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Found 13 results

  1. Craniofacial surgeon Dr Yaremchuck states: " Reducing the facial skeleton, especially the cheek bones is, in most cases, unwise. It results in an excess of soft tissue which sags. Besides losing definition, it tends to prematurely age " https://www.realself.com/question/india-dr-wanted-cheekbone-reduction-jaw-reduction-plz-opinion-face “ Someone with a poorly developed jaw will age much more quickly( often with neck sag) than someone with more regular features.” Dr David Dunaway, craniofacial surgeon.https://www.harleystreetaesthetics.com/_resources/files/media-articles/monthly-publications/tatler-2015.pdf " Too much bone removal can cause disastrous result later in your life ." Dr Zain Kadrihttps://www.realself.com/question/brighton-tn-type-chin-surgery-needed#24085261 SEE WHAT HAPPENS TO THE FACE WHEN THERE IS BONE LOSS: Sagging and aging due to loss of boney support to hold out the soft tissues and skin. Changes in the Facial Skeleton With Aging https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3404279/
  2. Hey Girls, Hello to all the old crew that remember me, and hi to all the newer site members Bit of a long post, but hope it's helpful for SA girls, as there is so little information out there on Adelaide surgeons. I've not been on here in nearly a year, but am currently sitting in a hotel room in San Diego, USA, day 9 post-op after reconstructive surgery with Dr Pousti. As an RN of twelve years, who has previously worked in plastics (now emergency) I know my sh*t, and have, unfortunately had dealings with most of Adelaide's plastic surgeons, and some interstate, international surgeons too, due to all my complications. Here is my frank run down on them: Dr Michael Higgs - Saw him for my first consultation. Was very thorough, spent a lot of time with me, seemed a nice guy. Also felt pressured to book. Dr Darren Maloney (APSA) - Heard he did great breasts. Rushed consult, seemed very disinterested, refused to show me any pictures of his work. Told me "If that's a deal breaker, don't book". Umm yes it is, so I didn't! Secretary kept ringing and asking when I would book. I ignored her messages and she eventually got the hint. Dr James Trott - Saw him and immediately liked him. Confident but not arrogant. Had my surgery with him. Then told I could see his wife in 3 weeks and him in 6 weeks - not the best follow up. About 10 days in noticed something was not right with the leftie - managed to get in to see him - dismissed me as anxious, but stated I may have a seroma, but he wouldn't drain it. Three months later, told me leftie would need revision. Revision made it worse. Put his hands up and said "I don't know what the problem is, and I don't know how to fix it". Sent me to Dr Cooter, who recommended a plan. Dr Trott then totally dismissed it, performed another revision that left it worse than before and left me in constant pain. Wife dismissed me from his care. Dr Rodney Cooter - I found him a bit cold, but I know of many nurses who work/have worked with him and all speak so highly of him, say he is a wonderful man, would be the surgeon they would use if they were to have surgery. Was fine at my first visit, but I saw him again after my third operation, and I got the impression he wanted nothing to do with me due to his relationship with Dr Trott. If he would have been willing to do my redo, I would have had it with him. Dr Nicholas Marshall (APSA) - Also saw him after my third op. Stated he couldn't notice the difference between my breasts (my left was 4-5cm higher than the right by now), and said no need to operate. He also told me I would just have to live with the pain I was experiencing, and maybe a massage would even them up. It didn't! PIAC via Moira (RN) at Truly Medical Getaways - Moira was fantastic, she is a nurse herself, and I had great communication with her, but unfortunately PIAC turned me down as I would be a "too complex case", unless I was willing to have the implants removed completely, which was their recommendation. Anyone going to Thailand, I would recommend going through her, she is was brilliant, knows her stuff and has great reviews, and PIAC seem great, just didn't work out for me. Dr Hamish Farrow (Melbourne) - After talking to my GP, who has been fabulously supportive, she informed me that all the surgeons here have their boys club, and are not critical of their own work or that of their buddies, so suggested I go interstate for an independent opinion. After making enquiries into booking a consult, I heard nothing for weeks. Then out of the blue I get told my appointment is x date and time, no asking me when was convenient, or letting me know what is available, despite me saying I had to arrange flying in from Adelaide. I had to wait and hour extra to see him. I saw Dr Farrow, and deliberately did not tell him who my original surgeon was He was very thorough and personable, and stated that he thought he might be able to fix the problem, but wanted to see my previous intra-operative notes, so I had to disclose who my surgeon was, and he admitted he knew him. I heard nothing for months, and had to email to chase up what decision he made. I finally got a letter stating he did not