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My horrible experience with subcision - Dr. Sadove

MemberMember
1
(@tub47992)

Posted : 12/03/2018 11:51 am

I had been searching for a viable remedy for rolling acne scars and through recommendation online i landed on dr sadove in Gainesville fl. I contacted him and sent him photos for a virtual consultation. He concluded that subcision with fat grafting would be the best option at a price of 4000. He said I was a perfect candidate and believed that I would see a huge improvement. Feeling excited by his confidence I made the appointment. Day of procedure everything was fine. I came out looking incredibly smooth but like a chipmunk as anticipated. Saw dr. Sadove the morning after. He was very happy how it looked and said youre looking like a 90% improvement. Looking back now Im thinking how could you have possibly known the results fresh off a fat transfer and a ton of swelling. I mentioned a dent on my left cheek that I never had before, where it looked like the fat didnt go. I asked him about that and he tried to massage it into place. 6 months after the procedure I am looking very uneven on each side. Right side looks okay, tolerable. Left side is larger and uneven, looks wavy and lumpy in spots. Dent is still there from day after treatment. Both sides considerably larger in size than they used to be. Feeling very displeased with my results, I make an appt to see him to address my overfilled face. Couple days before I call to confirm the appointment. Theyre like what?! Youre coming in tomorrow? I said yeah I made the appointment like 2 months ago. Receptionist looks through her files about 10 mins and comes back and says, oh we dont have you on the schedule we must have got you mixed up with our other patient who has the same name. Im like well I made the appointment, took off work, and am driving down 4 hours away. She says okay we'll make it work. Im thinking to myself, wow your whole filing system crashes if youve got a duplicate first name.wtf. Before I hang up I confirm again everything at the appointment will be complimentary since I am coming back to fix what I was unhappy with. She assures me absolutely. I also expressed my discontent to the doctor and he assured me everything would be complimentary. Anyways I show up two days later right on time. Doctor is nowhere to be found. Receptionist/nurse is running around and making calls trying to find him. 45 mins later he walks through the door with a new keurig. Finally brings me in his office. I begin illustrating to him how upset I am about how my face looks.....still puffy, very uneven, dent on my left side, and overall way larger than I used to be. He begins shuffling through my before and afters, and kind of chuckles, I think I see a big improvement. Again I articulate why I am upset and the lumpy spots I don't like. He kind of laughs and says, "you know how many girls pay a lot of money for that fullness." I just looked down feeling depressed and broken. I said, "well I'm not a girl and I don't want that fullness, what can be done to reduce the fat and remedy the unevenness?" His response was unhelpful and rushed. Basically told me no, just give it more time, maybe it will go down. I pressed him a little more and he decided to inject a bit of cortisone in my cheeks to dissolve some of the fat. All in all he basically laughed at me the whole time, didnt take my concerns seriously, and gave me an attitude when I told him I wasnt happy. He said oh we can inject a little juvederm in that dent on the left side to help that. I say okay I guess. He takes me to the back room and goes okay this syringe will be 650. Im like wtf I thought you told me it was complimentary. He says oh its not free but Ill give it to you at cost. I said no and we left. My wife said that was the worst experience she's ever had with a doctor, you are not going back there ever.....Now 14 months later no improvement, still uneven, lumpy, and unhappy with my results. Its completely wrecked my self esteem and confidence. Ive been seeing a couple surgeons locally trying to find a remedy. Would post pictures but Im too embarrassed. Stay away from this doctor. Horrible experience.

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MemberMember
11
(@nemesis-89)

Posted : 12/03/2018 11:07 pm

11 hours ago, Tub47992 said:

