Horrible! I don’t want anyone to feel the way I feel right now.
Looking worse each day
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 They were outdated, dark, musty, and windowless.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)
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...


Replies (18)
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 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 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.
But please note you are still very attractive.
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?