I'm sincerely sorry to hear of these disappointed Coleman patients. Let me briefly share my experience as a straight male and follow-up with a few questions.
I'm a 3 time Coleman patient. I went to him for a number of improvements. Here are the results:
Operation 1
Goal: strenghten jawline and chin, rejuvenate area under eyelids, thicken lips, and improve asymetry.
Result: Very nice improvements in all areas. Also, the procedure took approximately 5 years off my apparent age. The recovery was long and I looked like a monster the first 2 weeks but he clearly warned me about this beforehand. Anyway, I was very happy with the result. But I focused on my imperfections and wanted even more of what seemed like a good thing.
Operation 2
Goal: Further strengthen jawline and chin, even out lips and add a bit more volume, increase projection of upper malar area (his idea), strenghten nose, and add some volume to slightly deflated cheeks.
Result: Jawline actually got worse, became more of a U shape with too much fat between skin and bone. Cheeks became a bit too round. Lips got bigger but remained uneven.
Operation 3
Goal: Re-create v-shape jawline, even out some slight surface irregularities, further strengthen nose, even out lips.
Result: Improved nose (satisfied), lips a little too big now, but biggest problem is jawline. To work towards the V jawline, he didn't simply suction off what he did the second time. Instead, he added much more volume near the back corners of the jawline while suctioning jowl area in middle and adding a bit more to the chin. He told me he was going to do it this way and I thought he would know best. Now, my jaw looks squared off and the tissue near the back is clearly soft (not like a jaw implant).
I want to share a balanced view based on my experience with this surgeon. I've gotten a mixed bag (some improvements but some areas which have gotten worse). If I had left it all after one operation, everything would have been better than the old me. And I must admit, I contributed to some of the problems by encouraging him to fill me on the aggressive side so that I could look younger.
My honest opinion of this surgeon (before being exposed to any other patient opinions or experiences) is as follows:
Weaknesses: Distorted aesthetic sense, especially his taste in jawlines. Since he seems to be on the aggressive side, I think he should clearly warn patients about the difficulties and challenges of reversing fat grafting. He didn't do that with me. Perhaps he also places too much trust in the ability of fat to improve all kinds of facial problems (recreating lost bone or substituting for an implant, filling-in nasolabial folds, etc.)
Strengths: After three operations, I believe that most of the fat suvives long term and re-attaches itself to local blood supply. My face does feel smooth and normal (cannot feel any internal scars). I think he is excellent for very specific problems (lost fat in specific areas due to injury or disease, filling-in under eye hollows (especially victims of over-aggressive blepharplasties), and even some conservative jawline/chin augmentation for those with weaknesses in these areas who don't want implants. The fat also seems to last in lips. If a patient had to operate with this doctor, I would recommend he or she strongly emphasise that he wants to be corrected CONSERVATIVELY.
Other thoughts: A lot of comments imply he purposefully destroys patients, perhaps due to some pyschological issues or anger against certain types of people. Well I certainly don't have enough information to agree or disagree with this opinion. I don't know any of his other patients and I only know him at all outside of the doctor/patient relationship. But it would seem to be very much against his own long term professional interest and put hime at great financial risk to behave so recklessly.
Now for all you Coleman experts, I have a few questions:
1. What is the best option for reversing select areas (jawline, over-filled area just above and outside nasolabial folds, buccal area)? Micro liposuction, mesotherapy, extreme weight loss, or even a few more years of aging and accompanied facial fat loss?
2. For those of you who have had reversal procedures, please share your results. What doctors do you recommend for this and which method of the ones mentioned above?
3. Do any of you have experience with the other Doc at Tribeca (Sobreiro)? What is your opinion of her fat grafting? Do you recommend having areas reversed with her and/or Dr. Coleman? Have any of you done partial reversals with them? Since they do both liposissolve and microsuction, which procedure yields a better aesthetic result? How well does the skin bounce back to its original state? |