I heard a soft voice above the beeping machines and pop music playing
in the background. I had a hard time opening my eyes.
“Emily, wake up. Justin and JC are out in the waiting room
and they want to see you.”
With all my might, I flopped my head over toward the nurse, Debra,
and opened my eyes. She smiled as she petted my head and repeated
her statement once more, “Justin and JC are here to see you.”
Even under the influence of the remnants of seven hours worth of
general anesthesia, I knew very well that my two favorite *NSYNC
members weren’t down the hall waiting for me to come around.
“I feel like I’m gonna be sick,” I mumbled, my
throat scratchy and irritated from the oxygen tube that had just
been removed. Debra no sooner placed a pan next to my mouth than
my eyes closed again and I was asleep.
***
I felt someone squeezing my foot and this time I immediately opened
my eyes.
“You didn’t tell me you were going to an *NSYNC concert
in two weeks!” I had barely been out of the operating room
for twenty minutes when my doctor started yelling at me. My mom
must have let my secret slip—that I was going to three *NSYNC
concerts in a row two weeks after the operation.
“She’ll be fine,” said the smiley nurse to the
surgeon, who was also her husband. “And they’ll be the
first to see her new and improved self!”
I fell asleep again, this time for awhile. New and improved.
***
I’d always half joked, half complained that I wanted plastic
surgery—a breast reduction, to be specific—and my friends
told me I was crazy. “Well, can I have what you don’t
want?” they’d say, not understanding why anyone would
want to get rid of her breasts.
If you were already a size D by the time you were in seventh grade,
you’d understand.
I was always a little bit taller than my peers, a little heavier
than most of the girls in my class, but everything was in proportion.
Except for my chest. I was healthy but forget about running the
mile in gym class. Wearing a strapless dress for my senior prom?
BIG ORDEAL. Who makes a strapless bra in an FF cup size? It almost
seems inconceivable.
Not to mention the pure physical discomfort. Poor posture, back
pain, permanent grooves in my shoulders from my bra straps.
I mentioned the thought of surgery to my parents numerous times
throughout high school, usually while in the mall doing back-to-school
clothes shopping or shopping for something spectacular like a prom
dress or a new bathing suit. A specific moment sticks out in my
mind—my senior prom dress had to be special ordered four sizes
too big to accommodate my chest, then fitted extensively to make
it small enough to fit the rest of me. My father’s motto regarding
his extensive tool collection fit that experience perfectly: “It’s
better to have it and not need it, than to need it and not have
it!” But somehow that didn’t make me feel any better.
The inability to wear trendy clothes and skimpy bathing suits wasn’t
the only drawback to my oversized breasts, though. During my junior
year of high school, I started developing back problems. I thought
I was just out of shape but I had been involved in (at least) semi-athletic
activities all my life, including marching band and drum & bugle
corps. When I couldn’t even enjoy the relaxing stretches we
had to do at winter drum corps rehearsals without feeling twangs
of stinging pain down my back, I knew something was wrong.
After visiting a chiropractor for several months without full relief,
I was sent to have an MRI just to make sure everything was all right
with my spine. Sure enough, everything was not all right. I had
two herniated discs in my lower back, and short of back surgery,
nothing could be done to correct them. An orthopedic surgeon put
me on Celebrex®, an anti-inflammatory medicine used to ease
the symptoms of arthritis. I also had to lie on ice packs for thirty
minutes twice a day, and was told that I could no longer march drum
corps. My passion was taken away.
That summer I watched my friends and younger sister at Camp Randall
Stadium in Madison, Wis., marching so strong and proud and ultimately
placing among the top ten best drum corps in the world. I watched
from the stands that night with my parents, trying to hold back
my tears. The previous summer, that would have been me on the field.
It wasn’t until my sophomore year of college that my mother
called me and told me that she had spoken to another nurse in her
hospital who had had breast reduction surgery. The plastic surgeon
the nurse recommended actually worked out of the same hospital and
my mother called him for a consultation.
In the several weeks between the initial call and my first appointment,
I received literature in the mail from the doctor’s office.
It included pamphlets that described the procedure and who the best
candidates for the procedure were: those who had fully matured physically,
and those who were mentally mature enough to have realistic expectations
about what the surgery could do for them.
Realistic expectations? My only expectation was that the doctor
would make my chest smaller! I found out at my consultation that
breast reduction surgery could do even more than I’d ever
realized.
