Horrible Experience and No Aftercare

Had a terrible experience with Mr Rochira. He appeared overly confident from first consultation, I could tell something didn’t feel right, yet I somehow managed to convince myself “it must be just nerves”, and went through with a breast augmentation with him, …wish I never did! Should have trusted my guts, I was right to feel uncomfortable.
He quickly said only the positives to convince me to go through with surgery, said he could and would do an amazing job, that I would look fantastic. Unfortunately, it later turned out he said none of the things he should have warned me against.
I had approached one of the most expensive clinics on Harley St. and was made to believe I would have access to top surgeons and an outstanding level of care, I trusted this, and was too naive to suspect otherwise. He insisted my preop consultation was conducted in Italian (I can speak Italian), so the non-Italian speaking patient coordinator did not have a clue about what was being said exactly. My pre-op consultation letter which followed my consultation appointment did not raise any flags, did not warn me against any predicted cosmetic defects at all, or against certain complications directly related to my unique anatomy. It did not alert me as to any expected, unavoidable defects my surgeon had identified in relation to my specific anatomy. My consent form, a legal document which he asked me to sign on surgery day, also did not highlight any predicted complications or limitations directly relating to my specific anatomy at all, it literally only said: [extracted from consent form]
“A small percentage of women may experience wrinkling or rippling on the surface of the breast, which is your bodies own reaction to the breast implant.”
Nothing else was said about any complications I would unavoidably develop as a direct result of a ba on my specific slim anatomy.
While he confidently promised an absolutely natural result, walking, left to right across the consultation room with his arms crossed over his chest, I ended up looking like a deformed freak, with ugly, rippled, flat and trapezoid shaped, low sitting breast and an unnatural, odd, embarrassing front and side profile with literally two weird angular doughnuts sticking out of my lower ribs. While he had promised to create a fantastic job filling up my bony upper chest area, I ended up with implants so low they were literally resting on my lower rib and upper abdomen, I looked like a freak creature, with fake, squashed oranges stuck so weirdly low across my chest. I felt so uncomfortable, embarrassed, confused, let down. I immediately reported the odd, unnatural look from soon after surgery, along with concerns about the painful discomfort along the lower part of my breasts and imf, due to implants which looked like they were bottoming out already from immediately after surgery and pushing/pulling in all the wrong places. I was immediately dismissed and my concerns downplayed by a very uncaring, unprofessional and simply unskilled patient coordinator who was a true expert at preventing me in every possible way from getting in contact with my surgeon. Clearly very well trained in walling concerned patients off, and in discouraging them from pursuing their concerns and post-op queries any further, evidently the result of many previous similar occurrences over time.
While I emailed photos of what clearly looked like dislocated implants creating a “double disc” appearance in both my breasts, she labelled me an “apprehensive patient”, she claimed I was “medically fine”, while she had no “medical” qualifications whatsoever or authority to make such claim herself.
For three months after surgery I was consistently denied proper aftercare and continuously dismissed despite my insistent requests for assistance. I asked to be seen by my surgeon, and was told I was just being anxious and impatient. I insisted I wasn’t well and something was definitely looking and feeling wrong, but was denied an appointment. I continued to raise concerns providing photos and feedback, and was still told I wouldn’t be seen by my surgeon, or that my surgeon wasn’t available, and that I just had to wait until my post-op appointment, which was months away. I asked to be seen by an other surgeon, was told I couldn’t be seen by anyone else. I asked to be seen by the nurse, and was told it wasn’t possible. Finally contacted the nurse directly, was told to come in immediately, nurses were concerned by my symptoms as well as shocked Mr Rochira wouldn’t see me, nor get back to them either when they asked him for immediate feedback and direct contact. They just couldn’t figure out why.
At one point, after persistent symptoms and insistently begging for assistance and feedback from a nowhere-to-be-seen surgeon, I was finally briefly told by the patient coordinator that Mr Rochira had been forwarded my concerns and photos and did not believe anything was wrong so would not see me before my post op. End of discussion. Never mind I wasn’t well and was being denied the very “outstanding level of attentive aftercare” which I had been promised, and for which I had paid thousands of pounds.
I was abandoned to deal with my post-op issues by myself and left to worry about my concerning look and painful discomfort, with no aftercare or follow up by phone or email to check for updates on my wellbeing at all.
