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POSTED UNDER Breast Fat Transfer REVIEWS

Implant Removal with Fat Transfer - Huntington Beach, CA

ORIGINAL POST

I had my implants removed and replaced with a fat...

BellasFatTransReview
$9,000

I had my implants removed and replaced with a fat transfer on the 30th of April, 2012. I plan to update this throughout my journey. I'm not sure what to say about this, & I do not want to go into too much detail, or post pictures just yet, because I'm being told that I've not reached my final results. I will be updating my experience in great detail, and including pictures in the following months.

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Dr August Accetta

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Selecting this man to operate on me was the single worst decision I've ever made.

Replies (19)

September 14, 2012

Welcome to RealSelf!

Thank you for starting your review. I look forward to reading more about your process and results as you go through the healing process.  

Was it mentioned how long it will take to achieve the final results?

September 26, 2012
Hi Bellas! Thank you so much for your review. I hope you're doing well and getting many of the results that you are looking for! Your procedure is exactly what I'm researching - except that I've never had implants before. This would be my first procedure so I'm EXTRA nervous and want to make sure I'm doing the right thing. I wish you the very best and I really appreciate any feedback/criticisms/guidance/concerns that you may share - I would love to hear your story. Did you use BRAVA before your fat transfer? When is your doctor telling you to expect that you will have your final results. How did you find your doctor? Sorry for all of the questions! Thanks again!
March 15, 2013
Hi, I was not advised to use brava prior to my transfer, even though there are studies that show that using the brava device can result in 82% of the graft "taking" as opposed to the standard 50%. My dr did the transfer at the same time as the graft. I've been told by 3 experts in the field that they would not do this because to do so would (and did) compromise that fat graft. Dr A attempted to sell me PRP injections to "revitalize" the fat. I told him that he was nuts if he thought I was giving him another dime. When I told him I was going to get the injections for free or I was going to post pics of my results he gave them to me for free. The injections helped to tighten the skin, but they did not revitalize the fat as he claimed they would. If this dr offered a free transfer to me I would not take it. I would not let him put his hands on me again. 10 months later I have pencil eraser sized scars in ten places that are dark purple and indented (from the lipo). He did not sew the lipo site shut. He just left it open to scar. There are embarrassing contour irregularities on both thighs. I'm back at square one and looking for another dr to fix his mistakes.
March 15, 2013
Bella, I am very sorry this happened to you. I have experience horrific medical care from several docs (not for this procedure) but I know what you are feeling. I am scheduled for 4/11. I was so worried about doctors that I found a girl on line who went to this doc & asked to meet her to see the results in person & her scars, etc b/c I was so afraid. I also found a girl who created her own web page called project alice. You could google it. I considered going to her doctor in MN but so far & so I decided to stay here in MD. The girl here & the girl in MN as well as some ladies on here have had some good results at almost 1 year now so I am hopeful. This is definitely an emerging procedure but you are right that I think the most important piece is the quality of care of the doctor. Have you talked to Lauren Greenberg? I spoke to her on a phone interview & she is in CA where you are? She seemed like a real straight shooter, has training from Roger Khouri and knew alot about Brava but too far for me to go. Have you read Beagle Baby's post? She had implants and her doc had her wait 6 mths to heal after removing them before beginning Brava. I had read about your doc in my research & he has some really, really bad reviews. I am very sorry for this. I truly feel your anguish after experiencing more than one bad doctor in my life & having them alter my life against my will.
March 16, 2013
I am considering Dr. Greenberg and Dr. Placik at this point, but I will be looking into other drs as well. I would like to stay in California, but the most important thing to me is to get a good result, so I'm willing to travel. Thank you for the research pointers, I will definitely look into them. I hope you have a great outcome: fingers crossed for you!!
March 16, 2013