It may have been snowing the day I walked into the office with
my mom and dad, but maybe I was just shivering because I was nervous
and excited all at once. The waiting room had crisp, new issues
of “Modern Bride” and “Highlights,” my two
favorite doctor’s office magazines.
I was called in shortly after my arrival and my parents came with
me. Dr. Cimino didn’t leave us waiting in a cold examination
room for a long time like a lot of other doctors do and I liked
him immediately if for no other reason but that.
He entered the room with a nurse (who was also his wife, how cute!
I thought), introduced himself and Debra to us, and then proceeded
to ask me a lot of questions about what I wanted out of a reduction
mammaplasty, the technical name for breast reduction surgery. I
told him everything I could think of: I wanted to help get rid of
the stress on my back, I wanted to look and feel better about myself,
I wanted to wear normal clothes and feel youthful. My health was
suffering from my large breasts, and I wanted to do something about
it so that I could enjoy the so-called best years of my life.
“All right,” he said, but then he launched into a speech
about the serious risks and drawbacks involved with such a surgery:
general anesthesia for six or more hours, extensive scarring, drainage,
possible disfigurement, infection, possible loss of sensation, inability
to breast feed… There were a lot of drawbacks that probably
have deterred people before me. But my mind was made up.
My parents were still supportive as well, so Dr. Cimino pulled
out some slides and gave us a nice little picture show of some of
his previous masterpieces. At first, it seemed that a lot of the
women in the “before” pictures had no reason for a breast
reduction, at least in my opinion. But as he went down the slides,
I saw how well the surgery turned out for all of them, even the
ones with breasts as large as mine and larger. I was very impressed
and so were my parents.
After looking at slides, it was my time to get undressed and put
on a robe so that Dr. Cimino could make some preliminary markings
on my breasts in order to show me what he would be doing during
surgery. After I was covered with graffiti, I stood in front of
a full length mirror and watched as Dr. Cimino very gently and very
professionally showed me where he would cut, where he would sew,
and how my breasts would look when he was finished.
Even more impressive, he told me that he could take me from my
current FF cup down to a D, or even a C or smaller if that’s
what I chose.
Before the end of our consultation, my father was quick to ask
about costs and insurance coverage because this type of cosmetic
procedure is not cheap. Dr. Cimino said he would write up a letter
explaining my situation (in his medical jargon) to send to the insurance
company requesting coverage and that we should try to get as many
other letters of recommendation as possible from my chiropractor
and orthopedic doctor. He told us that the more professionals I
had stating my case, the better chances of the insurance company
covering the $18,000 surgery (includes physician’s fees, plus
anesthesia and other hospital fees).
So it was set. My surgery was scheduled for May 16, two weeks after
the end of my sophomore year of college. Two months after my initial
consultation in December, we received notification that the insurance
company was going to pay for the surgery because they deemed that
it was not purely cosmetic and that I needed it for health reasons.
Several months and several visits later, I was in the plastic surgeon’s
office once more with my mother, the day before my surgery. Dr.
Cimino came in and meticulously made the final markings on my chest,
the ones that he would use as his guide the next morning in the
operating room. He quoted the carpenters’ motto, “Measure
twice, cut once.” He asked if I had any more questions or
concerns and briefed me on what to do and what not to do between
then and my arrival at the hospital the next morning. I wasn’t
allowed to eat or drink anything after midnight and I had to be
careful while showering so as not to wash off the markings. If I
did wash them off, I would have to get to the hospital even earlier
the next morning so that he could re-mark me.
The next morning I woke up before the sun came up, said goodbye
to my dad and sister (who were half asleep anyway) and drove to
the hospital with my mom. After all the technical stuff was taken
care of, I was whisked away to the waiting room, which kind of reminded
me of an airport terminal. There were lots of tiny rooms with all
kinds of people in them and the people were just waiting around,
watching TV and waiting to take off, one by one.
After meeting my anesthesiologist and putting on my skimpy hospital
gown and fashionable white anti-embolitic stockings (to keep the
blood in my legs from clotting) a nurse asked me if I wanted anything
to relax me, but surprisingly enough, I felt completely relaxed.
I was excited to get started because I couldn’t wait to finally
look and feel better.
As they wheeled me out of the waiting room and into the hallway,
my mom—with a few nervous tears in her eyes—jokingly
told me to give her a call on her cell phone if I had a break during
the surgery. My mom, the strong and nonchalant critical care nurse
who has seen it all, was scared for me, and it was only then that
I felt remotely nervous.
