24 Yr Old, 5ft 98lbs Fit Mother surgery Abroad - Thailand

Im still torn between stem cell fat grafting which...

Im still torn between stem cell fat grafting which is being performed by surgeons in thailand or buttock implants.

With buttock implants i do feel this is a permanent, more garanteed solution to my problems, however i have also been doing my researching regarding buttock implants, and as much as people should do their research in their surgeons, you should do more research yourself about the procedure - iv spent a few weeks studying the equiptment, methods, studies of complications, proper implant placement and patient assessments and consultation evaluation which usually only the drs would have any knowledge about, and I personally think its VERY important you as a patient know what YOUR surgeon will be doing.

They have standard protocols and methods for procedures, but as a surgeons experience advances she/he will often find new ways, methods and techniques for doing buttock implants, and some could provide better results than others, even though they are both certified.

you have to remember small details of the procedure that you think is important may not be as important for the surgeon, and with plenty of information to inform you about, its only natural some infomation can be forgotten at the time of consult - after all, where all human, so for me its important as a patient to be aware of the whole procedure, from muscle groups, veins, arteries, aswell as result of implant placement.
I think if more patients where informed regarding implant placement, incision locations, seroma facts, the equiptment and tools used alot more people would be satisfied with their end result.'

so far iv learnt the location of implant determines the area which will be augmented. the mid and lower buttock which contribute to the "round" buttock you wish to acheive cannot be done through implants in the intramuscular region as its to close to the scarum nerve, and very dangerous. These are things you should know before going into a procedure, as the drs wont always tell you, or will just assume upper buttock fullness is all you require. If your knowledgable about minor details such as implant placement, incision location / type, and how the augmentation is conducted, one can question his/her surgeon prior to surgery and ask "what about the mid / lower pole?" or "wont i have a pointed upper buttock"in which they should be able to address the concerns.
Not having the entire buttock region filled is one thing im worried about with butt implants, as i also want the full round look, but im unsure how i can acheive it with such little body fat, and i dont want the implant over the muscle as it will sag with age and has a higher complication rate :(

If i have fat grafting / stem cell grafting im aware i cant acheive much volume, and would be more contoured with the little fat i have. I noticed alot of surgeons here have said how no clinical studies in HUMANS have proven stem cells to assist with preserving fat in fat grafting, but a study and trial has been done using human fat injected above the skull of mice as babies and the fat was measured and it appears to have some positive results with fat retainment. If it was regular fat grafting i would pass it up and say implants but although it hasnt been proven to work in humans yet, i dont see why the cells would work differently in the body of a mouse than the body of a human who has an even larger blood supply available. -

as you can imagine with my research im going to be some surgeons pain in the ass with my questions hahaha. As im going to Thailand for the proedure (i dont trust australian surgeons, and the prices are rude) i have to find a surgeon in bangkok who specialises in butts - which has made my search even harder - do i risk the complications and possible unsatifactory results with implants, or pay for the stem cell fat grafting, but not have that much a dramatic change?

surgeon selected

it's been a while since Iv done an update.

As mentioned above I was torn between fat grafting and buttock implants, but as I'd prefer the guarantee of a change, Iv decided both is best. The unfortunate thing is I have to see two different Surgeons. Reason being is because the "stem cell" fat transfer I mentioned in my previous review is only performed by a few surgeons in Thailand, and the surgeon I selected for the implants does standard fat transfer but not stem cell fat transfer.

Regarding the surgeon I have selected for my breast and buttock implants is Dr PIchet from Bangkok plastic surgery. Unfortunately due to him having a similar name to another dr in Thailand he's often mistaken for another surgeon with less favourable reviews, especially on the Australian plastic surgery forums, you mention his name, and will be told all sorts of stories, but take the time to do your research and you will see those who discredit Dr PIchet are infact referring to the wrong Dr, or are simply going by a "I read somewhere that...." Without any evidence or proof other than their inability to spell his name. I did find two negative reviews on this Dr written done by two transgender patients who are unhappy with final vaginal depth during SRS and have made it their goal to spread the negative review on every site (even this one). Just a check of the dates posted and IP address shows it the same persons who wrote the negative review that appears when you first google his name so I'm not going to get caught up in silly misconceptions, I did my own thorough research, and have learnt the truth,aswell as how damaging some people can be, to the point where they are on this website commenting and warning people of fake botched surgeries they didn't even have.

Why did I chose a Dr with an "apparent" bad reputation
1. The negative reviews are simply done by the two same people, but as they appear at the top of the google search, it's the first thing that is viewed, people are naturally going to be hesitant, and spread the word. As well as confusing dr Pichet with dr pichit and dr pitch

2. Dr PIchet may have two negative reviews but the procedures mentioned are not even remotely similar to what I'm having done

3. Dr PIchet has thousands of good reviews, even on this website, so the good reviews out weigh the bad

3. Every surgeon would have at least 1 unhappy patients at some point, it just depends on how understanding the patient is, or if they will see to it the dr never works again. Surgery comes with risk. Complications is a possibility.

4. Dr Pichet has being patient enough to answer every one of my questions and concerns. He has accommodated all my requests, aswell as provided me contact emails for others who have had the same procedures, and they all seem ecstatic at his work and skill. Iv also been shown photos of his work. He didn't palm me of to his secretary which is important.

