Ralph M. Rosato, MD

Excellent doctor! I had a bilateral mastectomy years ago. Another doctor left me very lopsided after putting in the implants. After moving to Vero Beach, my other doctors said Dr. Rosato was by far the best plastic surgeon in the area. When I arrived, he immediately saw the problem and scheduled my surgery. I absolutely love the natural looking results. Dr. Rosato and his staff of ladies are all very knowledgeable and professional. When I arrive, they always make me feel like they are really happy to see me. Also, I was very pleased with the way I looked after he did a Botox treatment on me. I highly recommend him!

Dr. Rosato really listened to my concerns and delivered on the results! I love his staff. They were professional and attentive. I had a great surgical experience and a wonderful result. He performed a facelift to address the sagging skin around my neck. My eyelids were heavy so I had a browpexy with removal of excess skin to my upper eyelids and refinished my skin with an Obagi Blue peel.

Tummy tuck, breast lift w/implants and Lipo 4 weeks post op and I can see the light at the end of the tunnel :) Week 1 - Was about what I expected. Week 2 - Awful!! Emotionally and physically. I always thought I have a high pain tolerance and a somewhat patient person...WRONG!! Week 3 - Panic!!! Because I didn't listen to my advice in week 2 and over did things I pulled stitches in my left breast. Breast wound looks awful. Week 4 - Tummy tuck scar looks really good. Left breast looks much better and right breast looks great (belly button is ok) . Still wearing compression bra and ab wrap/girdle. Started using silicone sheets on my tummy scar and silicone gel around the nipples.. anchor incision is not ready for scar therapy. I bought Scaraway sheets and Silagen gel. I love the sheets they go on quick and you don't have any wait time to get dressed. A few things I wish I had known before surgery. Whoever posted the youtube video I watched suggesting the lift chair...Thank you Ladies, this is a must. It really made week 1 and 2 much easier on me and my family. Buy your nonstick bandages and ABP pads at a medical supply store. It's half the prices of a drug store/Walmart. Do not buy spanx or compression garments in advance if you do go bigger plus a size, I normally wear Med - but needed XL (Joyshaper on Amazon $17.99). I found the old fashion high rise girdles to be the most comfortable. AVIA sports bra zipper front are my favorite. Updated on 29 Jan 2020: Breast are still a little sore. It looks and feels like the right breast has dropped into place. It's softer and more comfortable than the left right now. The change/difference from right to left is not so noticeable visually but really noticeable to the touch. Incision under left breast looks much better but still treating it, right breast incisions are completely healed. I'm out of sports bras but still instructed to wear a non wire bra 24/7. After 6 weeks you get so use to wearing one it actually feels strange to go without a bra. Very pleased with my results so far. Tummy tuck is ok... as far as the surgical side it's wonderful - PS did an amazing job. The incision for 6 weeks PO looks great. I'm still not sure I would do the TT again. There will have to be a significant change in order for me to say it was worth it. Adding before and after pics. Updated on 6 Feb 2021: 13 months and my initial excitement and wow has faded and the final result is disheartening. Since my surgery I haven’t felt good. My upper stomach swelling is tender at best but very painful and uncomfortable most days... sex/orgasams are painful (and this was never a problem pre TT). And my breast.. well just kinda...ehhh. I was very clear (actually showed pictures) of what I didn’t want.. and that’s exactly what I ended up with. Left is noticeable larger and the lift could have been better. I’ve tried discussing with my PS but he’s dismissive and doesn’t address any of my issues. Is it even normal that he hasn’t done a physical exam since my surgery?? This entire process has been physically and mentally exhausting and I truly regret it.

Dr. Ralph M Rosato has a great professional woman staff, which is a good relief for a patient, I'm very happy with the results of my surgery, how skilled and how important the caring of the patient recovery is and final results. I'm very lucky and thankful to be in his wonderful hands and professionalism. I can't say enough of his greatness and kind vibe I gotten from him. Thank you so much for everything; I would highly recommend this phenomenal doctor.

My initial valuation was quick and easy. The staff and doctor were so nice and friendly. They were very helpful during both the evaluation and procedure. My experience was painless and he did a fantastic job. There were small incisions that healed quickly.

