Fat Transfer to the Breasts - Winter Park, FL

To improve my distorted breasts. My journey...

To improve my distorted breasts.

My journey started in 2000' with the desire of having the "perfect" breasts when I was very young.  I went from a AA to a C and experienced moderate to severe capsular contracture with no resolution after trying to replace them under the muscle technique by another physician on 3 separate occasions.

Recently I chose to have both implants removed by my previous surgeon in August 2011 due to mastitis after delivering my last child as this only enhanced the capsular contracture in my breasts.  Unknowingly, this decision would change my life forever.  I experienced severe right breast skin retraction to the point of looking like a partial mastectomy due to infection from a hematoma/seroma that had developed after explantation.  My husband and I went through soo much emotionally to try and figure out how I could fix this new problem.

After watching a Dr. OZ tv episode, I came upon a fairly new technique where you can inject your own fat into your breasts and amazingly feel soft and mobile like regular breast tissue.  This moment was heaven sent to all my answers and I started researching local doctors in the orlando area.

I met with Dr. Hartog in October of 2011 and was amazed of the possibilities that lay ahead of me.  I understood that this process "took time" even though I am very impatient and wanted to see results immediately.  I was extremely impressed how thorough he was and his staff was amazingly helpful as well.  For once in my life, I found a doctor that made me feel important and listened to my concerns.  He has always taken time to evaluate my situation before making an indefinite surgical decision in pushing me in the right direction. 

This has been a long process as I have worn the brava bra for approximately 12 weeks now and had 2 fat transfer surgeries to date with great success.  My right breast may need a little more TLC but it's amazing with the right doctor and the right technique how this can change my life in a positive direction for the first time in 11 years.  Dr. Hartog and his staff have been soooo patient with me as I am soo critical about myself and always strive for perfection after the tremendous amount of heartache I have experienced with previous surgeons.

As of today, I have completed 2 more surgeries...

As of today, I have completed 2 more surgeries since my last review. The shape of my breasts have become more significantly better and able to feel comfortable in clothes including bathing attire. My 4th surgery was on August 22nd of 2012 and Dr. Hartog was able to finally find the scar band under the right nipple and release it from puckering in followed by injecting more fat soo the scar does not reattach. This is a huge accomplishment in my journey over the year. As of now, I am very happy to be where I am today a year later. I was hoping this was my last surgery but still would like the left breast to be filled in a little more on the bottom crease and towards cleavage to match the right. We have been concentrating on the right soo much that my other breast now looks smaller and not as round. However if you look at my history this is not a bad thing but just needs tweaked.
Orlando Plastic Surgeon

I am so thankful to have put my trust in him and his skills as my results show what a dedicated and experienced surgeon Dr. Hartog has become. In addition, it was wonderful to have his wife, Michelle, walk me through each stage and comfort me. I highly recommend Dr. Hartog and his services to everyone. Thanks Dr. Hartog for changing my life, putting a smile on my face and making feel beautiful again. ---Melissa S.