5. After researching I noticed Thailand had a seminar on buttock implants a few years back, and DR Pichet attended this seminar which updates the surgeons skills

6. He is internationally board certified and in good standing with his associations.

7. In the case of complications, the surgery is repaired at no charge.

So after all these points, I don't see why I wouldn't chose dr Pichet for the implants,

The fat transfer will be done by dr Sompob Sansiri at SP clinic. Originally I needed to gain 3-4kg to have enough fat for the transfer, but I mentioned my biggest fear is him not removing it all during the fat harvest, so he suggested after the fat harvest, he will go over the areas with Vaser lipo to remove the extra fat, plus Vaser hi def on stomach muscles. Sounded pretty good to me, so the plan is to have fat harvested with the water assisted lipo first to keep the fact cells intact, flanks, saddlebags / inner /outer thighs, waist etc then while puting the fat through the process of extracting the stem cells, I'll be having the Vaser lipo to be sure all the excess fat is removed and my buttock is shaped.
Then I'll be having the fat injected to mostly shape the buttock on the sides, where the implant won't reach. So it basically to contour the booty really.

Then after 3 days I will see dr Pichet who will perform the additional procedures, as you can imagine, I'm going to be very sore following surgery. Iv organised an apartment during my stay with extra furniture so I can push two beds together and leave a gap where I will put my butt, and lay on my back during recovery.

I'm soo fricken nervous....oh and in between that I'm getting my teeth crowned, so I'm going to be a whole new me. I just prey it all goes to plan.

Haven't really discussed sizing yet, but as I'm 5" tall and 98lbs I'm a very small girl, so a big 500cc butt on me is very unrealistic. The photos I post with this review is me, before I start gaining weight - once I gain weight it will be very oviouse to see where my fat stores are - sadly not the butt, just all around it. I currently have NOTHING in the buttock region, it's all in the saddle bags and love handles lol so for me, even the smallest implant combined with reshaping is going to exceed my wishes, of course a little bigger would be nice, but I don't wish to open myself to more complications by choosing something to large for my body type.

Regarding breast implants, I breast fed for two years, so I got used to these massive milk monsters on my chest (DD) on a small girl they look huge. Before breast feeding I was a size b cup, but since Iv ceased breast feeding Iv shriveled to an A cup. I feel so....light, but less feminine, and more boyish so I think a natural looking D cup will be a good choice

photos

woops, appears the photos didnt load, these are photos of my embarrassing flat behind. im suppose to gain 2-4kg before the fat transfer... but putting on weight is one of my biggest fears :(

scar reducing

just found some recommendations for scar reducing

hydrcholloid dressings: the whole area on the dressing is adhesive so it prevents tension from the skin putting pressure on the incision line and keeps the incision close together. It uses a method of healing known as "moist healing" ... sounds dangerous but it pretty much takes the place of a scab over a wound, so the inside if the wound focuses on the mending of damaged tissue, and the body doesnt produce to much collagen in the area which contributes to keloids and larger scaring.

"Scarring is a natural process that happens when the skin repairs itself, for example from a cut or an abrasion.
They occur when the outer layer of the skin, the epidermis is cut and the injury extends to the dermis. The organism is not able to replace the destroyed, highly specialised tissue in the same way.
Instead, the wound is “repaired” with connective tissue: In order to heal this wound or injury, the body produces a larger quantity of collagen to repair the broken and damaged skin tissue. Collagen serves to ‘bind’ the broken skin together, helping to close and heal the area.
Even after the wound has healed the body continues to direct collagen to the site resulting in changes to the size and shape over time. The resulting scar does not have good blood circulation, is sometimes uneven and is less elastic.
Scars can sometimes be raised areas (hypertrophic scars) or have a sunken appearance, depending on the damage done to underlying layers of skin and tissue. Also, variations in colour are possible.
How to best treat a wound and prevent scarring Leaving wounds uncovered or using standard plasters and bandages usually leads into formation of a scab which can lead to unsightly scars. Nowadays there is a lot can you do to ensure fast and speedy recovery if you have suffered from an impairment to your skin – all thanks to new technologies and medical insights. Be smart and make the best of these scientific insights
In order for your wound to form new skin tissue, new cells need to form. Cell growth though, thrives on moist conditions! The principle aim of moist wound therapy is to create and maintain those optimal moist conditions for your skin to renew itself.

The best way to treat a wound is to keep it covered with a plaster that provides moist wound healing conditions at all times, meanwhile sealing the wound from outside bacterias with its waterproof adhesive to the skin.

It will speed up the repair of your skin.
It will prevent scabs from forming.
Because it will keep your wound supple.
Because it will reduce the risk of scarring and ensure beautiful healing.
Because it is skin friendly.
bellow iv included random cutouts from various threads regarding hydrocholloid dressings




The purpose of this information is to increase the rate of healing and minimize scar formation. Individuals who follow this program routinely heal much faster than normal, with less pain and swelling and fewer complications.
Please Begin 2 Weeks Prior to Surgery and Continue for 2-4 Weeks Afterwards.
1. Vitamin C: 500-1000 mg three times a day. Reduce the dose if you get abdominal pains or loose stools.
2. Vitamin E: 400 units daily and Lipoic Acid 100 mg three times a day. The vitamin E needs to be used cautiously and if you will be involved in a surgery where bleeding complications are an issue you might want to stop it two weeks before. So it is likely best to discuss this with your surgeon.
3. Vitamin A: 50,000 units daily (beta-carotene is not a substitute)
4. Zinc: 30 mg daily. If nauseous please decrease as this is a sign of zinc excess.
5. Citrus Bioflavonoids: 1000 mg three times a day with the vitamin C.
6. Enzymes are also recommended to reduce inflammation and tissue swelling at the surgical site. Digestive enzymes or bromelain (pineapple enzyme) also works. Take 2-3 capsules 10-30 minutes before each meal starting as soon as possible after surgery. If you have a prescription card you can use products like Ultrase MT 20 or Creon.
7. Probiotics. We use Flora Source in our office but tehre are many other good brands. Should be taken twice daily.
8. Amino Acid Supplements to Enhance Healing