Pre-op is May 7th and surgery date is May 22nd. I’d like to obtain a large C proportional to my body. I am a 32 B wouldn’t say I’m a full B. I can fit in 32 A bras depending the brand. I’m not super thin. I wear size small tops, xs sports bras, bralettes, and in pants size 5/6. I am 26 going to be 27 after my surgery (birthday present to myself ????). I have always wanted bigger breasts since I was about 14 years old. I was even smaller then. Flat as a board!! When I got on birth control when I was about 20 it made me gain a lot of water weight and my boobs grew to a pretty big B cup. Well when I got off the BC I lost a lot of the weight and my boobs got a little smaller but stayed a B cup. The doctor suggested 350cc up to 400 cc and I tried just the 350cc sizers on and they seemed huge so I didn’t try on any others. But I wish I tried more because I’ve done a lot of research and from looking at other pictures of people similar body to me they look small or sometimes huge. And that the sizers look bigger than the actual implant inside the boobs. So I’m not sure yet what CC’s I’m getting. I don’t want them to be small after getting the surgery! I’m pretty sure I’m going under the muscle just because of the research I’ve done. Definitely want the natural look and don’t want the chance of seeing rippling or the outline of impants. Doctor said I have enough breast tissue to go over the muscle so that’s what he suggested. Updated on 8 Apr 2018: This is the look I want. Fullness and shape of breasts. ???? Updated on 8 Apr 2018: Updated on 9 Apr 2018: Updated on 9 Apr 2018: Updated on 9 Apr 2018: Updated on 7 May 2018: We decided to go with 385cc moderate plus over the muscle. I paid for everything, went and did my blood work and now I just have to get my prescriptions filled. Officially 2 more weeks!!!!! YaaaaaY!! I’m nervous and excited!! Updated on 22 May 2018: Last couple of hours with my small boobies. Updated on 22 May 2018: Took about an hour, not long at all! I don’t feel heaviness on my chest but I do feel a little bit of soreness around my boobs but not anything bad at all! Excited to see the progress! Updated on 29 May 2018: My size after the swelling has gone down at target in champion is a large or 36D. Soon I’ll post pictures of just my boobs. But I’m waiting for the blister I got from the surgical tape over my incision heals up a bit, because I have medicine that I have to keep on it. Updated on 29 May 2018: Had a one week P.O. apt. with with doctor. He wanted to check my blister. We scheduled another apt. one week out to take sutures out. He said everything looks good so far. Updated on 4 Jun 2018: Scars and blister healing really well. Boobs feel squishy, but not natural squishy yet. Updated on 4 Jun 2018: Scars and blister healing really well. Boobs feel squishy, but not natural squishy yet. Updated on 4 Jun 2018: 2 week squishy video. IF IT LOADS. Updated on 5 Jun 2018: Boobies squishiness..... unless it fails to load once again. Updated on 9 Jun 2018: Wearing size medium champion sports bra from target. Updated on 17 Jun 2018: Bra pics almost one month P.O. and braless

I saw the results for one of my neighbors and decided it was time to do something for me. I wanted to look in the mirror and see features that I like. I was pleased immediately and as each day goes by I know it was the correct treatment. Anyone who is questioning this procedure should do it ASAP.

I went years and years looking and spoke to five different surgeons. When I met Dr. Rosato I told him what I wanted brought pictures then he gave me his professional opinion. I was nervous about the size and even his RNs helped with comparisons and such.I also have very bad anxiety and panic attacks as well but thanks to his wonderful RN and anesthesiologist Dr. Wheeley made everything pain-free and perfect. They even showed compassion and rubbed my hand before I was put down. I have never met such a wonderful team. Very impressed with my pain management as well as results and care.

