11/08 Revised 3/22/08