Liposuction on multiple body areas and facial fat transfer

It has now been several years since my procedure, and I feel it is important to share the full extent of the impact this has had on my life.

What I experienced was not a minor cosmetic dissatisfaction. The outcome significantly altered my body and face in a way that has required ongoing corrective procedures and continues to affect me daily.

Physically, I live with discomfort and changes to my body that were not present before the surgery, including disproportion, irregularities, and heaviness that affect even basic activities and clothing.

Emotionally, this experience has had a profound impact. I have dealt with anxiety, depression, panic attacks, and social withdrawal. It has affected my confidence, my ability to work, and my relationships, including my marriage.

At the time of the procedure, I had just been married and was preparing to relocate and start a new chapter in my life. Instead, I have spent the past few years trying to recover — physically, emotionally, and financially.

I trusted that I would receive a conservative, proportionate result. That is not what I experienced.

What has been equally difficult is the lack of acknowledgement and support following the procedure, despite repeatedly raising concerns and seeking help.

I share this not out of emotion alone, but to provide a complete and honest account for anyone considering this surgeon. The long-term impact of this experience has been far more serious than I could have ever anticipated.

Updated with a few pics to show other problem areas that have arisen that I didn’t mention in previous posts. Reason for this is there is such a multitude of issues arising out of the procedure and writing about it usually overwhelms me due to the PTSD that I sometimes forget to include other salient points. I have now included pics of fat deposits behind my top lip . I’d complained to Eva within the 3 months ffg the surgery that my top lip was unusually large and turned over like a duck pout when I smiled. She told me it looked beautiful and like a lip flip?!?!?? Me in my state of shock actually started wondering if it was all in my head so I didn’t persist with the issue at the time . However it is visible from the pics I’ve posted here that there is unnatural deposits of material under my lip. Note the clear tubular mushy appearance on underside of lip. I was never told I’d be injected behind the lip . Just another example of important information not being disclosed to the patient. Consequences ? It’s 2 yrs later and it’s not going away. I have a white line above my top lip which bulges upward and outward when I smile. Consultation with Dr Pascali in Italy ( he’s the only surgeon I could find who removes fat from lip- I’m sure there’s others but I’ve consulted with him before and feel a level of comfort ) Dr Pascali can surgically remove . I will leave this surgery until after the facelift with further fat reduction. I have also included pics of the MRI so you can see the thick streaky white deposits on my face and why the amounts of fat transferred that EVA has cited is questionable . You can also see the grafted fat is still there after lipo with Wang . This just demonstrates the large amounts of material that was injected into my face . The areas of overfilling also demonstrated the carelessness in planning remedial treatments and future thinking . Did Eva even think about what the consequences would be for her client if the results were not ideal? Did she consider the danger she would be placing her client in by injecting fat in areas of the face with facial nerves and risk of muscle paralysis and nerve damage when attempting to remove the fat? Why not disclose this information to the client prior to the surgery and explain the consequences as surgeons are obligated to do? Do you honestly think I would have agreed to this surgery had she explained the risk factors and the danger I’d be placing my life in? How does a surgeon proceed to inject massive amounts of fat into a persons face and does not tell them ahead the specific amounts that will be injected ? How is this legal ????? Even if the client doesn’t ask - isn’t it the surgeons LEGAL OBLIGATION to disclose this information?? All the information needs to be given to the client so FULLY INFORMED DECISIONS can be made - more so in elective procedures where the plastic surgeon volunteers a treatment that you know nothing about. In cases like that it’s up tot he surgeon to go through ALL Risk and impact with a fine tooth comb. Plan down to every minute detail in terms of amounts and placements . Even go so far as to use saline solution to mimic the results ( I’ve read that in other literature of what some really good surgeons do to preempt results)

