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POSTED UNDER Breast Fat Transfer REVIEWS

Breast Augmentation from Fat Transfer, Cielo Cosmetic Surgery - La Jolla, CA

ORIGINAL POST

I spent over a year on this site watching the...

LookMyBest4me
WORTH IT$5,900
I spent over a year on this site watching the progress of people's procedures. I have wanted to get things done but it has always seemed to be something that "might happen in the future". Can't really believe this is going to happen...
I have done a lot of research and believe I am well informed. I have spoken to over a dozen offices specifically about fat grafting for breast augmentation.
I am 55, tall and slim to medium build. I had three children that I breast fed. I have always been flat chested.
This is a big step for me.
Today I had a consultation with Dr Gerald Schneider, and his assitant Dario from Cielo Cosmetic Surgery . They could not have been more open, honest or informative. Their approach seemed so personalized. I really had the impression that it was important to them that they could deliver exactly what I wanted.
The facility was beautiful, clean and up to date.
I booked the procedure for September 22nd.
I showed Dr. Schneider pictures that I had downloaded from the internet of patients that had had the proceedure who looked similar to me before, and had a similar look after, that would be satisfying to me.
I really don't want large breasts. I would like mine to be larger than they are and mostly want them to blend seamlessly with the pectoral muscles - not slope - empty - to a point.
One thing that is unique about this surgery office is that their website posts the prices for each part of a procedure. If you have been looking online - you will know this is almost unheard of. Each cost is specifically layed out as in, fat removal, fat grafting, PRP (you can research this), etc.
One thing I would like to address here is the idea that spending money on cosmetic surgery is vain and/or unnecessary and any guilt anyone feels along those lines.
As a wife/mother/professional I have spent decades giving to my home, my spouse, my children and my job. It was an actual "process" for me to learn that it was ok for me to "receive".
I will post as the procedure progresses.

LookMyBest4me's provider

Gerald L Schneider, MD (license on probation)

Board Certified Plastic Surgeon

Replies (56)