(heres some forum reviews/comments regarding hydrocholloid dressings)


Hey girls,
I think many of you have seen me recommend these bandages here and there, so I thought I would start a thread on them!
As far as scar treatment, I SWEAR by hydrocolloids. That is their technicial name but they are a type of cushiony bandage where the whole surface is adhesive but doesn't stick to the wound. After my week 1 post op appointment, my PS took the steri strips off and told me about hydrocolloids... that they and silicone scar sheets are cousins but since hydrocolloids are cheaper (hospitals use them the most so they are made in bulk and thus lower prices) I bought the hydrocolloids and BOY were they fabulous!! I went out to the drug store and got them and put them on the day after my week 1 post op visit. At this point my inicisions were thin lines but they looked like incisions and not scars. I used the hydrocolloids for 3 weeks, changing every 5-7 days and at the end of the period my incisions had changed to thin scars. Then I started a regimin of raw organic shea butter on the scars (the yellow kind) because it is supposed to help hydrate the area and reduce redness and make the scars fade to natural skin color.
There are tons of different brands and off brands out there and the only real differences are the thicknesses and absorption rates. The hydrocolloids that were at my drug store (CVS) are called Johnson & Johnson Tough Pads. Four, 4x4 inch bandages come in a box for $6. I then used scissors and cut each bandage into 4 strips, so then I had 16 strips! To put the bandages on, you have to strip off the top protective layer that has the brand name printed on it, then warm the bandage in your hands (I did between my thighs, lol) until it is warm and pliable... then peel off the backing and apply to your incision site. (I used a compact mirror to see) Hold the bandage against your skin with your hand to allow adhesion to the skin for a few seconds. Then you're good. They are waterproof and cushiony and protect you from your bra band. The bandages are semi permeable to let the skin breathe but the main thing about them is that they absorb excess moisture. I have used them on cuts before and they form a little bubble over the cut and after a few days, if you take the bandage off, the cut is completely healed! Well as you an see in my albums, my scars look pretty dang fabulous! (not that I can really see them anymore as my D&F has put my scars right in my crease...but I still check them out with a compact mirror)
Like I said, I kept the bandages on for 5-7 days and changed them when they started to look a little 'linty' around the edges. Left them off for a few hours and then put them back on. I did this for 3 weeks and loved the appearance of my scars when I took them off on the end of the 3rd week.
I call these things maintenance free band-aids... The great thing about these bandages is that you can adhere them to moist/wet sites (as a replacement for steri-strips over stitches). You can use the tough pads and cut out a hole for the nipple and use them onareola incisions. They protect the wound and keep bacteria out, while providing a cushiony surface to protect you from your bra and clothes. In some of the clinical trials, it has been shown that the bandages help prevent keloids and hypertrophic scarring by keeping the incision/scar in a moist environment that promotes skin healing and rehydration.
After I took the hydrocolloid off, I started using yellow raw organic shea butter. EbonyMuscle told me that if you have an African market in your town you can buy it there, but I don't, so the cheapest place I could find was on Etsy. I saw some at Whole Foods but it was like $16 for 2oz.

"I used it last year when I was in Brazil....it's expensive (as you know) but a good incision dressing (imho)."

http://www.worldwide....questions.html

Hydrocolloids and silicone scar sheets are cousins in the same family. They are what I used and my scars turned out great. I am also using shea butter on my scars and they are fading to be even with my skin color.

My 4 year old fell and bashed his head on the driveway a few weeks ago and got a nasty, split open gusher on his upper forehead. The mom of the kid he was having a play date with is a doctor and insisted on driving home to bring back some DuoDerm bandaids. I had never heard of this stuff before. I cannot BELIEVE how well they work and how quickly and beautifully his cut healed. I've never seen anything like it. There is barely a line there now and this was very recent. Plus they are stretchy and you can almost use them like butterflies to hold the would closed. Plus they are easy and painless to take off.
I am going to ask my ps about using them for the incisions. Thanks for the post.

Well, the intersesting thing is that I am positive that people have used this type of dressing-and from the articles that I have read on mednetbrazil.com the scars do heal better and smoother!! But unfortunately their forum is not kept up well, like this one is ,and I can't get to anyone who has used it and can testify their experiences. Interestingly enough, I know for a fact that duoderm is not only used for pressure ulcers-such as "bed sores". I am a nurse and I use it on my tracheostomy patients to prevent breakdown. The store on this website also sells Duoderm CGF for PS dressings.


I've used this before. It covers skin openings without unsightly or messy bandages, or dressings and tape. You can leave it on while showering - it is waterproof! It is expensive, but if you have sores on your face or arms it is so much better than anything else!

My daughter had a very infected ankle wound, so the Dr. wanted us to use these. These were a lot better than the traditional dressings we had been using. It seemed like a second skin, it wrapped well around the ankle and kept things clean and dry. The whole bandage is sticky, so you can cut it to the right size. This dressing is meant to drain away some of the infected area, and it did so. It stretches out as you take it off, so it may hurt if it is a hairy area. The other day, I had a cut on my thumb joint and didn't want to get paint in it, so I cut a piece of the DuoDERM and stuck it on. It worked great and I couldn't even really feel it, three days later i could barley see where the cut was.
So, the only downside is price. My insurance covered one box at $174. I bought this box online, including shipping, for $33.