Thanks for saying that Bella! As I sit here in my Brava bra looking like Dolly Parton, I sure hope so! I hope you find a new doctor that is good. Let us know who you choose and I am feeling hopeful that you will have a better outcome this time. Maybe you could see if anyone posted reviews for the fat transfer, email them and see if you could ask them alot of questions & then meet them. That's what I did, crazy as it sounds, I drove an hour to meet the girl who posted a review for the only doc that does this in MD. We met at a Starbucks, talked for 2 hours & then she showed me everything, breasts, lipo scars, etc... My friends were all teasing me & saying if she says to go to her house, run as she may be a murderer! LOL I told her that and we were cracking up. But, she is like me, this is a newer procedure and women need to support each other and educate one another. I think we provide a better education than the doctors do. When I had my bad medical exp prior, I was in pain for 8 mths & had gone to 9 docs. Not one could help. Do you know how I got better? By researching what I had on forums. I found the answer on a FORUM!!! After 9 docs! It completely cured my pain. So, I am sending you TONS of luck for a better experience this time!!!!!!! :_)
March 16, 2013
I love the support we get here!!
September 26, 2012
Hi, I did not use BRAVA before my procedure, and I'm not very happy with my results as of right now. My doctor has been working with me to improve my results though. He gave me injections of platelet rich plasma to restimulate the fat cells, and I'm using a breast suction device similar to BRAVA at the moment. My fingers are crossed that it turns out well. After the injections, my breasts do look better than they did before, so I'm hoping that they continue to improve. I will update more when I have more conclusive results.
September 27, 2012
Oh no! I'm so sorry to hear!!! I am happy to here that your doctor is sticking with it to get it fixed. What is your doctors theory of the reason for the problem, if you don't mind me asking. Thanks so much for sharing your experience. I really hope you achieve the results you are looking for!!!
September 27, 2012
I meant hear - sorry I am typing on my cell phone. Can I also ask if you're doctor is charging you to fix it? Did the fat just not survive or did he not put enough in do you think? Is he saying that a second procedure would help? I'm so sorry that it's a difficult process! I want to avoid implants so fat transfer just seems like such a natural solution but I guess the procedure is very new.
September 30, 2012
My doctor did not charge me for the PRP, and I'm starting to see improvements. More in my review.
October 8, 2012
It sounds like you have a very caring doctor. I hope you achieve the results that you desire! Please keep us updated! Best wishes!!
December 2, 2012
Hi Bellas - Have you had any better results?
December 2, 2012
No, I haven't. The fat did not stay. The Dr's claim that the PRP would "revitalize" the fat did not hold water. He initially tried to charge me for the PRP, and when I refused to pay and demanded that he correct the problem or I was going to post a review of my experience he then offered it for free. I have horrible scars from the lipo. They are the size of pencil erasers. I'm not even sure I would return to this Dr. again, even for another free fat transfer. Why? So I can have additional scars and no results? No thanks.
December 4, 2012
Oh my goodness - I'm SO sorry!!! I think a lot of doctors are doing this procedure without proper training. I'm so so sorry for your bad experience. I hope this doctor isn't advertising his services as a fat transfer expert. Thank you for saving others (hopefully) from his bad practices. Good luck with everything!
December 4, 2012
Oh, he is advertising himself as an expert alright. He made all kinds of claims to get me on the operating table. He told me that at least 200ccs of the 250ccs that he transferred would stay. LOL!
December 4, 2012
I'm so sorry! You wouldn't believe what I've heard from the doctors I've met with while I've been researching this procedure. It's scary. Most positive online reviews have come from people with only one post...fishy. I really hope you get what you're looking for. I know it's common sense to just be happy with what God gave us but...my thighs aren't cooperating with that thought process. lol.

I believe this is a good procedure in the right...

BellasFatTransReview
I believe this is a good procedure in the right hands. I am currently seeking another surgeon to try this again, but I would absolutely not return to this Dr. Many of the doctors I've spoken with have told me that they would not remove my implants and perform a transfer at the same time due to the fact that they feel the delicate fat graft would be compromised. My results initially looked very good, but within 6 months the fat disappeared and I am now left with deflated, shriveled breasts. The office was very disorganized. They forgot to tell me that I needed to buy a Noogleberry breast device (similar to a Brava bra). There was never a follow up call to see how I was doing. My scars are very dark still, and are as big around as a pencil eraser. The liposuction sites are uneven, and you can see the panels where the fat was removed. The cup and a half I gained that took me up to a C is now gone, and I am a shriveled A cup. I would not consider returning to this Dr if he was willing to perform another transfer for free, because the outcome of this first transfer was so extremely disappointing, and I would not want to deal with dark and disfiguring scars all for no result. I also have 4 large lumps in my left breast which were not there. I have been told that these are cysts. I've never had a history of lumps in my breast.