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait tmes
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hi. i have consulted with dr. hartog, but as of now my insurance wont' cover it. i am worse off than you were after the explant. so my surgeon that took them out for me in sarasota offered to do some small fat grafting, and a lift for me at no charge. i am lumpy, and HARD. there was no brava....my road has been really really tough as i am sure you can empathize. there is a possiblity that i could still go to dr. hartog if i can get insurance to cover and this doesn't work. i am torn about what to do. i read so many different things on line about what to expect after this. i have so many questions. i was wondering if you might be willing to give me some advice, or talk about it. a phone call or personal email or even meet up for coffee or something....i'm just lost. about ready to just accept it all and give up since i can't afford anything more, i'm tired of doing anything, and my body seems to just not accept anything yet that i've tried. it's just so hard to give up and look like i do.....and not want to keep trying. but keeping at this is so depressing....urrgghh. i was so hopeful that this lift and fat graft would get me to a place i could at least wear a bra in front of my husband, but it hasn't really.... ah, please let me know if you'd be willing to go a little more in depth with me about your experience to help mine along?
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Hi. My situation is similar to yours, and I just did my first and only fat transfer. I am 2 weeks post op and have been feeling weird. Kind of like a panic attack but it's constant. It almost depressing feeling. Just wondering if you were feeling the same way the first time and did it go away? I am worried that it's permanant, maybe from the fat removal causing some kind of hormonal imbalance? What do you think? I am hoping it is temporary
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Perhaps your having some late reaction to anesthesia...just guessing. Any new meds? I feel the same depression I did prior to surg. As he couldn't fill in the very flat area. But he did get some in there as I know longer feel my ribs. Are you not happy with your results? I had a lot of anxiety initially worrying about the graft living. I myself have general anxiety disorder, a swell as depression and am on med. you need to talk with someone about what is going on with you. Either your pcp or ps. There are meds that can just get you through this. Doesn't mean you will always be on them. I've not looked at your pics yet. How is your donor site doing? I am massaging the heck out of my belly. Hang in there. Please talk to some one and see if you can get some meds. I know that panic feeling : ( please keep in touch. We can chat on phone if you would like.
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I haven't taking any meds besides what dr bednar prescribed. I hat taking pills and hoping it's just from the anesthesia or healing and hoping it's temporary. It's not that I'm not happy with results as i don't know what the final result is since I have a lot of healing still to go. I don't know why I'm feeling this way. I just want to get back to normal but I can't yet even exercise and have never sat around this much before, so maybe that is my problem. I am getting around now and doing things but it's not the same as going for a long bike ride or hike. I also was depressed before surgery about my deformed breasts but it was a panic feeling as it is right now. I am going to give it some more time to see if it goes away In the next month. Thank you so much and I will keep you in mind
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I was very excited to come upon your post. If you look at my pics we have one breast that was very similar. I just spoke with my PS last week about fat transfer. When they did your first procedure was your right breast very soft and moveable? Did you have much pain in the breast or donor sites? I am hoping not to miss much work. Any advice, suggestions would be most welcome. Your pictures give me hope! Thanks so much for sharing?
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How are you doing now Mel? Do you have any updated photos? I am sorry for all that you went through. It has been a long process but you look good.
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Mel, result looks great, really! Post pic when you will be done with the last treatment. :)))))))))))))))) cri
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Mel in the Sun, I wanted to tell you that I am having my fat transfer done in a couple days with Dr. Hartog. Any words of advice about recovery from the lipo? BRAVA wear protocols and such? Were you happy with Dr. Hartog's liposuction results? I have 2 weeks until my procedure and am hoping to troubleshoot any problems out of the gate. Thanks in advance for your response.
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I am 100% happy with Dr. Hartog and his staff. I can tell you from my first experience doing lipo was the worst pain I ever experienced as I have had 4 done already and soon #5 in January. The best thing that worked for me was ice and of course pain pills. The pain subsided tremendously to be tolerable around 3 days postop. Another excellent source of healing and pain relief was doing the endermologie treatments for a month 2-3x a week and lymphatic massage. The endermologie was painful during treatments but ohh soo good feeling after and the swelling was less. They will modify the pressure used based on your pain tolerance. My bruising lasted about 2-3 weeks and don't be scared of how bruised u will be. I didn't really feel pain with the breasts but extremely uncomfortable during the nonstop wearing 3 days after because the brava swells your breasts beyond capacity. Make sure you follow the 3 day constant brava wear after surgery so your fat survival is higher. I had bleeding from incision sites but wore my domes upside down to prevent damage inside my motor. It's a tedious process but soo worth it in the end. I am about 4 months postop from my 4th surgery and I still experience numbness on the side of my legs but otherwise looks good and even. I don't see any unevenness with skin or lumps from lipo. I also have fair skin so my scars are still pretty dark from last surgery. My original scars from the first one a year ago this month are almost faded away. Remember I am a reconstructive patient and had 4 done already back to back pretty much soo my healing process will take longer compared to one surgery. Good luck with your surgery!! U r in good hands and Dr. Hartog will help you every step of the way. If u need someone to talk to u can call me anytime. Send me your email address and I can give u my number if u are interested.
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I'm not sure how to give you my email… obviously we don't want to post it on the internet. My Real Self name is JaKhors. Do you know how to exchange email addresses privately?
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Hi Mel in the Sun, Your results look FANTASTIC!! I just wanted to check in with you to see if you're still happy with your results. I've been researching this procedure for a few months now and I've read several times that you reach your final result in about 6 months. Do you still recommend the procedure? Thank you so much for your review!
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Thanks. My breasts still look great after the last procedure 4months ago. I am scheduled for another one in January 2013 to fix the inconsistencies and enhance cleavage and the breast envelopes. I highly recommend this procedure as long as you follow the docs directions and wear the brava for better healing. Dr. Hartog has truly changed my life and a master at what he does. If I can assist in anyway please met me know.
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Hi Mel, I'm so happy for you! What a life changing experience! I'm excited to get started (well, get the appointment scheduled). I have to travel for it so I have to wait until after the holidays. I'm supposed to receive Dr. Khouri's book in the mail tomorrow. I'm extra cautious about going through with this but I have seen wonderful results with this procedure. I'm absolutely convinced that it is the doctor who performs the procedure that makes all the difference. Best of luck and please update!! Happy Holidays!!!
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Wow Mel that was some detailed message and VERY helpful. It would of been great to of met up but i live in Spain!!!! So that is impossible. And also what is impossible for me is the price! There is no way i can afford this much money. I really hope that something happens to my nipples in the next 6 months. I think i will just have to sit and wait the 6 months then really make a decision then.