DuoDerm is simply a miracle for wounded, irritated, raw skin. I had a bike crash that left me with painful road rash across almost my entire knee. After an emergency room visit and almost 7 days of following instructions (keeping it moist, polybacterin, nonstick bandages) there was still little improvement. A friend sent me this article [...] which essentially said, just spend the money on the best bandages you can. One DuoDerm bandage later and I was healing at 2-3x the rate. My pain and early infection immediately subsided, and within 24 hours I was back on my bike whereas before I was limping in horrible pain.

all stocked up

(i brought the medical supplies from an australian website which offers free shipping in australia - http://store.independenceaustralia.com/wound-care/ )

so heres what iv got in my after surgery care kit

Vitamins
*Rutin
*Zinc
*Vitamin C
*vitamin b6
*iron
*grape seed extract
*pure bromelain powder
-duoderm bandages x 5
-other hydrocholloid covers
-hydrogel wound filler (incase of opening incisions )
-surgical tape
-8 x surgical gloves
-arnica cream
-surgical scrub
-bandages (wraps)
-silicone bandages (scars)
-antiseptic wipes
-absorbent foams for wound healing
-irrigation water
-prep pad wipes
-betadine/iodine
-panadol

Delayed in surgery 30th July is the big day

So Iv had a few issues with my dental treatment which has set my surgery dates back unfortunately. Yesterday I finally went to my consult to meet dr Sansiri, and after the consult I started thinking that perhaps the fat transfer isn't required (I'll explain why a little lower)

Today I went to meet dr Pichet, and may I say, he is quiet the character. Very bubbly. A lot of thai people (especially drivers) don't have much personality (or perhaps it's due to the language barrier) but dr Pichet makes you smile and relax. The clinic is nice, perhaps a bit dated but the operating room looks fresh and clean. The staff there are lovely and all seem very happy to work there, the place has a happy vibe.

Me and my partner went in there feeling annoyed our taxi driver ripped us off, but we both left smiling, and feeling happy. Dr Pichet offered his driver for us for whenever we required it in bangkok which was very sweet of him. so far I'm feeling VERY confident in my decision with selecting dr Pichet.

Our consult didn't go for very long, most the time was filling in paper work, but that's because I had emailed dr Pichet over 250 times (which his staff member miss take had a file with every email I had sent in it). I wasn't kidding when I said I was going to be some surgeons pain in the ass with all my questions hahahaha.

So anyway, about my own ass, I'm a very small framed girl, and upon arrival I got to feel a 400cc silicone implant, the size of it was 1.5 x size of my butt cheek, it was huge.... So obviously not the right size for me, but the texture of the implants are amazing. Euro silicon gel. I couldn't help but play with them, they feel so soft, yet firm enough to be a muscle, yet soft enough to be fat...it's very hard to explain. Say if you worked out lots and had massive gluteus, but relaxed them, that's how they feel, mushy yet firm. So on my size frame we tried a 275cc implant which is going to give a nice, natural looks. Iv decided against the major bubble butt as it's nice on some, but not on small petite athletic girls. I have the Asian shape (although I'm Caucasian) but seeing a slim Asian with a bubble butt is odd unless they are Hispanic Asian.

So small, defined, athletic is what I'm after, just a bit of shape to my figure will make me happy.

For my breast implants the implant feels a lot softer. Kind of heavy though, I'd say as heavy as my breast were when breast feeding so it's ok.
Breasts are 300cc incision in the crease, under the muscle.

Surgery takes place on 30th July, and I am soo excited and nervous.....
Anyways time for me to go and stuff my face with KFC before my lipo tommorow, take care real selfers, happy healings xoxo

(Why Iv decided not to have fat transfer aswell)

The reason I wanted the fat transfer was to fill the lower buttocks to cover the implants, but dr Sansiri explained the fat can easily leak into the implant pocket and excrude from the incision site of the implants, and as implants are a major surgery with infection risks I would prefer to reduce those risks as much as possible. He was happy to do the stem cell fat transfer on the sides of the buttock (hips area) but on the way back from my consultation I thought, what type of look am I after?

I wanted the bubble butt type look Iv seen many other girls on here want, but then I realised most of the people here are from the USA where the Kim kardashian look is desired after, but I thought to myself, do I like that look? And is that look acceptable in a country where Kim kardashian isn't as "admired" for her figure as she is in America?

I have no objections to those who admire the fat apple butt, and I think it looks great, however here in our country it's about looking toned and fit which is when you see the "side dent" as this is caused by the muscle protruding. I think being on these forums without many other Australians worried about their asses I forgot what our culture considers nice, and what I consider nice, which is athletic fit and toned, not like we eat anything we want and are blessed it goes to the right areas.

I hope I don't offend anyone with my thoughts, and please don't get me wrong, all body types are gorgeous, and i love a feminine women's figure as much as I love a toned figure. I think it all comes down the ethnicity and cultural differences, personally I think Latina looking ladies look amazing with rounded buttocks, and curvier shapes. But unfortunately as much as I wish I was (as the Latin look is gorgeous) I'm not Latin. I'm a mini little Caucasian lol.

So anyway Iv decided no fat transfer, just the Vaser liposculpture on the buttock area to contour the shape, and Vaser hi def abdomen. I feel a little annoyed with myself, as it means Iv gained weight for no reason BUT it's not all bad, as once the fat is removed from these certain areas and I go back to healthy eating I won't be having the excess fat in the areas which distort the shape of the buttocks, so it's not all bad.

