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POSTED UNDER Facelift Reviews

Horrible! I don’t want anyone to feel the way I feel right now.

UPDATED FROM Keller5379
6 months post

Looking worse each day

Once the swelling went down, the damage became more apparent. My face looks like a peanut. Seriously, look at the hole in my face where he sucked out the fat. This is infuriating because during the consultation, he picked up a brochure and pointed to the model’s hollowed out cheeks and said “I’m going to take out the fat under your checks but you won’t look as anorexic as her”. When he said this, I specifically spoke up and told him NOT to remove any fat from the hollow of my cheeks. I only wanted the little pockets of fat (which I pinched for him to see) under my marionette lines removed. But apparently, he didn’t listen to me and now I’m left with deep hollows that can’t be corrected (filler doesn’t work in hollows and Sculptra is risky). I actually look older after the face lift than before.

Keller5379's provider

George A. Toledo, MD

George A. Toledo, MD

Board Certified Plastic Surgeon

4.7 | 118 Reviews
PROFILE
Overall rating

Replies (18)

I’m so sorry you had such a horrible experience. I can totally resonate with this. I had chin liposuction about three months ago and I went in thinking he was only going to take a bit of fat out of my genetic double chin. That was all I wanted him to do. After surgery, I learned he took fat out of my jawline on both sides, leaving deep indentations that are becoming more and more obvious as the swelling goes down and scar tissue softens. I’m young and underweight. I don’t have jowls. Never had jowls. It bewilders me that he took fat out of my jawline which was perfectly fine. Now, I need to look for a plastic surgeon to do a fat transfer.
I had a quote in writing for “neck liposuction.” We also only discussed removal of the bit of fat under my chin. Obviously, while I was knocked out, he moved up to my jawline. I don’t understand why it’s so hard for these plastic surgeons to stick to what the patient wants and asked for. I don’t think I need too much fat for the fat transfer since the dents are about 1.5 inch long on one side and about an inch long on the other side. The dents are right along the bottom of the jawline so it doesn’t need much fat as there’s generally not much fat there. However, it’s very obviously that bit of fat gets sucked out. I’m underweight but I’m also skinny fat. I’ve been trying to put on some weight so I’ll have more than enough fat for the fat graft. I thought about getting fillers but the cost is too great over my lifetime and they are a foreign chemical, which is not good for you long term.
Wow- that makes me so irritated for you! It seems like there should be some sort of refund since he ignored the "contract" and did his own thing (same thing that my PS did). UGH, and while the dents aren't probably noticeable to other people, I know they seem HUGE to you. So, undoubtedly this has been a stressful and depressing few months. I am praying that you find a good PS that does fat transfers. This is probably what I will need too, I was hoping to get my "revision" with a facial plastic surgeon, but gosh I am not sure that they would take fat from the stomach (that's where i have some fat) since they just focus on faces. I have a consultation in a couple weeks. So, I will keep you posted.
I’m super frustrated! He was so aggressive with the liposuction that he took out all of the fat under my chin uncovering the platsymal bands. I wish I never had the chin lipo. I’d kill to have that fat pad under my chin back and have my jawline without the indentations. Sadly, we don’t know the outcome of surgery until it’s done. He told me the indentations (pretty obvious and deep) are “just scar tissue” when I pointed them out to him at my last appointment about 2 weeks ago. Yes, there’s scar tissue because he put in a cannula and sucked out the fat leaving scar tissue! I’m going to demand a refund at my next appointment in 1.5 months. He’ll probably not refund me but it’s worth a try. Did you ask your PS for a refund? What was his reaction? The last couple of months have been very depressing for me as I’m sure it has been the same, if not worse, for you. We need to stay strong because there is someone out there who can make things better. I’m hoping you find a good PS for your revision. If you are considering fat transfer, make sure you find someone who has a lot of experience doing facial fat transfers and uses good technique.
Oh my goodness those are things that we wouldn't even think about. I would have never realized that fat covers the platsyma bands. Maybe that's why my bands are so prominent... I don't have enough fat in my neck. Stress and clenching my teeth don't help either. But, seriously though, your PS should have realized that taking out too much fat would accentuate your platsyma bands. This is part of his training and the reason he gets paid the big bucks. Also, if the indentions are truly scar tissue, as the surgeon says, then they should go away or at least shrink over time. Massaging that area will usually help expedite the process. I had some scar tissue under my chin from the surgery that I didn't think would ever go away. So, finally about 3 months post-op I started firmly massaging it with Vitamin E oil for about 5 minutes 2x a day, and within a few weeks it was almost flattened.
As for the refund request, let me know how that goes. When I went to my PS for the 3 months post-op and shared with him my concerns, he angrily said that he was NOT giving me any refunds (I hadn't even asked for one)and that his work was "perfect". He insisted that I looked "great" and my concerns were invalid and all in my head.
I am going to follow your lead and start reading reviews on fat transfers. I know absolutely NOTHING about this procedure. I had thought about using Sculptra because unlike fillers, they can use it in the hollows (where there's no bone). But, after I read a few bad reviews and saw pictures where people ended up with all these little lumps, I decided against the Sculptra. Besides that, it's quite expensive!

