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POSTED UNDER Breast Fat Transfer REVIEWS

Roger Khouri Review of Miami Breast Center Fat Transfer to Breast Surgery 4 Years After - Miami, FL

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WHY I AM WRITING THIS REVIEW OF MIAMI BREAST...

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Christielovescats
WORTH IT$15,000
WHY I AM WRITING THIS REVIEW OF MIAMI BREAST CENTER
It’s been more than four years since my procedure at Miami Breast Center by Doc Roger Khouri. I never got around to sharing my experience, because I was waiting to heal completely and then life just got in the way (I had a toddler at the time). But a friend recently had a terrible experience with her breast implants. She had breast surgery somewhere here in Miami FL and it reminded me how lucky I was to have found Khouri.
Also, since my breast surgery, there have been times where the staff at Miami Breast have asked me to share my experience with other women who are considering a transfer to the breast procedure with Roger Khouri. I’ve spoken to about 4-5 women and shared my fat transfer experience with them, in a lot of detail and answered their questions as best as I could. I realize that many are in the same shoes I once was: scared. This also motivated me to post my review of the Breast Center Miami.
More women need to know about this wonderful option of enlarging your breasts with your own fat.
MY HISTORY: A CUP, DEFLATED AFTER BREAST FEEDING
When I saw Doc Roger Khouri, I was a mere A cup and after breast feeding for one year, I had the typical deflated breast that many mothers experience. I’m a little embarrassed to say that it was my husband who actually scheduled the appointment here in Miami for me. I wanted to make my husband happy, although some women may not agree with that. Every other women you see in Miami fl has had something ‘done’. But I was scared. I’ve always been a scaredy cat.
My appearance bothered me. I always had a small bust but I didn’t obsess over it. I felt small and slightly uncomfortable in the presence of a woman blessed with larger breasts. I would have probably just lived with small, deflated, A-size breasts forever because I’m not a vain person. However, I did love the appearance of my breasts while I was nursing and they were engorged with breast milk.
Although my husband was the one who pushed me to see Roger Khouri, it was my decision to commit to the process. And it sure made a lot of sense to do fat transfer to breast instead of implants. It was not an easy decision but after everything I am very happy I went through with it. And I would do it again.
WHY I CHOSE ROGER KHOURI AT MIAMI BREAST CENTER
I live here in Miami FL so having it done locally at Miami Breast made a lot of sense for me. What convinced me was the fact that I would never have to do another surgery again. With breast implants, for sure I’d have to have other breast surgeries in the future, to replace the implants or in the worst case scenario, to correct any issues. The fat transfer to the breast was permanent and would not require other surgeries. And as I mentioned, I am a scaredy cat. I did not want to think of another possible breast surgery.
When I met with Roger Khouri at the Miami Breast Center he was very nice and caring. He spoke very passionately about his technique. He explained what he does and why he does it this way in much detail. Khouri kept mentioning ‘survival of the fat’ and not wanting the ‘fat to die’. Later after doing more research I understood. I learned this fat procedure, transfer to breast can be performed differently depending on who performs your breast surgery. In other words, every breast surgeon pretty much does what they think is best and that’s why the results vary. Beware ladies: there are many unexperienced breast surgeons out there claiming to do fat transfer to the breast, even here in Miami FL, but don’t just believe what they say. Do your research before.
My husband did his homework and Roger Khouri seemed to be one of the most respected surgeons in this field, other surgeons come to learn how to perform this breast surgery from him. Plus he had published several prominent studies showing successful results. And I had him in my backyard in Miami FL! So that’s why we chose him.
Another detail that convinced me was when Khouri asked if I planned on having more children. He was concerned that if I did have more children and if I did breast feed them again that something similar would occur with my breasts. He explained that my breasts were going to feel and behave like a natural breast. And even women with larger breasts tend to experience the deflated syndrome after nursing. So he wanted me to know and consider this before proceeding. In other words he was suggesting that I wanted to have more children, that I should have them before the fat transfer surgery. I really appreciated his honesty. He was not just trying to take my money. He wanted me to consider my situation and decide if it was the right time for me, even if it meant I would wait. This really sealed the deal for me. Since my husband and I were not planning on expanding our family of three, I decided on having my breast surgery with Roger Khouri.
WEARING BRAVA
Wearing the brava breast expander before surgery was cumbersome but as the saying goes, “No pain, No gain”. The stretching of the breast was the most noticeable when I started using the turbo machine. It really made a difference. I even had to purchase a larger set of domes because I outgrew the first set once I started the turbo.
