I would like to leave this review here as this site really helped me with the choosing of my surgeon and procedure. I would like to express my appreciation to Dr. David Gillet and Anthesiest Dr. Tony Di For a successful surgery that I felt was easier to recover from than my previous chin surgery. Also the ethicos institute team, Senka for making it fast and easy to communicate any questions and organisation of the surgery. They made the experience easy and comfortable for me and for that I am thankful since I was doing it on my own. Dr. Gillett made me feel at ease with any questions I had and explained the procedure in detail to me and even though i'm only 5 weeks in I feel I have been given great results that I am very happy with which is most important.
I Had my BA done 7 years ago and I still love them and get compliments on them. People are surprised they are fake. I got round under the muscle. Dr Gillett made me feel so comfortable esp being so young at 18 years old, and I can’t wait to go back after kids and get them redone. He’s the best and everyone I’ve referred to him have had incredible results as well! He has great bed side manner, and a great surgeon!!
I can not recommend Dr Gillett enough!!! I had tears of joy and relief when my cast was removed. For the last 16 years I have been wanting a nose job for breathing and aesthetic reasons. After lots of research it was clear to me that I had chosen the best surgeon. He absolutely exceeded my expectations. Not only has he changed the shape of my nose to beautifully suit my face and make it more balanced he has also fixed my breathing issue that I have been struggling with. The team at Ethicos are friendly, informative and true professionals.
I had a very satisfying experience with Dr Gillett and the staff at Ethicos. He was honest and professional as well as very skilful. He suggested just the right amount of work without over doing it. I feel fabulous a year later and would have no happily repeat the experience. The staff have an excellent knowledge base and are very helpful.
I have been stalking these reviews for a few months now and had my 330cl cohesive gel implants removed at around 9am this morning under general anaesthetic. I will write more about my background and motivation soon but I just wanted reassure anyone with surgery coming up that I am astounded at how good I feel. The procedure was easy, I got to go home quickly and, several hours out, I'm still not feeling like I need any pain medication. I was so scared this morning but really it was straight-forward. I haven't seen under the bandage yet but in my top I can tell I'm back to a frame shape that suits me and I'm used to. I'm bracing myself for disappointment but already I am so happy I did this. The boobs are in a sealed container. I haven't looked at them yet but my husband and I both lifted it and commented how heavy they seem. Updated on 20 May 2014: I kept the bandage on for as long as I could bear but it was starting to fall off this morning. Throughout yesterday I was having little peeks from the top, saw a slightly sad looking nipple gradually look like it was unshrivelling over the course of the day. I had a pretty good night's sleep with panedol so figured I may as well just go for it, take the bandage off and swap to a compression bra. Anyway, I'm happy. My breasts look flatter and a little bit more saggy than they did pre-implant but I'm only on my second day out. I was fortunate to come through 4.5 years of breast feeding as I did and now, even if they are a bit worse than before, they just look like normal, everyday, slightly duffed up by two wonderful kids, boobs. If this is how they stay, they feel wonderful and that's really making a huge difference to me. They are soft, not hard, heavy balls on my chest and they are all me. I hated the muscle interaction with the implants - even just opening a jar or putting a pen lid on. I'm looking forward to playing soccer and not worrying about rupturing...and there's always padded bras, without needing to stitch the padding into my body! I may put photos up over time to help people like this forum has helped me but right now I'm taking it at my pace. Besides, if I have learnt one thing from this experience it's that it's less about the reality of how you actually look and more about your own perception of it. Updated on 22 May 2014: All the women are incredibly flat chested and really quite stunning! All good here. No need for pain killers. Had a bit of a cry this morning about nothing in particular so think that's an anaesthetic thing. I slept so well last night it was wonderful. I've said elsewhere in a comment that I love how my breastbone feels again now. I'm a little funked about how they might look in the long run. I'll be bummed if they end up a lot smaller than they were before but they do seem to have plumped a little. I'm not going to overthink it. All in I feel like a huge weight has lifted and I am so relieved to be