I am really anxious to hear how your PS responds to your request for a refund. You have to keep me posted. I am totally rooting for you. It's obvious that he screwed up, and he knows he crossed the line. But, will he be willing to own up to his shoddy work by issuing a refund, or at least a partial one? I hope he will put his ego aside and have the courage and compassion to help you find resolution. That's the sign of a good plastic surgeon... when they are willing to make what they did wrong, right.
I didn’t know anything about fat transfer until a couple of months ago when I had to start looking into the procedure. I didn’t know facial fat transfer was a thing. If you are considering facial fat transfer, make sure to find a surgeon who uses good technique and mixes PRP or stem cells with the grafted fat. Stem cells or PRP are supposed to increase the fat survival rate and improve skin tone. Also make sure the PS does many facial fat transfers and not boob/butt fat transfers.

I read some of the reviews on sculptra and it seems like most people initially enjoy their results and the lumps appear around the two year mark. This is pretty scary. I never considered fillers, not even the ones made of substances that are supposed to be found in our bodies, because at the end of the day, these are still foreign chemicals and I don’t feel comfortable injecting them into my body.

I will keep you posted about my refund request. Yes, even a 50% refund for the botched jawline lipo that I never asked for would help. The chin lipo did not turn out great but I signed up for it so I’ll accept the results. I may be jaded but I feel that many plastic surgeons don’t have the integrity or humility to admit fault. You have to update us on your revision quest. I am keeping you in my prayers and hope that it will be a success.
Thanks for the advice! I had no idea about the fat transfer or the PRP. This definitely sounds like a better option (although more expensive) than fillers or sculptra, But, at least you know what you're getting and the results last longer. So, in the long run, the fat transfer is a cheaper and less risky option. I have a consultation on the 24th so I am going to ask him about this. I will let you know what he says!
Firstly, you don't look horrible as you say. But yes, thing haven't gone exactly to plan either. I feel for you. I had something similar years ago. When I only wanted an eyelift and got talked into a coronal brow lift which left my eyebrows nearly 2.5 inches too high. To this day, I've never really understood how it happened.
But please note you are still very attractive.
You are too kind (: Thank you so much! I appreciate your reassurance. I had expectations (and not even overly high expectations) and they definitely weren't meant, not even close. I think my neck is the biggest disappointment because that's what bothered me the most. It looks worse than before. One of my brows is higher than the other, but not 2.5 inches higher like you experienced. That's quite drastic. Did you get.a refund or was the PS able to fix it?
I would say to have a medical malpractice lawyer try to help you get revisions paid for by another surgeon.
Thanks Intelligent! You are 100 percent correct! We have to slow down and be cautious, lest we end up in the same situation again! UGH- it's so hard though. I am a fixer so of course I want to fix myself, especially since I have to look in the mirror everyday and be reminded of my bad decision. It was definitely an impulsive one. Even though I interviewed at least 10 plastic surgeons over a span of 3 years, I think I sort of panicked at the last minute and in the midst of this COVID lockdown. This PS didn't even meet the "criteria" that I was looking for which included a doctor who used twilight (rather than general anesthesia), only kept the drains in for 24 hours, and who didn't require an overnight hospital stay. I made the decision based on emotions rather than logic. I will NOT do that again. But, I do have a consultation with a surgeon in a few weeks. The fact that he was booked up until the end of March is a good sign. I won't make any rash decision. I just want to meet with him and get his professional opinion. At this point, I don't have the money or the courage to go through it again.
As for your brows, have they relaxed over time or is one still significantly higher than the other? Have you tried botox to see if it would help balance the brows?
ORIGINAL POST

