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Second Revision - 2 Years, 3 Surgeries, $15,000

ORIGINAL POST

I'm coming up on 3 months post my second revision....

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MissTheCleavage
I'm coming up on 3 months post my second revision. I'm waiting until I'm 6 months post to decide whether my second revision was worth it. I've stuck by the same surgeon for all 3 surgeries, but am at the point now where I really feel I can say that I feel I chose the wrong surgeon. While I think Dr. Diaco is probably good at breast augmentations, I don't feel based on my 3 surgeries that he has the skill to do a breast lift with implants.

You can go back and look at my first review after my initial lollipop lift with implants. I didn't like the shape. They were two different shapes, my left looked (and actually is) larger than my right, the pockets were two big, I had loose skin, permanent nerve damage to my left breast effecting like the 3 o'clock to 6 o'clock area of my breast. It's completely numb. This is also the area that is larger-looking, and hard-feeling. I wanted smaller areola and was disappointed with the size.

I had to pick and choose my battles when I went back for my revision. I chose to focus on getting capsulorrhapies on the left and right so they wouldn't fall into my armpits, would tighten up the pockets and make them more symmetrical. I thought at the time, not knowing the negative impact it would have,. that replacing my 350s with larger implants would help fill up the loose skin and by using high profile implants, I would have that nice round breast like in my wish pics. Wrong-o! If you take anything away from my review, going larger isn't always a good thing. Dr. Diaco was going to bring in during my first revision, several sizes ranging from 400 - 485cc to see what fit best. He went with the 485s. Which I am told are too large for my frame. So you can see after my second surgery using the largest implant option, my left is so much bigger than my right. My nipple height was and still is uneven. My right nipple is too low and needs to be lifted.

So that brings me to this review, my third surgery. To correct what looked like bottoming out of my left (based on the size difference and nipple height), he agreed to do another capsulorrhaphy on my left. I am almost 3 months post. I think they are too big (my left one at least) causing the raised skin in the cleavage area and what looks like could be a mild form of symnastia. I still have significant rippling in my left cleavage area. I don't have that nice flat space like I had before. This is also due to the suture he used to "tack up" basically my left breast. The left one is too large. Basically you can see how there was a lot of breast at the bottom of my left and he tacked it up and now it's just all at the top and I look lop-sided. I've tried using a strap to get it to drop down, but I think it's as good as it's gonna get. It's too medial regardless of whether it's hanging low or tacked up high. I have more side boob on the right than the left, and the left is too large.... I feel I need a whole new pocket on my left. I have asymmetry that can only be fixed with a 4th surgery. And my right one, the nipple is too low.

I don't know what else I can say really. I just wanted to do a separate review for my 3rd surgery as I am 2 years post from my 1st surgery, 1 year post from my 2nd surgery and 3 month post from my 3rd surgery. As 2017 comes to an end, so does my quest for having a nice result. The only way I would even consider a 4th procedure would be if I can ever afford to get out to San Diego to let Dr. Pousti fix them. If you look at his revisions especially capsulorrhaphies and symnastia repair, he does excellent work. I think the only way I can get that nice flat space between my breasts without loose skin is if I have him fix this. I just can't afford to do that though.

If you're in search of a surgeon to do a lift with implants or a revision that requires reconstruction basically, go to Miami. There are some really good surgeons in Miami. I love Dr. Krau's work. It's less expensive in Miami but you have to factor in travel expenses so you're basically paying the same, but you'll get a better result.

Not to take anything away from any of the other surgeons in Tampa, but there just aren't enough reviews WITH PHOTOS in the Tampa area so you really have not choice but to go by word of mouth like I did... and you can see where that got me.

I wish you all the best with your research. Be careful. You can't go by the star ratings. There are two women that come to mind that used Dr. Diaco and gave him 5 starts but after reading other posts they left on other ladies' reviews or new reviews they did, they had another surgeon do their revisions and wished they'd used that surgeon instead of Diaco. (look up bbuzzell - she had Dr. Eberbach do her revision and she posted that she wished she would have used him for her first surgery. and then look up zoesophia69 - she gave Dr. Diaco 5 starts also and then posted a glowing review for Dr. Castellano too and talked about how she wasn't happy with her previous surgeon.). It's so disheartening and misleading when women give undeserving 5 star reviews to surgeons that they later feel didn't deserve it. Not many women have posted photos or have posted reviews and updates of their entire journey so you don't have much to go on. Oh, and another gal, Big Boobs Wanted, she gave him 5 stars also but she's not happy either. We actually kept in touch via phone after our surgeries and she's learned to live with hers but wasn't happy. My point is that the star reviews are misleading and you have to read ALL of the posts the ladies make on others reviews too in order to get the full picture. And only go with a surgeon who has reviews with pics.