implant free. This was a good decision. Hope everyone else is healing up well. Updated on 29 May 2014: Oh well.... Things are going brilliantly. I love the way my boobs look. At the moment they are smaller than pre-implants but they are a nicer shape so I may fill out or I may stay as is but it's win-win. The best thing though is that I know this one next year I will barely be giving them a second thought. I know that wouldn't be the case if I'd kept the implants. Updated on 9 Jun 2014: I think I'm pretty much back to pre-aug size. I'm happy! Updated on 27 Jul 2014: RS just ate my post but sometimes they've popped up a few days later so I won't repeat myself. Just saying that I've plumped back out nicely. The day of explant I was totally deflated and saggy. Honestly - flat as a pancake, almost indented. This is me today in a sports bra with slim modesty protectors. Updated on 27 Jul 2014: Updated on 6 Aug 2014: I'm conscious that a lot of us come in here and post a whole load of stuff when we are feeling very emotional, going through the decision process but then write a line under it and never return to share the emotional recovery. I know that when I was in the rough of it, reading people's pain only served to increase my anxiety and I have left a trail on here that doesn't necessarily represent the reality. I wanted to post this - an excerpt from my recent PM to someone - to try to balance the picture: "Firstly I want to be clear that I don't think the implants hurt me. At least not in the way that a lot of people think they do. I think they became a focus for anxiety, partly by winding myself up reading sites about implant harm but mainly because I was never particularly comfortable with my decision to implant in the first place and was just trying to suppress that unease and get on with it. I do think that we are all different and, just like how some people's bodies reject piercings, others will tolerate implants less well than others. Rather than the silicone poisoning me, I just believe that I was burning too much energy trying to accommodate something my body didn't want and that was laying me low. I think people underestimate how hard it is for some to process such a significant change to the look and feel of their body, plus the fairly odd concept of a foreign item in there. I believe this causes a lot more emotional and psychological issues than the surgeons credit (and anyway, once down that line it's easy to be written off as crazy). Also, I have back issues; an old whiplash injury and sciatica from hip separation with my first child. These are manageable but flair up from time to time. I believe that carrying the extra weight on my front was noticeably affecting my posture (I was slouching more) and putting my back out. Further as I was embarrassed by my breasts (which came up to my chin in a sports top!) I was less inclined to exercise and strengthen my core, which I've found crucial to supporting my lower back. The swollen lymph node turned out to be a perfectly normal size but was protruding because my neck muscle was swollen and pushing it out. The back issues have been confirmed by a doctor and physio, along with a trapped nerve which is giving me referred pain into my hands, left buttock and sometimes my feet. I have put two and two together in relating it back to my implants but it does stand to reason. Things have certainly improved since I had them out. The key source of my anxiety though was a bad reaction to some medication (long story). Again, this has been confirmed by a doctor and neuropsych. As the effects of the medication wore off I travelled between periods of feeling totally back to my old self and then back into a fug of anxiousness and a low ebb. One thing became clear, that the feet and hand stuff is a lot worse during the periods of anxiety - I notice every little niggle and twinge a whole lot more then and I tend to think the worst of it to the point of driving myself up the wall with worry. I am 99.9% sure that, whilst I do have legitimate physical symptoms, they are only partly causing the issues I experience during the anxious times. I am pretty sure that the rest is psychosomatic and related to the anxiety itself." Updated on 6 Aug 2014: I feel really good now and have done for some time! Updated on 11 Nov 2014:
I am 37 and I have been concerned and self concsious about my dark circles for years and they are rapidly getting much worse. I always remember my mum looking very tired and older than the other mums when she was my age. I look just like her so knew it was coming. I have tries fillers, which although a vast improvement, didn't resolve the issue fully. When I was tired the filled area swelled out to give me a sausage look under my eyes. I also have fatty deposits forming, which you'll see in the photo. They are great big stripes across my face and I hate them. They are the first thing I see when I even just glance in a mirror. The hoods above my eyes are also sinking rapidly. I first consulted a PS about this about three years ago. When I arrived, all his staff looked taut and overdone. He totally put me off saying that he could get rid of the dirk circles but it would make the fat deposits more prominent. He also sat me in front of a magnifying mirror and pointed out loads of little 'faults' and asymmetry, which I felt was uncalled for and most likely designed to sell additional procedures to me. As I was leaving a nurse followed me out and quietly gave me the name of a different PS was a lot 'more subtle' and is apparently known in the industry for his excellent facial work. So that is who I'm now going with. I've been consulting with him for a while now and I'm confident in my choice. Surgery is on Monday and I'm feeling very positive about it. Fingers crossed! Updated on 19 Jul 2013: Just a photo of the interim measures. This is me 20 months ago with tear trough fillers and Botox brow lift. It was a great result but not a long term solution. Updated on 20 Jul 2013: The kids are both ill. Nothing serious but I have been up for the past two nights - soothing brows, cleaning up vomit, changing bed linen. I am soooo tired and now my eyes are all puffy. Will he still be able to see the issues clearly? I really don't want to put this off again. It's already been delayed three times. And I don't want to go into surgery pissy with my husband for leaving me to do all the night waking. Updated on 22 Jul 2013: I will update more when I'm feeling less out of it but here are some photos from today. I'm a bit blurry so forgive typos. I took these still half asleep from theatre. You can't tell can you ?! LOL Updated on 22 Jul 2013: Wasn't done Updated on 23 Jul 2013: All I can say is it looks about 100 times worse than it feels. Updated on 23 Jul 2013: (Sorry, on my phone and the buttons are too close together) Updated on 23 Jul 2013: I have put details of the run up to the op on my boob job review if anyone wants to see. To add to that, when I went to the loo straight after (or about 3 hours after when I could be bothered waking myself up) I had a good look at my eyes. The black was already there under the bad one but it was only small. I could see how neat the job was and how smooth it should hopefully be when the swelling goes down. So far, I am really pleased. The PS told me that my fat pads were really reluctant to shift and he had to suture them in place on my cheeks to stop them riding back up. It doesn't surprise me at all - my eye bags have always been stubborn [RS bleep]! When I was researching this I always found the recovery photos really distressing and off putting. Now I'm there it is honestly not so bad at all. I'm not in any real pain. I feel tight across the stitches and have a slight sting in right hand cut in the corner of my eye where I caught it with a pillow. I am not needing any pain meds beyond panadol and a mid strength at night - mainly to knock me out in the awkward raised seating position My eyes are watery and go all blurring when I put the cream in but that's the most inconvenience. That said, I wouldn't expect to just bounce back from the anaesthetic. I've been quite wobbly on my feet and wouldn't want to be too far from a chair. Updated on 25 Jul 2013: I've been a bit over it the last couple of days. It's getting better every day and was never hideous but think I'm on an anaesthetic downer. Yesterday my eyes were very itchy, which was great because it means they are healing, but boy were they a nuisance! Today I woke feeling much better. My eyes have gone down a lot and next to no discomfort and weeping anymore. Great! Only the constipation and nausea have kicked in instead! I'm sure it's just a combination of all the meds over time but I was so happy to be well again, only to head racing to the loo feeling all light headed an yuk. I hate nausea. Blurgh! Also I'm starting to get sensation back in my nose, which had been pretty numb. It's that weird feeling like after local dental anaesthetic when it comes and goes; just plain weird! Still, onwards an upwards. I was looking at before shots last night and even with the raccoon eyes, I'm glad I had this done. Updated on 25 Jul 2013: Got them all in the wrong order. Doh! Updated on 26 Jul 2013: Feeling a little less queezy now. PS said I can stop the antibiotics which is helping. Updated on 29 Jul 2013: My appointment is in a couple if hours so I thought I'd post one last 'with stitches' shot. I'm feeling good now. My eyes are still quite swollen and the yellow bruising is taking its sweet time to fade but I don't have any eye irritation anymore. My eyes get dry and tired at the end of the day but that's about it. I'm very much enjoying the result so far. I'm wondering if my eyes are a smudge smaller after the canthopexy or whether that's just the usual swelling. In any case I'd rather a tiny bit smaller (as in - only noticeable if i sit and stare inthe mirror for a while) than those great, fat sausages growing down my cheeks! The recovery has taken a bit longer than I expected. I see websites that say you can expect to be back at work within 3-5 days and that hasn't been my experience. I am a fit (ran 27km the week before surgery), healthy person and I would really only feel ble to return to work yesterday - after a clear week off. Perhaps the gastro issues on Friday set me back. All the retching pulled my eyes horribly but I still think three days is pushing it! I'm not trying to be secretive about this procedure, which is good, because the weather is horrid and I look silly with sunglasses on indoors. I would have no chance of concealing these raccoons with a bit of make-up and haven't been cleared to wear it yet. Updated on 11 Aug 2013: I've been quiet for a while because I am still a little bruised and puffy so nothing much new to report. Every day the swelling goes down a bit more and I get a glimpse of the end result, which is very good. I went shopping today. It was brilliant! Malls were the pits before - all that downward strip lighting, every time I caught my reflection I'd see those great, horrid sausages on my face! Now, even with the bruising, I look 100 times better. Yay! I'm not putting my official PS rating up until I get to see the end result, but I would absolutely recommend him based on my experience so far. Updated on 11 Aug 2013: Meanwhile here's some photos taken today. As you can see there's still a bit of swelling left. Thought I'd also mention what I thought was useful post op: - I spent a fortune on fancy cool pads. They were way too heavy. Ziplock bags with a handful of frozen fruit placed over wet gauze was much better. - Buy sanitary gauze packs and lots of, for cleaning and putting under the ice. - Q tips for cleaning and putting ointment on. - I liked using saline water like in the hospital under the ice so bought a few small pouches of that. - A good, squishy travel pillow was fantastic added comfort for those nights sleeping elevated on pillows. It also kept my head central so I didn't fret about rolling and pulling anything. - It would have been useful to have some over the counter panadiene (panadol and codeine). I needed a bit more than panadol at nights but the prescription pain killers were far too strong after the second night. - Laxitives - oh-me-oh-my, the troubles all those meds caused! - Good quality skincare products. The anaesthetic nailed my skin and turned it into a big flaky mess. Any concealer I used to hide the bruises looked terrible over all the dryness. Updated on 5 Oct 2013: I have had a bit of on-off under eye swelling and wanted to wait until it was all settled before giving my final review of the procedure and PS. Now everything is good and I LOVE it. I am thrilled with the result! Doing this was totally the right decision.
It is possible to have weakness of the lower lip depressors if the marginal mandibular nerve is injured. This is very rare. Stretching of the mental nerve, which provides sensation to the lower lip is much more frequent particularly for the first 6 weeks or so but almost always settles with time.
Rhinoplasty and a horizontal osteotomy of the mandible (genioplasty) could give you good improvement in your profile but you would still have moderate asymmetry on frontal view. To give the best improvement you may need to consider comprehensive orthodontic and orthognathic surgery. You would need to meet with an experienced orthodontist and surgeon whom regularly work together to establish a treatment plan. You may be best treated with bimaxillary surgery and genioplasty. Discuss this carefully with your chosen specialists. Good luck David
Hi from your photos you do appear to be "retrogenic" which means your chin projection is reduced. This appearance may be improved with either a genioplasty or a chin implant. In my opinion a genioplasty will give you a more natural result which will be more stable in the long run. The procedure is done via a small incision inside the lower lip and has a very small risk of complications. I would suggest you meet with an experienced craniomaxillofacial surgeon to discuss your options.
Hi It is hard to make a definite diagnosis from a photograph but you have what is called a skeletal type 2 relationship. You could benefit from orthodontics followed by jaw surgery. You would initially need to consult with an experienced orthodontist in your city who can fully examine you and develop a treatment plan for you. Good luck! David
Hi If your palate was not repaired as a child there may still be some benefit repairing it in adulthood. Palate repair in adults can help with the "nasal" sound to the voice and regurgitation of food and drink through the nose. Results are generally not as good as when the surgery is performed in infancy but often good improvements can be achieved. You should be reviewed by an experienced cleft lip and palate team and the team in Philadelphia is one of the best in the world. Good Luck! David