horrible!

My experience with Dr. Toledo was disastrous. I’ve made a lot of bad decisions in my life but choosing him for plastic surgery was by far one of my worst. In fact, even writing about the experience is difficult as it brings back a lot of bad memories and painful emotions.

I continually kick myself and question my own sanity for choosing a doctor who is so overtly rude, disrespectful, and arrogant. He told me on numerous occasions that he was the “best” PS in Dallas. And after the procedure, he totally ignored my concerns and told me that his work was “perfect” and that I should be happy that at least I didn’t end up with “nerve damage” like other plastic surgery patients. He literally yelled at me and said to “just go get a revision from someone”. His inflated ego, disregard for patients, and arrogant attitude is evidently well-known in the industry. Unfortunately, I didn’t find this out until after the surgery.

But, his poor reputation might explain why he has no waiting list. I was literally able to get a consultation on the same day and I had my choice of numerous surgery dates. His calendar was wide open.

Dr. Toledo’s office itself was straight from the 1980s. I felt like I walked into an episode of Miami Vice. The exam rooms weren’t any better. They were outdated, dark, musty, and windowless. The narrow hallways were empty. There were only 3 other people on staff: Esther the patient care coordinator, Sylvia the technician/assistant, and then another gal. The practice definitely wasn’t thriving and its HIPAA compliance seemed questionable. They literally forwarded me another patient’s email message that included personal information and several pictures of the patient. So much for confidentiality, right?

The procedure itself was horrible. When I arrived at the surgery center (which is attached to Dr. T's office) at 7 am they rushed me into the tiny consultation room where I was asked to put on the TED hose (that I had to purchase myself). In the middle of pulling up one of the stockings, the doctor arrived and then chaos ensued. It’s as though all the other staff members panic at his mere presence. He immediately insisted on taking some pictures (even though they had already taken some during my consultation) under a bright interrogation-type light. So with one stocking only halfway on I stumbled over to the “photo booth”. He ordered me into different poses and at one point became angry because I wasn’t “relaxing” my “eyebrows”. I kept trying, but evidently, my brows lift naturally. So he literally came over and pushed my brows down and held them there until right before his assistant snapped the photo.

After the pics, they gave me a cocktail of about 7 pills (I have no idea what they were) and started the anesthesia. The next thing I remember I was waking up in the cold recovery suite. It was merely another surgical room, with white floors, white walls, no windows, and painfully bright overhead fluorescent lights. I couldn’t move any part of my body. I was paralyzed, but yet shivering from the cold. I was also extremely nauseous. They had “forgotten” to affix the scaloppine patch (anti-nausea) prior to the surgery.

I laid there terrified by the fact that I couldn’t move and I couldn’t talk. This went on for over 12 hours. During that time I was extremely dehydrated. But, I couldn’t even lift my head or swallow so the nurse had to drip little drops of water into my mouth. I also began throwing-up but couldn’t lift my head. My young adult daughters came to see me later that day and were so horrified by my condition that one of them became nauseous and ran to the bathroom. The other begged the nurse to get me some help. I literally looked like I was dead.