A nurse wheeled me to an operating room at the end of the hallway,
complete with a privacy curtain over the window so that no one could
peek in while the surgery was taking place. It was comforting to
know that Dr. Cimino truly had his patients’ best interests
at heart.
For some reason, I was under the impression that at no point during
surgery the patient actually saw the operating room, so my nerves
were a little bit wracked when they steered me through the doors
and parked me next to the narrow operating table. I was told to
“scootch” over and make myself comfortable on the table,
where I was then covered with warm blankets. As he was poking and
prodding a needle into my arm, the anesthesiologist was telling
a nurse how his son didn’t get to play the snare drum in his
spring concert the previous night and there was a lot of other muttering
and giggling going on throughout the room. I didn’t think
until after the surgery that performing those tasks was daily routine
for the doctors and nurses, and chit-chatting while hanging an IV
bag or giving a needle was the same as “water cooler”
chat in an office.
They didn’t even tell me to count once they put the oxygen
mask on my face—I don’t remember falling asleep. The
time I spent in the operating room seemed as quick as the blink
of an eye, and I was soon waking up as I faintly heard Debra saying
my name.
I regained a state of semi-consciousness just in time to experience
the discomfort of the oxygen tube being pulled out of my throat.
I felt like gagging but I fell asleep again.
As soon as I got into recovery I was bombarded with beeping machines
and questions from people I had never seen before. I was in and
out of sleep, so it didn’t matter. When Debra and Dr. Cimino
came in to check on me, I started crying. Debra said that anesthesia
sometimes makes you cry for no reason but maybe she was just saying
that to make me feel better…
When I arrived in my room, a single, thanks to my mom’s connections
to the hospital and the nurse who did bed assignments, I slept for
awhile. Seven hours of general anesthesia is no walk in the park.
My mom stayed with me all night and helped me eat yellow Jell-O®
and bland chicken broth. We watched some reality TV and I got to
meet a lot of the people she worked with at the hospital, who all
came in throughout their shifts to see how I was doing. It was a
real bonding experience, although I continually had to apologize
to my guests for my anesthesia-induced narcolepsy.
My chest felt really hot and was covered in layers upon layers
of white gauze sterile dressings. A nurse put a cold pack over the
dressings to keep the swelling down but I couldn’t really
notice a difference right away. I couldn’t wait to see my
new self but when I finally tried to stand up to see myself in the
bathroom mirror, I felt like the bandages and my boobs were going
to fall off. I tried to sleep that night but every few hours a nurse
would come in to take my vital signs and empty my drains. Plus,
all the Ringer’s solution being pumped through my IV to keep
me hydrated also sent me to the bathroom about once every hour during
the night. Aren’t you supposed to be able to rest in a hospital?
The next day, Dr. Cimino and Debra came in to see me before I was
to be discharged. He said I did great and he couldn’t wait
for me to see myself. They helped me sit up and removed the sterile
dressings—one by one they came off and my new breasts, although
black and blue and covered in tiny pieces of tape to keep the stitches
together, were revealed to me. Dr. Cimino and Debra helped me into
a surgical bra that I would have to wear 24-hours-a-day for the
first several months of my recovery, and I finally walked into the
bathroom to look at myself.
I had a midriff.
I could see my stomach.
I was “perky.”
I started to cry again, this time not blaming it on the anesthesia.
Despite the burning and the scarring I knew I was going to have,
I was finally normal. I was happy.
The day-after-the-day-after is always the hardest and I sat around
in my bed all day ringing a bell for assistance when I needed something.
I had to keep my elbows at my sides all the time, which made things
like reaching, eating, combing my hair and getting dressed alone
a problem but my family was so helpful and understanding that it
didn’t matter (even though they said I looked like a T-Rex
with my little arms!).
Three days after the surgery, though, I was up and about. Immediately,
I noticed a difference because of the surgery. The strain on my
back was eased significantly and my posture improved 100 percent.
I got to see my boyfriend for the first time after the surgery,
and he was in awe. He helped me climb into his car, gently fastened
my seatbelt for me and took me to see a movie. The day after that,
I was out with my family, (carefully) cheering on our favorite local
hockey team.
After taking the non-dissolving stitches out the next week, Dr.
Cimino asked me how I was liking myself so far. “Boobular,”
I said. He looked at me, confused. “It means they’re
excellent boobs, and I love everything you’ve done to help
me. Thank you so much.” He smiled and said, “You’re
welcome. Boobular… do you mind if I use that?”