The combination of an old vertical C-section scar + weight gain and 60lb weight loss left me with a belly butt! I have gone back and forth for a long time and after stalking this sight for over a year and researching local doctors I have decided to take the plunge. So many fabulous results with the right choice in Doctors. Updated on 21 Jan 2016: Just a couple of before photos. 2 weeks from today hope to be on the way to a better tummy and a little help for the girls. Updated on 27 Jan 2016: Bust 43.5 Waist 35 Belly button 38 Belly halfway between BB & hips 44 Hips 44.5 Thighs below butt 38. Updated on 3 Feb 2016: OMGosh! Tomorrow is the big day! I have had a major adrenaline rush building up over the last 3 days and today I know people think I am on something. Not worry. Maybe it's my body worrying since it may think I have lost my mind! My job keeps my mind busy so haven't been thinking about it too much. Looking forward to be over the recovery though! Updated on 3 Feb 2016: When nurse called to go over meds and such told me to take a Valium around 7 is to knock out the adraline Rush. I hate drugs but thankful that I may get a good nights sleep tonight. Scheduled for 8 am! See ya'll on the flat side!!! Updated on 4 Feb 2016: Made it. Doing good updates later!! Thanks ladies for energy, thought and prayers!!! Updated on 5 Feb 2016: Did very well through the night. Had a nurse instead of just my hubby! Ate light but decently 3 times after surgery and my normal breakfast - yugourt this am. Pretty much walking up right!!! I am ecstatic with what I see so far. PO appt at 8 this am everyone & Dr very pleased! Husband is in disbelief!! I actually have not had over a 2 level pain and that was when I first got home- pretty much been at ZERO! I expected 7-10. I hope I am not jinxing my self. Started off in the recliner but hit my back and neck after about 1.5 hours so moved to the bed with lots of pillows - wonderful!! I started to get some uncomfortable swelling and took the bromelain and swell went down noticeably- took the arnica and the slight discomfort went away and I felt absolutely normal laying in bed. I am taking the percent but that's all I started off with until around 3 when I took the supplements so I think I can say they had a effect. I have 1 drain. Drained 100 over night - I was perry active. Has slowed. Lots of seepage from one Lopo site nurse put a maxi pad in place of the stuff that was there so contained the mess. I'm going to rest been up since 7 with Dr and all. Getting a sponge bath and fresh hair braid in a little while! Happy healing all my real self sister!! Updated on 5 Feb 2016: This was yesterday nurse gave me a sneak peak not the best pic. I am very bruised on my flanks but you can't see. I am swollen of course. It looks awesome standing up- saw at the PS this morning but no pics. My BB is really cut and you can't see the sutures. Even swollen I didn't get a ken doll mon - yay. But a bit of a lift and a bit of a lift in my thighs - bonus!! Fingers crossed fo no complications!! ????. Happy healing ladies!! Updated on 7 Feb 2016: Finally!!! Gentle not harsh like MOM. Had my first sort of normal meal and wa-la!! Was so worried about this had bad experiences with previous surgeries/meds. Updated on 7 Feb 2016: My PS said sometimes you do get this result but this one is not average. I did get some lift front and side/butt. I didn't get a ken doll mon it's lifted but mostly reminds me how it use to look. A mole I have always had is back where it started :D. I am afraid it's going to well....... Hope it stays all good. Updated on 8 Feb 2016: Had second PO appt today everything looks good. The nurse I hired for my first 24, stopped by and checked on me last night gave me a fresh braid and tightened me up. Probably get my drain out on Wednesday :) I am feeling very blessed! Pics soon I promise. Updated on 9 Feb 2016: I can't believe I am putting this all over the Internet. But thanks to everyone else who were brave enough to share their journey I was able to decide to make a good informed decision to move forward with this transformation for myself. So hopefully this will help others decide one way or the other if this is for them. Ok enough of that here's the pics 5 day PO. Updated on 9 Feb 2016: Good list on real self: https://www.realself.com/forum/tummy-tuck-survival-real-life-guide Also check into a forum for the procedure you are having during the month you are scheduled - just search "tummy tuck May". Plasticsurgery.org In a addition to those great lists from my own experience: Exercise - push ups, dips and squats - side effect I was able to move myself around day one using my arms and legs instead of abs without getting sore. This wasn't planned just a happy finding! I am not sold on the recliner - it hurt my back, my neck and is hard to get out of and mine is electric! I slept in bed been upright since PO day 1 no back pain unless I spend an hour in the recliner! I have a wedge but only used one night rest was pillows. I have moved mostly to a regular chair in the living room during the day. Check to see if PS has a nurse they can recommend for first 24, it wasn't expensive