POSTED UNDER Facial Fat Transfer REVIEWS
Fat Transfer with PRP to Under Eyes and Face - Los Angeles, CA
ORIGINAL POST
I flew to LAX then arranged transportation to...
Susan HoustonJuly 11, 2016
$12,590
I flew to LAX then arranged transportation to their clinic as I plan on having two procedures done and much prefer an in person consult over Skype especially considering how much I plan on spending. Office was welcoming and Dr Emer was friendly, professional and answered all my questions. We also discussed general anesthesia which I did not include ...$3650. I have since been in contact with Kelly W. and Christine S. both outgoing, friendly and came across as professionals. Christine is my surgical liaison who's answered dozens of questions. We had some small preop paperwork issues that were quickly resolved. I always wish "someone" would post pictures and I looked through Dr Emer's glowing reviews but they are sadly lacking in pictures so I decided to fix that for him. Here are the before. I will post right after, and progress pics. As you can see I have hollows under both eyes, but they are not even. I also have a slight, small lumpiness on one cheek (can't see in photo)
UPDATED FROM Susan Houston
Day of treatment
Preop visit
Susan HoustonJuly 20, 2016
I'm writing this the day after as I wait to go into surgery. Yesterday afternoon was my preop visit. Dr Emer discussed where I wanted my fat taken from and said we'd mark up the areas to be transferred from and transferred to.. It was a short visit. Lots of paperwork. Making sure everyone is on the same page. As far what's was being done and making sure I had everything, my husband met him and liked him.
Replies (0)
UPDATED FROM Susan Houston
Day of treatment
Fat Transfer Post-Op Day 0
Susan HoustonJuly 21, 2016
My husband and I went to the office just before 0630. Filled out a bit more paperwork. Changed into a surgical "fashion" gown, hat, slippers, hat, undies (thank you). Got an IV started first try. Then Dr Emer came in and went pen happy on where to pull fat from and where to place fat after giving me a mirror to make sure we were on the same page.
I want to steal his anesthesiologist, Dr Laura Alexander. I ALWAYS, ALWAYS get nauseous and this time I did not. I'm not talking a little nauseous, I'm talking I called my insurance company and warned them as I've been changed to Overnight because of Nausea and Vomiting. But she was a first for me, no nausea, not even a little.
I do have some swelling, but that's normal. The pictures I have have a compression garment on, but the garment is for my OTHER procedure. Both my husband and I were amazed at how little bruising and swelling I have this time. I'm assuming it's the technique Dr Emer uses and the Arnica Forte he had me on for two weeks prior. I had a fat transfer done previously a few years ago by another surgeon and had LOTS of bruising.
I want to steal his anesthesiologist, Dr Laura Alexander. I ALWAYS, ALWAYS get nauseous and this time I did not. I'm not talking a little nauseous, I'm talking I called my insurance company and warned them as I've been changed to Overnight because of Nausea and Vomiting. But she was a first for me, no nausea, not even a little.
I do have some swelling, but that's normal. The pictures I have have a compression garment on, but the garment is for my OTHER procedure. Both my husband and I were amazed at how little bruising and swelling I have this time. I'm assuming it's the technique Dr Emer uses and the Arnica Forte he had me on for two weeks prior. I had a fat transfer done previously a few years ago by another surgeon and had LOTS of bruising.
Replies (17)
July 21, 2016
Thank you for posting your experience with this procedure. I'm considering having it done. How did you come to choose Dr. Emer?
July 21, 2016
I looked up different fat transfer docs. Read their reviews on this site and others. Then I researched thier background and their thoughts on fat transfer. Personally, any that had patients that complained of OVERFILLING I crossed off my list. I'd rather fix a doc's work that filled just even, and I didn't keep enough fat than one that assumed I was not going to keep a certain amount and it turned out I was an overachiever. Because I've yet to hear a doctor yet say it wasn't really hard to fix an overfill cheaply so it looked good. I also wanted someone who has done a lot of under eyes. Those docs are harder to find. Some docs refuse and I understand as the area is very unforgiving. You REALLY want someone with experience. I look puffy in the picture, I looked much less so right after surgery per my husband. He said it looked really good.
July 21, 2016
Thank you for your reply. Can you tell me what the cost was for just the fat transfer?
July 21, 2016
It didn't post?
Operating Room 2,500
Anesthesia. 1,150
Fat Harvest. 7,500
Fat grafting. 3,500
PRP. 1,590
The PRP is Platelet Rich Plasma and you don't want to fat graft without it. It's what helps the fat attach much better to a blood supply and allows you to not overfill and so less chance of complications
July 22, 2016
Again, thank you for your response. Your cost are a lot more then was quoted to me. It looks like LA is expensive.