feel he could fix the problem. . So an expensive day trip to Melbourne was almost for nothing, save for happening on the most beautiful Pho I have ever tasted near Dr Farrow's office. It was amazing! Dr Don Revis (Florida, USA) - At this point I was at the end of my tether, and decided to contact Dr Revis and Dr Pousti, in Florida (East Coast USA) and San Diego (West Coast USA) respectively, on the advice of Donatella (thanks Don!). I received responses from both immediately. They were polite, did not make me feel like a difficult patient, answered my every question with professionalism, were reassuring, and put no pressure on me. I was impressed, these were busy men, world renowned surgeons, but they were getting back to me so quickly (unlike the Aussies docs that would take months, ). Dr Revis even emailed once to apologise as he was just going in to theatre, but would email as soon as he was done - and he did. Dr Revis said that he sees the worst of the worst from around the world, and was confident he could fix me no problem, as long as I was open to the fact that the plan may change somewhat when he examined me in person, but that he would be able to fix me with one way or another. I liked this flexible approach. I was all set to book, as I was going to be in the UK seeing my family for 6 weeks in December/January, and Florida is about 9 hours from London and cheap to get to. Then the dates got booked up, and it was not to be. I wondered if maybe he was too good to be true? I'm not into the oversized implants (over 800cc), but his work on them looks bloody amazing, and I would say he would be the only one in the world you would want to do them Dr Peter Sylaidis (APSA) - As I was looking into booking the states, I confided in a lovely doctor friend/colleague about what had happened. She pleaded with me to see Dr Sylaidis, as she had done some of her rotations under him, and also knew his family. She said he was a meticulous surgeon, and a good, ethical man. I found him to be very professional and serious. He said he would use a new implant. After some thinking, he said he wanted to have a peer review with two of his colleagues, and booked me in for my return from the UK. He stated that would be free of charge, and that if I felt more comfortable with either of the other surgeons, he would be more than happy if I elected to have surgery with them. In the end, he offered to discount his fee, due to my previous suffering, and my being a nurse and a friend of Dr X, but wanted to downsize the left and not touch the right, where as I felt I needed to have the whole thing redone from scratch if I was to end up more even. He also didn't seem that confident, it was more that he would "give fixing it ago", and for $7000 just for one side (and that was heavily discounted), I didn't feel it was worth the risk. I think he would do a good initial BA though, and think he is a very decent man. Dr Tony Moore (APSA) - Saw him at the peer review. I think he thought I was young and dumb (I do Iook young, and was spaced from jet lag from flying in from London the day before). He started banging on about how we are so lucky in Adelaide to have so many amazing surgeons, and that "Jim" (Dr Trott) is a great guy, and I shouldn't think about a revision until I've had kids because my boobs will go south then. I am 34 and recently separated, so I think I've missed the boat on that! Also told me I should downsize, as my 385 cc were far too big (I'm 165cm, 57kg ish and a size 10, they look quite small). He told me to go back to "Jim" (the same man that did my previous three surgeries ), and then suggested, and I quote "If you want to look more normal, just even them out with one of the fillet things in one side dear". Funny how they don't suggest that when you when you first see them "Oh no, save your $10k, Target have a special on chicken fillets"! Dr Tim Edwards (APSA) - Also in the peer review. Didn't really say much other than he'd seen worse. In the interim I had a lot of personal stuff going on with my relationship which had deteriorated, and in August we finally separated. After this I felt like I needed to do something for myself, so I decided it was time to look into the USA again. Dr Tom Pousti (San Diego, USA) - I had spoken to Dr Pousti previously at length at the same time I had been contacting Dr Revis, and found his demeanour to be in the same vein as Dr Revis. Dr Pousti was also very considerate, asking if I would let him have a little extra time over the weekend to go over my case and pics and consider what would be best, and contacted me a few days later without prompting with a more detailed response. I eventually had a telephone consult which put me at ease, and all his staff were really great over email/phone. As California is nearer Australia, that was one factor in my choosing him over Dr Revis. Another was that he told me he couldn't promise perfection, but he felt he could significantly improve my outcome, but that I may need allograft and drains. I felt this to be a more realistic approach than Dr Revis. Although both had thousands of glowing reviews, there were a few more negative ones on Dr Revis also. So fast forward to today, and I am sitting in a hotel room in San Diego writing this 9 