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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

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I know Don, it killed me when I had to pay it! I tried putting some pics up but not sure if the album is showing. I'm all confused with this new forum and I am rubbish with technology lol!

How are you? You still going for your 800s? Revis or Dona?

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I cant see the pics! But this version is not user friendly so I'm not surprised. 

Deffo still want 800. I would love revis but his quote of $9750 plus travel then exchange rate is a lot. I've booked an appt with eddy in April (earliest I could get in!!!) so he's a busy man and I think he can give me what I'm after.

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I'm so sorry for your ordeal, not just all the revisions but how you were treated. 

I went to to your page as I wanted to leave a visitors message but couldn't figure out how to do it. I saw your photos and think you look fabulous. 

I'm debating what to do with my redo because I'm unsure what to do. I don't understand why the internal bra isn't very common here. I believe Dr Tavakoli does it but he's the only one I really know of. 

I do remember you from ages ago. Hope that your recovery goes smoothly. I will look for more updates. Can I ask if you knew what size you would receive? As I consulted with Dr Pousti and he wasn't willing to recommend profile or cc amount and said he takes my goal photos into the OR. He did feel overfilled saline would give me the look I like but I'm very adamant I only want silicone. Apart from not knowing profile etc I found Dr Pousti really good to deal with. Edited to add that the only reason I worry about not knowing profile etc is because I fear the unkwown I guess 

Edited by Cupcake85

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Hey Cupcake, how are you doing?  Thanks for your kind words.  I can't fathom this new site either - I know the pics are there in my activity feed, but not in albums?

I have just arrived back in Adelaide after a horrendous trip back - I will never fly Qantas again, long story, made me carry/ lift my own bags despite me showing them the letter from Dr Pousti saying I must not carry or lift anything and the airline were not helpful, and one employee told me "tough sh*t, we don't care" and slammed the door in my face!  Anyway, it's over and done with, I'm back in one piece, and trying to stay awake so I can get back onto Aussie time!

Okay, so the deal with Pousti is that he doesn't tell you exactly what size implants he will use, as he assesses you intra-operatively with reference to your goal pictures, with multiple sterile sizers, before deciding which would be best, then using the actual implants - he has all the different sizes/profiles there in theatre at his disposal.  

To me this a much better than the method I received here.  I saw my surgeon's wife, who is neither a doctor or nurse, she got me to put the 385 HP round textured in my bra, said they look fine, we'll order those in for you.  So thats what I got on the day, whether they were the right fit or not, as that was all that was in theatre.  

Reading my intraoperative report from Dr Pousti, multiple sizers were placed, and I was sat up six times during the procedure to assess what looked best.  This can be done in theatre before the bodies inflammatory response kicks in.  He might decide that different sizes/profiles need to be used in each breast for symmetry.  He discussed sizes before the op and does give you a guide.  He stated that as I wanted to go a little bigger, we needed to go at least an extra 100cc otherwise the difference would be negligible.  He felt 500 to early 500's would probably be around right, and felt that would be the perfect balance in avoiding complications and being in proportion, good for weight training etc.  He said 550 would be the absolute max.  Well when I woke up I saw two lots of 550 written on my chest I was pleasantly shocked.  He actually told me at my post op he could have fitted bigger, but felt this was the right balance.  As I don't feel there is that much difference in size between the 385 and 550, there is a little part of me that wished I had gone even bigger, but to be more even is the most important thing, and I don't want any more surgery.

I think it is all too easy to get caught up in numbers, when aesthetics is the most important part.  Put it this way, I normally wear a size 10 jean.  I went into this shop (the shopping is so good over there).  Now I could have just bought the size US 6 (AU 10), cos they looked about right.  But instead the assistant gave me a whole load of sizes to take in.  It turned out the US 2 (AU 6) was the best fit (funk knows how, must be vanity sizing!).  So that's what Pousti does.  

I don't know why the internal bra technique isn't used much here - I think surgeons are just not experienced in it.  Dr Pousti also uses the keller funnel method which is a more modern technique of insertion used by some surgeons in the U.S.  

All I can say is from my experience there and here, our doctors are decades behind, and really practicing dated techniques.  Sure, many can do good implants, but not many can fix up their or other surgeons mistakes.

My experience there I was made to feel so valued, so reassured, it was just a complete 180 from any of my experiences here.  Dr Pousti's staff are wonderful, they were equally as important in making my experience such a positive one.

I know it's crap with our dollar being so rubbish at the mo, but I really would recommend him, his work is tailor made, not off the peg.

What are you thinking of having done?  I only wanted silicone, which he agreed was best for me, but it might be worth considering the overfilled saline if he thinks this will get you closer to your goals, or maybe compromising and having sillicone and achieving a slightly different result?

 

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Welcome home. 

Im torn on what I should do. I'm considering Dr Dona as I really like his work and he's not scared of the big sizes. I'm considering 600 - 800cc. Dr Revis recommended 700 or 750cc UHP for me. I guess I'm thinking 800cc because I'm being greedy but it honestly depends on how much tissue and excess skin I have left as I'm on a journey to lose 46kgs. 

I have goal photos. There's a couple from various fitness models and I like the round pushed up look. I'm pretty adamant I only want silicone and will compromise getting the exact look because silicone is my preference. 

You have made a really tough decision for me. I would like the internal bra but then I freak out about going to a completely different country and being so far away. 

I was all set to go with Dr Dona but it's a really tough decision. I know Dr Tavakoli uses permanent sutures but he doesn't seem to go big. 