I really hope that man reviews have helped others. I wish you all the best! Happy 2018!! xo!

MissTheCleavage's provider

Daniel Diaco, MD

Daniel Diaco, MD

Board Certified Plastic Surgeon

4.7 | 83 Reviews
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MissTheCleavage

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Replies (3)

April 10, 2018
I had attempt at symmastia repair with Dr. Spear in Oct 2016. It failed because he used gala flex instead of different material I'm being told. I downsized from 425 to 350 filled to 375. Mild symmastia they said. I downsized and he didn't tightened anything or repair the bottoming out I had going on so now I'm a complete mess. Lateral displacement , loose skin, bottoming out , still symmastia because skin is lifted of sternum. Yes, you have symmastia.imo, your implants are too wide. You are not that bad like pics I've seen. I'm headed on my 7th surgery. I was fiNE til I took my 13yr old saline out.... then decided I hated having them out... been having issues since 2012. It's awful. My last ps died. I can't even tell him my issues
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April 21, 2018
My heart hurts for you but I am so thankful as a woman that you are willing to leave that honest review for the next woman. I agree there are not enough pictures and REAL honest reviews in Tampa. I am 3 days out from a Ba with crescent lift by Dr. Eberbach. I will make sure I post my before , after and along the way pictures. He is amazing and he gave me exactly what I wanted. I know it’s very early days for me still but I think some surgeons just have more artistic skill. He also was very honest with me about what my outcome would be , which I think is important. Honestly as I was doing my research I wasn’t sure if I could trust the reviews. They did not seem genuine. I’m so glad I came across yours. I know it will help other women to make a good decision picking out their Surgeon.
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May 12, 2018
I also just had surgery with Dr. E! Im post op day 9!!!
June 23, 2018
Aww thank you for your words I’m only hoping for the best for you and someday get what you want I have 575 cc saline mod smooth mentor now got them 2007 and gonna go to Miami to get my new twins 600 cc not saline this time still over the muscle from Dr. Krau I went to my pre op I really like him I think everything will be perfect ! Thank you again
UPDATED FROM MissTheCleavage
4 months post

It’s been a while...

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MissTheCleavage
Just updating my review. No changes really. I still sleep in my thong bra. I feel it’s helped to keep my left from merging any further toward my midline. Hasn’t really helped with the weird loose sort of webbed skin in my cleavage area though. It’s also still riding high so I have more noticeable upper pole on the left. I don’t think it’s CC though. I need the pocket opened laterally a little to give the implant somewhere to go. The suture in the cleavage area is keeping it high. At some point I’ll need a revision for that but I’ve learned to live with it.

My left is bigger than my right but I think by raising my right side a bit it won’t be as noticeable. Dr. Diaco knows I’m upset about the asymmetry of the nipple height and said he has some non-invasive procedure that might help with that. He wanted to wait six months but I really don’t want to wait any longer so I’m going to call tommorow. I don’t think the left nipple will drop any further, and to be honest, I don’t want it to. I want my right one higher. I think it looks like my right is saggy. I don’t want low hanging nipples. Kind of defeats the purpose of getting a lift. You can see In my pic how much better it looks with the right nipple raised.

Still have significant rippling in my left in the cleavage area and on top too but I’m learning to live with it and just hope it doesn’t get worse. I did file a report with Allergan so they are aware of the rippling with this new ‘round goes gummy’ implant. It’s my fault for agreeing to try a new style. I should have stuck with Mentor as I know that style doesn’t ripple on me.

Hope you ladies all are well and healing nicely! Or excited about you upcoming surgeries! Best of luck to you! Xo!

