Dr. Hidalgo says his patients, mostly in their early-20s, undergo near personality transformations.
'It's a life-altering event,' he says. 'Prior to surgery they're introverts. They're embarrassed about their bodies. They don't want to draw attention to themselves because of their experiences growing up with so much unwanted attention. After the operation they transform into extroverts and become more secure and confident in themselves and their sexuality.'
As women get older, the decision isn't as much social and emotional as it is physical.
Whereas teenagers want their breasts completely chopped off, single adult women begin to appreciate nice full breasts 'just not disablingly heavy ones, say's Casas.
Married women start saying: 'I'm tired of these things. I want a normal life.'
And once women have past childbearing years, their attitude typically becomes: 'My breasts have just been a nuisance all these years. What's their use now? I want to be able to hop out of bed without having to put a bra on just to go the bathroom! Make me as small as possible!'
'It's after surgery,' says Dr. Casas, 'that we see the emotion' when the smile appears and the women become elated about their bodies and say, 'Why didn't I do this years ago?!'
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