August 31, 2014
Thank you for sharing your story! I look forward to your updates. At this time in my life, i believe, that everyone should do whatever will make them feel better. It does not matter to me if someone thinks that we vain or if they think that we are doing a unnecessary surgery. I'm happy that you found after all of your research, a doctor that you feel comfortable with. Wishing you the best!
September 1, 2014
Are you going to be using the BRAVA system up until your surgery? I have read studies that show that 70% of the fat transferred with use of the BRAVA stays and, conversely, 100% does not stay without the use of the BRAVA. Just wondering if your surgeon cited these studies for you or gave you any additional information about that?
September 2, 2014
No I am not doing the BRAVA system. The system itself costs 900 dollars. The time to use the system is an expense to me. WAY too big of an expense. Your figures showing a 70% fat retention with Brava and a 100 percent loss without it - are not the figures I have seen. I have done extensive research and with a person - such as myself - that has lost breast fat and therefore - has room for fat - the retention is + or - 50 %. In a survey published in 2009 by Brava (which would be slanted) this is the following result: compliant with Brava wear and had a mean augmentation volume at 12 months of 233 ml per breast compared with 134 ml per breast in published series without Brava. Graft survival was 82 +or - 18% 18 percent compared with 55 percent + or - 18 percent without Brava up to 70 percent without brava. See how that is slanted? That was five years ago. With the PRP that Cielo does (you can research this yourself) the retention is significantly aided. I am going into this with the aim of 300 cc transferred with 150 cc retention (50%) if more stays great - I don't think I will have less than average because I don't have tight - hard breasts that don't have room to take the fat... I would actually rather do it again than do that brava mess.
September 2, 2014
Hi - I am interested in your experience as I am looking for the best method of breast reconstruction after cancer surgery. I had not heard of the Cielo PRP. Where are you situated and who is your doctor? I live near Seattle. Thanks for sharing!
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September 3, 2014
Hope this helps...... I had 400cc's transferred to each breast on April 9th, 2014. This was done at the same time as my explant of 350cc silicone gel implants (under muscle) I had breastfed 3 children before getting my implants, which I had for 7.5 years. After the kids, I was a pretty flaccid, empty A cup (full B before babies) Anyway..... it's been a little over 4 months now and I have lost much of the volume since surgery, but much of that was swelling too. I have retained enough to make me happy.... right about back where I started before the kids.... I'm not exactly sure what percentage or how many cc's ended up surviving, BUT some of it DID survive and stay - and enough that I notice a difference from before. I won't lie - the healing process sucks - especially the lypo! But after the first few weeks I felt great and I'm really happy with my results! :)
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September 3, 2014
Sorry.... forgot to say that I DID NOT use BRAVA, or any other contraption..... figured I was already stretched out and "spacey" enough ;)
September 3, 2014
Thanks for the information. My problem is I had 3 kids and was unable to breastfeed (between 2-8 weeks for each) because my breasts don't have enough milk-making tissues. I did produce some milk but not enough to support a baby and also because of that I pretty much look like I did pre-pregnancy - the initial "engorgement" (I hesitate to call it that) did not do enough to produce a flattened or empty(er) sac look than I already had. I've just always had small and flat boobs. I would be DEVASTATED to go through any breast augmentation procedure and have it fail. That's why I'm carefully considering I guess. I wanted to get implants since I was 20 and decided against it because I wanted to be SURE I could breastfeed one day. Yeah...sigh...so it's an exceptionally emotional thing for me I guess. I just want to make the best decision for me and I don't know what that is yet. Thanks again for the information :)
September 4, 2014
Hi, can I ask what Dr. did your surgery? that is great , that you are happy with your results!
September 5, 2014
The doctor is Dr. Schneider - Rancho Santa Fe - near San Diego. PRP is Platelet rich plasma which is a new procedure that does not have research results backing it yet. It is only significant in that in addition to the fat graft they inject you with plasma that is full of growth enhancers to encourage retention. That part of the procedure is not of significant cost but any added boosts to encourage retention are welcome. - I will update when finished but I will add that you might just start with a few phone conversations as I did. People who were too busy to talk to me on the phone and just kept wanting to set up a consultation - I passed on because I was from out of the area and because if at the start you don't have time to discuss this then we have problems before I begin...
September 13, 2014
Good for you Grah! Who was your doctor? I am 17 mths post op & love my breasts -shape especially!
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September 7, 2014
I am scheduled for explant surgery and fat grafting October 27. You mentioned the lypo being painful. Did you have a large scar from that procedure - how long did it take to feel better and did you have to wear a special wrap on your stomach? For some reason I am more concerned about that - I cannot wait for the implants to be gone . Thank you for sharing your experience.
September 13, 2014
Linnea- I did not have an experience of the lipo being super painful. I took pain pills for 1 day. It is not a sunny delight but it was manageable. Everyone is different though. Good luck w/your explant on OCt 27th. I have been seeing explants with fat transfers more & more. I am happy for all of you. Especially as I did yoga yesterday and as I was upside down & facing back, the woman behind me had implants & they were rippling out of the sides and you could see the implant sticking off of her chest. Not attractive.
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September 13, 2014
Amelia - Thanks for getting back - Good to know the pain was not a nightmare, as I have been more worried about that procedure. I hate taking pain meds. I've learned so much from this website - I wish I was aware of it a year ago. I wake up everyday thinking I have one day less to go to have these rubber balls removed!
September 13, 2014
You are welcome Linnea. Who is doing your fat transfer? Soon you will be free. Congratulations & best of luck!!! I know this is a great site. You can truly learn more here than from any doctor. You will get ALL of the details here & the real story, lol.
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September 13, 2014
Dr. White in Scottsdale is doing my operation. I am happy I found her...but I have to travel from France to Arizona.
September 13, 2014
Wow, no one in France? What made you choose her? What part of France do you live in? I visited France about 10 years ago to Aix en Provence, Cassis, St Paul de Vence, St. Johns. We had a wonderful time...one of our favorite all time places.
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September 13, 2014
I live in Saint Antonin Noble Val (selling house now). They just came out with a movie (Hundred-Foot Journey) that was filmed here. I picked Dr. White because she did my surgery last year when I had my 20year+ implants exchanged. Unfortunately, they started to get hard within 2 months -not her fault- my body didn't accept them. I totally trust her and I sure don't want to do that surgery here in France. I know there are surgeons here but I am sticking with her and she speaks English...:)
September 13, 2014
Gotcha! Good luck!
September 15, 2014
Linnea, Good luck on your upcoming surgery! I think you will be so happy with your decision. I did the exact same surgery 1.5 years ago. It was the best gift I ever gave myself! My scars from lipo are tiny! you would have to look to find them, and my breast are just wonderfully soft, and an incredible shape. Do not worry about the compression garment, it is just like a tight girdle, and while I did not love that thing, it is only for a short time. Oh, you will be so happy having the implants gone, and you will fall in love with the totally natural feel, shape and movement of your breast! Good luck!
