taurus

Hey Tiago! Would you be willing to travel to the uk? The 2 surgeons that I am looking into are de Julian de silva and dr lucian ion who have a very good reputation with rhinoplasty. When I decide who to go with I will document my journey :-)

Hey taurus,
Thanks for the reply!
I decided to tell my mum last night. She didn't take it well at first but is slowly coming around now. I am keeping it from my sister and dad for now though. I leave tomorrow. Oh and im going with my Fiancé.

Your nose will be swollen for quite a long time. The tip can take up to 12-18 months to fully shrink down although most goes within 3months. I had a cast for 2 weeks and I noticed it getting looser as my nose shrunk down. Maybe call your surgeon to put your mind at rest but it's likely a ton of swelling

I had mine taken off a few weeks ago and it honestly doesn't hurt at all. They were off before I even knew they were off! The only thing I found a little uncomfortable was the cleaning of my teeth after to get any remaining glue off because I have sensitive teeth. You will be fine! Teeth feel so slimmy and weird! Haha! You will be on a massive heigh after! They look better than you try to imagine, because I was like you trying to imagine the brace not there but the reality is even better! Good luck and post a pic! Soo exciting!!!

So this photo came up on my time hop this morning so I put it next to a photo I took Tuesday night
excuse the first photo I was trying to show my teeth not smile ???
i just can't get over the change!! I've been looking at it all day lol

Hope you doing okay @Huck thinking of you ?

embrace the culture and go with it....its not aistralia so you cant compare it. ...the food is awesome...try a different resturant each night...i eat off street cart, pop up resturants, cafes...anywhere...its part of the adventure. i too have never been sick. ...just make sure you drink bottled water.
its a barter country...so set your price before you hop in a tuk tuk. .....think its too dear walj 100 meters and try with another driver...bartering is fun :-)

work out a way to make yourslf enjoy the adventure...or you will miss out on soo much.

i love thailand and visit often. ...like many others. ...dont be scared the people are lovely, they are just trying to make a living, not hassle you on the streets...they dont have centrelink to fall back on...they have to work to live.

I'm going to the Orthodontist next week, I'm really hoping he does Damon braces (clear ones)! I haven't smiled (with my teeth showing) in a photo since I was 15 (I'm 25 now).
For people who had braces, did you get the bar behind your teeth after you finished your treatment? I'm hoping to get the bar after I finish treatment, but I also want to go to Thailand to get veneers on 6 of my teeth (I have very pointy teeth, almost vampire fangs) so I'm not sure if the bar will affect this.
thanks xx

Hey! I also have a fixed brace on at the moment. Unfortunately I couldn't afford the clear one so mine looks absolutely vile!!! haha! I honestly cant wait for it to come off next month. I don't know much about invisalign but I thought it may be helpful to tell you how I am getting on with traditional braces just in case you decide to get a fixed brace instead.
I would say the downside of my brace is the look of it, unlike Lucky Cat and 410xxFX mine are very noticeable and that has made me feel very self conscious. I do keep reminding myself that it will all be worth it in the end but I haven't been out to certain events because it's held me back and I feel like it looks enormous and that everyone is looking at it when i smile and talk, which they probably are!
The first week of having it on was the most painful feeling ever! I could only eat soft food by putting it on my tongue and squashing it with the roof of my mouth haha. Very frustrating when you are hungry and moody!!! After that dreadful week though it got easier (I guess the teeth loosen) It still hurts every time I have it tightened but only slightly, I can still eat and it only lasts about 4 days and then its fine. I have it tightened every 6 weeks.
There are also a lot of pros with it. I had it fitted June 2015 and I get it off next month (Feb 2016) So the process has been pretty quick (8 Months) Every time i have it tightened I see they have moved within the next day! I have also noticed how well it moves the teeth, not only to straighten them but it looks like it has widened my whole mouth! It seems to move your teeth up/down and at any angle that is needed. I didn't realise how narrow my mouth looked before untill I look at the before pictures! I also think there is a pro in it looking horrible...I know that I will really appreciate my teeth much more once its off.
I think it's also definitely a good idea to take lots of progress pics!
I will attach some photos of mine the day I has the brace put on and what they look like now. Unfortunately I will never have the best teeth because I don't have that lovely look where all the teeth are the same length, but it's definitely better than it was.
They are not completely finished yet but if you look at the shape of the wire on day 1 and compare it to now you will see the change in the shape and how my fangs have been pushed up and its given a wider look.
I am just waiting for one of my front teeth to move up slightly inline with the other and a bit more to move on my bottom front teeth and then its coming off! Thank god! I cant wait to feel my teeth on my lips again!
Good luck with all your journeys! Keep updating us because i'd be interested to see how you get on xxx
ps - sorry about the close ups of my mouth, not very pretty but the only way I could show how they looked inside lol