I wore the brava domes for 4 weeks leading up to my breast surgery. The hardest part was at the beginning because I’m a side sleeper and sleeping on my back took some getting used to. Also, I got a few blisters on my skin around my breast, close to the center of my chest, because I was too eager and wanted to wear it for too long, too soon.
The Miami Breast Center team was always readily available when I needed them. And boy did I need their guidance while wearing the brava.
The last week before my breast surgery I was wearing the brava for approximately 16 hours per day. And the last three days it was almost non-stop. When I went in the morning of my surgery, I came in with the domes on and they were removed right before going under.
BEFORE FAT TRANSFER SURGERY
In one of my consultations at the Miami Breast Center, doc Roger Khouri helped me decide where to transfer my fat from. Because I’m rather thin, we decided on taking fat from my belly and legs, around my thighs. Thinking back, I wish I had taken it from my love handles also. (He kept telling me he could make me a butt with just the fat in my love handles (lol), but I was too scared. I wonder, did anyone else do a buttocks with their own fat? I kind of wish I had.)
He had me come in the day before to mark the liposuction areas and breast injection areas. He used a marker of some sort.
THE DAY OF MY BREAST SURGERY
I don’t remember too much. I know I was nervous driving to the Breast Center Miami. Khouri had told me other surgeons were going to be present to learn his fat transfer technique and when I arrived to the Breast Center and saw the other surgeons it actually made me feel assured. Surely things would go well if he was training other surgeons. Surely having more hands on deck was in my best interest. Surely I’d have the best results.
When I woke up I kept shaking, a normal side effect of the breast surgery. I would fall back asleep and talked nonsense because of the effects of the anesthesia. The surgery staff at Miami breast were very attentive and kept me as warm as possible with warm blankets. My breasts were wrapped and I had a compression garment from my waist down to my calves. I was supposed to keep the garment on for several weeks.
I was sent home a few hours later after the shaking subsided and once doc Roger Khouri released me.
RECOVERY AFTER TRANSFER TO BREAST SURGERY
The first few days after surgery were rough. The oozing from all the needle pricks around my breasts and liposuction sites, where the fat was taken from, kept me wet and cold. But that only lasted 2 -3 days. The pain was concentrated in the liposuction areas and not so much in the breasts, which was surprising. It was manageable with over the counter pain killers, although Khouri prescribed stronger narcotics that were at my disposal. My husband was by my side whenever I needed help to sit up and get out of bed.
The hardest part was not being able to carry my baby. She was 2 years old and wanted me to pick her up and it broke my heart not being able to.
I went back for my post op appointment at the Breast Center Miami and met with doc Roger Khouri again about four days after my breast surgery. My recovery was right on track. And he instructed me to continue wearing the brava. The next couple of months were crucial in order to keep the most new fat in my breasts alive.
Within a week I felt well enough to go out and started doing minor chores around the house. I went back to work and nobody noticed I had had a breast surgery. I would walk slowly because the pain was present in the liposuction areas but it was manageable.
After surgery I wore the brava for almost two months (at night) to make sure the transplanted fat did not die. By the end of the second month after my transfer to breast I was ready to throw those brava domes out the window! But like I said before, I was committed to make the best of this, so I wore them religiously.
My legs felt slightly numb in certain liposuction areas 2-3 months after my surgery. The bruising had gone away and the full feeling in my legs came back fully between 3-5 months after the transfer to breast.
MY RESULTS: C CUP!
I’ve read that some women only go up one cup size. So I must have been lucky or very compliant with the instructions because I ended up a C cup! I don’t know how to express how very happy I am with my results. But I COULD tell you how happy my husband is!
Personally, I couldn’t believe how natural my breasts looked! I was meant to be a C cup. It goes so well with my body frame and height. It don’t look too large. It looks just right. They are my same shape just larger. No one has ever asked me if I have implants. There is a clear distinction with implants.
My wonderful breast surgeon, Roger Khouri, did a great job. He told me my breast size would decrease a bit when the swelling went down. But after four years I’m pretty sure my breast size will not decrease anymore. My final size achieved and maintained IS a C cup size!
I feel more comfortable in my body. It’s amazing the self-esteem boost I got after my fat transfer. I would highly recommend Roger Khouri for fat transfer breast surgery in a heartbeat.
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Shortly after my surgery, I discovered a small lump in my right breast. I was told it could possibly be fat necrosis. This is when damaged or dead fat cells form a palpable benign lump. It didn’t hurt but I had a mammogram done anyway. It came back normal. Doc Khouri said he could remove it with a needle. It doesn’t really bother, it doesn’t hurt. So I never did anything about it. I never went back to the Breast Center Miami. I have had my regular women wellness tests and everything is always normal. Has anyone else experienced this? Has anyone had them removed? Photos coming soon....after all this typing I'm tired.

