Advice before breast fat transfer

I’ve tried to give important advice below simply to help you amazing ladies, it’s not to squash Dr B. He is nice. :) It’s just to help patients make their own mind up and to provide them with realistic expectations. Skim read as you need, and don’t hesitate to ask any questions - I’m more than happy to help you :)
Safety advice:-They use a Nurse anaesthetist, not a Doctor Anaesthesiologist (like most other clinics do). I was quite frightened to have found that out on the day of surgery. This was not specifically pointed out to me when I booked. I can’t believe I went ahead anyway. Looking back at the paper work fine print it does say “Anaesthetist or Anaesthesiologist” so my bad; however, in my opinion, this is too subtle a way of getting a patient to agree to NOT having an Anaesthesiologist present. Most people expect an Anaesthesiologist so please request a Doctor Anaesthesiologist. I know nurses are skilled, especially the nurses at Dr B’s clinic. However, there is a reason why an anaesthesiologist’s training is 15+ years- because the side effects are permanent neurological damage.Boobs advice:-I ended up with palpable grape sized breast lumps. And about half of Dr B’s reviewers say they have lumps in at least one of their breasts (so sorry to hear that ladies - feel free to put your lumps advice in the comments). I have read other Doctors write that this due to over filling the breasts. Other Doctors who do NOT over fill do NOT seem to have as many reviewers talking about lumps. And in hindsight, lumps could be dangerous because later if you get an unrelated breast cancer lump you might feel it and just think “oh it’s just my fat transfer lumps”, and miss a lump that could have otherwise been detected. I’m not saying “don’t go with Dr B”, I’m just saying that you should decide whether you prefer over filling and higher chance of lumps, or a moderate fat filling and less chance of lumps. :)Advice on forming realistic expectations of fat retention:-You’re more than likely only going to get half to 1 cup size increase per surgery. This is what I got. 1 cup size from fat transfer is a wayyyy more subtle look than 1 cup size increase with breast implants. Those that got a 2+ cup size increase have either gained weight AFTER surgery, are not 4-5 months post op or have had 2 rounds. You can see the weight gain on some of their stomachs if you compare the pre surgery to post surgery photos (which does look nice!). Also, read their comments sections because some of them do mention that they gained weight post op (thank you for your honesty ladies - you look great :) ), but this increased beast size will not be maintainable if they resume their normal weight.80%+ of Dr B’s RealSelf reviewers are NOT 4-5 months post op so their breasts are bigger than what they can maintain. The reason you should sometimes consider 4-5 months post op as the final size, and not always 3 months, is because there are exercise restrictions for 3 months (see attached photo) which means most people put on a little weight during the first 3 months and then go back to their normal exercise routine during months 4 and 5, and therefore go back to their normal weight and lesser breast size. A few lbs weight gain/ loss can change the breast size even in women who do not have fat transfer. Also, regarding those reviewers who post at 1 month and then disappear lol (y’all feel me?) you are still swollen at 1 month, and my breast size dropped a lot after this, even though I maintained my weight. Everyone is different though, so you might fluke it and get an increase of 2+ cup sizes like some women have, but there aren’t that many reviews saying that they got an increase of 2+ cups WITHOUT weight gain AND who are 5+ months out.Lipo advice:-Keep your hips/ outer thighs! Do not lipo here! Hips/outer thighs are so beautiful, but Dr B seems to be taking fat from there all the time, on so many women. If this is what you personally want, then absolutely go for Dr B :), but he told me during the consult that he would be taking fat from my stomach, lower back and my inner thighs, but then on the day he said that we are now going to be taking from the hips/outer thighs, and NOT the stomach. Several other women in his reviews have said this happened to them too. (I had NOT lost weight between the consult and surgery and I have visible stubborn stomach fat that I can never shake. You can grab it easily.)Now, after the outer thigh / hip lipo, I have very slim hips/outer thighs which is accentuating my stomach fat (which was not lipo’d). And now I have lipo lumps on my thighs when I never even wanted outer thigh lipo to begin with lol. I was happy to get inner thigh lipo, but he didn’t really touch the upper part of my inner thighs - he only touched the lower part of my inner thighs so now I have the illusion of LESS of an inner thigh “gap” than before. So overall, my body got worse for the sake of half to 1 bra cup size increase. My body is NOT botched - it looks ok :) but it just looks like I have a man’s body now, whereas before I was more feminine. I’m not trying to disrespect him as he is good but he does say he is a sculptor so yeah.He says that he had to lipo my hips/outer thighs (instead of my stomach) because even though I do have stomach fat, all women have the most stubborn fat on their outer thighs. However, this doesn’t make sense. Most women I know carry stubborn fat on their stomach and mid section. So, given this, I don’t know why he is avoiding stomach lipo on so many patients lol. None of the other good fat transfer Doctors seem to avoid stomach lipo.For those that did have stomach lipo with Dr B, they all said that they didn’t get a snatched waist anyway. No Dr B patient on here has said they got one. None of Dr B’s before and after photos have one. To be fair, he never claims to do this either. So my advice is that if you want a flat stomach to accentuate your breast size, then perhaps look for a fat transfer Doctor who offers that. :-) However, if you’re not bothered with your waist NOT being snatched, then maybe Dr B is still a good choice for you. :)Advice if you’re undecided about getting breast fat transfer:-In my opinion, if you already have a nice B cup then just leave things alone because it’s not worth the risk of lipo irregularities palpable breast lumps, symmetrical visible scars and the money. However, in my opinion, it probably is worth it if you have deformed breasts from implant removal or significantly asymmetrical breasts naturally and you want fat transfer mostly on one side.If you are going to get it, I would 110% ABSOLUTELY wait until corona is over because if you get corona during recovery, you might not be able to eat properly for a few weeks (if in hospital or have the flu) and your transferred fat may not survive. This is different to loosing weight, say, years after the surgery - as your cells have already survived by then and so when you regain weight you'll regain breast. Untrue for immediate post op period.Advice on whether to go with Dr B:-This is your choice, and yours only - this is just my opinion. Dr B is a great choice if you live in the Carolinas! But 1 cup increase withOUT a feminine physique or snatched liposuction result, and more chance of lumps than Doctors who don't over fill breasts, is probably not worth flying in for and paying for accommodation. Doctors in other cities all seem to be creating the feminine physique and giving snatched lipo at the same time as transferring fat to the breast or butt, with few cases of large lumps.There a several fat transfer Doctors in LA if you’re on the west coast; NYC/ Atlanta if you’re North; Texas/ Florida if you’re south; Spain if you’re European; Sydney if you’re Australian/ New Zealand; Seoul if you’re in Asia; and several in Mexico if you’re south.I really hope I was able to help you form a realistic view of what this surgery is, and whether to get it :), because at the moment these reviews are mainly all from women who are only a few weeks out, and so the swelling has not gone down to reveal their lipo lumps, breast lumps, or real breast size.