Replies (25)

March 20, 2013
I am so sorry to read of you results from fat transfer. I too had implants, and had them removed july 2012 and my ps said to wait and let the breasts heal for 6 month before he would even consider doing anything else. I wore a compression sports bar for at least 12 weeks, by my 6 month point the breast didn't look to bad. I had asymmetrical breast before implants so once the implants were out naturally they were asymmetrical. The smaller breast sunk in on the top, you can look at my pics on my post.I just had my fat transfer on March 15th after wearing brava for 6 weeks, I will have 3 more weeks to wear it now since the transfer is done. I think they look pretty good. My ps said that you can expect to to retain anywhere from 50% if you are doing regular fat grafting. When using the brava along as everything coperates you can reatain up to 90%. Would like to know how you are doing now and if you have found another ps to hopefully do the procedure properly.
March 22, 2013
The skin has eventually tightened up quite a bit more from the pics, so they look much better now. I don't look 60...I would say my breasts look like a 40 year old. I'm only 27, so that's depressing. Thank goodness I have good elasticity. I'll post new pics soon to show that they have indeed tightened up. I can't wait to see your final results!! Thanks so much for keeping us all updated!
March 22, 2013
Bella, I am glad to hear they look somewhat better. I really am hopeful because sometimes it takes more than one transfer (although I do think you need a new doc). I am 46 so I hear ya about being 27 and not wanting to look 40. I wish I looked 27! LOL Aging is NOT a lovely process so you don't want to do it any sooner than necessary. If you get a chance, look at my docs website and go to the last girl on fat transfer/breasts. There are also pics on real self under my docs name. The last girl is the girl I met in person. She is 28 (close to your age). Her caption says she had 2 transfers and used Brava in between. What do you think of her results at one year out? Interestingly, she looks even better in person. Like I told her that I was so glad I met her because in the one photo, the breasts look long from the side, in person, not at all. The photos look good but do not do the real results justice. When you get time, post the new tightened 40 year old boobs, LOL!
March 22, 2013
It has been difficult. I've stopped even considering dating. They look better but the nodules and fat cysts are embarrassing to me and I'd not want anyone to see them. I'll take some pics this afternoon!
March 22, 2013
Oh, this makes me sad. I am sure a guy is not going to not want to be with you because of that. But, I understand what you are saying. It is understandable that you feel self conscious. Hopefully you will get it fixed soon and with more fat the nodules & cysts will not be noticeable.
March 22, 2013
I hope so! New pics are up :)
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April 2, 2013
My Dr. said that I could retain anywhere from 40% If I did regular fat grafting and that it's better to come back for another graft than to get the BRAVA, because in my country BRAVA would cost as much as the surgery itself if not more! anesthesiologist included , so if I did go twice I would actually save money time and energy, he also said I might not even need the second time and that it depends on each person.
April 2, 2013
Hi Rockstar!!  Welcome to the forum & I LOVE your forum log in name, LOL!! Yes, 40-50% is about right for a transfer without Brava.  My friend who used my doc did her first transfer without Brava and kept about 50%.  If it is easier and cheaper just to do 2 transfers, go for it!!  Please post a blog with pics so we can support you & follow your journey.  Join us in documenting long term research on real self by posting updates over the years since there is such little long term research on FT to breasts.  Think of your fellow younger women who will want to know, does this last in 20 years?  ( I think of my 4 & 6 year old nieces who I want to have options other than implants).  I am their long term research project!!  Who knows maybe they'll both have perfect C cups! LOL
April 2, 2013
That is very interesting. Where are you from? It would be great for you to share your story. In my case, I don't feel that even 40% was retained, so this is a very technique dependent technology.
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April 2, 2013
Thank u for ur sweet warm welcome, and yes its definitely easier and cheaper to do two in my country I Live in Egypt, 1 dollar equals 7.6 of my currency BRAVA without taxes is 7500 of my currency with taxes its around 9000 the whole procedure here costs 8000 :) so i would save 2000 pounds. Also I cant post pictures due to religious and cultural reasons , but I can post my previous cup size and recovery and etc when I do decide to go for it, am still saving money for it :) I am a full 34B Would like to go up to a full C My Dr. said its possible to do that in one go, if my breast retains 50% of that fat , he also said since I am 5'11 broad shouldered big built etc that a D or DD would compliment my figure better, and he said it's possible with two grafts, he also said that if I do wear the BRAVA device that I could go up to a small 34D in one go but never to a DD.