The experience left all of us with symptoms of PTSD. We can barely talk about the memories, even writing about them has been difficult. And then to add to the trauma was the attitude of the doctor. I didn’t see him until the next morning at which time I was finally able to move some of my limbs, barely. But my head felt like the weight of a bowling ball. I could hardly lift it without feeling like my neck was going to collapse. But the nurse propped me up in the chair in preparation for the doctors arrival.

Dr. T demonstrated such a lack of regard or empathy that it makes my stomach churn thinking about it. He spent maybe 3 minutes with me and during that short time he didn’t ask how I was or how I was feeling. Instead, he insisted that I touch my neck to feel the smoothness. At this point, I could barely lift my arms. He became angry and grabbed my hand and pushed it towards my neck.

Once I left the surgical center my recovery progressed without any major issues. On day 7 the tech removed my stitches while Dr. T took a quick 2-second glimpse from the doorway. My drains were also removed that day. The drains ran under the skin horizontally across my eyebrows and then one ran across my neck. When they were removed, they left indentions and bulges. This is probably why most plastic surgeons today only leave the drains in for 24 hours.

Around week 3, I started getting horrible migraine-type pain underneath my eyebrows, in the exact location where the drain had left indentions. I’ve never had a migraine before so I can only assume this is what one feels like. I was nauseous, sensitive to light, and in pain. This lasted in varying degrees for several weeks. Tylenol didn’t seem to help and I can’t take pain medication because it makes me nauseous.

Towards the end of the second month, as my swelling began to subside, I started to feel regret. My face looked worse than before. My jowls, or the little pockets of fat next to my mouth, were still there and my neck was no longer smooth from the swelling. Instead, it was as wrinkled, if not more wrinkled than before. The horizontal lines were also definitely more prominent. My heart sank. These were my biggest areas of concern. And they were left unchanged. My forehead lift left my brows uneven. One brow was at least 1/2 inches higher than the other. And besides that, the winkles were returning to my forehead. My scalp still had several bald patches from where the incisions were made. And much to my dismay, it became apparent that Dr. T had also taken the fat from underneath my cheekbones, even though I was adamant about him not doing so.

I begin to have flashbacks from the consultation when he picked up a brochure from off the table and pointed to the model on the cover and said he was going to make my cheeks look like hers but “just not as anorexic”. I abruptly told him that the only place that I wanted fat removed was from the pockets right next to my mouth. Obviously, he ignored my wishes. And now here I am with hollowed-out cheeks that me look older than my age.

At 6 months post-surgery I look worse than I did before. My cheeks are hollow, my fat pockets next to my mouth are still there, my neck is still wrinkled but now looks deformed, and one eyebrow is higher than the other. I am still totally numb on the crown of my head and on my entire left ear. I also have huge indentions all over my scalp as a result of the sutures. And I now need Botox for forehead wrinkles despite having a forehead lift.

Every day is a day of regret. I am a single mom who saved up for years for this procedure. I knew that I would only get one shot at this. So, I chose someone who was more expensive than the other plastic surgeons because I thought he would give me the best results. But instead, he left me looking worse and feeling emotionally defeated and traumatized.

I don’t want anyone to feel the way I feel right now. This is why I, at the urging of others, have written this review. I would appreciate any input, suggestions, or guidance from readers. Please also let me know if you have any questions. I have compiled a long list of what to ask and what to look for in a plastic surgeon.

Replies (27)