Thank you for taking the time to write to me--it was very helpful. good luck with your next fat transfer--- I really do think your breast look so much better now so it was well worth doing it. They look so good in the photos it looks to me that you dont need to go through it again!!! Keep posting xxxx take care
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Thanks.. Hope it turns out for the best and stay positive.
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Sorry to hear you are experiencing some of the same problems. I have never heard of a doc not fully scoring out the CC. My journey is almost over after a year of rebuilding my breasts. I want to have one more to even out my left one since the other is more rounder and lower now.
However I am out of fat to finish it off at this time. My doc has been wonderful and his technique works 100%. In addition to the fat transfer I had to utilize the brava which helped maintain the fat to survive. Without the brava the likelyhood of fat necrosis is high and then you waiste time and money. The reason your nipple is caving in is bcus of scar bands pulling it in. I understand sometimes this can resolve with massage but in my case it didn't bcus my breasts had an infection in turn distorted my breasts to heal. My doc charges $10,000 plus he stores the excess fat in a cryofreeze fat bank for future surgeries for an additional charge. After that point you pay for the amount you want to use later which can run from $300-$1200. The brava was $1000 if purchased through a surgeon vs the website charges $2500. It was a pain to use but well worth the results. Guidelines are to wait 3 months after explant for proper healing. I highly recommend Dr. Hartog bcus he has changed my life as well as his wife who is a cancer survivor needing bilateral mastectomies. This technique has worked for her also. Your breasts have a great shape soo far but it is still quite early. If they don't change or get worse the fat transfer is a great option. My doc would try to release the scar band and then immediately put fat in between the nipple to deter the scar from reattaching. In addition you can fill out other areas you desire to be more plumper as well. My breasts felt hard and lumpy at first but now they feel soft and move like normal breast tissue. It's amazing and worth looking into. If you choose Dr. Hartog I would be willing to meet you there if you like see the results in person. I can't say enough about Dr. Hartog bcus he is an amazing doc. Don't let other docs who are uneducated about fat banking and transfer deter you from having an open mind. My previous surgeon was totally against this technique and stated it doesn't work but I chose to move forward trusting my gut with Dr. Hartog. As you can see I am living proof it does work and Dr. Hartog currently has my case in one of his studies where I get 3D ultrasounds every 3 months to analyze my fat survival. This allows others to see I have experienced minimal to no fat necrosis throughout my surgeries. I hope this helps you and good luck with whatever decision works for you. If I can answer any other questions please feel free to ask:)
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Hi Mel in the sun-- wow you do look fab!! YOu have given me and i am sure Elle1991 so much hope for us. I am the same as you or should i say was---Before implants a AA then a C --which i NEVER asked for then after 3 yrs developed CC in my right breast and put up with it for 2 years. On the 4th sept i had explant and now i am in shock as to how my breasts have reacted. It is now over 2 weeks later and no difference, if you have time take a look at my pics--- my boobs look okish when i put a load of mepre tape on but as soon as i take the tape off the nipples push down and into my breasts--they are so disgusting. What a journey you have been on--but now i think it is almost over for you? Your breasts look lovely now. I am so pleased for you. Can you tell me roughly how much a fat transfer cost you each time. All my spare money has gone on these blimmin breasts so i will have to start saving again! Please keep posting---you really have given me hope xxxxxx
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Thanks:). I am soo happy to be an advocate for others like myself to show there are great opportunities to fix such a heart breaking situation.
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OH WOW!!!! HUGE difference!!! You are Looking fantastic!!!! Thank you sooo much for sharing :) its soo helpful to us ladies that werent lucky enough to have the perfect outcome after Explant :)
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Thank you so much for this wonderful review! It's patients like you that make us LOVE what we do each and every day!
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Hi Mel, thanks for sharing your experience with us. I'm glad you're getting the results you wanted. Please keep us updated with your progress!

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