Liposuction on multiple body areas and facial fat transfer

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.

Still in the nightmare bubble but at least past the suicidal bit. This has been a terrifying, arduous journey that was so easily avoidable in the right surgeon’s hands. I had facial liposuction in Nov 2024 with a Chinese( Beijing) Board Certified PS- leader and innovator in the field of removal of facial fat graft ( also written many published journal articles on his methods) cost a bundle but after my trauma and major ptsd resulting from all this , I needed peace of mind I was in the best hands. Dr Wang managed to reduce my malar fat from 14mm &18mm to 6mm per side( the surgeon previously mentioned took it upon herself to correct ‘assymetry’ in my cheek and injected differing and large volumes per cheek - not disclosing the amounts and specific action plan ahead of the surgery - she just marked my cheeks under the guise of subtle filling with what I was led to believe would be tiny amounts of fat) Lo and behold I ended up with 2 mango’s for cheeks. ( BIZARRE) Back to the story… Dr Wang also reduced fat on the temples and the blobby squared overfilled chin to sharpen my lower face close to the former heart shape. Flew home after 10 days wearing a full on compression mask - can’t explain enough the level of humiliation on the plane ride home . But that was the least of it. The healing process was long, painful, uncomfortable and scary. Tjank God my parents flew to be with me during recovery. Thank God for my amazing supportive spouse. It was 6 months in May and I see a massive difference. I can see me again, my face still marred by fat as Dr Wang could not remove all of it—- and although, my once tight and sculpted facial skin will NEVER be the same again, I am content that I do not look like a caricature clown with mangos for cheeks that extend all the way up to my eyes and bulge outward and upward like a seperate entities on my face . The trade off, as one can expect with these treatments is that I now have rippling sagging and a compromise of the skin firmness wherever the fat was removed. A necessary evil which this competent adept Dr took the greatest care to avoid . I give him all credit and respect. He did his best . I never deserved this . Didn’t need this much fat put into my delicate small face. It’s heartbreaking to think how pedantic I was about skincare, exercise , supplements and diet only to be damaged by the very professional whom I sought help from to ironically maintain my slow aging . I was blessed with great genetics, was continually told I looked far younger than my then 42 when I had surgery( now 45) . It’s especially ghastly when my inner circle meets my face in a video call or face to face and you can see the confusion and almost read their minds aghast at my face and body shape. Hurts the most when your Mom looks at you and realises how another person can hurt her child, her creation. It’s also painful when the defining physical characteristics you share with your family ie my Moms beautiful cheekbones which inherited is forever erased by someone else’s carelessness. I urge you all to seriously reconsider before putting your
Life in the hands of a doctor. I have been told by many plastic surgeons ( leaders in the industry and internationally recognised ) that I am a candidate for a facelift now. It is apparent I will need a lifting intervention procedure and unfortunately a non invasive approach will not replace what I have lost. I will keep you updated on next steps. It’s a daunting step considering a facelift and I need to have face to face consultations with doctors around the world before I decide on one so For now , I am still focusing on healing from the facial lipo - honouring the basics of exercise, good nutrition , supplements good skincare and rest . That and my therapist have made a world of difference in my healing. Thank you Sonia.

In terms of the body, I had to push this out due to the facial surgery. I consulted with a Brazilian surgeon Dr R( I’ll update his name post surgery) and was told last night I am a candidate for a bum lift and tummy tuck. I have so much skin laxity and flaccidity after Siolo unnecessarily removed 4.8l of fat from my back waist and thighs -;that whilst a corrective lipo/ fat redistribution can help somewhat , I will have a long term battle with saggy skin. Pre the surgery my only concerns were slight protrusion on the tummy and flanks and VERY VERY SLIGHTLY inner thighs . I never even thought of the back EVER . Upon consulting with Siolo she advised me the back would hang over the flanks so I should have lipo there . Ludicrous to think how 1.6l of fat was removed from my lower and mid back and flanks still left protruding ? 1.5L of fat removed from waist but central tummy not completely removed so there’s a doughnut appearance of a 5cm radius around my navel where there is still a ring of fat ??? Posterior and anterior thighs were NEVER authorised for liposuction but a total of 560ml per thigh removed has left me with dents and hollows saggy orange peel skin on the back of my thighs like I went to war with a cannula and the cannula won. Fat removed so incompetently from under my bum causing the infragluteal support to collapse and my bum to descend into now what’s called a diaper bum. The vast amount of fat taken of the lower back looks like someone took a spade and dug out my fat so my bum protrudes like a shelf and starts too high . It’s looks as though someone else’s bum and boobs were placed on my body as overcorrection on the areas surrounding the boobs and butt has caused these parts to looks disproportionately large and unharmonious to its surrounds. It’s a colossal mess really . Not mentioning the now stick thighs balancing this huge blobby bum. I’ve been told I need a bum reduction and that is incidentally what will happen. Terrifying it’s come to this. Dr R said to me he will do his best by me and I believe him because he also told me straight up what he could not do and is open about the limitations . I love the crude honesty, patient precaution and oversharing of information. I love the multiple real time (several video calls) and live markups . I love the idea sparring, collective and combined effort and deep respect shown to me during consultations as he understands and sees my trauma based on my before and after . I especially love all the tests ( bloods and imaging) he has insisted I get as a run up to the surgery. None of this was done pre my surgery in June 2023. I have faith he will restore my body to an acceptable level where I can wear pants and skirts again without having to resort to billowing oversized tops and loose hanging pants to camouflage as I have been for the past 2 YEARS OF MY LIFE . I look forward feeling like myself again and being able to function in society, most especially work again and earn a salary to support myself and my family.

I will update as I go.