This is a really sad story. Your surgeon has acted so unprofessionally towards you and your unhappiness with his lack of surgical skill. Maybe you could look into a teaching hospital for help-their charges are usually reasonable and lol procedures assisted by experience doctors. Best of luck.
Thank you so much for your comment and for your suggestion! That's actually a great idea. We have some great teaching hospitals here. So, I might explore that option.
Oh my gosh, I am so sorry for your bad experience with Dr. Ordon! That is horrible. He sounds like Dr. Toledo!
I am so sorry. That sounds horrible. I wish there was a way prospective patients could see where physicians had been reported to the medical board and/or sued.
You can actually go to the licensing board website for your state and locate the doctor. It will show any violations and/or whether or not they have had their license revoked. I did this before using Dr. Toledo and he was clean- no violations.
What a nightmare! I'm so sorry!! Can you please send me your list of questions to ask? Thank you so much!!
Here are are few red flags to watch out for as well as questions to ask:
1. Does the PS use drains and how long do these stay in post-surgery (many don't use them at all anymore, or at least not for more than 24 hours)
2. Does the PS use twilight anesthesia or general (many are now doing facelifts under twilight bc there are supposedly fewer risks, there is no tube stuck down your throat, you are breathing on your own, and the recovery is easier and faster)
3. If you are getting a brow/forehead lift ask specifically about the location of the incisions. I just assumed they would merely be along my hairline. In reality, they were also in 4-6 locations on top of my head, Each of these incision sites were approximately 1/2- 1 inch in length. And hair was lost (like bald) at each of those sites
4. Prior to the surgery and before you are sedated, will the PS draw/circle (with a sharpie) the areas of the face that will be worked on- this allows you to "see" the plan and make sure that you and the PS are on the same page.
5. When you go in for the consult and before choosing that particular PS make sure that they provide you with a detailed itemized list of every suggested procedure and price. Don't just assume that the "forehead lift" and "facelift" and "anesthesia" covers everything that was discussed in the consultation. If you discussed fat removal (even if they tell you that it is part of the facelift) make sure that it is listed separately on the list.
6. Ask if botox is included in the price of your forehead lift. I assumed that a forehead lift meant never having to get botox again. Wrong. After the procedure Dr. T mentioned that around 3 months post op he would need to give me botox (which wasn't included in the price) to "retrain my muscles". Sure enough, right around 4 months post op, my forehead wrinkles were back worse than ever.
7. Tour the surgical facilities prior to choosing the PS
8. Does the doctor incorporate laser treatments into the procedure?
9. Go to the state medical board website to see if any complaints have been made against this doctor
10. Ask for a list of medications that the PS prescribes to his/her facelift patients. Dr. T used all of the old school meds- probs the same ones he's been using for 30 years, just some antibiotic, hydrocodeine, and valium. I don't do medication very well, and especially not hydrocodeine. I would rather be in pain than have nausea. More modern surgeons are utilizing a number of newer medications that are proving more effective in healing and also in comfort. These include such meds as Gabapentin (for the nerve pain) and Celebrex (which is ibuprofen.... recent research has found ibuprofen does not increase the risk of post-surgical bleeding), as well as the Scopolamine patch (anti-nausea).
11. How does the Plastic surgeon provide comfort and care to the patients?
12. Look at the Plastic surgeons before and after pics. Are they in the same lighting, with the same amount of make-up and in the same head position?
13. Talk to real patients of this plastic surgeon. Do NOT depend on 5 star google or YELP reviews. Many of these reviews are fake and written by the staff.
14. Ask about the anesthesiologist! Who is he/she... what type of training, and check with the medical board for any complaints. When he/she calls the night before the pre-op does he/she ask about your weight, any issues with TMJ, medical issues, previous experience with anesthesia.
15. Who will be removing your stitches?
16. Who will be in the operating room ?
17. How many facelifts does he/she perform each year?
18. Does he/she provide his personal Cell Phone for emergencies
19. What if your'e unhappy with the procedure? What will he do to ensure your satisfaction?
20. Who and how will they wash your hair after the procedure. This seems like a silly question, but they washed mine afterwards (obviously I was still sedated) and my long hair ended up full of knots, almost to the point of dread locks.
21. Will they provide you with the TED hose (anti-embolism stockings) that are required for the surgery or do you have to go out and buy them yourself. This seems like a minor inconvenience but it was actually a pain because few stores had the "right" ones (thigh high) in my size. I've never had to buy my own before.

Stay Tuned, because I will add more red flags and questions to ask over the next few days...
Thank you so much (: I could definitely use a hug! The entire experience left me emotionally exhausted. But, I hope that by telling my story, others can avoid the same fate. I do NOT want anyone to go through this same ordeal.