After months of phone calls, emails and photos, at what should have been a 6-week post op check, but which turned out to be a 12 weeks post op as my surgeon was apparently “on extended holiday” at one point, he pretended not to know anything was wrong. He acted very detached and unbothered, he pretended to be completely clueless as to the months of my begging for his feedback, to my requests for reassurance and assistance I had been denied, pretending not to know anything was wrong at all. All the while he kept exchanging suspicious glances with the same patient coordinator who had dismissed me and been trying to keep me away for months. It was crystal clear they had agreed on what show to put on together and rehearsed their united, detached and dismissive front. He humiliated me asking me to “explain from the beginning what I believed to be the problem” he then suggested it was “all in my head”, that nothing was wrong because he had done nothing wrong and mine was “a beautiful result”, whether I could see it, or not. All of this was said while I was still dressed. So, he had not even examined me yet, but he knew already all was perfect and I must be wrong, because he had done “a perfect job”. He finally made me undress and kept me standing undressed, in an overexposed position the entire time, without offering a gown and without drawing any privacy curtains around me, while he continued to dismiss my concerns without actually examining me: he did not feel my breasts for lumps, or to exclude any seromas, nor to assess if the implants had in fact in any way shifted from their intended location. He just laughed at me, accused me of “wanting to look like an 18 year old” while I was much older, I responded I had never intended to look anything else other than myself, and he must have clearly not listened to any of my objectives from the onset to even suggest such a ridiculous idea. He was having none of it. He insisted there was no deformity in the breasts, that they were not misshapen, and he was adamant there was no rippling whatsoever. I insisted things were clearly not right, that it was evident and visible that things had not gone to plan, that my surgery outcome was not at all in line with the preop predictions and that I trusted that, as a professional, he could definitely see with his own eyes what was wrong and was hoping he would stop denying the obvious and instead do something to address the issues and just offer help and proper aftercare. He finally flipped, becoming aggressive and defensive, he started saying it was all my fault, that he had done a “beautiful job”and that if anything had gone wrong it was because I am “skinny”, that I “do not eat enough”, and that “if I ate more I wouldn’t be there complaining”. He continued I “have to put on some kilos to disguise the visible implants”, that I “must eat more, and then all of my problems would be solved”. He continued criticising my fitness routine and lifestyle choices, suggesting I should “exercise less, and then I wouldn’t be complaining”. I argued I wasn’t “skinny” at all, and that in any case I was slim even when I had attended my preop consultation some months before, and nothing had been said about my slim built being a major factor in potentially impairing the outcome of my surgery. But he didn’t care, and wouldn’t accept he had failed to properly and fully and exhaustively provide me with vital preop information. I challenged him as to why he had not said anything before my surgery, he couldn’t give me an answer and just kept deflecting with rude comments. He was awful. I could not believe what I was hearing. He was completely cold, detached and showing zero compassion, so unprofessional and with a fake and cruel smirk across his face. I was holding back tears, he could tell I was shaken and disappointed, yet he kept his smirk across his face as if he was enjoying the unfolding scenario. I insisted my post op condition was unacceptable and something must be done. He insisted he would do absolutely nothing, as he couldn’t see any problem at all, and all was just in my head. According to him, he could see absolutely no deformed breast contours, no low sitting implants, no rippling. I insisted I wasn’t happy at all to find myself stuck in a weird, ridiculous look and in pain against the promised all-positive prediction he had painted preop, and therefore expected to be offered a solution moving forward; he insisted he actually wouldn’t do anything at all as he couldn’t do anything for problems I was simply imagining. I insisted I wasn’t at all just imagining the problems, that these were clearly obvious for everyone to see and could not understand why, as an experienced professional, he would be denying the visible cosmetic defects I was presenting with, to include very low sitting, rippled implants, double-disc, trapezoid shaped breasts clearly showing signs of a potential implant dislocation, stargazing nipples, painful implant exposure along the imf, etc., and why he would refuse to help do something to resolve these very visible and very unacceptable issues? Why wouldn’t he help? He just continued to smile back and just stated that it was just me, that “implants are not for everyone” and that clearly “I did not enjoy the feeling of implants”, and that if I didn’t like the result the only thing he would do would be take the implants out, and immediately too, because clearly I wasn’t able to appreciate a beautiful result.