Replies (4)

February 12, 2018
I don't think you look bad at all. I can see what you point out but perfection is our enemy. I'm looking for a ps this will be my 7th surgery. I wish I never messed with them the first time. I've been dealing with my issues since 2012. I had my first set saline for 13yrs. No problem's then I decide to explanation like a dumbass. Nothing but issues since.. now I have symmastia, bottoming out, lateral displacement, need a lift. I'm so tired of wasting money on this too. I hope you can find a resolution. Try to live with it for one year. It may put things in perspective.
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February 13, 2018
Thank you .... I just want level nipples. They were level after my first surgery in 2015 when I started my journey. I just want them level again.... and my cleavage fixed. I hate my cleavage. I have mild symmastia too. I thought larger implants would fill up the extra skin and make them look fuller and have more volume and had no idea it could cause symmastia. I kinda blame Diaco for that though. He was supposed to bring in 400 - 485CC implants to see what would work. He chose to use the largest size. I think if he would have let the pocket out a little laterally I'd have more room and it might not be so close to my midline. I don't know... I just know I don't have that nice, flat space between my cleavage and I miss that. Kind of ironic my username is "MissTheCleavage." I definitely miss the cleavage I had pre-surgery. But at this point, I just want even nipple height.

I'm sorry you're still dealing with your situation. I see still you haven't posted a review or photos.... Maybe it's not as bad as you think it is?? You should consider posting a review and photos of your journey.

I hope you are able to do something soon to fix your issues. I know how emotional it can be.... take care and keep in touch my friend. xo!
February 17, 2018
I don't blame you for wanting them level. Trust me I'm going on my 7th surgery. Ugh. The more they operate the more are not the new "canvas" so they are basically trying to perform miracles I feel like on us.... whoever you go to make sure they perform a lot of revisions. I wasted 17,000 on this last surgery and I had a feeling he wasn't doing what I felt I needed to repair everything. I just trusted him . Dr. Spear in Maryland. He actually freaking died 9 months after my surgery. So now I can't even get him to repair anything ...
February 17, 2018
My implants push out under my arms and feel like they're coming out from inframmary fold. Thus , my obliterated fold as the last ps said on my consult. Ugh. I'm not putting pics on here I'm not that tech savvy I feel like I'd post them all public... lol. It's really getting depressing with sprint nearing. Your's still look like their locked in place.... in the pockets. My last surgeon loosened everything and I feel like I'm implants sitting in skin. I don't actually look bad which is the ironic part opposed to how they feel . No support at all underneath. Wearing an underwire bra 24/7 for like 3 yrs now.
February 17, 2018
Prayers for us girls on here needing help !!!
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February 13, 2018
Hi there, Thanks for your update. If I may offer my two cents: I agree with your assessment that raising the lower areola would offer a more aesthetically pleasing result. I’m curious to know what your doctor means by “non-invasive procedure”. Have to say I’m a little sceptical about that kind of wording... especially if that means doing a simple crescent lift on one side to try and balance things out. A crescent lift can make the areola appear larger and flatter. I’m not an M.D. but I think the only aesthetically pleasing way to raise an areola is by revising the lift to raise the entire areola pulling in the vertical incision as well to support the lifted areola. That’s how my PS balanced out my areola; he basically revised the entire side that was lower. Imo pulling everything upward on the one side (if not both sides) may also resolve the webbing that you have going on. I do agree with your PS that you should wait at least six months (if not longer) before you have another procedure. You really want to wait until the blood source has fully reestablished... and the further along the healing process with your scars the better the revision result will be, imo. My own PS wanted to do my revisions at six months postop but I made him wait until after nine months post op. I look forward to hearing more and following your progress. Wishing you the best! :-)
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February 14, 2018
Thanks Mdlg ... As for the "non-invasive" procedure, he was talking about some sort of laser light I believe. A skin tightening treatment that he said would like the skin enough to raise my nipple possible.

However, I email his office manager on Monday and she hasn't gotten back to me. They may be done with me! :) But to be honest, yesterday afternoon I was talking to another professional/friend of mine has extensive medical knowledge and he basically said that's a quick fix and not a lasting one if it works at all. If it were that simple, more surgeons or even day spas would use that to raise women's nipples. So I agree with you when you say the only true way to correct it is to do yet ANOTHER lift on my right side. I'm only 4 months so I absolutely will wait another 2 or more, plus I need time to scrape together the funds if I decide to get another lift. I'm just super disappointed in his work... He came so highly recommended by so many so my expectations for 'basic' aestheitcally pleasing result was set high. I wanted shape and high and perky over size. I wanted round boobs with higher nipples and never expected the nipple level to be off like it is. Uhhhggg... anyway, more waiting as usual.