I had been searching for a viable remedy for rolling acne scars and through recommendation online i landed on dr sadove in Gainesville fl. I contacted him and sent him photos for a virtual consultation. He concluded that subcision with fat grafting would be the best option at a price of 4000. He said I was a perfect candidate and believed that I would see a huge improvement. Feeling excited by his confidence I made the appointment. Day of procedure everything was fine. I came out looking incredibly smooth but like a chipmunk as anticipated. Saw dr. Sadove the morning after. He was very happy how it looked and said youre looking like a 90% improvement. Looking back now Im thinking how could you have possibly known the results fresh off a fat transfer and a ton of swelling. I mentioned a dent on my left cheek that I never had before, where it looked like the fat didnt go. I asked him about that and he tried to massage it into place. 6 months after the procedure I am looking very uneven on each side. Right side looks okay, tolerable. Left side is larger and uneven, looks wavy and lumpy in spots. Dent is still there from day after treatment. Both sides considerably larger in size than they used to be. Feeling very displeased with my results, I make an appt to see him to address my overfilled face. Couple days before I call to confirm the appointment. Theyre like what?! Youre coming in tomorrow? I said yeah I made the appointment like 2 months ago. Receptionist looks through her files about 10 mins and comes back and says, oh we dont have you on the schedule we must have got you mixed up with our other patient who has the same name. Im like well I made the appointment, took off work, and am driving down 4 hours away. She says okay we'll make it work. Im thinking to myself, wow your whole filing system crashes if youve got a duplicate first name.wtf. Before I hang up I confirm again everything at the appointment will be complimentary since I am coming back to fix what I was unhappy with. She assures me absolutely. I also expressed my discontent to the doctor and he assured me everything would be complimentary. Anyways I show up two days later right on time. Doctor is nowhere to be found. Receptionist/nurse is running around and making calls trying to find him. 45 mins later he walks through the door with a new keurig. Finally brings me in his office. I begin illustrating to him how upset I am about how my face looks.....still puffy, very uneven, dent on my left side, and overall way larger than I used to be. He begins shuffling through my before and afters, and kind of chuckles, I think I see a big improvement. Again I articulate why I am upset and the lumpy spots I don't like. He kind of laughs and says, "you know how many girls pay a lot of money for that fullness." I just looked down feeling depressed and broken. I said, "well I'm not a girl and I don't want that fullness, what can be done to reduce the fat and remedy the unevenness?" His response was unhelpful and rushed. Basically told me no, just give it more time, maybe it will go down. I pressed him a little more and he decided to inject a bit of cortisone in my cheeks to dissolve some of the fat. All in all he basically laughed at me the whole time, didnt take my concerns seriously, and gave me an attitude when I told him I wasnt happy. He said oh we can inject a little juvederm in that dent on the left side to help that. I say okay I guess. He takes me to the back room and goes okay this syringe will be 650. Im like wtf I thought you told me it was complimentary. He says oh its not free but Ill give it to you at cost. I said no and we left. My wife said that was the worst experience she's ever had with a doctor, you are not going back there ever.....Now 14 months later no improvement, still uneven, lumpy, and unhappy with my results. Its completely wrecked my self esteem and confidence. Ive been seeing a couple surgeons locally trying to find a remedy. Would post pictures but Im too embarrassed. Stay away from this doctor. Horrible experience.

Fat injection for acne scars is something really hard to do right and need experienced doctor who really know what he or she is doing

A small wrong step can make dents and unevenness

Subcision and Fillers are far better idea thanfat injection for acne scar

Fat injection is good ideaonly on huge volume loss cases

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MemberMember
96
(@vidrar)

Posted : 12/03/2018 11:59 pm

Oh, shit. Thought Sadove was one of the good guys.

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MemberMember
86
(@scarright)

Posted : 12/04/2018 12:22 am

You should of went subcision and filler as a spacer. That seems the gold standard for treating teethered rolling scars. I hope your skin improves. Remember, scar revision is not an exact science and some people don't get results. There should be no excuse, however, for any medical professional to laugh at you or belittle you. All the best and thank you for sharing your experiences.

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MemberMember
1750
(@beautifulambition)

Posted : 12/04/2018 7:29 am

Nemesis 89 Gave good advice and ScarRight.

Sadly fat grafting is not a one and done procedure. In every white-paper I have read on the subject you need at least 3 treatments. Yes in that case that is $12K or 3 surgeries. Also it does not last beyond a few years for many, and this is why they over fill over 3 procedures so the percentage left"might" be permanent. It can be lumpy, bumpy, and is not smooth for Volume (hemce more than one session). This is why some people get ongoing HA filler or Sculptra, or even Bellafill for something more permanent, as they are much cheaper and less hassle than fat. I am sorry he treated you like that, perhaps he was not a good fit as a Dr. He is a expert in fat grafting for acne scars but perhaps your case was not appropriate for this treatment. It does not work for anything but widespread scarring that is deep. It's falling out of favor unless used with a face lift because it's such a hassle.

If you want it gone find a revision Dr that does micro-liposuction for fat removal of the face, they are mainly plastic surgeons. Dr K... something in Hollywood LA does it I believe and post's often on real self. It could settle with time, be absorbed, and /orbe fix with only a bit of filler.

A fix for your issue would to now find a Dr like Dr Weiner, he is in Florida todo filler and subcision to fix the lumps and bumps. All is not loss some filler and sub can even things out.

Thank you for sharing, I will update the recommendations to mention your thoughts on Sandove's fat grafting.

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