April 3, 2013
Gotcha.  Well even if you do something distant like your photo near your name it will get you to the top of the forum better so we can see you or with clothes, etc..Just something to consider. Best of luck, keep us posted!
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April 3, 2013
I think I can put a pic wearing tightly fitted garments and no bra i guess! and I will keep u posted and stay posted to ur posts :)
March 22, 2013
Hi Bella, Did you decide who to go with for the redo?
March 22, 2013
I haven't decided to go with anyone just yet. I'll be very interested to see the outcome of some of the ladies on here. I am very interested in Dr. Del Vecchio in Boston. His before and afters are impressive. I was leaning towards Dr. Placik for a little while, but I got an email back from him that it would be $250 just to talk to him for a consultation. I want to consult with several doctors before I make a final call, and if they all charged that much it would be ridiculous, so I'm not going to bother consulting with him. How ridiculous is that? I don't understand why a consult wouldn't be free. I may well have gone with him if I'd liked him after an initial consult, but now I'll never know. It's arrogant, if you ask me.
March 22, 2013
That makes perfect sense, don't blame you one bit. Although, I know people say Del Vechhio is good ( & I have no idea), he has BAD reviews on line. I take bad reviews seriously if there are alot and if they are about technique. I say this because the malpractice that was commited to me in the past was with a doctor who later had terrible reviews and lost his medical license after multiple charges. Just something to consider. I know it is hard to find any docs with perfect reviews but just consider. My doc had a couple reviews for being "rude", etc back in 2011 but those I did not consider as serious as reviews about technique. So, read exactly what they say.
March 22, 2013
Thank you! I will definitely check him out more thoroughly.
March 22, 2013
I just did some research into Dr. D. You're right!! I would not go near that man. Hmmm...back to the drawing board I guess. I think I may just end up saving up for Dr. Khouri. Then I know I will at least be in good hands.
June 7, 2013
Stay far, far away from Del Vecchio. His pictures are magnificent but many of his positive reviews are written by the same person (rumour has it a member of his staff). He was dishonest with me, and never returned my calls. He has also been removed from the fat grafting study being run by Dr. Khouri so there is some kind of story there for sure. Feel free to IM me or check out my page for a great experience I had woth Hartog.
June 7, 2013
Here Here Amelia, I am so glad I was unable to go through with his office (I should have LISTENED to your salient advice from the get go). He was strange from the beginning but I just blames that on snotty attitude and too much Ive League action. I have now come to believe that he is "squirrelly" for other much less savory reasons.
June 7, 2013
Hartog! Hartog! Hartog!
June 7, 2013
I will not be able to comment on my final results for some months. But from a cost perspective. Dr. Hartog is well respected and works with Khouri and cahreges ( on average $4,000 least) It depends on what you need. Khouri's fee is 13,500 as his base point and increases per your specific needs.
July 17, 2016
I had a fat transfer on Jan 7, 2016. For 3 months the fat was doing fine, however 4 weeks after I started using the "Enhancement Breast Enlargement System" I started forming lumps and fat necrosis like you have. My surgeon had told me I didn't need any of these devices as my skin was already stretched from when I had the implants. I got the device anyway and used it. Should have listened to her. I know the device caused all the lumps. I told my surgeon and she was able to remove the large lumps and break up the rest. She removed 100 cc of fat from each breast and then filled them again with fresh fat (150cc). I'm 10 days out right now and hoping the fat will be ok. My breasts still feel stiff because they are not completely healed yet so I'm hoping the stiffness will turn into softness over time. My transfer was after removal of silicone implants after a mastectomy 12 years ago.
July 17, 2016
Who was your surgeon, please? And price? thx
July 27, 2016
I disagree. I never used the device and have fat necrosis and lumps. Painful ones and hard ones etc.
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December 11, 2016
My surgeon said it may take up to three times of fat transfer to get it right because you lose up to 70% of the fat. Those probably aren't cysts, just part of the healing. I have them too.