Oh, and you're right about the 'webbing' too. Because when I use my hands to sort of pull up or lift my breast the webbing is less noticeable. Anyway, at this point I guess it doesn't matter if she calls me back or not since I'm sort of doubting now if this skin tightening may not work (I think it's the IPL light treatment or something like that). I know last time I went for a follow up several months ago they could feel my frustrations.

I did actually email all my info and photos to Dr. Krau in Miami for a virtual consult. I considered him after my first surgery but then decided to stick with Dr. Diaco because it's sort of customary to give your surgeon an opportunity to fix them. Plus Dr. Diaco was only charging me $5,000 and Dr. Krau wanted to re-do everything for $8,000. Maybe I should have scraped together the additional $3,000. Hindsight... I'll let you know what Dr. Krau says this time. I'm hoping he can do a little nipple lift on the right and then the left.... he's probably going to want to completely re-do it. Or at a minimum, open it laterally and fix the pocket medially... center it more under my areola and get it off my midline... hopefully. We shall see...

Thanks again for the support. I'm really not after "perfection" but giving all the setbacks that I feel could have been avoided, I feel even nipple height isn't too much to ask for.
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February 14, 2018
Have you heard of Brian Joseph, MD in Orlando Florida? From what I’ve heard he has a lot of experience with breast lift surgery; and he’s very reasonably priced. With Dr. Krau I’ve seen okay results, but I’ve also seen some major disasters. Not sure if you remember MiaMia (see link copy below). Unfortunately she’s not the only patient of his that I’ve seen with areola necrosis. My concern is you might be going out of the frying pan into the fire with Dr Krau. Hope you don’t mind my two cents on the matter.

https://www.realself.com/review/miami-breast-lift-implants-dr-krau-breast-lift-implant
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February 14, 2018
No of course I don’t mind your two cents! I welcome it! I will check the link out, an also check Dr. Joseph out. I absolutely need to see results and not go by word of mouth this time.... and of course Dr. Krau has lots of reviews with photos... and mostly positive comments and good results. I would hate to be one those that had a bad experience though. I think about that often... I said I would never do plastic surgery and just age gracefully.... maybe the Universe is telling me to stick to my original game plan....
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February 14, 2018
I think Dr. Krau’s problem is that he is basically running a boob factory out of Miami; perhaps cramming in too many surgeries into one day which can lead to errors. At least that’s the impression I get. Btw, if you Google the words “Ary Krau” and “malpractice” you will come across a list of malpractice cases he’s had with a number of breast lift patients. Not very comforting, imo.


You will not find this with Brian Joseph, MD who is very highly respected in the Orlando and Winter Park community. I found out about him through word-of-mouth. He was actually my second choice before I decided to fly to Colorado. At his old website he used to have a lot more breast lift pics posted. In fact he had almost 70 pics of just breast lift (before/after’s) which convinced me that he has a lot of experience in this area. Unfortunately with his new website a lot of them were removed. He’s got great bedside manner, very personable and will spend a lot of time with you during the (free) consult. I recommend going to see him in person and let him do a proper evaluation. Hey if you come out this way let me know and we could meet for lunch if you’d like! You know Charm and I had the opportunity to meet in Colorado. It would be fun meeting you as well! :-)
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February 15, 2018
I love Charm! She's been around as long as I have been :) Although we don't hear from her as much these days, or Tiny either. Hopefully they are doing well and enjoying their results! I head over your way a few times a year :) We used to have an office in Winter Park but closed it last year.... I still have friends and colleagues in the area and then we have annual passes to Universal too. I will let you know if I decide to consult with Dr. Joseph, or even the next time I'm heading over that way! Meeting for lunch would be fun!
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February 17, 2018
Sure feel free to send me a PM if you’re ever coming out this way. In case you weren’t aware Charm has a fairly new review here in the drainless TT treatment board. I think she’s been a little more active over there. Btw I don’t know why I didn’t think of this before but have you heard of Daniel Greenwald, MD? He’s a (“top core” five star PS) based in Tampa area. He actually has several pages of breast lift bef/afters at his own website... and over 26 years experience. He seems to be five stars not only here but on other websites as well.
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March 6, 2018
Hey you! What ever came of you contacting your surgeon about raising your areola? Did you end up having a revision to fix it?