Had the Vaser sculpting done!!

So Iv had my Vaser hi def done, it's very uncomfortable. Feels like Iv done 1000 x sit-ups lol. But as this review is for dr Pichet, I won't mention much about the Vaser, as Iv been doing a separate review on that.

But today I got my Vaser bandages changed, and I got to see my shape for the first time, and it's looking good, only thing I'm a bit upset about is there's not much fat removed from my flanks, but saddlebags are gone, bit of extra skin BUT I'm sure that will all be filled out when dr Pichet does my implants.

Dr Pichet has been very sweet, even during my procedure of lipo with another doctor he's been offering me his assistance with anything I may need. I feel I'm in good hands ladies, I just hope my good gut feeling proves right in my final results!! Here's some pic of my lipo, u can kind of see the inner/outer thigh fat is gone.

Tommorow the big day

8am tommorow morning I get picked up. I'm soo fricken nervous, I hope I don't chicken out. I'm still so bruised from the lipo, I'm gonna be so sore and swollen.... Think ill beach my swollen body into bed for 4 days after surgery hahaha.

Wish me luck.... :) eeeekk I'm so scared lol.

All done

Well I did it. I didn't know pain until I felt this procedure haha.

We were picked up at 8am from our accommodation, after not eating or drinking for 7 hours. We arrived at the clinic, and instantly ushered by staff members who helped us with our daughter and bags. We were shown to our own private room, a clean spacious recovery room which a TV with cable channels, a hospital recliner bed, and a fold out sofa for relatives to sleep on.

I was taken to a bathroom, while the nurse tied my hair up in a surgical net cap, and asked me to shower and scrub using the provided pre surgical scrub. I did this as instructed aswell as urinated in a small cup for tests to be conducted, then was lead back to the recovery room were I was shown all the new implants being opened from their boxes and I signed the date and serial numbers to agree for those implants to be inserted.

My lipo experience left me with some Major bruising and pain so I explained to the nurse I was scared of the IV and after all of the nurses checked my bruised wrists and arms, they were happy to wait another half hour for me to use my numbing cream. Of I went into the surgery room. The place was clean, bright and very hi-tech with huge led UFO lights which were above the table, magnifying glass, sterilisation equipment, a stand by mini camera etc. far better than any hospital I'd been in. Plus their were about 12 nurses all ready to help out. The male aneathiologist explained his plans, which was an Iv then twilight sedation, he was so gentle, and now I see why the nurses where saying he's the best, because I barely felt a thing, and he was happy to take his time. I remember the spinal block, then rolling over while they tested cotton swabs on me until I couldn't feel a thing, then a lovely nurse who sensed my fear held my hand as I drifted of. before I knew it, it felt like only 3mins had passed while I felt some tugging in the buttock region. I assumed they hadn't started yet, but infact I was being told it's now finished, and time to roll over for my breasts to be done.

After the team help me roll over as my legs were numb and I was still asleep I remember facing the UFO led lights, then it felt as though 5 seconds had passed, and I was back in my recovery room with my family.

They gave me heaps of pain killers, and plenty of morphine but still I struggled with the pain as the epidural wore off and cried most the night. My family had left as my little girl was getting restless, despite the nurses doing their best with toys, food and songs to keep her happy. The next morning the nurses said I would have to stand, and with the amount of pain I was in, I thought no fricken way. I couldn't lift with my arms or move position, I was just stuck there. Just after being fed breakfast I first tried to stand and thought, there is no way i can do this. One small push/lift from the nurses and I was on my feet shuffling slowly. I walked out to the other nurses who were so enthusiastic and happy for me, I felt so proud of myself haha. Later during the Day I tried 3 more times, I even went to the toilet for a wee while I stood and peed lol. More pain killers and some wAlking later, the nurses ordered me lunch, one even braided my hair, and they lovingly gave my daughter cuddles. It felt like a little family atmosphere. I decided I was well enough to go home as My daughter was getting restless (she has autism), and I didn't want to be a bourdon on the staff. Besides I was walking and able to wee, so we were given medication and painkiller instructions and went home with the bangkok plastic surgery driver. A nurse came with us and assisted me up stairs and to our appartment.

On the way back I said to my partner, I can't believe this dr has a bad reputation, it doesn't seem fare. I was treated like royalty, and although I have not yet seen my butt, my breast look amazing, and feel so natural already. Everything in the clinic is personalised with the bangkok plastic surgery logo. Towels, blankets, cups. The nurses are loving, caring, and in general I would feel odd about being naked in a room of strangers but these people arnt strangers, they feel like friends you have known for ages. After reading other reviews I was expected the place to be shabby, and while some rooms may be old, the main areas such as the operation room and recovery room are very clean and modern. I'll post pics as soon as i can, here's some of the clinic recovery rooms and my lunch lol.

Swelling is bad,

I'm curious as to why my swelling is so bad. Iv gained 10kg in two days. I'm guessing it's due to not wearing my compression garment while undergoing the augmentation surgery, it's really not doing well. First pic is day after Vaser, second pic is lower legs / belly today after not wearing the garment.

Quick pics

Even through the swelling u can kind of see....what appears to be..... AN ASS. Above the ass is a cotton pad which I have to keep on which holds the cheeks together. But u can kind of see the shape.