as I thought and I would have paid 2x as much - was worth it for me. I've had horrible experience after outpatient as well as in the hospital after general anesthesia. Alcohol swabs good to smell if nausea - if feel weak - eat!! Even if you don't feel like it. I had fresh ginger tea and pineapple and grain free crackers available and homemade soup. Oh yeah and protein drinks. Make sure you get anti nausua meds from your doctor! I set up a clean and prep area in bathroom where I could reach everything I may need. A food station in the kitchen with bowls and such down where I could help myself and a med station with a log so I didn't over medicate - though I was being taken care of initially. My most useful piece of equipment was a fold up TV tray - the type that can slide under a chair or bed so table is over your lap. We have used that for so many things. I had no Walker, no toilet riser- did use a lawn chair in shower once. Check you Dr standing with your states medical board and any other state they may have practiced in and look for any actions that have been taken against them. Well that my list for pre-op until now. I am sure there will be more to learn and experience. Updated on 12 Feb 2016: Everything seems to be going as it should. Still have the drain probably until Monday but is no big deal. Swelling hasn't been too bad overall. I've been pretty active around the house most of the week. Girls are dropping good got about 1/2 more there, waist is down to 34 everything else about the same. Scar seems to be smothin in places. No pic os incisions under breasts - they are hardly noticible barely pink no outside stitches. Maybe I'll get some next time. Updated on 15 Feb 2016: Got my drain out , didn't hurt, felt like flutters - everything healing well. Got my compressions exercise instructions - which they shoes hubby also ???? priceless!! Updated on 17 Feb 2016: Felling pretty much back to normal, getting a little cabin fever. I didn't think through the transition clothes, I don't normally wear skits or go in public in yoga pants. With my SG pants aren't too comfy anyway. Did try on a few things :) plenty still fit - just way better in the tummy area! Anyway while I was waiting on my SG to wash and dry I snapped a few pics since I am near my 2 week mark. Still so excited! Updated on 21 Feb 2016: I can't believe it is already time to go back to work. Good news is I am feeling great not anticipating any major issues. Have a desk job, the worst part will most likely be trying to clean out my inbox ;) and catch up on last couple of weeks- figures crossed anyway. Updated on 22 Feb 2016: Well it wasn't awful, I'm swollen a little around the middle, a little pain, sitting is different in my office chair. My clothes irritated me to no end! Happy to be done and into something comfy! I did have about 2500 emails to pick through..... But got them down to only 67 I still need to address - I guess that was a successful day ;). Happy Healing RS sisters! Updated on 24 Feb 2016: Well the swelling has set in since I've gone back to work. My clothes aggravated me yesterday and I think made it worse last night, I woke up from the irritation and had to put pads between me and binder. These pics are tonight after work - week 3(back to work 3 days). Most swelling is in my left hip/flank and in front near my drain area. Only scabbing left is where my drain was which should be good in a few more days. My bruising seems to be gone. My skin sensitivity was better but increased after going back to work probably due to swelling. This is the most sweeping I've had so far. Not complaining just sharing :). Even swelled is much better than before. Just a note- when you start going back to normal clothes all seams are your enemy!! Even if they trick you my feeling ok when you first put them on!! Picking everything more carefully since my hassle yesterday. Updated on 24 Feb 2016: Updated on 29 Feb 2016: Follow up appt this morning. I'll be 1 month on the 4th. Yay - I can get back to exercising - starting slow and work back to where I was. Use body as a monitor and don't over do it. Next follow up in 2 months!! Fingers crossed do no reason to see the Dr before then. I'll post some 4week/ month pics around the 4th. Happy Healing RS sisters!! Updated on 3 Mar 2016: Today is 1 month from my surgery!!! Everything is healed well, still only a small place where my drain was that has a scab. Started using silicone tape after last Dr appt. was uncomfortable under the breasts so only using on my TT. Can't say I can tell any real difference yet. It may be starting to lay a little smoother. I am still a little swelled by end of day usually just above my TT incision- my hips and thighs - but it's not the uncomfortable sweeping like I had the first couple days of work. No pain. Feeling has returned but still a bit dull under my BB. Girls are still dropping :). Post pics later happy healing!! Updated on 7 Mar 2016: Not a ton of difference from the last batch of pics. The girls look like the have dropped more. All scabs are gone. My scar is a little flatter in places. A little less red. My BB looks normal if my spanx aren't rubbing it. Still some swelling at the end of the day but not bad. Work clothes either fit very nicely or are way too big lol. Was shopping this weekend and found it funny that now that I don't want to hide my belly all the current stuff in the store would do an awesome job of hiding it for me......... I measured - well I have most days though they say not to, it helps me determine show swollen I may be :). Updated on 7 Mar 2016: ? Before. Now Breast. 