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Roger Khouri, MD

Roger Khouri, MD

Board Certified Plastic Surgeon

4.2 | 50 Reviews
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Replies (45)

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April 20, 2016

Thank you for sharing your experience with us. The community really appreciates all the helpful details you have included. So glad you're happy with your results. Can't wait to see your pictures!

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April 29, 2016
Thank you! I'll be posting some pics soon!!
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May 2, 2016

Thanks for posting your pictures...you look great! I may have missed this but how many surgeries did this take and do you know how much fat was transferred? I didn't realize you have to wear the BRAVA device post op too!

September 21, 2016
I'll be waiting to see them.
April 21, 2016
Your journey is absolutely amazing. I just read a review of a lady who had 100% fat loss--none of the fat remained in her fat transferred breasts. Her story made me think I should never do this, but now I feel like I could reconsider this. Thanks so much for sharing this story. I will also write down Dr. Khouri's info, so that when I do decided to do this, I can ask him for a surgeon who has trained under him (since I live so far from Florida).
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April 29, 2016
Hi Healthy mom1,

I'm so glad that my story can help you. I really wanted to help women, who like me chose this option. I've read some horrible fat loss story's too. In fact, during my consultation at Miami breast center I met a lady with a similar situation, who had lost most of the fat in one breasts and came to see Doc Roger Khouri to fix her up. Sh was referred to Roger Khouri by other plastic surgeons who turned her away. She was devastated and broke, but made the sacrifice to travel across the country to Miami, FL because it was her only choice. Apparently, surgeons refer their tough cases to Khouri. Listening to her experience, made me a lot more confident. I'm so grateful that I found the expert in fat transfer to the breast and I don't have to worry about corrections or more surgeries.

My advice is to make sure that the surgeon knows what he is doing, even if you have to make some sacrifices and travel. It's better to have it done right the first time. Good luck to you!
April 21, 2016
Thank your for sharing and know that all of us have personal journeys that are different, yet universally the same. We want to feel feminine and comfortable in our own bodies. I was 27, engaged to a man whom I since divorced who told me to get "beefed up" with perky 34B to be a large C. We had two children, now grown, in which I sagged and lost the little volume I had. The implants never ruptured, intracapsular leakage only, but all the same, made me ill and never felt "natural". I had them explanted 3/3. I have been researching fat transfer for several years and understand that the viability and retention of the fat graft is contingent on how quickly the point of injection from the point of aspiration filled with blood, neurons and stem cells occurs. Dr. Khouri is on that list of surgeons that uses the most efficacious method of extracting from thin petite women. What is your height, weight may I ask? How many CCs did you have injected to go from an A to a C cup? That is remarkable. Would love to see your pics. I have had a consult with Dr. Ed Bednar in North Carolina and am considering Khouri as I am in KC! Best of luck to you and thank you again. Peace.
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April 29, 2016
Hi Kaysings,

