Has anyone had micro fat grafting?

hi Galsal, I see that you had diep this year.  Are you seeing Dr. Khouri for correction of the diep?  I finished reconstruction with Dr. Khouri in March this year, and I am really happy with the result.  I had no problems with insurance - he was in network for United health care.

Good luck with your upcoming surgery goodrhue!

Not to deter others from Dr. Khouri but my biggest complaint is his "internal bra", putting screws in my collar bones and strings trying to hold up infamamory fold that failed. I wasn't asked permission and have lost sensation w hyper sensitivitivity (nerve damage) from this experimental procedure, numerous scars from implant exchanges, needles,stitches,  skin tearing, screws implanted.... On to another surgeon for corrections (assymetry, stitch indents in cleavage, offset implants...) when I can regain some trust. Can not reccomend Dr. Khouri from my personal experience.  His schtick is implant free only! He said "I do not put implants in, I only take them out). If you are set on implant free reconstruction, then maybe go forth but expect 4-6 surgeries that are 6-7 hours long each and Dr. Khouri does not do the complete surgery. Just ask questions, read carefully what you sign!! Once you're under, it's out of your hands. Tread lightly with questions or requests, or you'll see another side of this "god".

I'm not aware of so many with implants that have used Dr. K. Only 2 that I've seen having a nice looking outcome. My experience was he does not like implants and puts pressure to go implant free. I was supposed to go from 375 implants to 250 with fat grafting on my first 7 hr surgery but I woke up with 190 implants. Also he insists on removing implants through incisions on each side of breasts by rib cages. Very obvious in bathing suits or summer clothing.

My 2nd fat graft he said he had to remove my implants again to graft or he'd puncture them. When I told him I knew of another woman he grafted with implants he said no he never does, he always takes them out. That time I woke up with 250 implant on right, 190 on left. The third grafting he said he could graft and leave implants. So you see the contradictions. He does what ever he wants and often he is successful but not always. Those of us that aren't happy tend to get hushed. I'm not saying don't go to him. I'm saying be prepared and I do feel he is mostly ideal for women going implant free. I could not recommend him to women that just what to downsize and have some fat over implants. That's what I hoped for but instead I had procedures I never heard of and wasn't prepared for.

I was not willing to go through 6-9, 6-7 hour surgeries. I understand your point and agree. Those willing to keep going, I have seen some nice results.

My 3rd surgery I brought photos with markings which he appeased me saying they were great and helpful to bring to surgery then later was told by his nurse he didn't use them. He was supposed to only add fat to my right, smaller breast but instead added 150 to both, making the left even larger than the right. The left implant is off to the left too far, he wouldn't fix it. I woke up to be told he placed screws in my collar bones with fishing line type string sutures suspending my breasts. I could feel the constant tugging and movement of them. A week later some popped off causing the most excruciating pain and tore my skin surface. They told me to give it time. I gave it 3 months but the pain remained.

My last (4th) surgery, I insisted on having the screws and strings removed, he resisted but I demanded it and had them put it in writing signed.The pain has lessened but is still there along with the hyper sensitivity and numbness in my upper chest and near under arms. My breasts look no different without them. 

I don't want to go through years of surgeries. The fat that has stayed is enough for me. The left has more fat and is lower and outward so maybe they'll never be completely even but I now just want a surgeon that specializes with implant reconstruction to fix the pockets and attempt some symmetry and hopefully get nipple reconstruction, tattoing then be done! 

really?  nothing?  heard from another that he was trained by Dr Khouri for fat transfer

thanks, I've noticed that.  things that make you go hmmmm.  appreciate the response though!

thanks ma'am. 

Hi. This is morgaine. I had a pap flap/reconstruction to my right breast in January. In October, I had the second stage plus lipo and the fat was injected into the right and left breast (had diep flap/recontruction to left in 2007). My breasts look great. The lipo fat completely improved my left breast (it looks so much more normal). I was running two week after surgery and all is well.

My only question is about the lipo after effects. Will my body explode b/c of the lipo? I run/play tennis/ exercise a lot as is. My PS (Dr. Levine) told me not to worry since I'm so disciplined. But I've read a lot about people regaining the weight. Has anyone else regained the weight? I feel like I will become an oopma loompa. Also, I just went into menopause so I'm agitated. 

thanks

Thanks, Eileen.  All of my BC dx, sx, and tx has been at the Tampa VA.  We're quite fortunate to have a Breast Clinic at this one.

Dear kriserts, thanks so much for this. So you didn't gain much during menopause? how did you do that?

I have heard somebody else refer to the UAL technique.  Don't know what that is!  Could someone please explain that to me?  Also why that is not the way to go?

Thank you, Green Monkey I would definitely participate if I can help others. Yes, I see so many beautiful breasts after breast cancer and wish that was my experience. I am SO happy for those ladies with good experiences and admire the doctors who take pride in their work and truly care and understand the trauma of not just facing cancer but of having a part of our womanhood and sexuality stripped from us.

My sister also had breast cancer over 5 yrs. ago and had a lumpectomy and treatment at Sloan Kettering in NYC. Yes, even the best surgeons are human and have bad days or can be careless

I hope your final outcome allows you to be happy, healthy and most of all, to move on from this nightmare. I appreciate all your posts, GM

Hi All,  Just trying to acquire some information about BR surgery.  What options are available immediately following mastectomy surgery?  Can you get an implant put in or only the tissue expanders?  What is the timeline with the TE's?  How long does it take between the fills and the implant surgery?  Any info thanks!

Hi Hindsfeet,

I had bilateral mx April 2, 2012. I just had fat grafting done 3 weeks ago to both breast, doc took ALL the fat I had in my belly and flanks. Mind you, i'm only 5'2 115 lbs so there wasn't that much to take. He got enough to graft 150 cc's in my left breast and 60 in my right. yesterday I cried all day because I had so many lumps and bumps all over my belly not to mention I've had 5 aspirations to remove seroma build up in my lower belly. I had major issues healing from my mx incision last year so the last thing I wanted was to have healing issues from my liposuction. I sat with my PS for an hour and 1/2 yesterday. he did another aspiration and I made him feel every lump there. I was worried it was fat necrosis. He assured me that all the lumps are from scar tissue and that it was impossible it was fat necrosis since he took all the fat. My understanding is, the scar tissue is common after aggresive liposuction. Messaging or lymphatic drainage should help break up the scar tissue.

I too feel like my belly is larger and looks worse then before lipo. he assured me that the tisuee in my belly is still inflammed and it could take up to 3 months for everything to go down and skin to re-tract.

I feel terrible because I blammed my PS for my healing issues and wondered if it was something he was doing wrong. Luckily he's very understanding. I do let me my emotions get the best of me.

Those of you having the lipo, does your PS have you wearing very tight compression garments in your abs and thighs? I had to war an industrial 40s girdle 24/7 for two months. I think it helped a lot.