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Yes I don't think Dr Tavakoli would go that big.  I think Dr Dona is quite new to the oversized implants, and I don't really know how imperative the internal bra is to oversized implants?  I only received it on the right side, and that decision was only made in surgery once Dr Pousti discovered that my "good" breast had actually been over dissected and was bottomed out and without it the new implant would bottom out too.

It is a tough decision to make, and it is scary to go alone overseas, but in the end I found it empowering and had a great time!  Defo not a decision to rush.

Wow 46 kg, that is a lot.  How much do you weigh now, you don't look very big from your avatar!

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I'm going to go have a consult with Dr Connell first. Hmm weight lets just say I'm size 16 and sometimes have trouble fitting into a 16 😥 

Dr Connell offered me 420 - 480cc UHP. He said we can't go bigger as I need a full anchor lift and any bigger would put too much pressure on the incisions. 

I would like to get down to a size 6 - 8 before surgery. 

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Oh I have heard of him, maybe it was you that told me about considering him for a revision?  Someone was saying he is excellent but very conservative with his sizing.  It's hard because I think sometimes we have to compromise.  When do you have your consult?

Are you having weight loss surgery or losing weight through diet and exercise.  Good luck with it!

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Dr Connell did my redo. I did have a consult with him and Dr Mark Lee. 

Dr Connell said if we went anatomicals his recommendation was 450 - 550cc. I'm pretty sure I want rounds though. 

I'm watching my portions and I've started exercising. I'm unsure if I can afford weight loss surgery but I would love to have it done not as an easy option but as a tool to help me. 

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Yes very happy before pregnancy ruined them. The only thing that annoyed me was there was a 1cm difference in nipple position and he straight out said they may never be even. I also had more upper pole on my left and the more natural slope on the right. Maybe I'm being too picky. But I honestly did love my results despite my imperfections. 

Mark recommended 560cc mod Brazilians and confirmed I do need a full anchor lift. I'm not happy about using Brazilians or mods especially since Tony and Dr Revis both recommended UHP. 

I will be seeing Tony again once I lose weight which is easier said than done. I will be asking him about permanent internal sutures as he used these with my breast lift. 

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Yes, I don't think I would want Brazilians either.  My previous implants and current were both HP, which I like, and think I could have maybe gone UHP, but deft not mods, so can see why you'd be hesitant.

It's so hard when different surgeons tell you such different things, and you have to make a choice as to what you think is best for you.

I do know what you mean, I think mine will always be a bit out but I think we can get a bit caught up on them being exact, which they never will be.

Hope the weight loss is going well :)

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Just caught up on this - so happy you were able to have such a positive experience and I hope you love your result!  How are they going now?  Sorry to hear about your relationship breakdown, fingers crossed all aspects of your life are on the up now and that 2016 is your year xx

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This is an old post but I thought I would chime in anyway... I found your rundown of Adelaide surgeons to be very accurate @WhingingPom - I saw many of the same ones in my research phase for a BL in 2003.  I ended up going with Tony Moore because the wife of Tim Edwards (mother from my children's school) strongly recommended him to me.  He convinced me that a BA would be better for me than a BL and I ended up with much larger breasts than I wanted and they never quite looked right on my 50kg frame.  

When I went back to him to talk about a revision he made completely inappropriate comments about my lack of wedding ring and that 'pregnancy had ravished my body' so I was lucky to get the result I had.  So I gave up.   

Now that I'm doing research into getting the revision done I am getting angry about it again.  I paid $8K to get second rate breasts and I kick myself that I didn't fight harder to get what I wanted.  

Lessons learned. 

I hope things worked out well for you.

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On 22/02/2017 at 6:51 PM, Ubrmama said:

This is an old post but I thought I would chime in anyway... I found your rundown of Adelaide surgeons to be very accurate @WhingingPom - I saw many of the same ones in my research phase for a BL in 2003.  I ended up going with Tony Moore because the wife of Tim Edwards (mother from my children's school) strongly recommended him to me.  He convinced me that a BA would be better for me than a BL and I ended up with much larger breasts than I wanted and they never quite looked right on my 50kg frame.  

When I went back to him to talk about a revision he made completely inappropriate comments about my lack of wedding ring and that 'pregnancy had ravished my body' so I was lucky to get the result I had.  So I gave up.   

Now that I'm doing research into getting the revision done I am getting angry about it again.  I paid $8K to get second rate breasts and I kick myself that I didn't fight harder to get what I wanted.  

Lessons learned. 

I hope things worked out well for you.

I'm so sorry to hear you didn't get the results you wanted :( It's frustrating when surgeons don't listen. Perhaps he thought he was doing the right thing by saving you money and offering an easier surgery? Still, he should've listened to your concerns when you came back and they were very rude comments to make! I understand the fear of being too big when you have a small frame and appearing top heavy. I was terrified of going too big. Can I ask what cc you ended up with? You are the same weight as me. 

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@Kaleidoscope_Eyes thanks for your kind reply... I ended up with 325cc (round/under the muscle).  

I'm waiting on quotes for replacement and breast lift now.  Amazing that the cost hasn't changed that much!  I'm going to go to Thailand and have a tummy tuck at the same time.  

Ha, I just had a wish that I could go back to Tony Moore and flash my 2.4 carat double halo diamond/platinum engagement ring in his rude face.  That would be petty of course :).

Are you happy with your results? Did you have the surgery in Adelaide?

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Hi ladies, hope you don't mind me joining in on the conversation but I'm looking at having BA in Adelaide and would be interested in whom in your opinion is the best surgeon? (Haven't booked any consults yet)   Thanks in advance

MM

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