43.5. 43.5 - lol they are much fuller so more of them measure 43.5 than before. May change as they drop more. Band. 36 35 Waist. 35. 33 (have had 32) BB. 38. 35 (have had 34) Half way under BB. 44 37( have had 36) Butt. 44.5. 44 Thighs together. 38. 39. - wrong way- swelling ;) Pre weight 170. Now 164.5. Updated on 17 Mar 2016: Mostly I have been busy with work, which is going ok. I pop on here as I can to check on my SX sisters :). I figured out to adjust my chair so I sit up straight instead of leaning forward to help with swelling around my incision but still some swelling - it moves around as to where I am swollen :/. It really isn't bad most of the time. I've had a couple days where I've overdone it since a couple weeks ago when released to resume with exercise - it gets you later- painful and achy so I am adjusting that. A few pics from this am. I have swelling just above my incision this morning. I guess I sat forward a bit yesterday - I have an adjustable desk and forgot to stand up yesterday. I usually alternate 1 hour up one hour sitting - yesterday was just so busy it was one thing after another and before I knew it was the end of my day. I think my left side is definitely uneven, but is a minor adjustment in the office later My next appointment isn't until 12 weeks/ May. The girls are dropping still and doing what I had hoped for. No real pain, still get tight along incision and MR. It's difficult to feel back to normal otherwise and not over do it. My measurements were a little surprising this am: Bust 43 Band 33 really? I triple checked Waist 32 BB 33 Half way between BB & hips 36 Hips 42 Thighs 38.5 Weight 164 - I have been bouncing between 162 & 165. Updated on 17 Mar 2016: 1 more Updated on 17 Mar 2016: My PS nurse told me I need antibiotics prior to dental procedures, Pap smears and such procedures - probably colonoscopy and biopsy fits in there. So just happens I have a dentist appt and gym in April - so I called to let them know - the dentist was sort of rude so I told them I had that prolapse condition (my son has this). I told my GYN for augmentation and they - at least the intake person thought I was nuts, but gave her my PS name and she checked with my GYN and I guess I am set. I searched it and it is true that should be done to avoid infections that my cause capsular contracture. I think is a relatively new recommendation. Updated on 1 Apr 2016: Not really much to report. Less tight near incision and MR tightness/ sit-up feeling only very occasional. Otherwise felling pretty back to normal. I am down to 160 and have been working out. Measurements are still pretty close to the 6 week measurements. I changed from medipak silicone tape to New Gel + silicone strips. The tape pulled off a couple small pieces of skin below my incision and I didn't want to chance it. The new gel strips are working out well. Here's a few pics. The girls have dropped a little more, very soft and move more naturally than before. Scar seems a little lighter most of the time.it does get redder after exercise as does a triangle shape between my BB and incision which goes away after I cool down. The red area is getting smaller as time goes on, so must be repairing circulation. No real swelling still a little occasionally but not tight/uncomfortable. I just bulge along the incision some or my belly between my breast and BB. Still wearing spanx. Happy Healing everyone!!! Updated on 3 May 2016: I don't think there is a lot of difference from 8 weeks, my scars may be a little flatter. I still do not have much swelling and when I do I can always tie it back to something I ate that I normally don't eat. I have very active days and no swelling - so I am jus odd. I have had to really work on toning up and slimming down my thighs so I can fit into clothes I dropped 2 sizes in the waist but not in the thighs - lol. I have been successful finally so starting to shop. I went from a 36 D to 34DDD or 36DD depends on the bra. Loving my new body. I would do it again in a heartbeat. No regrets. Happy Healing Ladies!!! Updated on 16 Feb 2017: Can't believe it has been a year already!! My scar is fading pretty good, better in some places than others. My scars from. Ready aug are invisible (missed pic of those) All of my measurements are still within 1/2 inch of my 3 month post. I still have a little numbness under my belly button - there is feeling there but is like one layer that is numb - can fell touch on a Kim and in muscle- still healing I suppose. Not a big deal. Only regret is I didn't do this years ago! Love my doctor!! Updated on 13 Jan 2018: I’d do it again without any hesitation! Only regret is I didn’t do it sooner! Scars are barely noticeable and hide very well in a swim suit!