He finally resorted to blurting out that it was “always to be expected” that as a slim patient I would not look the way I had hoped to look. I was gobsmacked, had he just admitted he had known all along I’d end up with problems and a poor outcome and look, and said absolutely nothing to warn me preoperatively?? I challenged him as to why hadn’t he warned me against any limitations directly related to my slim built? He replied: “it’s written everywhere”. I insisted he had actually not written any such warnings anywhere: not on my preop consultation letter, nor in my consent form on surgery day, nor anywhere. I continued that he had mentioned absolutely nothing about certain complications or defects he was now suggesting to have expected all along I’d unavoidably develop as a direct result of having a ba on my specific built, and that I could not believe he was telling me only now, when it was too late, that he had known and expected certain complications from first consultation yet had misled me to going through with surgery based on only positive, incomplete and misleading preop info, and now I was stuck in a ridiculous and painful look and he would not take accountability for it, or do anything to help me feel better. He just insisted he wouldn’t do anything, and that I could try and go anywhere else to any other surgeon and I would see no one would do anything either. He was so cruel, I had to hold back tears the entire time.
I could not believe the humiliating treatment and dismissive attitude he was giving me. No compassion, no willingness to listen or understand, no human touch at all. He was simply denying any wrongdoing and rejecting any accountability for what he may have not done right, or not warned me about preop. As I just wouldn’t let go, and I could tell he was getting annoyed at my insistence and unhappiness, he finally decided to tell me he would “get in touch” to let me know if anything could be done. I knew he was lying. I knew he was just trying to get rid of me once and for all. I knew he would continue to reject any responsibility and he would not get in touch. He didn’t. Over 20 months have passed, and not once was he ever “in touch” at all, not in writing, not by phone. Never. He just disappeared, clearly went into hiding, I never heard back from him. He never got in touch, ever, not to ask how I might be feeling, nor to check if things may have improved or worsened, never. No consideration for my wellbeing, none whatsoever. Zero aftercare, especially with clearly ongoing issues. I was never offered any “solution” moving forward. I was literally abandoned to the disgraceful, embarrassing post op look he left me with, and to the associated pain and discomfort due to very low sitting implants that had clearly been placed way too low across my chest from the beginning, and which were resting on my lower ribs while pulling and damaging skin and tissues in all the wrong places. I looked terrible, and felt even worse, and he did not care. The clinic did not care either. To make a very long story a bit shorter (simply impossible to be just “short”!), months later I found out he had initiated a “complaint” on my behalf without notifying me, so the clinic’s in-house clinical services team were apparently “investigating” “my”complaint which wasn’t even “mine”, which I had not submitted myself and which I had absolutely no knowledge about, and the heads of “my” complaint had conveniently been picked by Mr Rochira himself. No notification of any such complaint was ever given to me at any time, and my input was never, ever solicited once during the entire process, so what the clinic were “investigating” were in fact my surgeon’s own claims and whatever biased points he had fed them himself…pretending they were coming from me! After escalating this ridiculous situation and submitting an official complaint straight to the Board, after their several lame attempts at dismissing and downplaying my claims time after time; after their outrageous suggestions that they “had to assume” Mr Rochira must be right, and I must be wrong; after their ridiculous claim that my non-Italian speaking patient coordinator who had attended my preop appointment couldn’t understand what had been said but was nevertheless positive she “felt” Mr Rochira must have warned me against predicted postop complications, despite the absolute lack of any such alleged information ever being reflected in writing on any documents; after a further appalling twist with the clinic themselves admitting to a security breach of my sensitive data and imagery which had been left unprotected in random, unmonitored inboxes for months and not been treated in accordance with data protection legislation (breach by their own written admission, after being persistently pressed by my insistent reporting of suspicious fact-based evidence that there appeared to have been a breach!); after having been seen by one of their consultants (who later it emerged, is personally invested in the clinic’s group partnership) for a “2nd opinion” which turned out to be a complete and utter waste of time as his answers to all of my questions were simply “…erm…I don’t know” and while trying in every possible way not to say anything which might incriminate Mr Rochira, he quickly left the room without explaining what/why things had gone wrong with my surgery by his fellow surgeon colleague; and after being seen by an other of their consultants who instead admitted there were definitely issues with my post op situation, to include a bottoming out look, low sitting rippled implants, and side constrictions due to improper dissecting which were causing my implants to take on a geometric/trapezoid shape with clearly