That's great that you're researching fat transfer! I think it's a wonderful alternative with hardly any complications. As long as you go to a breast surgeon that has proven methods like Breast Center Miami. Have you read their published study in the Journal of Plastic Surgery? It was published a few years ago by Roger Khouri (it was very useful for me) and it focuses on why his method is effective at keeping the fat alive. I think it's still on the Miami Breast Center website. It's very good. And not many surgeon have actual legit studies.

My height is 5'7 and weigh 125lbs when I had my surgery. I still fluctuate between 125-130 lbs, so my breast size is not due to heavy weight. I don't remember how many CCs were injected to make me to go from an A to a C cup. Doc Roger Khouri never promised more than a full cup, but he said he would inject as much fat as my breasts could resonably hold without the fat dying. I trusted him and didn't focus much on the CCs.

In my case I always had wide set breasts, they were small and fat but wide, so I had to get bras that were bigger. I used to use a 36A instead of 34A, because the 34A cups would dig into my breasts. The cup of the 36A is wider than the 34A cup. I think that the natural shape of my breasts contributed to being able to increase from an A to a C cup. Now, I can use a 36C or 34D bra. I've been told I should use 34D by Victoria Secret workers, but I use either.

I feel more feminine now and natural, like I was born to be a C cup. My clothes fit better and I have nice womanly shape. I'm very lucky to have found Roger Khouri. I hope this helps and my hope is that you find a happy ending to your journey as well. Best wishes to you!!

I'll be posting some pics soon :)
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May 1, 2016
Hi and thanks for sharing i can truely say if i wasnt on realself i would've said to myself this person can run a ad for this Dr Roger Khouri lol !But seriously i convinced me on which Dr i should pick to get the job done on me, i must also say your result after 4 years really convince me, i have seeing so many sharing on so many different drs and results on breast fat tranfer but always wanted to hear from someone who had it done for some years and successfully retain the fat with no complications!! I live in New York and i have been looking out for surgeons here that had good feedback on performing this procedure but none had heard of which had it done and still successfully kept the fat after many years. I have to look this dr up and see how i would get to him the easiest way possibly on getting my breast done. I am done with having children and in good health just a little on the heavy side with my weight but i know i am a good candidate for such a surgery!! Thanks for sharing and many more year of wearing those boos!! I which u could've shear some before & after pic!! i am not weird or nothing like that but that could help me to see the differences but next time if u will!! I am excited
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May 4, 2016
Hi Msmax200! I’m really excited for you and I’m glad my review helped. Did you see the pics I posted?
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May 16, 2016
Hi Christielovescats i did saw the 2 pic u posted unfortunately its hard to see the before and after pic, its also taken from 2 different angle nof even looked smaller than the other maybe because of the bathing suit you wore. I only wise u had some before and step by step of the procedure., but u might can get those pic from Dr Roger Khouri. Nice of u sharing tho!! Keep it coming we appreciate the information. Thanks
May 4, 2016
Did you ever noticed any ugly skin folds in between your breasts after the surgery? Did they do RAFT on you? Were you required to wear splints(some cumbersome permanent bra) on your breasts that you can' take off for 8 weeks post op? I just had the procedure done with Miami Breast center about 13 days ago. I'm still in pain around my collarbones, under my armpits, around the outer side of my breasts, in addition to all the lipo areas. I can't even move my left arm without hearing a popping sound followed by some sharp pain! What really concerns me is the weird skin folds in between my breasts. They look ugly! I also couldn't bear the idea of having my breasts bundled up for 8 weeks without washing! I was told more fat will be absorbed if I don't wear the splints. I wish I could just use brava post op. But they claim using splints is better and they don't even use smart box anymore:(. In fact, I was only able to use brava with a rented turbo machine ( $40/day rental fee) for two weeks prior to the surgery. Guess they changed their protocol a lot!
May 11, 2016
Hi aw408! I am considering this same procedure and my worst concern is about the splints as well. It sounds pretty barbaric, I would rather do the brava afterwards, but I was told splints have better results. Would you mind posting a picture or emailing me a picture of what these splints look like and whether you are going to be able to do physical activity for any part of those 8 weeks? Was is painful to get them attached in the first place? Someone posted here that it burned for days after they were glued on, and that sounds scary. Also, I am concerned that if they look like cones, won't they make the breasts look pointy after 8 weeks? I would prefer a more rounded shape, obviously , even if they were smaller...
Please email me at elena 66801 @ yahoo . com, I would love to hear more details.
May 12, 2016
Hi Misteryshopper! You are right that it was VERY painful to have those two big and heavy cones attached to already swollen breasts and it did burn for days after they were glued on. It also smelled very bad. I took them off and threw them away after a few days ( It was painful to take them off too!) I couldn't bear them anymore. Sorry I didn't take a picture.
My breasts looked unnaturally pointy and wide when wearing them but since I didn't wear for long, so I don't know if they'd permanently shape breasts. I did read on this website that someone lost 2/3 of fats and had weird shaped breast on one side after wearing them for 3 months!
Honestly my biggest concern right now is if/when the sharp pain and weird skin folds will go away. It's been more than 3 wks post op! I'm considering starting my own thread when I'm a bit more recovered. Obviously I wasn't as lucky as christielovecats. Hope you will have better luck!
UPDATED FROM Christielovescats
4 years post