Hi there,
I'm new to the forum world but wanted some advice/feedback from women who've been through this. I have my BA booked in for 4th Feb and as it's drawing near I have been doing endless amounts of online "research" (potentially dangerous!) and am now considering cancelling! I'm not worried about the surgery, pain, recovery etc, my concern is purely their longevity. I understand implants are not lifetime devices, but can see many women are having revisionary surgery within the first 3 years - this for me will not be worth it; physically, financially, emotionally. If I could realistically expect to get 10-15 years out of them, GREAT! If not, I can't see numerous costly revisions being worthwhile for me. What have others been advised, found for themselves? Especially those further down the BA track? Thanks so much

If at all in doubt with any PS that's your queue to leave and never go back to him! Your PS should give you the look you want it's not the hardest task in the world for him - they're all specialised in this! Definitely go for another consult don't even think about seeing him again. Keep consulting till the PS says "yep I can do that for you" and you can feel 100% comfortable with him. It's your body it's a permanent change - worship your body and don't settle for sub optimal results. good luck! You'll find the perfect PS and get the perfect results!

Retainers with wires are restrictive in the types of movements they can do to teeth. They can usually only push teeth inwards or outwards. There are so many factors to consider, what your bite is like, how much space you have/dont have. It depends what your teeth are like and what you hope to achieve. If you're looking to even rotate teeth slightly or intrude and extrude them then there is no way a retainer can do that. I think even if its cost effect and take several years you may not be happy with the result still.
Special types of retainers are only used in children because their bones are still pliable and growing. Say if a child has crowding of the teeth and a narrow arch they wear whats called a maxillary expander where the orthodontist turns a screw every week or so and it slowly widens the arch. This therefore frees up more space for the teeth to align. You cant use those types of expansion plates in adults. The only option for adults would be surgery + invisalign/braces or just invisalign/braces alone.

I'm not sure if you can wear a retainer for moving teeth, as far as I'm aware they are used to keep teeth in place or to widen the mouth (where u have a little key and widen the mouth piece that sits in the roof of your mouth) because its just a piece of wire that sits in front of your teeth to keep them in place and offers no presure to your teeth, but I could be wrong. Maybe someone else might have some more knowledge about it.

Hey! I also have a fixed brace on at the moment. Unfortunately I couldn't afford the clear one so mine looks absolutely vile!!! haha! I honestly cant wait for it to come off next month. I don't know much about invisalign but I thought it may be helpful to tell you how I am getting on with traditional braces just in case you decide to get a fixed brace instead.
I would say the downside of my brace is the look of it, unlike Lucky Cat and 410xxFX mine are very noticeable and that has made me feel very self conscious. I do keep reminding myself that it will all be worth it in the end but I haven't been out to certain events because it's held me back and I feel like it looks enormous and that everyone is looking at it when i smile and talk, which they probably are!
The first week of having it on was the most painful feeling ever! I could only eat soft food by putting it on my tongue and squashing it with the roof of my mouth haha. Very frustrating when you are hungry and moody!!! After that dreadful week though it got easier (I guess the teeth loosen) It still hurts every time I have it tightened but only slightly, I can still eat and it only lasts about 4 days and then its fine. I have it tightened every 6 weeks.
There are also a lot of pros with it. I had it fitted June 2015 and I get it off next month (Feb 2016) So the process has been pretty quick (8 Months) Every time i have it tightened I see they have moved within the next day! I have also noticed how well it moves the teeth, not only to straighten them but it looks like it has widened my whole mouth! It seems to move your teeth up/down and at any angle that is needed. I didn't realise how narrow my mouth looked before untill I look at the before pictures! I also think there is a pro in it looking horrible...I know that I will really appreciate my teeth much more once its off.
I think it's also definitely a good idea to take lots of progress pics!
I will attach some photos of mine the day I has the brace put on and what they look like now. Unfortunately I will never have the best teeth because I don't have that lovely look where all the teeth are the same length, but it's definitely better than it was.
They are not completely finished yet but if you look at the shape of the wire on day 1 and compare it to now you will see the change in the shape and how my fangs have been pushed up and its given a wider look.
I am just waiting for one of my front teeth to move up slightly inline with the other and a bit more to move on my bottom front teeth and then its coming off! Thank god! I cant wait to feel my teeth on my lips again!
Good luck with all your journeys! Keep updating us because i'd be interested to see how you get on xxx
ps - sorry about the close ups of my mouth, not very pretty but the only way I could show how they looked inside lol

I'm so glad you never forget your retainer!! Also how long is your expected treatment time? I'll post my before and after pics too. I got the clear ceramic braces and people never really noticed them on me. I had people who see me every week and some people didn't even notice for a whole year i had them!
1st pic (top) - the day I got my braces
1st pic (bottom) - after about 2-3 months
2nd and 3rd pic today!

I am too @imperfectly_lou, I have a consult with our orthodontist on 1st Feb, got the boobs done, hopefully they will distract people from looking at my teeth for two years ?

I'm 28 and had braces on for 18 months. Cost was $2600 for top and bottom but that's only because I work in the industry. Normal price would of been around $6-7k. My teeth were pretty straight to begin with but I just wanted my smile to broaden out a bit more. Extremely happy with the results! Invisalign costs more or less the same price. It depends how long you have to wear braces/invisalign on for, the longer the treatment time the higher the cost.
Because I'm a perfectionist my orthodontist said that braces will always give the best results over invisalign and this is because braces are fixed in the mouth and dont rely on patient compliance. Invisalign you have to wear for a minimum of 22 hours a day and only take them out when eating. Trust me you will forget to wear them. I have to wear a clear retainer every night now during sleep and I even forget some nights to wear them. My friend had invisalign and she ended up wearing them for 3 years because she kept getting lazy with them and so that prolonged the treatment time. If any single tooth needs to be move/tilted/rotated etc braces are great that way because as I got to the end of the my treatment, if I wasn't happy with a tooth's look I got to tell the orthodontist to move it a bit more this way or that way etc. And we'd wait a week or two and then see if I was happy with it's position. And if not we moved it back or adjusted it!

I never called u a liar. All I am asking kind for a legit honest answer lol..
'Needs more fixed'. Isn't helping anyone here. I am not interested in your post's, but the fact that pincock was your primary I would like to know what he didn't do right, did he listen to you, is the bump still there etc..........
U dont to need write a review, ive never asked for it, but u can at least help us all, since you're a member on site for a reason, and we too can help with your revision enquiries and all.

1. Dress no bra four weeks post-revision.

2. Dress no bra pre-revision.

3. Pre-revision. According to these doctors..
Dr James Trott (my original surgeon): "not perfect but don't think there's anything more we can do (after three surgeries)". Then sends a letter to my GP stating I accept liability for my poor results because of my "pre-existing deformities" which was an outright lie!
Dr Rodney Cooter: "Dr Trott's tried his best, I think he's done a good job, best to leave them as they are".
Dr Nicholas Marshall: "I can't see the difference, I think they look great, you'll just have to put up with the pain".
Dr Tony Moore: "Jim (Dr Trott)'s done a great job, he's a fine surgeon, I would leave them be, but if you want a revision why not see Dr Trott for one. Also, if you want to look even, put a chicken fillet in the good breast".
Dr Hamish Farrow: "The difference is negligible, and you have one good breast, it would be a shame to make them both worse trying to improve them. I don't think they can be fixed" (This is supposedly Australia's leading revisionary breast surgeon).
I finally showed this pic to some girlfriends yesterday (I always used padded bras to even them out). They were all shocked, and said "I couldn't believe you were that wonky". And they are just average people, not plastic surgeons with a supposed eye to detail...

4. Five weeks post revision. Not perfect, and lefty is still a little high and swollen, but I do feel a massive improvement. But even the "good" breast (the right one) actually needed a capsulorraphy.

Having had a lot of experience in this I would say the U.S. plastic surgeons are 20 years ahead over what most doctors are doing here. Of course there are good and bad in both countries, but overall the methods used here are behind the times and there is a lack of evidence-based practice. I never wanted to go to the U.S. for surgery - it's a long way to go, especially alone, and I would have much rather have had them fixed here, where I could follow up in person with my surgeon, but no one seemed to have the skill or the inclination to fix me here.
As for the "new implants" we have over here, often there is little evidence to suggest they are superior or even safe. Case in point being the polyurethane coated implants. The TSA have approved them here, where as the FDA in the States have not as they want to see the evidence for safety in other countries prior to approving them. Now there are some problems with them, I bet the FDA are glad they sat back and assessed the situation, unlike the TSA which is now having to back track and maybe should have waited for more evidence on the use of these implants prior to approving them.
With regards to technique, well here are some points worth considering:
- Most surgeons in the U.S. will perform internal bra where indicated. I have never heard of an Aussie surgeon doing so.
- The peri-areolar incision is the favoured method in the U.S. This is because it enables a better view of the whole pocket, and arguably more discrete scarring (I think this is a personal thing though). No one uses this method here.
- Alloderm/Strattice is available for use in the U.S. and really beneficial in some cases. This is still not licensed here, and there is no alternative.
- The Keller Funnel is being increasingly used in the U.S. as it ensures a no-touch technique, leading to less risk of contamination, and also the added bonus of needing smaller incisions.
- Whilst all implants state in the instructions that they are strictly a single use device, and should never be reimplanted, this is common (bad) practice in Australia, but not in America.
- The use of intra-operative sizers is common practice in the U.S. unlike here, where the decision is made pre-operatively, and you get the size you agreed on, whether it turns out to be right once you're on the table or not. I have only heard of Dr Tavakoli doing that here.
- The use of larger implants is common in the U.S. and the skill needed to place such implants without complication is greater. Yet the U.S. has a comparable complication rate to here, although we use smaller implants and much more basic technique...
- The customer service in America is ten times what it is here, not just with surgery but in general. The Americans have a strong work ethic, and are very focused on customer care, even those who do not work for tips. I have had numerous dealings with surgeons and their staff here, both face-to-face and via email (and years of working with them too).
Here, I had surgeons never get back to me, take forever to get back to me, patronise me, hurriedly rush me out of a $200 consultation after five minutes, assistants pushing me to book, assistants booking appointments and telling me I "have to" fly in to see them on a certain date when I only enquired about the possibility of seeing a surgeon.
Compare that to Dr Pousti and Dr Revis, both of whom got back to me personally within 24 hours of my initial enquiry. Although I chose to go with Dr Pousti in the end, Dr Revis was fantastic at getting back to me too, answering every question, even once sending me an email to apologise he was just going into surgery and would reply in detail once he was done. And despite all this, no pressure on me to book. The attitude there is you are a customer or potential customer, who is paying them for a service, and you should be treated with respect. The attitude of many surgeons here and the U.K. is that they are more important than anyone else, and they are doing you a favour.
Now before I get jumped on, I see so many great boobs on here from Aussie (and Thai) surgeons. I definitely think younger doctors like Dr Miroschnik, Dr Dona and Dr Tavakoli are much more willing to look at new ways of doing things and hopefully pushing things forward. And to all those who have had great experiences with Aussie surgeons, I am glad, I know I was very unlucky, and definitely not the norm.
But I think we have a lot of old doctors who continue to use old techniques because that is they way they have always done things, and are pretty slapdash in their approach.
I certainly think, that in hindsight, whilst I thought choosing an older doctor with lots of experience and a previously good reputation was wise, the reality was that he was past his best, using old techniques and probably should have retired before he got to that stage.
All I can say is that I have had personal experience with about a dozen Australian surgeons, and most of them made me feel pretty sh*t, despite me being pretty chill, very polite, and not in any way demanding. Compared to my experience with Dr Pousti, where I was extremely stressed and nervous, due to flying from the other side of the world alone, all my previous botched attempts etc, yet he and his staff managed to make me feel good, and my experience felt so positive.
Why do the likes of Pousti, Revis etc have so many people travelling from all over the world to see them? Okay, they are not representative of all U.S. surgeons, but find me an Australian surgeon that has people from all over the world to see them? (A couple of Kiwi's doesn't count!)
And with regards to Australian doctors being world class in silicone... well I'm pretty sure the state of California has more silicone breast augmentations that all of Australia per year! Yes they do a lot of saline, but they also do a lot of silicone. They do so many more BA's full stop!
I'll post a before an after picture from my phone below, I think the pics speak for themselves....

I think that brand was the most commonly used brand for the polyurethane coated implants until that issue arose & they were temporarily banned. They are yet to be allowed back but the surgeons who use "Brazillian" implants have now started using the German Polytech version. That is what I have now. And honestly I prefer a German made implant over a Brazillian made implant any day. Germans don't mess around when it comes to quality assurance!!

I'm not sure you are in the right thread? The title is about this particular surgeon being awkward, comments are therefore going to flow.
Maybe shes defensive because she has been left disfigured and out of pocket thousands because of this implant? I would do the same thing, want to warn everyone of the 2 sides as well. Congrats you had a good result but you aren't 20k in debt with tissue loss and emotional damage. It's called empathy, look into it

That last bit was pretty harsh you relise your reaction and words are just as bad what they did to you ?

Has anyone actually had a rhinoplasty with Dr Marcells and willing to share their experience?

Yeah, would definitely recommend him! Thanks for the sweet words, taurus <3 He showed me heaps of before's and after's at the consultation and they were all excellent. His wife was nice and held my hand as they were putting me under for the operation, so that's how I drifted off, haha. Definitely not sedation, you're out cold until you wake up whenever. The hospital that you stay at is amazing; it's the fanciest hospital (super clean, everything is modern and new, my room was MASSIVE along with the personal bathroom and I even had a view) I've ever been to and all the staff were very polite and the nurses that came to check up on me were lovely, especially one and we got talking about her daughter and as she helped me to get dressed, she tied up my shirt in a way that she thought looked really nice on me, so sweet of her!
My healing was excellent, I basically stopped taking pain killers two days post-op because I just didn't think it necessary, I could deal with the slight pain. Honestly, I was probably too active, I really wanted to make use of my time there so I did a bunch of tourist-y things and was out all day for most of the time. It definitely made them more swollen (which in turn, made them more painful), but if I had relaxed properly, I'm sure it would've been even easier. I just found the discomfort manageable, so it wasn't an issue for me.
Good luck to everyone! Hopefully this comment helps out someone, taurus did a really good job of explaining the things he does.