visible pointy corners along the lower poles, but who clearly did not wish to get involved in the unfolding drama and did absolutely everything in his power to deter me from having revision surgery with him by coming up with a list of unreasonable and unsafe “non-negotiables” such as I would need to accept cancer-linked textured replacement implants at the end of a long and tortuous 18-24 month long process including multiple phased surgeries, as well as a full-on anchor-shaped breast lift procedure (…minus any implants at first!) and to having to explant and go flat under compression bras for a year and a half for him to even consider offering me a revision, strictly with the compulsory textured replacement implants, after around two years of living as a deformed, scar-covered, flat chested shadow of my former self (which, ironically, only served to confirm that there was INDEED quite considerable damage and issues caused by my primary breast augmentation by Mr Rochira which definitely needed some serious repairing, despite Mr Rochira’s claims that “nothing was wrong”!…); and after having to fight to be granted access to my medical file which the clinic had been denying me for months breaching Patient’s Access Rights, and which eventually led me to uncover personal, pre-op handwritten notes by Mr Rochira in which, amongst other things, he had noted a “100%” chance I would develop postoperative complications such as 100% rippling and palpable, visible implants, and more, which he had completely kept from me all along and not reflected in his preop letter or my consent form or any other documents or email anywhere or conversation at all; after directly challenging the Board with the newly unearthed contradictions and misleading information and documented proof of surgeon’s negligence across legally valid documentation such as my consent form that had clearly been covered up at their end during what they had promised would have been an”honest, transparent, objective and thorough investigation of my claims” and after they could no longer defend my surgeon in any way due to the now overwhelming unearthed evidence of his negligence, unprofessionalism and dishonesty pre- and post-op, including failure to provide prompt and adequate aftercare, and alarming discrepancies across legal documents and medical files including my surgery consent form, and after having suggested to the Board I had now gathered more than enough evidence to take legal action and also go tell my story on TV and magazines, the clinic suddenly stopped arguing back and fully refunded me of all my surgery related fees to keep me quiet as fast as they could.
It is now some 20 months after my initial breast augmentation with Mr Rochira.
After being seen by 6 other independent surgeons, some advised they believed my situation was way too complex and challenging, so much so that they did not feel confident they could help. They all agreed there was definitely damage to my imf and extensive repair was needed; they were all of the same opinion that my implants looked indeed geometric and weird in shape, that my imf looked too low, that it was evident my implants had definitely been placed too low to begin with and without any skilful consideration for what my specific anatomy might require, or any particular attention to my unique proportions, and simply using a “one-fits-all” approach which simply wasn’t adequate or appropriate in my specific circumstances. I was shocked to learn the extent of the damage was such that I was being turned down by some for fear of not being able to tackle such a complex case. Some others suggested they could try, but with no guarantee of a positive outcome. I was really worried. I finally found a fantastically skilled and experienced surgeon, willing to tackle my very challenging situation. So, last year I had to have revision surgery as the pain and discomfort had become unbearable, and my look atrocious. I was hiding away under loose clothing, and avoiding any social occasions, I just looked and felt awful and finding something to wear to disguise the low height and weird shape of my breasts was a painful daily struggle. My new surgeon is not only extremely skilled and competent, but also incredibly compassionate and honest. He truly appreciates what I have been through, and what a careless approach with no human touch or compassion can cause in a patient. The emotional support I received and continue to receive in his care is truly amazing. I was found to have extensive damage by my primary breast augmentation by Mr Rochira, my natural IMF was apparently carelessly slashed and lowered for God knows whatever reason. I am not just claiming this, it was actually found through diagnostic testing and ultrasound scans, etc. so there is medical evidence of the damage I sustained and this is not just an assumption, or an empty claim. Turns out I was in pain due to this internal damage, tissue pressure and improper pulling/stretching in all the wrong places. I was in painful discomfort and looked weird because of my imf having been carelessly almost “dismantled” to the point where it could not hold anything in place. All of the independent surgeons I saw regarding a potential revision were left speechless at the state Mr Rochira had abandoned me in. They could not believe when I told them he had dismissed me insisting *nothing* was wrong. They could not believe he would look at me and have the nerve to deny something was wrong. They insisted any half experienced surgeon would immediately know something was definitely wrong just by looking at me, even before investigating any further. I had to have a first attempt at “reconstructing” my imf, and apparently