So, it has been 11 months since my procedure. I...

BellasFatTransReview
So, it has been 11 months since my procedure. I would venture to say that ALL of the fat (except for the lumps of fat necrosis) have left my body. My breasts actually look smaller than they did prior to augmentation. I would not let this doctor near me to "correct" a mistake, because I do not trust his competence to do so. Please, take my advice and stay away from him. I foolishly believed his hype. He is a great salesman. At the time when I went to see him there were not reviews about his fat transfer, but now there are, thank goodness. I hope that this effectively deters anyone from become his patient. This has been a nightmare.

Replies (22)

March 22, 2013
Bella, Thank you for sharing. I know you are upset so I don't want to minimize how you feel. But, I really think that your 11 month photos look nice! My husband does too! I have showed him 9 million boob pics at this point and he says your 11 month out photos are in the top 5%. ( so not to be weird but just to give you a man's point of view since you are worried about dating) I can only see the one liposuction scar so I am not sure how they all look. Why do you have 10 scars on each leg? Is that what you are saying? I can't see your face but you look like a beautiful girl!! I am very honest so believe me that I am telling the truth.
March 23, 2013
There are ten total lipo scars on my upper thighs. I don't know why there are so many-- I just came out of surgery with them there. In time I know they will fade but it's such a pain in the meanwhile. Thank you for your thoughts! It does make me feel better
March 23, 2013
Yeh, that is just not right. When I saw my friend's legs, shw only has 1 mark on each leg. Your doc was not a nice guy. Are you using a scar gel? My dermatologist said Scarguard is the best.
March 23, 2013
Bella, I think your11 month pics looks really good. Like amelia girl I have showed my hubby a million boob pic and he says they don't look bad at all. So now you have 2 of our hubbys giving a thumbs up.
March 25, 2013
In My Experience With The Fat Transfer Has Been Hell. I Wish We Never Did It. We Wanted To Do This Versus Implants Because We Thought It Was Good Good What Ever Happend. My Fat My Body What Could Go Wrong. Boy We Were Wrong. We Kept Going Back To The Same Doc. Over And Over And Over Again With No Cure. We Decided To See A Breast Cancer Specialist, Biopsy, Center Of Disease Control Alot Of Money, Time, Hearthache, Pain And Still Going Thru This. Wish We Never Did It In The First Place. I Love My Wife Just The Way She Is And Was. We Live In The Dallas Fort Worth Area.
March 25, 2013
I am so sorry that your wife had such a bad experience with the fat transfer. All surgical procedures have their pros and cons, and in "capiable experienced hands" i think fat transfer can be a wonderful alternative to implants. I will keep her in my prayers.
March 25, 2013
I'm so sorry you've gone through this. Who was your dr if you don't mind me asking?
March 28, 2013
Thank you for your review. I was considering dr accetta for my fat transfer. I'm from NYC and had a phone interview with him. He was nice and his staff was too but after I read a couple of bad review on Yelp, I decided to wait. Thank you for your review. Now I know he is a great salesman but not a great doc.
March 28, 2013
I'm so glad you found this review. I can't go back in time and change my decision to allow him to leave me scarred and with lumpy breast, but at least I can prevent others from doing the same. He needs to go back to gynecology. That man is NOT a plastic surgeon and has no business performing this procedure.
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April 2, 2013
I am so sorry for you bella, I am ur age and i cant even imagine what your going through, thank u for sharing ur story, it takes alot of strength to do so. I hope that all of this would be over for u soon.