TMI info regarding medications dr

As mentioned previously Iv been suffering some major swelling, but I think we've figured out why Iv bloated to the size of a balloon and it also reminded me of so etching I didn't mention in my review earlier due to embarrassment, but at the end of the day it's best to share so if it happens to other girls they won't feel so alone and to embarrassed.

After my buttock implants were placed and I was out of surgery, I wasn't wearing pants or undies for obvious reasons. I had my IV line changed to administer antibiotics earlier in the morning. By the time it came time to stand, I did so while the nurses cleaned me up. Upon standing up I had white dollops of discharge drop out of me, I front of everyone in the room. I was obviously mortified, but dr Pichet was first to mention it. Apparently it was a bacterial infection (thrush) of the vagina which is caused by antibiotics which is common for women on antibiotics. So being the awesome clinic they are, they also provided me with treatment for that, so don't be alarmed if you suddenly feel leakage (like I did, I thought I'd ripped my incision), just tell the dr and they should sort you out.

Anyway, regarding the swelling, I'm still at 49kg when I should be 43kg. Iv also been suffering some major stomach upset which has resulted in very unpleasant diahrea for the last 3 days, every 3 hours. It's been full on and my tummy looks like I'm pregnant. Well after some reading last night I see it's kind of common for this to happen after surgery, and it's similar to the thrush problem, but the antibiotic cases the natural bacterias trouble in your bowel which results in...well ya know. So while at the clinic today having drains removed I was put on alternative antibiotics. Unsure if that's the cause of my upset tummy or perhaps it's because I was taking antibiotics for the lipo, and more antibiotics for the surgery, perhaps it's to much... Time will tell, and I'll keep ya all posted. Here's some pics 5 days after butt implants, still severe swelling and bruising from the lipo. Good size for me you think?

happy

Heres a picture taken just before we left bangkok. Im loving the feel of them, and arnt visible when i bend over....awesome

pic update

Iv been looking at other peoples reviews and i do think i seam to be healing alot faster than others. (Lets hope i dont gynx myself lol) I see some girls still have discomfort etc at 19days post op. Im only 12 days post of but mine seem to have no seromas, no infection, no nerve pinching, no discomfort etc (i layed on the implants when i had the drains inserted to squeeze out the fluids) and it appears to have worked. I have nearly forgotten they are implants already, the only reason i try not to sit on the too mych is i did alot when the drains where in pkace so the implants started healing latteraly towards the sides....WHICH would be ok IF i had stuck to my choice of a rounded but, but i had decided on the athletic look which means minimal filling at the sides, but it looks like i will have a bit of both look. i can squeeze my butt muscles with no discomfort at all. Implants are well hidden when bending over. My butt is slightly numb in some areas, but in general i would say iv had an extra quick recovery. Perhaps it was all the healing vitamins id been taking for a month prior to surgery, or maby it was the implant material....or the doctors skills.

I was so nervous about going to thailand, i wanted to go to US or DR to have them done as i assumed these places have more experience with butt implants, and would be masters at ass creation. I was worried that the procedure wouldnt be very popular in thailand, but i trusted my instincts, and i am soooo glad.

I notice alot of ladies gettibg infections lately, seems to be more common if fat is injected at same time as implants, which makes sense.

The incicion is still sealed with glue to prevent splitting, so it looks dark and nasty like blood as the glue is mixed with iodine, it prevents bacteria entering, stops splitting etc. Its kind of like an extra strong scab so under the glue the incision is healing. The glue dissolves over time, and by the time it finally does, the incision will be healed.

I love these eurosilicone implants, they are so soft and wobbly, perhaps thats why u can see the implant as i bend over (i had no glute and no fat to cover them, yet they are still very hidden.

Regarding the pics they are a little blurry as they are an old mirror. My lipo areas are still swollen and lumpy which is normal, but its whats creating the extra roll under my buttocks, as this area had agressive lipo done, so its a little lumpy and imflamed still. Could be up to 6 months before vaser swelling completley resolves but already some shape is forming from the swelling.

The dark blue bits are bruises. Im rather pale as its winter here, so the bruising is really obvious.

The brown dots u see in the photos are the hydrocholloid bandages iv put over the lipo incision spots, as im trying to reduce the scars. Got mtself some new nickers in thailand so used them for the photos, but as the crouch is a dark grey, i thin, they are inside out hahaha. All wells, its just for photos as i put on my compression garnents on straight after. I prob wont be able to upload all thd pics with this post, so ill do another one for more pics

my amazing surgeon

It has just become apparent to me the lengths some people will go to, to damage a career of a good person and it upsets me, after seeing a friend on this website be attacked here, aswell as myself being attacked on other sites, it appears peoples opinions of this dr are accumulated through a chinese whispers method. Someone will warn you, but with no explanation other than they heard from a friend of a friend....or they "read somewhere" seems to be the most popular.

Im not a transgender, but i do know the sisters in the transgender community are very supportive of each other, which is great. But this also means if one isnt happy, they will do all they can to support each other. This includes joining many forums with no proof, no pictures, nothing but a keyboard and an opinion because "they read somewhere" one if their fellow sisters is not pleased.

*While doing my research i noticed a trend. I was warned away from dr pichet, but no one was able to provide me with personal negative experience. Simply just a "i read somewhere".