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September 15, 2014
I just replied to another of your comments...sometimes there are so many comments I get confused. lol
September 8, 2014
Good Luck!!! Be sure to have pain pills and time off work. It took me almost 3 weeks to feel good after.
September 8, 2014
Are you local in San Diego or flying in for this procedure? I do wish you the best, and am sure there are satisfied customers of Cielo. I had a consult there and decided not to have the procedure done there for several reasons. 1) I felt extremely uncomfortable with Dario (the owner) in the room with myself and Dr. Schneider. I should have had the option for a female chaperon. 2) While Dr. Schneider is a retired board certified plastic surgeon, Ceilo itself does not offer the option for either/both implants AND fat transfer because they don't use a surgery center. I do not want implants, but I feel I would get a more objective opinion from a doc that offered both. Otherwise they are just trying to sell you on whichever product they offer. 3) The procedure is done with local anesthesia in the office. I would personally feel much safer in a surgery center to have this done. While I am personally comfortable with general anesthesia (and prefer it, as it is less painful during the procedure since you are "out"), I understand that others do not always share this opinion. According to Dr. Schneider (and other docs), the use of local anesthesia may limit the amount of fat that can be taken out and transferred. 4) Dr. Schneider, when examining me, let it slip that he didn't think I was the "best candidate" for fat transfer and that implants might be a better option. He immediately backtracked and corrected himself when Dario gave him a 'look' and jumped in, telling me how I am a perfect candidate for the procedure. I am a small 34B. From your pics, I would guess that you are even smaller than I am now. Many docs will tell you they can only inject up to 300cc into each breast, and to expect the 50% take rate (allowing them to manage patient expectations), and that to get anything more than a 1/2 cup size difference, more procedures are needed (which, ironically, fits well with the limits of local anesthesia). This may be true, very much due to to individual breast elasticity. However, the surgeons training in and knowledge of breast fat transfer techniques are also of just as much importance. The 150cc transfer to each breast isn't going to make a major difference even if your chest measurement is extremely narrow. 5) While I also thought Dr. Schneider was knowledgeable (he was formerly a head plastics guy at Scripps) and put me at east in the consult, I did some local digging and was informed by personal references of procedures that he did where the results didn't meet expectations. Keep in mind these are just a few instances within many years of his practice. However, it was concerning, especially since these procedures took place in a general surgery center, not a local office. I have personally been to several consults here in Southern California (to offices that do just fat transfer, others that do only implants, and few that do both), as well as other geographies while traveling. While I have not yet scheduled the surgery, I have learned a lot in my exploration. 1) Go to a board certified plastic surgeon who uses an actual surgery center and anesthesiologist. You will be safer. 2) Make sure the surgeon does both fat transfer and implants. S/he will likely offer a more objective point of view on what is optimal for your body. 3) More fat can be harvested, transferred and kept when (1) you are under general anesthesia and (2) your doctor is well trained in this procedure. 4) Be wary of places that base pricing/fees on lipo on specific body parts. Yes, the surgeon should tell you his opinion on best harvest sites, but sometimes harvesting less from more areas is better for your overall body appearance (less risk of future lipo effects). I encourage you to look at the results on of Dr. Bednar (Charlotte NC), Dr. Delvecchio (Boston, MA) and Dr. Hammond (Grand Rapids MI). All of these doctors are able to transfer more fat (300-700cc) to each breast with a higher "keep rate" than what you would see in many local surgery offices. I have chosen my doctor (none of those listed) because he is a board certified plastic surgeon who uses several option (fat transfer and/or implants) in his practice; he has been trained in France on this procedure and has gone back for continuing training there, and has worked with Dr. Delvecchio, using the latest techniques. His quote to me was inclusive of surgery center fees (general anesthesia), and several harvest sites (full lateral thigh, hips/flanks, abdomen and arms) taking the right amount of fat from each so as to leave me with an optimal figure - for approximately half of the amount of my quote from Ceilo (I assume for $5900 inclusive, you only have a couple of harvest sites). He thinks he can get me the results I want (full C/small D) in one procedure, where Ceilo told me I definitely needed to stage this to get the results I want. My doctor is not local to Southern California (where prices seem to be higher than elsewhere), so I will be traveling for the procedure, but fortunately I have family in the area and can get there for the encouraged (no cost) follow-up appointments. Just my two cents based on my own learning journey. Good luck to you!
September 9, 2014
Who is this miracle surgeon we are anxious to know?
September 9, 2014
Miracles? I can't confirm that since I haven't had the surgery yet. Quite sarcastic. The point of my post was to share my experiences at my cielo consult and what I've learned in my search this far. If I move forward with my chosen surgeon I will share that information and experiences then.
September 9, 2014
didn't mean to sound sarcastic at all..sounds like you did a terrific job of researching doctors and found quality and value at the same time. and you detailed it so well..i don't know how to go about such research so glad you shared your consult findings...I'm really.looking forward to learning all about your experience and heres hoping all goes great for you!!!
September 11, 2014
Thanks for clarifying. Appreciated. Good luck to you as well.
September 13, 2014
Yes I only have a couple of harvest sites. EVERY place I have researched charges per harvest site. If they TELL you they don't - then you have found the only place I have ever seen that doesn't and we are all - on realself - going to be anxious to know who is harvesting small bits from all over your body and quoting one harvesting fee (and all for half of the cost at Ceilio?) Even if you don't use the facility - for that feature alone it would be generous of you to share the find with the community. I am perplexed as to why you are hesitant to do that. Anyway - here is what I am banking on - and it may not all come together- but I doubt "damage" will be done... I will have some fat removed from thighs and some removed from abdomen and there will only be 300 cc injected in each breast. If I retain 50% that will be 150 cc. I bought a bra insert to test with. Inserting it in my bra provided me with the knowledge that that size increase would be exactly what I wanted. I then put the insert into a measuring cup and filled it to two cups with rice. I took the insert out and the displacement was 140 cc. I don't want C/D breasts. I want to be me...just a better me which is not a large breasted woman. Also, implants were never an option...I am glad I went to a place that didn't offer them (I didn't even know that) - I got tired of wasting my life hearing "all my options". I did not want the expense of a surgery center or general anesthesia so there would be no point in me issuing that either. That said, I didn't get the impression that I was being coerced at ceilio as you did - perhaps because I was shopping for what they offered. I felt quite the contrary. They were concerned that my expectations were in line with what they could do. The enlightenment to all here is to know that if you want inserts, general anesthesia, 750cc transferred per breast and a surgery center then this is not the facility. (I actually don't know any of that - I am just clarifying from jill4444.) I am very happy with my decision and the facility and looking forward to this gentle adjustment to my figure.
UPDATED FROM LookMyBest4me
Day of treatment