days post op. My pain has been good, but was so fatigued the first week. Now been getting out and about and enjoying this beautiful city, but still tiring easily. My experience with Dr Pousti and his staff has been a million miles away from what I have experienced in Australia. Not only was Dr Pousti thorough and nice, but his staff have been so helpful and lovely. They ring me every day to check in on me. Are they going to turn out perfect? I don't think so, and it's early days, but I think they look much more even than they did. He had to do a lot of work on the leftie, but also a capsulorrhaphy (internal bra) to the right 'good' breast, as the lower part had been over dissected, and bottomed out. But I didn't need alloderm which was good. Oh he took me from 385 to 550 yay, although they don't seem that much bigger! Will start a seperate thread with a full review of my surgery out here when I get home, and add some pictures. Here are a couple of other doctors friends or professional colleagues - Drs/RNs have had dealings with - I have NOT seen any of these surgeons. Dr Mark Moore - Not much information on him, but a friend had hers done by him and they look great. She was recommended him by other friends, who were also happy with his work. Does a lot of humanitarian stuff, sounds like a good guy. I was going to consult with him regarding my redo but he was on an extended aid project somewhere. Dr Julie Lawrence - Don't know what her breast work is like, but has a fantastic reputation for abdominoplasty both with patients and in the industry. Dr James Kollias - Operates at the hospital I had my surgery at, but know people who have had BA through him and are all happy with their results. Dr Nicola Dean - Came down to the ED I now work in looking for one of our doctors (consultants never come to ED, they always send their juniors), then started to proceed to chat to one of the EN's. I asked her how she knew her and she said she remember her as an intern, then said "she does great breasts". Seemed so down to earth. Dr Kourosh Tavakoli (Sydney) - Contacted him prior to booking the states, as going overseas was a last resort, and really liked his pictures. Got email from his assistant saying he would be in touch and never heard from him. TCI (Sydney) - Emailed them about revision surgery, as they had been getting rave reviews. Very polite and prompt response, saying sorry that they don't do revisions there, but to contact Eddy Dona about the issue. I never did Well that is quite an essay, but hope it helps. Quite frankly, after my experience here, I wouldn't let an Aussie Plastic Surgeon touch me again. Here is seems a patient centred approach, with individualised plans tailored to each patient. The customer service is better, you are made to feel great, and they are focused on keeping abreast (sorry!) of the most cutting edge techniques. Will let you know how I get on once I'm back in Adelaide! Hope you are all well! xx
  3. Hello there Ladies (& Gents i guess!) I finally made the plunge and had a small reduction / lift (mainly removal of excess skin) in August 2015. WOOOHOO, BEST thing i have ever done!! Good-bye saggy boobs Right from the get go my recovery has been slow, bruised a lot more than 'normal' etc. I feel fine, have had no bad pain or infections etc. I have been taking it easy and doing as I am told in terms of limitations with returning to exercise etc. I have anchor + lollipop scars However! A month post op i had a small 'split' just under the nipple when i was in Bali for a wedding (worst timing) - there was no pain and I got stitched back up when I returned to Perth. At this stage i was still on weekly visits to the surgeons room since i was recovering slow, but the skin still hasnt fully headed back together even now the stitches are dissolved.... I also have a patch under one of my breasts near the junction of the scars which is almost like it is 'dead' it isnt on the actual scar that it all healed fine. After all of this going on and carefully monitoring by my surgeon he has suggested i go back into surgery to have these bits removed. He said it is likely it has occurred due to blood supply to the area (cant remember if those are his exact words) - and a number of other stressors my bodys been though in the past year. Has anyone had a similar experience with recovery? or any tips?! Feeling a little disheartened i need to go under the knife again xox
  4. Hey ladies, just wondering if there is anyone out there who knows if there is any problems with having an autoimmune disease (eg hashimotos, lupus etc) and getting capsular contracture after having implants put in? I've been researching for years now and just recently realised the possibility that I may develop an autoimmune problem as my mother has one. I've been tested and nothing has come up so far, but autoimmune problems are something that can develop and are commonly a genetic thing :/ since autoimmune diseases attack foreign objects and its own objects in the body, would it be likely that it would cause CC around the implants? Does anyone have any experience with capsular contracture being a result of autoimmune reactions? And will doctors be less likely to operate if they know it's a likelihood? Thanks in advance!
