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A Close Encounter of the Botched Kind: My Fat Transfer Disaster.

UPDATED FROM LivingOnVideo
5 years post

The jaw implants are finally out.

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LivingOnVideo
$2,000
I had the surgery this morning. Everything went good. I know I started off this review expressing regret over the fat transfer but it kind of morphed into a story about my jaw implant removal journey. I'm just writing this because I know there is at least one person out there who can glean some useful information from this. I also want to document it so I can revisit it years from now. It's good to reflect on things. But yea, this last month has been a mess. I initially went in on August 22nd to have them removed but they cancelled when they put me on the operating table because my heart rate was too high. They told me I had to get cardiac clearance form a cardiologist before I could reschedule. I admit I felt destroyed emotionally after that happened. I waited so long to have them removed. I thought what happened on August 22nd was proof that I was stuck with the implants for life. I have a tendency to make mountains out of molehills and I never thought it would be possible to get the surgery after that. I was about to give up but I decided to fight it. If it was anything else I probably would have. But I knew I couldn't let this go. I had to get them removed. It was now or never. The doctor is getting older and he very well could retire soon and that only made my desperation to remove them greater. Because I doubt any other surgeon would touch it. Anyways, I went to a cardiologist and got an echo-cardiogram on August 28th and everything was fine and I was able to reschedule the surgery to today and have them removed. I'm really swollen, my throat hurts and I'm a bit nauseous but I'm so glad that the implants are out of my face. The doctor said one of the screws that were used to fixate the implant into place started corroding. He said the surgery was very invasive and traumatic to my body because the implants had grown into my bone given the material it consisted of. It was made of a porous polyethylene wafer like material and not hard silicone. The one thing that disturbed me was him telling me the screws were corroded. That is very unsettling. I honestly never knew they put screws in. What would have happened if I kept them in longer? It reminded me of the tin-man from Wizard of Oz. And honestly that's what it felt like at times. It felt like my jaw would tighten up at times and I got moderate pain from them daily. That was my fear. I was afraid that the material, over time, would keep losing it's integrity and I would be presented with more problems and pain the longer I kept them in. I feel a ton of relief knowing I won't have to confront that possibility anymore. I'm just really excited for what the future holds. I haven't felt this way in a long time. I've been playing "Dreaming" by Blondie on a loop ever since I got home. I actually cried happy tears earlier. I think this is the dawn of a new era for me. A better one. These last few years have been so hard for me. You know they say life has "ups and downs" but honestly I would get depressed when people said that because ever since late 2016 it just had down moments. But I can now see the rays of light beginning to peak through the dark clouds and I can feel the warmth of the sun on my skin and it feels great. I think brighter days are just ahead. Getting these jaw implants out of my face was really symbolic in that I truly feel like it was the closing of one chapter and the beginning of another.

LivingOnVideo's provider

David A. Altamira, MD

David A. Altamira, MD

Board Certified Plastic Surgeon

LivingOnVideo

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Replies (5)

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September 13, 2019
The main thing I don't like about surgery is the anesthesia, both the administration and recovery of it. I'm sure if I wasn't so afraid I might actually enjoy them giving it to me. You basically just get really drowsy, your eyes start rolling back in your head and you get sent into a reversible coma. Your mind goes into hibernation. That isn't bad at all but...I get pretty scared thinking I'm going to experience some rare complication like "anesthesia awareness" that it completely ruins it for me. My biggest phobia is being paralyzed but awake and unable to communicate to the surgical team that I'm feeling every poke and prod. What a horrible nightmare that would be. I've never had a bad reaction to anesthesia but that never puts my mind at rest. It actually makes it worse. I assume I'm just increasing the odds that it happens the more times I go under. The fear is really paralyzing but I force myself to confront my fears regardless. I also don't like recovery. I'm always afraid I might say something stupid or insult the doctor or nurses as they wheel me off into the recovery area. How embarrassing later on would that be? And then of course there's the actual physical pain and nausea from the surgery itself. I remember my jaws and throat were hurting so bad and I asked for a barf bag because it felt like I was going to vomit. Even though we didn't leave the surgery center until after 6:00pm, it was still really hot outside and once that heat hit me I felt myself breaking out in hives. I had them put the air conditioner on full blast for the whole 50 minute ride home. We also go stuck in traffic. That part is the worst. After the first night I usually feel a lot better. It's almost 4:00AM and I'm already feeling better. My body seems like it's healing quick.
September 29, 2019
I done accutite on my botched face, dm me if u want and I talk to u and show u photos. It helped a lot but I need more. A small I was severely deformed.
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October 6, 2019
Nah, there's no way I'm going to another plastic surgeon again. I don't like any of them. I don't even have a positive opinion about the guy that took out my jaw implants, Dr. Norris. I'm glad he agreed to remove them but...he was the one that thought it was a good idea to put them in to begin with. He was part of the problem too. I'm just glad I'm on the other side now. I get to roll my eyes everytime I see a commercial advertising plastic surgery. I just wish that was always the case. I wish none of this happened. I understand now that it was a long series of events that lead me to get plastic surgery and if just one thing was different maybe none of it would have happened, but it did. I don't know what triggered my obsession with changing my appearance but I can trace it back to early 2013. I don't know what happened but I came to a fork in the road and went the wrong way. It's as simple as that. But I can't blame me for getting surgery because I honestly thought it was a good idea. I thought I was really on to something. And I remember just being focused on the quantity and not necessarily the quality of the procedures. I thought there was a magical number of surgeries I needed to finally feel better. That was my downfall. And I always tell myself...even if I was able to reverse every surgery I had and go back to how I used to look 100%...I still wouldn't be happy knowing I wasted all that money on nothing. It's probably a good thing I don't have money though. I always say that winning the lottery would be the worst thing that could happen to me. I mean, look at what I did with just 40,000 dollars. It almost ruined my life. I'm moving on though...I still have some residual regret that I'm dealing with but I think that will fade. I'm starting to feel better. I look more like my old self now that I had those awful jaw implants taken out.
October 6, 2019
God bless you ♥️
November 14, 2019
Glad you were able to get them removed. How is the recovery going still physically and emotionally?
December 8, 2019
Yes - how are you doing now?
August 16, 2020
I had jaw implants put in in 2015 also and contemplating getting them removed, but also worried about major loss of volume/skin sagging after removal, since basically a giant support structure is being removed from the face. Did you experience this at all?
UPDATED FROM LivingOnVideo
5 years post