I hope all is well!
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March 9, 2018
Hey there my friend! How have you been??! Hope all is well with you! Ironically, I just saw him today to discuss raising my areola. I'm not having a revision. He didn't even suggest that, and to be honest, if I do a fourth surgery, it won't be with him.

We talked today about the non-invasive procedure that I spoke of previously. I couldn't remember at the time what it was exactly.... but after meeting with him today, it's called Skin Tyte. I'll do a review and fill you in more!

I hope all is well with you and that you are covering (or have recovered fully!) and are enjoying your results! I'm going to pop over and take a look at your review!

Thanks for checking on me sweet friend! xoxoxxo!
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March 10, 2018
Hey hey! I am totally recovering well and loving my tummy :)

Sounds like the appointment with your surgeon wasn’t exactly what you were hoping to hear. But I do hope that you are able to find some peace with all of this very very soon.. sending hugs
July 27, 2018
Which Alergan Natrelle Inspira (“round goes gummy”) do you have? Level 1,2, or 3 in cohesiveness? Do you have sub muscular placement?
July 27, 2018
So sorry for the long hard process you are going through. Hoping the best for you.
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July 27, 2018
Mine are the most cohesive Inspira. The same material as the "gummy bear implants" only mine are round. They have only been on the market a few years. Mine are 485cc SCF (stands for smooth, cohesive, full).

I used to complain about the implants... blame the rippling on them, but honestly, it's my surgeon's shotty work. I don't have rippling in my cleavage on my right, only on my left and it's because it's too medial, and plus the muscle is over dissected causing flex animation deformity and then exaggerating the rippling too. Don't let my result steer you from getting these implants. Other woman have them and have no rippling, but the implant placement is correct, and mine is not. That has a lot to do with it!
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July 27, 2018
And thank you so much for your kinds words :) Support from you and others here on RS has been so appreciated. I get inspired seeing other women with great results because I know that too could be me one day with the right surgeon! I wish you well and will hop over and take a look at your review! xo!
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July 27, 2018
Actually, I just looked at your review and I see you do have Inspiras already! Your results are beautiful! And I love your cleavage! Congrats to you! And mine are indeed under the muscle. I forgot to answer your question. At any rate, you surgeon did a beautiful job! Congrats!
UPDATED FROM MissTheCleavage
5 months post