Two Years After

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Christielovescats

Replies (16)

April 29, 2016
Wow! They look very natual.
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May 4, 2016
Ty! They feel natural too :)
April 30, 2016
Wow you look fantastic. You are so tiny what areas did the Dr. perform liposuction for all that fat? I'm having my implants removed with a lift and fat transfer in the winter. My fat will be coming from my abdomen and flanks but I am 145lbs. I'm really interested because my date is not set in stone but your results are fanastic. I'm wondering if I should hop on a plane to Miami for surgery!!
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May 4, 2016
Thanks Camb123! Doc Roger Khouri took the fat from my abdomen and thighs. I had the choice of using my flanks (love handles). I’ve seen pictures of women who had the fat taken from their flanks and it improved their overall shape so that’s a wonderful choice. Who are you thinking of doing your surgery with?
June 27, 2016
I have watched the plastic surgery doc. on tv and they tell women all the time that they don't have enough fat to harvest for their desired results.
April 30, 2016
$15,000 is a lot of money for a procedure where the injected fat may OR may not stay...the jury is out as far as I am concerned. How disappointed will you be if you end up as one of the unlucky patients who spent 15 grand on a procedure that has a poor success rate. Just something to think about...
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May 4, 2016
I can only speak for myself…after having a highly successful fat transfer surgery I feel FANTASTIC. And to be able to say this 4 years after, speaks louder than words. I’m not sure how you’re calculating the success rate but every penny spent was worth it to me.
May 4, 2016
$15000 is not the total cost you will end up paying. In my case, it's more like $20000. If you don't live in Miami (my case), add a few more thousand for hotel and traveling. You will need to go there 4 times: for initial consultation, surgery, 4 weeks post op (for change the splints) and 6 months later. You will have to pay for two MRI for $1300 ( $650/each). The brava, basically just two domes and some tubes will cost $750, and you will have to rent a machine called turbo box for two weeks at $40/day ($560 in total ). In my case, one of my brava domes broke in just a week, they initially told me I had to pay another $750 for a new pair but later replaced the broken dome for me at no additional cost. If you don't have someone take care of you after the surgery, expect to pay at least $300 for a nurse for 12 hrs ( They start charging nurse fee though you paid for the surgery when you are in surgery and are unconscious in the recovery room, so it's more like 6 hrs post op for $300). In my case, I end up paying double as much and still ended up asking my family to fly over to help, since it's a MAJOR surgery. I'm two weeks post op and still in pretty bad shape, so I had to take time off work and I currently can't do much housework or take care of my kids without feeling sharp pain.
May 14, 2016
Was your procedure done by the same PS?
May 14, 2016
No. By Daniel Calva. I was told that he was trained by RK and is currently doing most of the surgeries there. They also told me if I wanted RK, I had to make a special request, pay more and he might still have no time for me!
April 18, 2017
Credible doctors will tell you that with a conservative technique 60% retention is considered a success. Fee will retain more. Many retain less. Hence it's a procedure that often needs repeated. Dr Bednar in Charlotte does some of the best work and costs 33% less....and has far fewer negative reviews.
April 18, 2017
I read all the reviews on Bednar as well. His surgeries seem to run about $10k and I've never seen any post they used the brava. They all seem to retain their new cleavage ;)
July 14, 2017
It is no 15,000 now it is 17,600 plus brava & MRI are not included in the price
February 19, 2017
They look awesome !
January 29, 2018
How many CCs were injected by the way? I don't see that anywhere.
Also I have not seen such a large change in cups size anywhere so it makes me wonder how much he put in to begin with.
UPDATED FROM Christielovescats
4 years post