I am SO nervous. I have always felt my breasts are too small for my frame. I have not had the financial resources until recently to have a breast augmentation. I feel as if I am an 36 A cup, but as I have read in other posts Victoria Secrets (VS) does wonders and VS put me in a 36 B. I am writing this post because I really have not seen many posts for taller women having over the muscle silicone implants. At first I was very concerned about having the implants put over the muscle, but after searching the internet for pictures I am super excited and feel the results will be exactly what I expect. So, according to many internet sites I am overweight. I have lost 12lbs in the past 3 months and expect to loose another 15 over the next 5 months. My PS assured me that the weight loss should not affect my implants if the implants are done correctly. I have already picked up my meds and will go out to purchase a few button down tops as suggested by my PS. I will keep everyone updated to my progress. I can't believe it's finally happening. Updated on 15 Apr 2015: O.k. So I am super nervous and super excited. This past week has absolutely flown by. Tomorrow is the big day and I am about ready. I have all my stuff packed, my meds, my family, and myself ready to go!!!! I was told to arrive at 11:30, take my 2 nausea pills and one valium at 10:30, eat a light dinner and no food or drink after midnight...I am worried about starvation haha not really but I do get thirsty so the dry mouth thing I seriously do worry (a little), mostly I hope I am not to cranky without my morning caffeine!!! Wish me luck and good health. I will keep everyone updated along the way. Thank you all for your support. God Bless!!! Updated on 16 Apr 2015: Ok so I had my ba today woohoo!!!! Tomorrow is po will take pics then and submit. Just a quick reminder I am 5'8 " 172 lbs and 40 y/0 I had 500 cc silicone, high profile over muscle. I peaked under take home bra and gauze. I LOVE THEM !!!! No pain just pressure. My nurse said everyone is different but probably by new breasts will be settled in approximately a month. I start massaging them next week. So happy NO REGRETS :) Updated on 17 Apr 2015: Well, so far so great. Still swollen but not to much pain, only pressure. Here are the pics I promised. My PS surgeon said I have to buy an underwire bra for next week and we will cut out the bottom potion of it to help stretch that area. I have oddly shaped breast meaning there was not a lot of skin between nipple and bottom chest area. I think their beautiful, can't wait for a month out so I get a better visual on actual results. Thus, far so happy. My surgeon and his team are GREAT. Updated on 18 Apr 2015: Doing great!! Not much pain, already cut my pain pills in half, breast are still swollen. My PS said I will change bras in a week and begin to massage my new beauty's (hee hee) so they will drop and fluff (My meaning of drop in fluff look more natural and soften. My incision site is actually quite small and I think will heal nicely in time. Can't wait to go bathing suit shopping in about a month woohoo!!!! Updated on 20 Apr 2015: So far so GREAT!! I am off the prescription pain meds, but still taking over the counter ibuprophen. My PS said this was ok. If I try to do to much I get tired, but I have to remind myself I just had surgery and my body needs time to rest so it can heal. I am VERY happy I went with 500cc. I was so nervous they would be to big but I ham a thick female with wide shoulders and wide hips. I know when my new additions begin to drop and soften they will be exactly what I was hoping for. My next doctors apt is on Friday 4/24/15. Can't wait, that is when I will learn how to massage my breasts and change my bra. I am hoping my PS will ok me to start riding my bike again soon too. I quit smoking 2 weeks ago so I have been gaining a few pounds (substituting food for smokes) I could really use the fresh air and exercise. I have to remember my new boobs weigh about 2.5 pounds too so its not all gained weight haha. I will post new pics this coming weekend thanks to all of you for your support and kindness. Updated on 30 Apr 2015: