Thomas G. Kotoske, DO

This man is not only a great surgeon, he has a lovely bedside manor and is as nice as he is handsome! He and his staff know how to make you feel comfortable in all stages of the process! I had breast augmentation 2 weeks ago and I couldn't be happier! He did a beautiful job! I wanted the results I saw in the post-op pictures posted on his website and thats exactly what I got! He is a top notch doctor and has a beautiful office and an impressive and very sterile, in-house surgical center. I have had a great experience and plan to see him soon for a couple of other improvements....

I had a breast augmentation done by Dr Kototske in 2014 (also a great surgery!). His office and his staff were fantastic. At the time I said that I wanted to get a chin implant because I hated my side profile so much. They quoted me for a price of 2800 (I kept the quote in my files). However, at the time I couldn't take anymore time off of work (I live 3.5 hours away so it's a whole day off of work to make it to an appt), and decided maybe in the future. 

The time came that I was getting older and super unhappy with my side profile. I'm not far by any means, I'm 5'2 and about 135. I do weight lifting and I'm in the military so I keep it fairly trim. And although I have more BF than I was normally keeping in my 20s, I feel good with my body. However, even being 8% BF for a body building show in 2017, I looked like a had a double chin. Dr. Kotoske walked me through getting a medium chin implant and doing lipo underneath my chin. I was all in. 

I had the procedure last Friday and even though I'm swollen and black and blue still, I can tell I'm going to love it. He's a great doctor with a wonderful staff. The anesthesiologist and the circulator in the OR were also fantastic. I'll say it was a .5 for pain, but a level 7 for annoying. Wearing this head wrap and being swollen and sleeping sitting up is just annoying. But it was basically pain free and a great experience. Again and again if choose his office. Even if it was almost double the price in 6 years. Worth it!



Updated on 27 Mar 2020:
So the below pictures are some from before and after (so far) pictures. I didn't realize that I had only posted one picture on my first post so here are the rest... I just had my stitches out today. The cut now looking at it looks a bit wobbly, but we'll see how it fares as time goes on.

I was an A cup before having my kids. My milk glands were off the chart taking me to a D cup for 5 years. (2 babies 23 mo apart) I didn’t rotate thinking it’s just Dr Mumbo-jumbo what a mistake. Deformed my chest once I dried up. Dr. Kotoske even had to ask if I’ve always been this way and fixed me to where I had self esteem again filling back to the size I was while nursing.

I am 5’3 and 113 lbs petite build. I do wish I had known it wasn’t a once in a lifetime ordeal for they don’t last forever. 7 years after initial surgery the left got a leak at fill valve and now another 7 years the same issue with the left. Thank God for warranty’s to help with costs. We just did BOTH since the right side was 14 yrs old. Sub-pectoral REAUGMENTATION. Will add pics as we go further out post surgery.



Updated on 21 Jan 2020:
Currently no pain after re-augmentation surgery. Think swelling is gone. See Dr on Thursday . Definitely was worth it. I know my self esteem was definitely better after getting them 14 years ago. Just wish they would stop leaking and needing to be redone. Hopefully this lasts longer than 7 years. Natrelle implants.

Updated on 1 Mar 2020:
Pretty pleased with the reaugmentation. Went up a cup after all. Was premeditated just went in for a ruptured implant replacement but he said since we’re replacing both we’ll fill a lil more. Now at 34 DD to DDD depends on brand.

Loose skin under the chin After weight loss. Also drooping upper lids- makes me look angry and tired. And OLD
I had surgery with dr.Kotoske in August 2019. Recovery was a little tough. I thought I puked heal quickly, but it took time. I'm till recovering. I will pot more pictures in a month, 3 month, 6 month. I'm glad that I did it , while still young.

Updated on 19 Sep 2019:
Here is 1 month review

Updated on 19 Sep 2019:
Before

Updated on 19 Sep 2019:
1 week post

Updated on 19 Sep 2019:
2 weeks post

I love him !!! My boobs are perfect compared to so many augmentations I've seen and their scars. He also gave me confidence in my body. ( Learned breastfeeding rotation is a must the hard way ) He made sure to proportion my boobs with my body so it wasn't obvious that they were enhanced.

5 weeks Post Op and so far very please. Found Dr. K via word of mouth. So glad I did not read the reviews as it may have spooked me out. So far I am pleased with no complaints. I am a Figure Pro so finding a doctor who understood my level of fitness and need to work out was important. I have moderate profile,on top of muscle 350 and 400. I think I may end up being a small D once fully recovered. Can't wait to hit the stage in 2018!! Waiting to get the go for full workout mode. Pics to come

I found this site just before my Full TT w/MR and liposuction on hips and flanks in July 2015. It has seriously helped me through it all. I've had 3 c-sections and thought I'd have no issues with recovery but woah, yeah right. Although similar, my TT was much harder. Drains, compression garmets, binders, socks, gauze.. the pain. I'm no wuss either. I'm 4'9 and 145 pre op. Not skinny. But my fattest looking most horrible insecurity was my belly. For 12 years I had wanted to get a TT and finally I had saved enough to get it done. It was gratifying and an emotional rollercoaster! My surgery lasted 3.5 hours and over 10lbs of tissue was removed from my tummy. Everything went well and my overnight nurse was so accommodating. My doctor is a miracle worker, Dr Thomas Kotoske. He's in the Phoenix area.
Anyhoo, once I left the recovery center and got home pain kicked in. Once reality set in I was like WTF did I do to myself?! The bruising was insane. The TT pain was bad but the Liposuction hurt the most! Imagine wearing a spanks 3 sizes too small filled with rocks. Every touch was agonizing. My drains came out at 8 days. They took a while since I lost so much tissue my body was going through healing overload. I will admit I was a biotch the first 2 wks. I have a great husband and 3 awesome kids, 15, 13 and 6 who were super helpful but i sometimes was like get away from me with that soup and happiness... just go and leave me to diiiiie! Yea.
I'm a hairstylist and I have my own studio salon so I was back to work in 3 wks because I overestimated my awesomeness. I thought I'd be fine, I booked appointments light. Ugh, I could have used 2 more weeks of rest and I secretly cussed myself out in my head during each appointment but maintaining a reassuring smile for my clients. I didn't feel like myself till around 8 wks.
My healing has been great, like no problems other than swelling and one rebel stitch. Mostly my issue was my energy depleated quickly during the first 2 months. I watched the entire Secret Life Of an American Teenager series during that time. I was bored... so bored but by 1pm or so I felt spent and getting in and out of the car still hurt.
After that energy hurdle lol I started shrinking and moving and bending easier. I'm at currently 6 mos P/O and I love my body. But, I still swell like crazy if I strain my self at all. It's most present at night.
I've lost some weight and I have lots of goals still but I realize how much this procedure freed me from my self image woes. I don't hide my body from my husband anymore. I have a big butt and thighs even cellulite but I'll rock an bikinI now. This mama wears crop tops. My oldest thinks I'm cool now, and her friends say I'm pretty. My husband say I look hot.
If you ask me whether I'd go through with this procedure again, I'd say YES 100 TIMES. So I complained and it hurt but it was worth it. No money can replace the feeling of being happy with myself. I no longer cry in the mirror. Or decline invitations because of being ashamed of my body. Or deny my husband or myself of the passion and intimacy we deserve. Im living my life to the fullest. If you can get a TT- DO IT. Just be realistic, expect the pain, prepare, research and don't rush the process. Healing is important and our bodies require TLC during the recovery. So be kind to yourself and in no time you're gonna love your new body! Best of luck!

So, today was the day. I was nervous, I was just starinvg. I'm all bandaged an wrapped up, with some kinda tape, an foam.
So, the pain is to bad right now but, I'm SORE! The Dr an his staff was A+!!!!
I remember lay on the bed, an someone put my iv in. Next thing I know I was in the car, asking for water an food.

Updated on 12 May 2015:
OK, soooo. The implants are 350 round by Mentor. Everything has been smooth sailing. The pain wasnt as bad, its the burning sensation in my left breast. The first 3 days my breast were really warm, now they are cool. I have to wear a bra belt with a sports bra an massage 4 times a day. Before my BA I was a 32A, when all the swelling go down, I should a a full C or small D. I was given 3 types of pain meds but, only taken them about 5 times. Didnt need to take them. My right breast have feeling,its more swollen than the left. The left breast I have no feeling at the nipple.

Never been more comfortable or trusting . I wouldn't go anywhere else. Everyone was so prompt and equally as excited as I was. Staff was friendly, Kotoske was very knowledgeable. Procedure was exactly what I wanted it to be. I knew exactly what I wanted and he worked with me very well to get me there.

I looked a lot at different doctors in arizona and one of my consultations was dr. Kotoske. After reviewing his work on rhinoplasty I felt he was the doctor with the most dramatic changes, but I still had to go to a consultation to confirm he was going to be the one. My waiting time was longer than I expected but I figured it was a free consultation and him being busy must be a good thing. Consultation was fast but we went over what i didn't like and what we could change. Day of procedure everyone was extremely nice I didn't even feel the needle when I got anesthesia. Overall I'm so happy I went to him he went above and beyond my expectations. I highly recommend him!