Before Surgery

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Christielovescats

Replies (23)

April 30, 2016
I don't know why I feel it is biased.
We better see the treatment stages step by step
May 1, 2016
Yes, I feel the same. I don't know, I suddenly thought this review might be written by some staff from Miami Breast Center since there are a lot of reviews talking about how bad the results were after having a surgery by dr.Khouri. If this is a fake review I'd be so sad about it because I am putting to much faith in everything I read here. And suddenly having this feeling of a fake review it's kind of disappointing .
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May 4, 2016
I posted my experience here because I thought it could be helpful for those considering this procedure. I’m taking my time searching through my pictures for the same reason. But if it doesn’t help you I’m sorry. You can’t please everyone.
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May 4, 2016
Hi hun. Sometimes when your mind is made up it doesn’t accept other input. But your accusations are unfounded. And last I checked Doc Roger Khouri has a lot of great reviews. But you have to go with your heart and decide what’s right for you. I wish you the best in your quest.
May 4, 2016
These two pictures are from two different angles with two different bras. It'd be more objective if they both are the same angle and without bras.
May 4, 2016
These two pictures are from different angles and with different bras. It'd be more objective if they are from the same angle(s) and without bra ( or at least the same bra).
May 4, 2016
I try to delete the comment ( it's a duplicate) but can't find delete button. Anyone knows how?
January 30, 2018
Very interesting that you're defending this doctor, gives more credence to the fact that this review is in fact a fraud & written by the doctor/ centre itself.
May 4, 2016
These two pictures are from two different angles and with different bras. It'd be more objective if they are from the same angle(s) and without bras (or at least the same bra).
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May 19, 2016
Check out Dr. Khouri's reviews on Yelp, reviews # 4 and #5 especially. No. 4 in particular was very upsetting. Also see bad reviews on this website. I am thrilled for this young lady that she had such good results! But, obviously, that is not always the case. I have been searching for fat transfer for my face for years and saw Dr. Khouri's name for the first time about 4 years ago, and remembered it. At that time, I only knew of webmd.com (or is it webmds.com) and he had some bad reviews there as well. Now that I have had two surgeries since 2013, and plan more, I always pay more attention to the bad reviews. Usually if there are untrue, the doctor will challenge them. I have had fat transfer to my face twice. The first time it all disappeared within 3 weeks. This time, it's about 6 weeks out and I have some remaining next to my cheekbones and it looks good. I might even try again if some of the latest injections hang in there.
May 19, 2016
Very interesting. Thanks!
March 15, 2017
Lulu, who were your doctors first and second time? Do you still have retaining fat by now? If I understand correctly the success is also depends on what method of fat extraction and processing the doctor uses. Did you research that second time around?
July 14, 2017
I don't know about bad reviews but he is pretty expensive , to charge almost 20,000 .... boy you have to be perfectionist
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May 19, 2016
May 28, 2016