*secondly, if your currently researching dr pichet, please take note that any stories or experiences which have any relation to a travel agency such as destination beauty, or cosmedic tours, are not for dr pichet rodchareon, they are similiar named surgeons (dr pichit siriwan) who is responsible for these stories and experiences. Dr pichet rodchareon isnt, and never has been, affiliated with ANY cosmetic travel companies. even on this site under dr pichets profile is a negative story, but its not for dr pichet rodchareon, as the person mentioned destination beauty in one of their comments

*accusations of fake/photoshopped images are now the weapon of choice from hate mongering trolls. If you would like an idea of patient satisfaction, please check out the bangkok plastic surgery facebook page. With over 56,000 likes, and many happy patient photos with the amazing man himself, its obvious to see who is really the fake profiles users of these sites.

With the amount of nasty things written about such a lovely man, with an amazing team of staff, i cant understand why people would be so nasty. All i can think of is its possibly the transgender community getting revenge for the one bad experience OR jelous surgeons in thailand who are annoyyed that dr pichets prices are alot lower than theirs. What amazes me, is how dr pichet simply doesnt care LOL it doesnt bother him at all, as he still gets plenty of buisness, and for good reason. Word if mouth by real, personal experiences are alot more effective than keyboard experience.

. Dr pichet went above and beyond service for me in bangkok, even down to sorting out substitute medications during my stay as mine were illegal in bangkok. He will go out of his way to make his patient happy, and happy i was, and still am.

Please do your research, contact the doctor yourself, and have a consult to meet him in person. Soon as i met dr pichet instantly the false stories became oviously fake, and now look at me, im loving my new body. Thank you dr pichet, keep the haters hating!! Ill be back for more work :)

hydrocholloid bandages

So its been around 3 weeks since my surgery. My breasts are starting to become a little firm, but im guessing this is due to lifting my daughter so often. Im trying not to, but its hard when u look after a toddler who cant walk. Anyways iv started massages of the breast to soften them up, and will try not to use my pecs as much as possible.

Iv had those hydrocholloid bandages on since leaving Thailand. The incision had glue over it at the time, but upon changing the hydro dressing, I see the glue has dissolved, and I can finally see the incision line itself. Not bad for 3 weeks, especially as the hydrocholloid bandage couldnt do much while the glue was in place. Will be interesting to watch if the incision fades. Ill keep updating so we can all see if it actually works.

My buttock incision is half still glued. the top part of incision is flaked off, the other half is still attached so I will wait for it to come off naturally before sharing photo and hydrocholloid bandage progress

just needing to chat...

So, I know this may spark a bit of negativity as everyones opinions are different. So with what Im about to share, I ask please dont criticise me.

So at the moment I currently have disheince. ..where the incision re-opens. Its about 1.5cm open. I want to say im aware its not a fault of the surgeon, as I had been getting the incision glue wet with each shower as I had difficulty putting the waterproof dressing on. So with the softening of the glue, combined with some heavy lifting of my daughter, AND long periods of sitting on a stool limiting circulation, it was only a matter of time before disheince occured. I sent a photo to dr pichet, who has given me a name of antibiotics to take, so it was as simple as going to my dr and requesting a prescription for the antibiotic dr pichet had suggested I start taking, aswell as a cleaning regime of wound care, he said it will be healed in no time.

Im also not "spreading" the cheeks, for example we have toddler play pens around the house I usually step over, but now I walk around, and sit on my hip to avoid pressure or spreading. The reason I want to share this with someone is.... I have just found out im pregnant, and I was pregnant during the surgeries, but I was unaware. I was due for my period around the 27th july, which was around the date of my surgeries. My period has never been on time, so when it didnt show up, I assumed it was due to the trauma I had just put my body through, so I wasnt bothered or stressed. Come August and it didnt show, plus with constant urges to eat due to intense hunger pain, aswell as vomiting, hot flushes etc, I took a test, the first said negative A week after, I got 3 positives. Im guessing the constant vomiting hasnt been helping my incision either, as it tenses all your muscles, especially when bending over a toilet bowl.

As hard of a decision it is for a women who is already a mother to do, I have decided upon termination for numerous reasons
1. The amount of drugs, morphine, antibiotics, anesthetics etc I had during that short period of time sure isnt going to be the best thing for a fetus developing.
2. My daughter requires alot of therapy and undivided attention, so at this point in time im unable to divide mothering between two littles ones.
3. I had plans I wanted to go forth with that i had put on hold during my first pregnancy, and im just managing to organise my life with my daughter aswell as go forth with my plans and im so motivated.
4. The time just doesnt feel right, I will always love any child I have BUT I feel now is not a good time, and I wouldnt be able to give the best environment or attention to a newborn.

So anyway, my issue is, how am I to have a termination with an open buttock wound? My worry is when im asleep they split it open further while spreading my legs. Plus ill have to lie on my back to have the procedure, which could make the disheince even worse. This couldnt of happened at a worse time in my life. I need to so ehow find a way to close the incision as much as possible so no matter how or what way they move me about while im asleep it wont affect the Incision. Any suggestions are greatly appreciated.
Thailand Plastic Surgeon