I finally found the courage after 2 years to post pictures of my body and face pre and post the surgery with Eva Siolo which occurred on 8 June 2023. This is after requesting minor fat reduction on flanks , tummy possibly inner and outer thighs. In my consultation I was sold the benefits of a fat transfer to my face thinking it would be a subtle and understated approach based on the fillers I was getting which was between 0.1ml- 0.5ml on my lips and tear trough. Amounts were obviously tiny as my face is tiny I was actually told by Siolo ( VERBATIM) that my case would not even be considered liposuction but rather liposculpture (as my before pictures clearly illustrate I had very little to do to achieve the proportions I wanted) I simply wanted to stop wearing tight uncomfortable shapewear to pull in my flanks and tummy when I was wearing snug dresses as I would suffer with terrible indigestion and bloating which would cause my stomach to protrude even more and on many occasions lead to embarrassing flatulence . I weighed 60 kg ( 1 57.5cm height ) with a BMI of 24. I exercised 3/4 weekly and was in great shape for my age of 42. Why then was 4.8l of fat removed from my body remains the golden question? Why was I talked into getting my mid and lower back done when it wasn’t asked for or necessary? Why then was VAST amounts of fat pumped into my face? I unfortunately cannot put a figure for the fat transfer because Siolo reports differ to what the MRI conducted by an independent unrelated clinic says . Actually 2 clinics have said my cheeks measure alarming amounts. 14 and 18mm ( right and left) and the normal range is between 4mm to 6mm?!?!?!! . I deffo think I was more toward the 4mm side before the fat transfer as I am petite and had a very small face. I was led to believe the procedure would be a gentle tweak and it isONLY on this basis that I consented . I DID NOT CONSENT TO a complete overhaul as the pictures so clearly demonstrate is what was done to me . I was married on 8 April 2023 and this surgery happened 2 months after my wedding day. It was supposed to be my honeymoon period full of bliss and hope.my husband had left the country as we were in the process of emigrating . I decided to have the surgery in my home country where I felt safe and wanted to invest my funds in our SA surgeons as I believe them to be of a great calibre and I could also recover with my family. I told Siolo I will be having events to attend in my new home country and I would be having interviews looking for new work and even told her on WhatsApp ‘please I don’t want to scare my new husband’ A small tweak and off I go on my honeymoon and live my best life. Little did I know it was to become a living nightmare of PTSD, panic attacks, extreme social phobia, SIGNIFICANT loss of income , bringing my life to a complete stop, my plans of starting a family and my career derailed . It completely ruined my life, almost broke my marriage and sent my mum and dad into a major depression after already losing a child unnaturally less than 5 years ago. It is ONLY by the grace of God that I am still standing. It is only by the hope that other doctors have given me that I can be fixed that I can live from day to day. There are amazing doctors out there . MY ADVICE TO ALL THOSE SEEKING TO GO THE PLASTIC SURGERY ROUTE; Do not accept referrals from even top doctors offices ( which is what happened in my case ) DONT think that because the referring doctors offices is the best in the game that these type of recommendations are reliable. Rather insist on seeing all the surgeons before and after pics. Always take someone with you to ALL appointments. Record everything. Don’t think plastic surgeon all knowing- the aesthetic doctor I was seeing for 2 years up to the point I decided to see Siolo gave me stellar results compared to these results. Qualifications and industry notoriety mean nothing if the results are not what the patient wants . Always look for a surgeon who can evidence a HIGH number of reproducible , repeated stellar results with HIGH patient centricity in terms of patient satisfaction. Listen to what the patients say and do not only rely on what the surgeon says they can do . Stark difference between doing something and doing it well.immediately fire any surgeon that tells you you have asymmetries a few minutes before surgery when you are are stressed and under duress and asks if you would like that assymetry corrected ?!?! Any surgeon who discovers issues intraoperatively when you are under anaesthetic and then decides on your behalf to correct those issues with their own interventions without talking you through the impact of said intervention on the outcome BEFORE SURGERY is unacceptable. A surgeon should ALWAYS perform a THOROUGH pre assessment , talk you through ALL YOUR BODY AND FACIAL limitations , challenges and effects of those challenges on the outcomes and GIVE YOU AS THE PATIENT THE CHOICE TO DECIDE WHETHER YOU HAVE AN APPETITE FOR THAT OUTCOME OR NOT. As a non clinical person you should have ALL the information and risks presented to you proactively. Ask for notes and records of discussion after a consultation. Send confirmation of discussion emails if the surgeon doesn’t send notes. You have a right to that- you have a right to due process and due diligence . Take what they say and cross check with other doctors - as many as you can. Remember this is a business at the end of the day. To your family and loved ones you are irreplaceable but to others you are just a number. Prevention and caution is far better than cure and consequence. Look for a surgeon who treats you like you are the most important patient in the world. This is a DEEPLY personal , sensitive journey, it has deep impacts into identity, self worth and can change your life for the better or worse. So give yourself the best slice of what this PS world has to offer because you deserve the best and your life and loved ones deserve the best.