Scheduled the "non-invasive" procedure to fix my uneven nipple height

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MissTheCleavage
Hi ladies – I’m officially a little over 5 months. No additional changes. A few posts back I mentioned that my surgeon said that if my nipple didn’t even up, he would do a non-invasive procedure that might work to lift my right one a bit. I met with him today and he feels this procedure will work. It’s call SkinTyte by Sciton. He said he used it on someone else and it worked. I asked if I could see photos and he said he didn’t have any because they’ve only been using it for about 6 months.
I Googled it and can’t find anything where it works to lift a nipple/breast. I’ve seen photos of it working on the décolletage… but not on actually tightening a breast to lift a nipple so I sort of have my doubts. Someone asked the RealSelf surgeons their thoughts on using it to lift a breast. Ironically she was from Tampa! Victoria7 is her user name if you want to look at her question and the surgeons answers. I don’t know when she asked this question because this latest RealSelf format/layout no longer displays the date of the question or of the answers! So annoying! I think the SkinTyte device has been around a while though. Anyway, most if not all of the surgeons said it probably wouldn’t work, and said it’s not lasting. So I don’t know if I’m wasting my time or not. We scheduled 4 sessions about 2 weeks apart.
I’m going to do some more research and see what I can find on the procedure in general. He did assure me that there are no adverse side effects other than sometime it causes some minor blistering. But nothing that would worsen my nipple height or do any harm to my implants. He will be focusing on the right one that is lower.
Personally I think the right one needs a breast lift again. It actually looks a little lower and saggy than before my revision converting my lift to a full anchor.
No changes to the rippling in my cleavage area. I know it won’t get better but at least it’s not worse. And I still have the weird webbed skin in my cleavage. I hate that so much. Maybe this skin tightening procedure can tighten that up. I didn’t ask him but will when I go back.
I don’t think I mentioned to you guys that a few weeks ago I did an email consult with photos with a local surgeon that more or less said to leave them alone. That it is difficult to fix another surgeons work, especially after THREE surgeries with the surgeon. He said leave well enough alone.
I also did an email consult with photo with Dr. Krau again. He said, and I quote, “the fold in my cleavage area can’t be fixed with a revision.” I cried for two days… and then looked at his work on others who had it worse and he fixed theirs. I emailed him back and he said closer to the one year mark to come to Miami so he can see it in person.
I also plan on doing a virtual consult with Dr. Pousti. We exchanged email several months ago and I know he wants me to be further along before he assess the situation. I’ll wait until I’m 8 or 9 months and then discuss with him. I KNOW he can fix it because I’ve watched videos of his repair work for symmastia and capsulorrhaphies and you absolutely cannot see the suture from the cleavage area like you can mine…. It’s perfectly flat in the middle of the cleavage area like it is supposed to be. Most of the women that had symmastia repair paid $10,000 plus though so I’ll have to really think long and hard whether I want to spend another $10,000 on my boobs since I’ve already spent $15,000. I’m sure Dr. Krau is going to charge at least $8,000 though, so what’s another $2,000 plus travel to know it’ll be done correctly….
Anyway, so there you have it. I’m going to start a new review for the Skin Tyte procedure closer to my first appointment, March 23rd. If it works, that will be so exciting not only for me, but for other ladies that have the same issue. The only thing is, I don’t know if it’s a lasting fix.
Take care all!

Replies (5)

March 10, 2018
Hi there ! I just read your reviews, I am really in an awe of what you have been through . Also I’m from St Pete and agree that there isn’t enough of reviews on doctors from this area . Some 5 stars are fake I can tell . I just had a revision with lift 10 days ago. My fist lift and augment went well but got capsule and relied on a second ps to fix it and he did a great job. I went back 10 days ago for surgery . My only and only one goal was to get smaller implants , lift so I can fit into a C bra. ( I’m a mom of 2 young kids and don’t like to run around hiding and tucking my DD in the bra. I specified numerous times , even before they put me under that I want to be a C cup . Then guess what ? Waking up from surgery look down and my breast are huge . Found out he went down from 375 mod plus to 240 Ultra high profile !!! Now after 10 days I got projection(torpedos) but no cleavage. At least with my previous droopy implants I looked natural and had cleavage. Then at post of he said to wait , it’s swollen blah blah . On the top of that he did fat grafting and injected around to make it fuller . He did that on my capsuletomy before so I just said yes . But I’m bigger than before . My 34DD bra won’t fit anymore and clothes won’t zip or bottom up . I have a review here for dr Carter in Tampa, he did my first set of boobs and lift, they looked amazing but I always though they were too big . I have to start a new review on dr Rehnke and upload pictures but so disgusted I can’t even . Hope your journey ends well , I am actually thinking about explanting as soon as I can but he did some pocket repair and internal sutures I’d be so afraid I’ll end up deformed after it .
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March 11, 2018
Hi there! It's so nice to see/hear from someone in the Tampa Bay area! Not many of us around! But yeah, some 5 stars are fake and not updated... and no one ever posts any photos of their journeys.... just one post with a 5 star review which is NOT helpful at all. I mean why no pics?! Are they afraid someone will recognize their boobs?! :) If so, they probably shouldn't take their shirt off so often! But seriously, There is no way for us ladies in our area to choose a surgeon except by word of mouth - which is why if I do indeed get a revision someday, it'll be with a surgeon not in our area.