July 23, 2016
This is my second time getting a fat transfer. My first doc did a full face fat transfer. I paid less. I got what I paid for. Not saying you should go by who is the most expensive, but I am saying that don't go cheap. Don't pick by price (you need only read some stories to realize why this is a bad idea)....pick by experience, quality of work, and how comfortable you feel with him or her. If all else is tied, then look at price.
July 23, 2016
I forgot to add that when we got to the actual pen marking stage, and he once again asked, I decided to go ahead and get a couple more places injected. I wanted to soften the laugh lines, plump up my lip a bit, and he suggested a touch in my chin for balance. (My chins a tiny bit on the weak side). This was in addition to my already planned under eye , cheeks, temple area.
July 23, 2016
I don't think the "you get what you pay for" expression works well with fat transfer. There is the so called father of fat transfer Sydney Coleman who charges up to 50k and has disfigured patients as well as Glasgold, Lam, etc... who are supposed experts in the field and have achieved horrible results. There are others like d to the j, yskima81, dede1 ,etc.. who have had fantastic results while only paying 2200-2500k. The 2200 yskima paid included prp and tgi stem cell. Fat graft is such a variable and unpredictable procedure that when I see doctors charging such a high amount for the graft I get nervous. They cannot guarantee the fat will stay and should you pay such a high amount and it doesnt stay then youre out of luck and out of money. I can understand why your surgeon charges such a high amount. The cost of living in California is quite high and im sure running a practice and renting his own building most likely factors into the cost. Anyhow you look good post op and I wish you continued success with your graft.
July 24, 2016
Perhaps I worded it poorly. I was trying to say I let the price be one of the major factors the first time and I regretted it in hindsight. I should have made experience, quality and my comfort level with them be the overriding factors. I looked at Dr Lam, he's actually close enough I could have easily driven to him but I flew to LA twice instead to see Dr Emer. If you read my previous post you'll note I deleted all docs that overfilled.... Knocking Dr Lam out of my consideration right off the get go.
I didn't not consider someone just because they were inexpensive. That would be silly. THIS time, however, I went with experience, quality work, and feeling comfortable with the doctor and the office as more important than saving a few thousand dollars, or even many thousands of dollars because as several of those who have had messed up fat transfers can attest, there is no easy fix.
Sometimes you can get lucky and only pay a small amount and have fantastic results. But did you read Dede1's posts?
She quoted for one one transfer but she actually had more than one.... Why? The first she said the survival rate was about 30%, the second transfer she said the survival rate was about 15%.
She eventually had a third....
July 24, 2016
I looked at Sydney Coleman after reading a doctor on here said he was the best fat transfer doctor. My understanding about his bad results were in his early part of his experience with doing fat grafting and that he was doing a lot of experimenting resulting in a lot of bad results and I believe he was even sued. He has perfected his procedure and teaches it. The doctor I'm considering uses the Coleman procedure. Coleman is way out of what I want to spend. What he charges I can just get some temporary fillers for the next 15 years. J to the D doctor's prices are very reasonable, they are listed on their website but he is in Sweden.
July 24, 2016
Actually google Sydney Coleman complaints and you'll find many complaints just within the last 3 years. It wasn't just in his early part of his career he was disfiguring some patients.
July 24, 2016
And remember those prices are Euro's not dollars.... Add in travel, lodging, etc and the fact he too did two procedures (small volumes) although second was very reasonably priced and the package is much higher.
July 24, 2016
Hey Susan, the prices are actually American dollars. For d to the j they're swedish crowns and converted end up being 2500 and for yskima81's doc in Korea it was $2200.00 that included PRP and stem cell. As for dede1 I corresponded with her and the reason she had to have 3 is because she did the second one without PRP. She wanted to see if it made a difference. Unfortunately for her it did and that's why she needed the 3rd. I corresponded with another doctor off of here Dr. Bucky and he told me that generally they discourage people 55 and over from getting fat due to the consistency of the fat at that age and the low retention. Im not sure of your age but that could have been a factor the first time around as well.
July 24, 2016
One more thing to consider. If you're here in the states and something goes wrong during your surgery or just after you CAN be covered by your insurance. It might be out of network, but you'll at least not out in the cold.
July 24, 2016
I'm having the second because of how unevenly the first took. I bruised so badly, and was so badly swollen that it moved some of the injected fat around... And that fat took. My plastic surgeon did a full face fat transfer but didn't include under my eyes.... He told me if I wasn't happy I could have a touch up. I told him I wasn't happy and he just kept telling me I looked good. Eventually I started looking for another doctor. This time however I made sure they we were on the exact same page for what I wanted. They had to have multiple experiences in fat transfers, especially under eye, they didn't overfill, and I felt comfortable with them and their staff.
Replies (8)
Thank you for your post! I am excited for you and can't wait to see how everything goes! Are there pre-procedure routines that you are doing to help prepare? Please give an update when you're ready!