6 hours after procedure

LookMyBest4me
I love this place. I love the doctor and the people who work here. I am very happy with the results.
It is funny because most people would start with what I intend to end up with but it is all a matter of perspective. Though I can see from the pictures that my breasts look awesome now...they are foreign and cumbersome to me. So though I may get a little attached to them as they are - I welcome the reduction that is inevitable from the swelling going down and the average loss of 50% injected.
I got 250cc in one breast and 300cc in the other. I started out with one a little larger than the other.
In the pictures it looks like there is a funny indent on the cleavage side of the right breast but it isn't even slightly there - that is a marker mark. The breasts are perfectly formed.
My thighs where the fat was harvested from are lumpy. They have never been smooth but they are lumpier than they were. It would be nice if they smoothed out.
I did not take the pills that were available because they said someone would have to drive you home if you took them and I didn't want anyone to know I had this procedure done. I would be judged and it would not be looked upon favorably.
It is tuff - I will admit that. I would recommend you take the pills. I came home and took two naprocine and am feeling fine as long as I don't really push using my arms to lift or anything like that. Otherwise - pretty normal.
I added fat grafting to my face kind of at the last hour - and it turned out unbelievable. I feel like I am from that movie The Witches of Eastwick. It took a solid 5 years off my face and took about 15 minutes though the fat had already been extracted when I did my breasts.
Here are my breast pictures and I will post progress as it occurs. Good luck to all on here.

Replies (4)

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September 24, 2014
Your results are beautiful. Congrats!!!
October 25, 2014
I can hardly tell if there is any bruise in your thigh. What tool does the doctor use to harvest the fat?
October 30, 2014
I don't know what tool he used but there isn't any bruising left on my thighs and one you can even see either of the spots where he harvested. Out of the four little cuts only one remains and it is kind of stubborn in that it is discolored. For all to consider...if you are concerned about discoloration dots of any kind you can always have them either FX lasered or tatooed back to the original color but I don't really care because my skin is not that perfect looking at 56 anyway.
October 30, 2014
dang...that is CAN'T even see not can even see...
UPDATED FROM LookMyBest4me
2 days post

Two days later breast still the same - thighs look almost 100 percent healed -

LookMyBest4me
I was concerned because I seem to have a kind of freeze on one side of my smile but the doctor called today and said there will be changes everyday so we wait a week. As the day progressed it got about 25% better so I wonder if as the swelling goes down it will dissapate.
No doubt about it you have to be tough to wait out this swelling business.
I am putting neosporin on the wounds. I normally heal quite well from wounds. I don't think there will be a sign of them in a few months but I will post.

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