I looked at your review from Carter in 2012! They look amazing! I'm so sorry you're not happy....You should do a review so we can see them now after your revision. This isn't your first rodeo so remember, being only 10 days post, things will settle and the swelling will lessen they won't look as "torpedo-ish" as they do now. Don't be so hard on yourself! Just focus on healing right now.... Please do consider posting a review with pics. They are so helpful to other ladies. We need to stick together :) I'm going to check other reviews by Carter and Rehnke... But hand in there.... in another 10 days or so I think you'll be feeling a lot better about them. Going from 375 to 240, you will absolutely notice a difference I think. Just give it more time for the swelling to go down. Please keep me posted either here, or send me a PM so I know how you're doing! And thank you for the kind words. :) . xoxxo!
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March 10, 2018
Wowza, that sounds like so much and so many unknowns, I’d honestly be scared to go through with it and pay that much and possibly have them end uonworse. I only say that with some of the negative things I have seen from Karu I don’t recall what I’ve seen about Dr. Pousti but definitely use caution with your next steps, I’d hate to see this consume you any longer than it has, I know how hard this has been on you :(
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March 11, 2018
Hey there... I know exactly what you mean and agree. I mean seriously - a 4th surgery?! That is crazy for me to even be considering it. But anyway... just thinking out loud.... if I say it out loud and hear how ridiculous it sounds, it further validates why I shouldn't attempt it.... I need to stick to my plan and just get the nipple asymmetry fixed and call it a day. And Mdlg, I have heard/seen some negative reviews about Dr. Krau but the good outweighs the bad in my opinion. I've seen him fix some really awful results. Mine are not that bad - I just need to find someone that knows what they are doing. But ultimately, Dr. Pousti seriously knows his stuff. This is just an example - but you'll see that there are NO sutures visible in the cleavage area. I have not clue what Dr. Diaco did that cause my skin to be pulled the way it is and the suture to be so evident. I hate that I have symmastia now. I mean I think that its symmastia. The skin is lifted and not flat in the middle. And the middle rippling on the left.... Uhhgggg... I keep blaming it on these new "Round Goes Gummy" implants but I think it's really my surgeon over-dissecting the pec muscle and there isn't anything covering the implant...and it's too medial.

Anyway, I will take your suggestion and contact Dr. Vath. I know he has a really good reputation too and I love that he doesn't charge for revisions. I've looked at his work and you guys are obviously very happy with him...

Check out how thorough Dr. Pousti is though when you have a minute. I don't think we're suppose to post links here but this is a RealSelf link so it may be okay.

https://www.realself.com/video/symmastia-breast-repair-see-this-woman-s-procedure#.WqV5j5PwaRs

He says that you have to let it laterally, which is what needs to be done with mine - then the implant will be away from the midline and more centered under the breast mound. Dr. Diaco doesn't get that. You can clearly see with mine the left is more medial than the right which is why I have rippling and mild symmastia. He had two chances to get it right after the first surgery but he just doesn't get it....we're just not on the same page. Matter of fact, he said he TIGHTENED my left one laterally which makes zero sense. The implant just didn't have anywhere to go but up and now I have a mound at the top of my left and well.... you know the rest of the story.
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March 12, 2018
Hi Missthecleavage, yes I hope you will give Dr. Vath a chance to give you an opinion. Traveling to and fro Denver/Golden Colorado is also very reasonable via Southwest Airlines. I should mention it’s not just Dr. Krau I have concerns with. To share a little info with you: one reasons I was hesitant to have plastic surgery in Florida is because it’s one of the few states that doesn’t require doctors have malpractice or liability insurance. This is also one of the reasons plastic surgery is so cheap in this state. Doctors can “go bare” the term meaning practicing without insurance.


Imo Florida is a haven for bad PS that can’t get insurance or malpractice insurance in other states (such as Colorado) which require insurance. Mind you once a PS has had a couple malpractice claims it’s almost impossible for him to get insured. I know there are some good PS the practice here; however due to the lack of transparency and the fact that state regulators are behind in over 400 pending cases (at any given time) it’s kind of difficult to really know what’s going on with the PS In Florida, imo. For more info on this subject google “Florida dangerous doctors practice despite malpractice” to see articles by the Sun Sentinel and others on this subject.
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March 14, 2018
Wow.... I didn't know that regarding not being required to carry insurance. And I should now that for a variety of reasons.... I know there are a lot of medical malpractices claims, etc. here... but honestly, I never even consider that at all from the beginning because I was so confident that I chose an excellent surgeon with an excellent reputation. He does have a really good reputation.... I just don't know what happened in my case. I haven't had a nice result at all after each surgery.... after 3 surgeries.... the only thing that makes sense is he was just too preoccupied with law school at the time of my surgeries.... Someone said to me how he has all these glowing reviews on RealSelf, etc. and I'm like well yeah but no one is posting any before and after photos. You can clearly see for yourself that I didn't have a good result after my first surgery... and then after my second the obvious asymmetry... he just won't give me a clear answer as to WHY my left is larger than my right... what is WRONG with my left one. I've asked... I get the same answer.... that'll round out... that'll relax.... that'll smooth out.... you're still swollen (well he said that one to me when I was like 2 months so I may have been at that time). I just think he's making excuses for 1. doing a poor job not once but 3 times and 2. using too big implants and the wrong implants. These Round Goes Gummy are rippling horribly in my left side cleavage. Large deep ripples... if I just bend slightly you can see it. I'm going to contact Allergan again and see if there is anything I can do about it. I feel I spent all this money on these premium implants that aren't supposed to ripple as much... I wish I would have stuck with Mentor... that's my fault for agreeing to try something new...

