325cc HP Sub-glandular, and capsular contracture. Not Happy. Eyelid surgery too.

It's now been 8 months since I had a different doctor (Vitenas) redo what Dr. Rose could not fix. I have a 2nd review in the Breast Revision category with a couple of photos showing before and after. I finally got the natural shape and soft breasts that Dr. Rose could not give me.

It's odd that Dr. Rose only had a few reviews in over 3 years before mine, and I just noticed there were 3 generic ones posted within 5 days just recently. Anyone else think that's strange?

He's an old school doctor still doing things other doctors don't recommend. For example, my new doctor and another one I considered, told me they would only do a lower bleph surgery on patients over 70 years old. And even then be very selective because there are too many risks involved. Both other doctors were baffled that he recommended the surgery for my wrinkles.

I'm still living in daily turmoil over my decision to allow Dr. Rose to do the lower lid surgery, and not get a 2nd opinion. I was never told I would have scars extending from outer corners and scar tissue developed a vertical crease. It didn't do a damn thing for my wrinkles but make them deeper from removing fat.

I suspect Dr. Rose must deal with a higher percentage of patients developing capsular contracture. It's apparently a regular thing for patients to come in and have him pop the capsule (closed capsulectomy). When I first suspected I had it, the nurse explained what he would do over the phone. Then at my office visit a different nurse thought I had already been in once to do it, mistaking me for someone else, then going on to explain he may have to pop it a few times. I've since learned this procedure is frowned upon in the medical industry - just do a search on it, you'll see what I mean. It left me with hematoma and seroma, and emergency surgery. Of course I no longer have any feeling in my right breast.

Anyway, I just wanted to update and let everyone know my revision with Dr. Vitenas went very well. The nightmare if finally over!

Just thinking about all the times my doctor disregarded my questions with "Don't worry about that."

During recovery I think most of us have concerns that we're healing as expected and occasionally question something that just doesn’t look right. Sometimes it's really nothing and that reassurance is comforting. Sometimes we know something isn’t right though, and need an explanation, just for peace of mind if anything.

There were several instances during my recovery with the eyelid surgery and BA that I just couldn’t get an answer. This caused unnecessary anguish. I came here to this site for all my answers, and of course you have to question... does that one really pertain to my issue or is it only in my mind. Am I just going through that after surgery depression I keep reading about? Or do I really have an issue?

After my first revision 8 weeks after original BA, when right implant was replaced, I pointed out an indention in my cleavage and asked if it was anything I should be concerned about. He answered not to worry about it, and things look really good. Again, comparing to my appearance prior to the emergency surgery (you’ve got to look at my photo in the Q&A emergency question... to compare to that, is ridiculous). Granted, his main concern at that time was not developing another seroma, but I still had a question that was very important to me that could have been answered. Even if that answer was, I’m not sure, let’s give it a few weeks and take another look. Instead it was just disregarded. That indention got tighter and eventually I could feel bumps that I thought was my bone. I only finally learned at my first consultation with my new PS that is was a ripple from my implant. So I spent the last 7 months thinking that he must have had to remove some of my breast tissue when he removed the capsule in my revision surgery. What else could have caused a dent? Why couldn’t he had just told me it was an implant ripple? I don’t have it now, so that’s obviously what it was.

I’ve already mentioned things about my BA results in prior posts. So to my BA pals, sorry but I’m going to include some details about my eyelid surgery on this review too. I’ve decided to add my doctor and don’t think it’s necessary to write 2 separate reviews.

During my initial consultation for the BA, I asked if I was a good candidate for Botox for the wrinkles under my eyes. He answered, that is surgical. When the eyelid surgery was recommended, I was told an incision would be made along the crease in upper lid, and just under the lash line. The scars would be hidden very well. Seemed simple enough. In all 3 meetings prior to my surgery Dr. Rose lifted the skin under my lid and made simple comments about just tightening that up a little. I researched photos and found that the scars are indeed hidden very well in the upper lid surgery as well as under the lash line. At my pre-op I asked about some photos I had seen where the upper lid scar extended past the outer corner of the eye. Dr. Rose assured me mine would not. And it didn’t, but that was an opportune time to tell me the lower lid surgery would. Not once in the 3 meetings prior to my surgery was I told I would have a scar from the outer corner of each lid. Had I been told that, I wouldn’t have done the surgery. Between the BA, the upper lid, and lower lid procedures, it was the scar under lash line that I was most concerned about and took me weeks to decide whether or not to do it.

The day after surgery post-op appt, I said “I didn’t realize I would bruise so bad under my lids since we weren’t removing any fat.” Dr. Rose looked at his nurse then down, then went on to another subject. I had really bad dark bruising for 5 weeks by the way. I expressed distress at the stitches extending down from the outer corner of each lid, he responded “Oh, don’t worry about that.”

