Treatment Provider

Otto Joseph Placik, MD
Board Certified Plastic Surgeon
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6 months post-op

Oh I forgot to mention that I lost 5-7 lbs after surgery. After gaining it back, it seems to have distributed more to my butt and thighs than previously. I think some has deposited on my stomach and back but much less. I don't think I can tell a difference in the breasts. So yes fat does redistribute after the procedure and I'm super happy my butt has gotten bigger now too. Although I'm also doing squats 3x/week!

6 months post-op

So a lot has happened since my last post! As I said before I think I have lost most of the fat that was injected :(. I am now wearing the same size bra I wore pre-operatively, 34B, however I do fill the bra out now so I think in the end I went up 1/2 cup. My husband thinks they are amazing. I do have some small amount of cleavage in VS push-up bra. I am disappointed for sure and I am still planning on going ahead with implants in the next 6 months once my schedule allows it.
As far as complications, most of the lumps and bumps I described before have resolved. I occasionally have a few shooting pains where the liposuction was done. I have regained sensation over my back and stomach 100%, which is great. Originally I was completely numb in those areas, it took several months to recover.
The lump between my breasts I previously described did get larger and more painful especially when wearing an underwire bra. I had my 6-month follow-up today with Dr. Placik and I was RELIEVED when he aspirated it and fluid came out. He also found another cyst on my abdomen he aspirated. He also injected some steroids into my upper abdomen in the area where I developed a lot of fibrous scar tissue (you can see the white swollen marks on the pictures). He said the fluid will likely come back and he can aspirate it again in a few months. Thank god I have not had any hard lumps persist in my breasts. There is only one small palpable lump in my right breast that I can't even feel, my husband found it when he was actively trying, but otherwise neither of us can feel it, and I'm guessing that will also go away with time.
Overall I am still extremely happy with the liposuction results. I have put back all the weight I lost after surgery and am now back at the same weight I was at before surgery. I have been weight lifting 3-4 x/week for the past 6 months though and I think that's one big benefit to this whole thing. I feel a lot more confident now and I can wear basically whatever I want. I feel honestly like a big weight has been lifted from me and I can finally enjoy life without obsessing over my love handles and belly. I am satisfied with my body other than my breasts lol and I'm at a place where I am working out, eating healthy but not starving myself before, and just really at a good place. So from that standpoint yes the surgery was worth it. But for the breasts alone? No, I should have gotten implants in the first place. Would I do it again? I would get liposuction again 100%. I would not get fat grafting to the breast unless major advances in the field come along or after I have kids.
I sold my BRAVA system for $800 on ebay lol.

6 weeks post-op

Not too much has changed. I saw Dr. Placik last week and he said it's fine now to wear any kind of bra and that the fat graft should be vascularized and "part of me" at this point. So I went to Victoria's Secret right after the appointment and they actually sized me as a 32DD (used to be small 34B)!!! Really hard to believe. There's a picture of me in the push-up bra I bought, and for the first time in my life I actually have cleavage. So pleased!!
As far as the liposuction, everyone at the office including Dr. Placik thought I looked amazing. He said that if the lumps in my upper abdomen do persistent he could inject steroids in a few months but expects them to go away. If the irregularity on my back is still there in a few months we could potentially do a minor fat graft procedure to that area.
Looking at my before and after pictures there is definitely a huge change. Again, I am still strongly considering going larger but there is no way I'd wear Brava again. Dr. Placik said he could definitely do implants after fat grafting. Only one other patient has requested it though lol. He said that if we did proceed with implants at least they would look/potentially feel a lot more natural with extra tissue coverage so that would be a huge plus. He wants me to wait at least 6 months for all the swelling to go away, but said I can try on sizers at my next appointment in 6 weeks. So if I went ahead with it I'd probably be looking at around Christmas time.
Weight is still stable at 134 lbs, at one point the scale said I was at 133, but I think it went up this weekend after I had a few slices of pizza with friends from out of town lol. So it seems like my weight has stabilized at this weight and this is where I'd like to keep it for good.
Will update again with more pictures later.

Provider Review

Board Certified Plastic Surgeon
845 N. Michigan Ave., Chicago, Illinois
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Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

I met with Dr. Placik during my first consultation. He was very friendly and professional. He made sure I understood everything about the procedure and wrote everything out as he was talking. He answered all of my questions thoroughly. I liked that all the before and after pictures were available in the exam room. I also liked that he had developed a DVD about breast augmentation I had to watch prior to the consultation. His nursing staff was extremely knowledgeable about the procedures as well and were able to answer most of my questions. As far as his surgical skills, he was very meticulous with great attention to detail, definitely a perfectionist. He went above and beyond to create the best aesthetic result, including adding on extra liposuction areas the day of surgery that were not included in the original quote. He had a wonderful bedside manner; I appreciated that he held my hand during anesthesia and called to check up on me the night of the surgery. His office was prompt with answering questions and keeping in contact with me before surgery. After surgery his nurses were available 24/7 and responded to text messages even at 3 in the AM. As far as feedback, It would have been nice to have seen him in person at my post-op appointment, but I understand he was busy in the OR. He did spend a good deal of time with me at my second post-op appointment at 1 month. It also would have been nice to be able to communicate directly with him with questions rather than through office staff, however all of my questions were answered thoroughly and promptly even on weekends and in the middle of the night. Overall he was fantastic and I have already recommended him to my mother! I would go back to him again for procedures in the future and am already considering additional ones.