I'm going to contact Dr. Vath. Maybe he can tell me what is going on with the left one. Dr. Krau wasn't specific. Only said that I should wait until I'm one year post, that he only uses Mentor (which I'm totally fine with) and that the weird webbed cleavage he "doesn't feel is correctible with a revision" but that he'll make that determination when he seems me in person. Symmastia is correctible so he must think it's something else. I mean what is it?? It wasn't there before.... If it's loose skin can't that just be removed and tightened up? OR is it because it's now lifted off my sternum in can't be reattached?? Uhhhggg... I'll let you know how I make out with Dr. Vath. And I go Tuesday for the Skin Tyte treatment. Will keep you posted... xo!
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March 14, 2018
Yes I’m curious to know how the skin tight treatment goes. I’m also curious to know what Dr. Vath thinks. Btw you have to be patient in getting an appt with Dr Vath. It can take up to a month, so I would call him sooner than later. I was also told that a phone appointment (vs Skype) is usually quicker since he’s more flexible when he can use his phone. I did the phone appointment sending photos in advance. Good luck. :-)
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March 14, 2018
I’ve already contacted them and am waiting to hear back! I rated do email sending photos and then if he wants to email back, fine or if he wants to schedule a call at his covenience that works too! I’m anxious to see if by reviewing my photos he can tell me what’s wrong with my left one and if he can fix my cleavage...
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March 14, 2018
Sorry... RATHER do email, not “rated”!
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March 14, 2018
Great! You really should at least talk with him over the phone. He such a nice guy; and he will take time to explain things and answer your questions. Also do be aware there are two other PS at that clinic. Make sure they know you want the appointment with Dr. Vath. He is the best of the three for breast lift and revision surgery, imo.
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March 10, 2018
I have to agree with charm on all her points. Also imo the Skintyte sounds like a temporary solution at best. I had a similar skin tightening treatment on my face and neck prior to my facelift. Needless to say my results were temporary which is why I ended up getting the actual facelift. Lol. That aside if your PS will give you this procedure for free there’s certainly no harm in trying.


I just wanted to throw this idea out there: I want to suggest you get a free online consultation with the same PS that Charm and I used (Steven Vath, MD). Even if you decide not to use him it certainly wouldn’t hurt to get another opinion from a top core 5 star BD certified PS that specializes in breast lift and revision surgery. I think he would be totally honest with you about what your options are. Not to mention he does not charge for revisions. For this reason I know he would suggest something that he thought he may have to redo again. Good luck and wishing you the best! :-)
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March 10, 2018
Edit: meant to say the opposite in my last sentence. That I know he would NOT suggest something that he thought he may have to redo again. LOL
March 25, 2018
I would think the nipple needing to be raised would require surgery because the implant and your tissue's need to be tightened.
September 6, 2018
I think your aerola size looks really good!
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September 6, 2018
You are doll! Thank you! But honestly, the size of my areola are the least of my worries right now. I have other issues I need to fix, but while I'm getting those fixed, I'll get my areola reduced to 36 or 38 (and then if they out a little, I can live with that). As I said in my other post, my doc and I agreed on a size and the post op notes say something different. It was disappointing because I thought he was experienced enough that he could tell what size they were by looking at a photo. But after my first surgery, clearly I was mistaken so I was specific with the size cookie cutter what I went for a revision... and still didn't get what I wanted. I think he just does what he wants...