Here comes the spiraling depression once again.

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LivingOnVideo
I can complain and write down everything that upsets and depresses me and it would be so long that it would rival the Library of Babel. But for the sake of computational power (I don't think FakeSelf can support that much memory) I will try to keep this installment of "my life is a commode" short. I was scheduled to have surgery today. I was going to remove the jaw implants that I have had in my face since 2015. The reason why I was removing them is because they have been causing me significant pain. That reason alone is enough to make me want to remove them but it's not just that. I think it makes my face look fat and aged me considerably. So I was pretty happy that the implants were finally going to be removed today. I was really happy this morning and felt the liveliest I have felt in a long time. I was looking forward to this day for a very long time. I arrived at the surgery center this morning thinking everything was going to go smoothly. They called me back pretty early, around 10:45am. The surgery was scheduled to take place at 12:30. Well I was stuck laying in a gurney that I was sliding off of for 3 hours before they finally wheeled me into the operating room. I have no idea why. But that's a given. That didn't surprise me at all. It's to be expected that everything that can go wrong, will go wrong and you are going to be met with delays and obstacles every second of your life. That's why I don't have a job anymore and I'm a bum. It's less stressful. Keep your expectations low and don't get your hopes up about anything...especially in relationships. That's my advice. Anyways...they wheel me back into the operating room. I was nervous but it was a good nervous. They transferred me from the gurney to the operating table. They hooked me up to something and instantly an alarm sounded. Apparently my heart-rate was too high and they declined to operate on me right then and there as it would be "too dangerous". Honestly...I don't care if I pass away on the operating table so it's not dangerous to me but...of course they couldn't proceed with the surgery and before you know it I was out of the hospital gown and walking out of the hospital a few minutes later after having to wait 5 hours for NOTHING. I just can't believe that happened. It looks like I will be stuck with these implants for life. I'm stuck with this muzzle for life. They recommended I go to a cardiologist and have them clear me for surgery before they can reschedule. Honey, I ain't doing that. It's too much work and I'm lazy AF. It's not like I could anyways because it's impossible to have healthcare in this country. Basically health insurance is a status symbol. Long gone are the days that a car-phone is proof that you "made it" in life...it's all about health insurance now and rubbing it in the faces of the uninsured. Welcome to 2019. Too bad it ain't 1981 anymore. Anyways...I told them the only way I will go to a cardiologist is if it's completely free and they reimburse me for gas before I added that Vietnam has better healthcare than America. Honestly...the whole ordeal was just really shady. I felt like they didn't want to operate on me and they were really quick to tell me that it wasn't safe to proceed with surgery. I tried telling them it was probably just nerves but they didn't care. The doctor had his stuff packed and ready to go and was walking out the door about the same time I was. He almost looked relieved that he didn't have to do another surgery and could go home. This is horrible. I'm...not doing anything with my life anymore. I think I already made that clear before but...this is just one more thing I can complain about. It just gives me one more excuse to give up. I just can't handle disappointment well. This will probably send me into a spiraling depression that could last for months. That is until I find myself waking up one cold, depressing morning next February 100 pounds later deciding I need to go on another starvation diet. I have a lot to look forward too. I just can't believe this happened to me. Why is this happening? I'm so sick of people telling me "life has up's and down's", "everything happens for a reason", blah blah blah. Yea...for the last 20 years apparently. I didn't ask for any of this misery. I never asked to be born. If given the choice I think I would have passed up on the opportunity because this world is one big toilet. It's not that I have a bleak view of the world...I just have a realistic view. And I got cheated on and had it rubbed in my face.