About 3 weeks later he was examining my eyes saying how great everything looked, and casually mentioned something about the fat removed. My knees got weak and my heart sank. I said, “But I didn’t have fat pockets. We never discussed removing fat”. I asked him to show me exactly where the fat was removed but he changed the subject, “Oh, don’t worry about that.”

They say you don’t get the final results from an eyelid surgery for about a year. I have spent the last 7 months comparing photos, praying, he didn’t remove what volume I did have under my eyes. If only he would have answered my question and showed me where the fat was removed, I may not have gone through the turmoil that I have. I haven’t a clue if that’s just part of this surgery and everyone does it, he didn’t discuss it. I do however plan to ask my new PS about it once I recover from the revision breast surgery I did last week. I honestly don’t see much of a difference, except one spot, where the darkest of my bruising was ironically. I’ve come to terms with it. Going to look into some fillers though.

About 5 weeks post op the outer corner of my eyelids became tight and created a vertical crease. He didn’t see it. “Oh, don’t worry about that. Massage and you may want to try some Botox to relax it.” At about 8 weeks I expressed concern about the raised white scars (that I was never told I would have) in outer corners, and his response “Don’t worry about that. You are only 2 months out and that will eventually fade into tiny white lines”. Not once in the 3 meetings prior to my surgery was I told I would have any, NO MATTER HOW TINY, white scars on the outer corners of my lids. I don’t wear much make up either. Just powder and mascara.

All the same wrinkles are still present under my lids. Dr. Rose never took any pre-op photos of my eyes, but of course I did. From the tightness in outer corners, a crease has formed under my lid. So I actually have more wrinkles now. It’s mostly just noticeable when I smile and/or look to the right or left. I’ll upload photos of the vertical crease, that I don’t think is quite bad enough to call webbing, but I’m not sure. It’s the first thing I see each time I look in the mirror though.

I 100% percent regret doing the lower lid surgery. It was unnecessary. I did not need it. I can only guess if I had gotten a couple other consultations, someone would have told me not to do it. Try Botox or fillers before letting someone cut on your face. I feel absolutely stupid for doing the lower lids.

I do however love my upper lid surgery. It was well done. My father did it at age 74, his lids were so heavy he could barely see, and I wanted to do it early in life when no one could really tell I had work done. The scar on inner half of each lid is white, but I have read here on this site (not told by my doctor), that can happen and is normal.

As far as my breast implants, most doctors will agree that a high profile implant placed over the muscle does not give you a natural result. I have thought about doing a BA for 20 years, but my biggest fear was it appearing fake, or something going wrong. Both happened. I expressed strongly that I wanted a natural slope, not rounded on top, “I want my breast to look like they do now, but bigger.” That surely didn’t happen. Capsular contracture is a risk and I do not blame my doctor for that, but the outcome was obviously a fake look regardless. Even Dr. Rose said I looked great 2 weeks before I had them redone. That’s his idea of how boobs are supposed to look I guess?

For anyone that didn’t read my very long first post, I went to a follow up appointment in May and expressed concern about the shelf, instead of slope, how hard they were and how odd my bathing suit and bra straps appear with a huge gap under the strap, and that I’ve spent hundreds of dollars trying to find a comfortable bra. It hurt to lay on my stomach. I actually did try to get a massage 2 months ago, and it was so painful, but I was embarrassed to have him stop. I’m a quite person, a professional type, I own a business, not someone that would show anger or have a meltdown. I reached out to my doctor for help and asked him for options, but Dr. Rose basically walked out on me and said maybe I’ll get used to them, see you in 6-8 weeks.

I went to my final follow up appointment end of July, mainly to see if he had a different outlook, now that he realized I was not going to “get used to them”. By this point, my right implant has become quite painful, especially after being active. Dr. Rose didn’t want to remove my implants because he was concerned about how bad the seroma was prior to emergency surgery (after he performed a closed capsulectomy), and there is a risk of seroma when explanting. I asked about the Strattice, and he said it’s only used for padding/pocket repair. I suppose if he doesn’t have experience using it for cc, then he shouldn’t discuss it. Understandable. He said he “wouldn’t do anything, they look good”. I said, “You wouldn’t do anything? But my right one aches.”. He disregarded my pain comment and confirmed he wouldn’t do anything.

Hopefully if Dr. Rose actually ever reads my review, he will look into doing revisions with Strattice for cc. There are many doctors doing this with great success. I truly hope I will be one of those successful statistics. I’ll start a 2nd review in the Breast Revision category and we’ll see!

I've uploaded a few photos of the eyelid surgery.

During recovery I think most of us have concerns that we're healing as expected and occasionally question something that just doesnt look right. Sometimes it's really nothing and that reassurance is comforting. Sometimes we know something isnt right though, and need an explanation.

There were several instances during my recovery with the eyelid surgery and BA that I just couldnt get an answer.