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Hi luv... I am praying for God to order your steps, lead and guide u you and allow his will he done! You are a very strong young lady so I also know there is nothing to hard for God as long as you seek his face and help! I'm here for u if u need to just talk pm me ok . Keep us posted becz ur RS sisters got ur bck. Oxox's
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Thank you so much, i feel alot more grounded and less like a lost soul knowing i have support, even if it is on the other side of the world, it means so much to me and gives me courage. Thanks for the support ox
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Depending on how far along you are with termination, a simple pill is all you take... when it gets around 2 or maybe 3 months they have to surgically remove. So sorry this is happening to you! You seem like a very strong woman good luck I hope everything works out for the the best babe. Xxx
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thank you so much. i hope its not that far advanced and i will get away with the pill, but i think here in australia they only allow the pill if your 7 weeks or less. No harm in me asking though, as it may be a better option than panicking about the incision opening further. thanks for your support, its means alot :D
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No worries babe. Good luck stay strong:) x
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Hun, I suggest you not take showers, instead take sponge baths and avoid getting that area wet. It will scar faster and close up. Good luck! ** You're stronger than you know. You will do just fine. Hugs from USA.
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thank you so much. good idea about the sponge baths, as i guess constantly getting the incision wet isnt helping. Thank you for your support, i feel alot better knowing i can share here!! ox
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Hang in there. you are a fighter.
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and i will send oyu the email in a moment. sorry i've just been so busy
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Hi girl! Be careful with the lifting hun, you can get capsular contracture. You should probably not be lifting anything for about 6 weeks or so. I know it's hard not to, especially with kids but you dont want to mess up your tata's!! :)
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Ahh so true, I was hoping lifting etc wouldn't contribute to CC but oviously it does, that must be why they say to take it easy. Do you have any tips on how I can reverse some of the damage of using the muscles? I was thinking maby some muscle relaxing cream (the sports stuff)... maby sleeping on my boobs to stretch the pockets out. I wonder if heat packs and massage will soften and stretch the scar tissue.... im gonna have to be really careful as I can feel the tatas getting harder by the day. Some drs say it can take 2-3 weeks for them to drop. Other surgeons say 2-3months, so I hope there just hard due to not settling..... actually funny enough, my daughter is nocturnal (lucky me lol) and she slees in my room, so we put her matress on the floor so I dont have to lift her in / out of her cot. She LOVES it hahaha.
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After my ba,doc gave me a brochure on how to massage...yes at the first few weeks,its hard,as ur skin is tight,,,it will take a few months massages to stretch the skin,and to loose up the pocket,so ur body will adapt the implants,and u will feel natural...just keep the massages,,um,,if u got a hubby or partner wit u,let them do it,lol.....but yeat i lift my 8 kilos hand carry bag when i went home,8 days post op,it didnt damage my puppies,but gotta limit the lifting too....
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Yeah I would have generally thought it was due to tight skin, but I breastfed 5 mnths before and was z size DD. But before the BA i was a B so unless the skin has shrunk, which there was plenty of, I cang figure out why there hard, but iv just seen on the other forum post that its normal so im not stressing now, im gonna look up that breast massage info :)
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Massage is super important. Are you massaging? It helps IMMENSELY with preventing CC, scar tissue, and helps them to be softer and supple.
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Oh and try to NOT sleep on them and be SURE you have a good bra.
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Can you cut the duoderm dressings into strips for smaller incisions? I like what I've read and I going to buy some for my BA. I am really prone to hypertrophic scars. Currently treating 3 hypertrophic scars on my stomach from a laproscopy last year. I'm using silicone scar sheeting, paper tape and rosehip oil but I'm willing to give everything a go as I really want to prevent hypertrophic scars from my BA!!!!
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Sure, iv been cutting them, i havent actually changed them yet for my incisions as i still have the surgical glue under them, but regarding my lipo "holes" as they often leave nasty little hole scars, so i used duoderm, but stupidly pulled them off after 2 days, which took away the scab, so i had to start over again, so i cleaned them up, put duoderm over them, and keft them for 7 days. Today i changed them and there looking really good. Just a very faded pink outline of where the hole was, so im gonna keep using it. I have a hypertrophic scar on my leg, and arm, but besides these i dont have any other scars, so im not sure if im prone to them, but if you are, then definatley the hydrocholl or duoderm bandages, and i would get them in "thin" instead of extra thin, so it adds a little pressure and weight to the area and prevent the tissue from rising
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Thanks for the advice!! From looking at the pictures of them I wasn't sure if they could be cut down to size or not but good to know that they can be!! How long is it safe to leave them on for??
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I stupidly put them over the suture glue, and now im worried if I pull it off ill open the wound, even though it should be healed by now, im just worried of pulling the scab of due to scarring, so iv had it on for 10 days now LOL. ... but it all seams ok, theres no discomvort or anything. They do reccomend 7 days though
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You look great :)
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Thank you. Still looking forward to the swelling to go down, but im pretty happy :)
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You look great hun, CONGRATS!!!!!
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Thanks hun. I think perhaps a little lipo of the flanks to enhance the waist a little more would be good. Its on my list of to-dos lol. But thanks
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Wow,ur after pics are amazing....u can really see a big change from before....thank u so much for sharing....now i want to research more about this docs....keep rocking that booty shorty xoxo
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Thanks so much beng31. It is a huge change from before, but one i so desperately wanted and got. Sadly the poor surgeon is always at the centre of hatred due to that first website review that comes up, where the transgenders vagina was to short, so the transgender community labelled him the butcher of bangkok, its so sad, because he is very skilled, and the clinic is amazing. I guess the transgender community stick together and like to be drama queens and destroy reputations. Just yesterday someone signed up to this site, simply to attack him and his patients. It really is unfortunate, so many people miss out on an amazing opportunity regarding service, result, care etc all because of some hate mongering trolls. I knew to trust those who actually have proof they have been to dr pichet, and not comments and reviews from people who join simply to discredit him....without any proof, or photos. I did my research and i saw the truth, i trusted my instinct and im sooo glad i did. Check out his facebook page bangkok plastic surgery, lots of happy patients. Follow ur instincts and u cant go wrong oxox
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