Replies (5)

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August 23, 2019
Honestly if it wasn't for the 80s I wouldn't have anything. That's all I have left. It's not a bad thing to have but it is still pretty sad. It's the only thing I find solace in at this point. I'm obsessed with 80s movies and music to the point where it's unhealthy at times.
August 24, 2019
I just want to tell you that you don't look as bad as you think you do. You should stop comparing yourself to everyone else. You have value just as you are. If you need work, I recommend a state job. State employees get free health insurance and other benefits. Best of luck with your health.
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August 24, 2019
Thank you. I think maybe I will just keep them in. If it's going to be this hard to take them out then it's not even worth it. I'm still in shock at what happened though. I never thought they would cancel surgery at the last minute like that.
August 25, 2019
I've been following your story and hoping this would help, I can't believe they just cancelled last minute, that is sooo upsetting. Clearly this was the wrong doctor, there must be someone else who can help :(
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August 26, 2019
Yea it was really depressing to say the least. I wasted 5 weeks for nothing. I got that far just for them to cancel moments before giving me anesthesia. I'm not surprised it happened though. Everything I do ends in failure. That's why I don't do anything.
August 26, 2019
I feel you, it's like nothing can turn out right no matter how much you deserve it. Take a break but don't give up - there has to be another doctor out there that can help.
December 14, 2021
I know this post is two years old but you need therapy not plastic surgery. If I were the surgeon and you told me you didn't care if you died on the table because you were so miserable I'd immediately cancel with you, too. This is a hazard that shows you may not be of sound mind and aren't making good choices. Wanting to get implants that are hurting you removed is a valid reason for surgery, but the fact that you are so singularly focused on this problem as a reason for your depression is also concerning. You don't look that different from a lot of 30 year olds out there. Have you considered you may have body dysmorphia? Starving yourself in order to lose weight is also a red flag. I hope you get some help.
UPDATED FROM LivingOnVideo
5 years post

Long-term fat transfer results

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LivingOnVideo
This is what I'm still dealing with. I have fat bags in my lower cheeks that look weird when I smile. It looks bad when I tilt my head down as well...even slightly. One side has more fat and it weighs down my lips which results in my mouth looking crooked.

Replies (5)

August 2, 2019
That doesnt look like a fat bag. It actually looks more like fat atrophy and the skin is drooping because theres no fat to support it...have you thought about trying implants? That is what I'm looking into now. I'm thinking of talking with p.s's in a hospital setting more so than a private practice simply because I feel they may approach it more ethically and may even be better trained.
August 2, 2019
Ask about extended orbital rim implants with possible mini lift. Ive done alot of research and yours and my situation seem to be very similar...
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August 3, 2019
Orbital Rim Implants? I would never. Like I said, I've had a pretty bad experience with plastic surgery and I won't go there again. The only surgery I'm having now is surgery to reverse what I already had done. I have surgery scheduled on August 22nd to have my jaw implants taken out. I have had them for many years. I will admit I am pretty scared but I need them to be removed because I have been getting a lot of pain from them. It's usually just feelings of pressure and zaps of pain underneath and around the implants.
August 6, 2019
Mmm..i somewhat thought of doing a chin implant also but not sure now. My face did the same as yours but mine was after filler which is why I researched fat grafting but the reveiws are so mixed on here and I can't tell which are real sometimes or not...and then I worry that maybe it isn't the fat so much as my skin . that why I was thinking orbital/ cheek implants but I don't know..one doc says fat but don't do implants and the other says the exact opposite. I just don't understand how they can be polar opposite like that
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August 11, 2019
In your case I'd suggest having a few more consults since you have two docs recommending different treatments. It might help you decide which is better for you if the surgeons suggest one approach more than the other.
August 20, 2019
Depends entirely on the skill of the surgeon. Lots of plastic surgeons (I'd say a majority) don't have the necessary experience with fat grafting, which is a highly specialised procedure. I believe this is why there are so many mixed reviews, namely from less experienced doctors who do it anyway and then mess up. If it was the procedure itself and not the practioner that made it risky and unpredictable, there wouldn't be doctors revolving their entire practice around fat grafting, doing several per week without ever having any complications.

From experience surgeons have a really hard time admitting their own shortcomings, and will rather advice against a procedure and point you towards one they can do, rather than admitting that the procedure can be benefitial, but is out of their range. Sometimes they'll do it anyway, despite the lack of experience.

This is why you can get very confusing answers. When a plastic surgeon says "it can't be done" it means they can't do it, not that nobody can do it. Never seen a PS admit that they have limitations, and recommend a different, more skilled surgeon. Never.
August 11, 2019
I had a bad fat transfer 20 years ago. I looked like a chipmunk. Mesotherapy took the fat away. It took awhile but it worked.
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September 4, 2019
How long did it take? Did it permanently go away? I scheduled an appointment tomorrow to see about getting mesotherapy.