received in excess of 300 internal stitches upon my first revision last year. Yet, the damage caused is apparently so extensive that one revision alone was not sufficient and I am now planned for yet more corrective revision surgery later this year. The consequences of having put myself in the wrong hands are immense. I have suffered permanent damage which simply cannot be undone; immense physical pain and discomfort; unbearable emotional suffering; I have had to expose myself to enormous additional risks of multiple surgeries and additional financial costs. I was forced to take additional time off work, and make enormous renounces and sacrifices in my personal and social life. I am still trying to process everything that has happened to me since putting my body, my life, and ultimately my happiness in Mr Rochira’s hands. I was simply after restoring breast volume lost to pregnancies, nothing more, and after many, many years of pondering about it, I finally decided to have a breast augmentation approaching one of most expensive clinics on Harley St., I thought I would be in safe hands. I believed I would be looked after as a patient, and valued as a customer. I clearly wasn’t. I keep reflecting on how putting one’s trust in the wrong person can instead completely alter one’s life in ways unimaginable. Online, he appears to brag about how quickly he can perform a breast augmentation on a patient, as if on a quest for some kind of Guinness World record, I wonder if he realises patients are actual people with real bodies and feelings. He may well have been able to successfully operate on other patients, but my personal experience with him was simply appalling and life-changing in the worst possible way. To me, he showed no compassion, no professionalism, no due diligence regarding predicted, unavoidable complications he had undeniably known I’d end up with all along, he was completely unwilling to take any responsibility or accountability for his own actions and shortcomings, he abandoned me at a time of true need, and denied me of my right to adequate aftercare. He wasn’t honest with me about what to expect from a breast augmentation on my slim build, he withheld vital preop information pertaining to what I would unavoidably suffer as a result of having a breast augmentation on my specific anatomy, and lied to the clinic’s Board while trying to defend himself from my claims, suggesting I had “rejected” his recommendation for a different type of implant while my clinical files clearly shows no alternative implant was ever recommended as a better choice at any time, and at no time had he recommended against the round implants he decided on or the implant size he himself picked for me, and at no time had he raised any red flags against surgery. I trusted him as a medical professional, yet he humiliated me for my body type, age, anatomy, for my eating habits and fitness lifestyle. He tried to make me feel worthless, wrong and inadequate, and tried to manipulate me into blaming myself for the poor outcome of the surgery he himself performed. And again, for the avoidance of doubt, I am not just making some empty claims, I have all the medical proof regarding the damage I sustained following my primary ba, and written evidence directly extracted from my own medical file showing how much was kept from me preoperatively and highlighting the many discrepancies across preop documentation and consent form, so I am in a position to share my experience with confidence, and in no way the evidence held can be disputed in anyway. It is undeniable, black on white, and cannot be erased or contested. It’s forever on records.
I was really shaken to come across negative online reviews by other patients and read they went through the same psychological attack and were subjected to the same uncompassionate treatment and told exactly the same things, such as that it was all in their head, and that what they had was instead a “beautiful” result…
I just wish I had come across these reviews before making the terrible mistake to have surgery by Mr Rochira. If I could give zero stars, I would. Shame I have to pick at least one star.
I am still seriously considering legal action, I have time and I believe it would be the right thing to do, for myself and for the others before me, and after me. Unfortunately, the physical and emotional damage done is permanent, but if my experience can help anyone at all from going through the same, then I can at least take some consolation in that.

Just adding some photos which would not upload to my previous post for some reason.
Unfortunately a minimum of 200 characters are required even if just posting photos, so I am having to type a bit more.
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More photos which did not upload to previous post.
Clearly showing breast contour deformities; geometric-shaped lower poles; low sitting implants; stargazing nipples, odd disc-shaped breast profile with implants protruding along imf and creating a an unsightly plasticky overhang in lower poles; dissecting irregularities creating angular breast profile with protruding areas on one side and squarish/angular on the other side.
This was my state as of my post op review appointment at 12 weeks post op when Mr Rochira denied anything was wrong and insisted there were absolutely no breast deformities, no rippling, no stargazing nipples, and that my implants were sitting exactly where they should be across my chest, so according to him my presenting situation as per photos was a “beautiful” result with no cosmetic flaws whatsoever and he had zero concerns about any of my reported issues which he believed, were “all in my head” as he had done nothing wrong.