  5. Hi all, Just chasing mark lee's girls that have had bad experiences with him or having needed/needing revision from his surgeries.... any reviews experiences would be great. I respect alot of you have had a great outcome and great experiences but just wanting to hear from those who have had trouble and why Thanks ladies!!
  6. hi guys! so im getting a BA next month and i was just thinking if should start buying a health insurance. i know that most health insurance would have a waiting period but even so i thought i might need it somewhere along the way if i have implants anyways. in the case of not having a insurance, how much would medicare cover for complications? and if i do have health insurance would that significatly lower my out of pocket cost?
  7. Only recently did I realise that getting the boobs of your dreams isnt always going to be possible. When I first decided to save for surgery I was so excited- I mean literally going to bed dreaming that I one day would wake up with beautiful round breasts I could confidently pull out of a bra, but after posting my before photo to another site and having it critiqued by numerous surgeons I began to realise the reality - which is that my breasts are actually too far gone to be turned into my envisioned 'beautiful'. It turns out they are simply too saggy and lack the tissue to be made nice high and round, that the bigger I try and go, the more quickly they will sag. This literally broke my heart. I dont know what I was thinking. I truly believed any breasts could be 'fixed' and didnt realise the reality of the high possibility of complications when you have asymmetry and sag. In May I am getting a breast lift in Thailand and rather than getting my hopes up that I will love the results, I have chosen to go in with the mindset of "I couldn't possibly hate my breasts any more than I do now, it would be impossible for them to be made any worse than they are". Has anyone else had their dreams shattered? Complications occur that they were paranoid about? Has anyone been surprised and happier with their results than they expected?
  8. Hi everyone. I'm hoping some of you may be able to help with this question. IF you get a Surgical Complication, CC, seroma, Displacement etc that is severe enough that It's painful or impacting on your life will your PHI cover surgical/revision costs? Is it void if its overseas surgery? Did you need to let your PHI know prior to getting a BA or after? Any Information or Experience would be appreciated
  9. Hello, I am looking at two different package deals to travel from Australia to Phuket for breast surgery. I would like for feedback about your experience with either PIAC or Bangkok hospital Phuket. Also if any one has had complication immediately after surgery or within twelve months of surgery, and recommendation of hotels. Thanks so much, looking forward to some good replies to help me.
  10. Hiya, I am about to perform a rhinoplasty ( first ever plastic surgery ) in a few weeks and I have some fears regarding the surgery, or to be more precise - the narcosis - see, I suffer from depression and I have heard that problems can occur with the narcosis if one is suffering from depression. I have even read about cases where death has unfortunately occured. To make certain: this has nothing ( ! ) to do with the results post op, neither pre op. To simplify: Can suffering from depression cause severe issues during narcosis? death even? Thank you for your time, Alice
  11. I've been doing my research and I keep coming across capsular contracture, so much so that it seems like a common experience among women who choose to undergo breast augmentation, so I'd like to hear from women who have had cc, in particular those who had their surgery here in Australia. What, if anything do you think caused your capsular contracture, or do you think it was just a matter of bad luck? Also I've been madly googling ways to *possibly* prevent cc and this is what has come up in my reading... - No touch technique - Use of antibiotics - Choosing the right size (not too big) - Going under the muscle - Choosing silicone "furry brazilian" type implants - Massage daily for the lifetime of your implants - High doses of vitamin E for the lifetime of your implants - Use of asthma medications (singular or accolate) Thanks for replying to this thread
  12. Hey everyone, I am booked in for BA at PIAC in April. I am starting to have second thoughts about getting the procedure done. I'm worried about when I get back to Aus not having the surgeon over here to help if anything goes wrong. Am I being a sook or has anyone else gone through this
  13. SORRY accidently posted in wrong section..no idea how to delete haha Hi everyone, I get my BA done this monday with Dr Piyapas! yay! getting nervous already but excited too! Just doing some final reading around about complications and have a question for anyone who has had cc or knows much about it. Ive read people saying that its not the surgeons fault with this complication. So is it then the patients fault? is it simply caused by them not massaging enough or incorrectly? or is it more complicated than that? Basically is correct massage a complete prevention?... or just to try aviod it? Thanks in advance Hannah
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