Lipostructure Fat Grafting / TriBeCa Plastic Surgery review: buyer beware! 541

Wow, I must admit, I am naive about how the 'system' seems to work. If there are dozens of angry patients damaged by the same doc, I would have thought they would have some impact. Presumably, some of these patients must have money and wield influence given the cost of such surgeries. But I was recently shocked to read about the Dr. Michael Evans Sachs case. This high profile Manhattan doc had settled a whopping 33 malpractice lawsuits and had more outstanding. But it was only after he contributed to a woman's death that he was brought down (forced to surrender his medical license). So it looks like under the current system, patients have virtually no power, even when they organize together against a specific surgeon.

A lot of lessons can be learned from Dr. Coleman's upset patients. I used to think that specialists were the best because they minimize the risk. If you want a bleph, go to a guy who only does eyes. Ditto for implants, nose jobs, and even fat grafting.

Now I am realizing that there are different types of risks to consider. Yes, the more procedures a surgeon has done and the more focused he is, the higher the chance he had developed strong technical skills. But character and ethics come into play a lot more than I expected. A lot of these docs must have enormous egos given their money, education, and power over people. Oversized egos can distort values over time.

And finally, there's aesthetics. Specialists may run the risk of being too myopic and missing the bigger picture. There are some surgeons out there who do a lot of different things but seem to have a great sense of what would benefit a patient aesthetically (make her more attractive but still completely natural looking). These are the true artists and craftsman. They may not be as technically experienced or competent as a specialist for a given procedure. But often, they propose the most effective ideas and produce the best before and after results. If you want more objective opinions, show a doc's before and afters to a friend whose opinion you trust. Or even use a rate me site like Hot or Not to compare before and after scores. Be careful if you judge alone because if you have been very impressed by a doc's presentation, expertise, credentials, etc., you may view his or her before and afters with a biased mind-frame.

Julio, I do not know when you were born, but when I was a teenager, women's breast implants with silicone.. often ended up looking and feeling like hard coke cans as the fat settled in. Leaked throughout the body causing serious illness and harm to many... while surgeons knowingly continued this practice irregardless. Since when? does anyone on this planet nowadays... have so much trust in the medical establishment? Your making excuses for Coleman...causes me question your reasons for being here and I encourage others to do the same.

I do not find you to be helpful and wonder over your lack of consideration for peoples concerns here. There is nothing to figure out? This is not about hypothesis, theories, your guessing or pondering... it is about exposing the truth. Please refrain from taking up peoples valuable time. We have lost enough of our lives already, every minute is precious. You give much detail in promoting Coleman and questioning those harmed.

I could not find a doctor to touch me after he worked on me, they were too afraid... to even go near his mess. One surgeon told me that in California, he went to a conference where they warned..."fat from the thighs can "GROW" in the face!" HHMMM? I would imagine Coleman knows this? And to say that you do not believe April...is adding insult to inury. There is a bit of a sadistic (unresoved ussues on your part) tone in your words...like Coleman. HHMMM Again?

Pointing out that people have had their mental health affected? Stating that society judges people and you understand, yet then go on to state that it must be difficult to perform with even a somewhat ughly face? What compells you to be so unkind? From the perspective of one of the injured...I feel it is for us...to share our innermost feelings and thoughts about our own personal experiences, not for you an outsider... to feign compassion... being it under the guise of concern and wonder... question our spekaing the truth here. Your insensitivity betrays your "Faux Pa" in much of this. Speaking of an undercurrent of hate? Re-think on your own words and how they are taken.

The first step to enlightenment is knowing that you are an "Expletive"... then you can do something about it. I am informing you that you are being such. Now you can do something about it. I am not angry, more miffed by your actions.

I sure didn't mean to ruffle any feathers or downplay injuries suffered by the patients on this board. It sounds like some people have been disfigured to the point of having their mental health affected as well. If you are as hideous as you claim, I can fully understand this. And it’s a shame that today's society judges people so heavily by their physical appearance. In so many face-to-face service oriented jobs, you would find it impossible to perform with an even somewhat ugly appearance.

As a repeat patient myself, I'm trying to figure out some explanation for this and get a discussion going on treatment prospects.

Here are two hypotheses for why some patients turn out with bad such results:

1. This doctor, as some of you claim, is sick and intentionally harms select patients surgically and/or abuses them physically.

2. This doctor uses his practice as a research lab and patients as guinea pigs to test new and unproven surgical techniques. Moreover, his aesthetic sense is somewhat divergent from the mainstream.

I have no way to know whether or not No. 1 is true. As for No. 2, I have thought about a few issues which might lend it support:

a. This doctor pioneered his signature techniques (permanent fat grafting) when the cosmetic surgery establishment claimed it was impossible for more than a tiny fraction of transplanted fat to survive. In order to figure out what worked, I doubt he got so lucky to get it right with his first few patients (think about how many filaments Thomas Edison had to try before he found one suitable for a light-bulb – well over 1,000). He also seems extremely meticulous about taking before photos and encouraging patients to return after 6 months, 1 yr, 3 yrs., etc. for after photos under the same conditions. In the old days, this was very rare. Finding a way to make transplanted fat last long-term and having a large portfolio of before and after photos to prove his results made him very famous in the medical community. This in turn boosted his reputation and enabled him to patent some of his tools (large cannulas). His business flourished with referrals from other docs, impressive before and afters to attract more patients, and royalties from sales of his tools.

b. Now that permanent fat grafting is widespread, he is looking for new innovation opportunities. One of these has been stem cell research. Perhaps he was hoping that injecting massive amounts of fat rich with stem cells into faces would take 20 years or more off their appearance instead of just distorting them. Another is breast augmentation. I remember an earlier poster which connected the stem cell issue to cancer risk. Now I’m no doctor, but this made a lot of sense to me. Finally, I believe this doctor is using mesotherapy, a controversial and unproven technique, for correcting over-filled areas of the face.

Other more general comments:

1. For whatever reason, there seems to be a general consensus on the cosmetic surgery boards I follow that this doctor over-fills.

2. I am almost sure April Smith’s claim (“His fat grafts do not last at all…”) is wrong. From my own experience as well as that of numerous other posters on cosmetic surgery boards, his fat grafts do last. Ironically, that has turned out to be the real problem for many of his patients.

3. Yes, this is a complaints board. But it’s not a hate board. It serves a great function to for prospective patients/customers to learn the easy way (from other people’s mistakes and misfortune). If you stick to objective facts, you will also succeed in punishing this doctor as patients will indeed be scared away. And if it makes you feel any better, I do believe his reputation has already suffered a lot. I see lots of posts on cosmetic surgery forums asking about fat grafting. A handful of docs are often recommended (including Coleman’s partner Saboeiro), but rarely Coleman. If you rant and attack others, you just end up alienating people from your cause.

Finally, I realize that by requesting information on possible remedies to fat grafting problems, I probably over-stepped the boundaries of this board. But I figured, since it might be useful for many on this board, nobody would mind.

I am also a Coleman patient with a very negative experience.
I am posting on this board because it said it was created "by the people for the people"

It is obvious all "complaints" posted on this board are an attempt to warn people about Dr. Coleman, to protect people from future harm...Maybe you should be thankfull someone is trying to warn you! if you listen or not is entirely up to you!

The problem is, if you refuse to listen and Coleman ends up harming you. You will have no one to blame but yourself, the writing is on the wall read it!

My story

I was lied to ,overcharged over injected over sedated and disfigured by a Dr. Coleman.
His marketing and people skills made me trust him and I believed him.
I did everything right, I checked his credentials paid his exuberant fees because I thought he was the best.

Post surgery
I was so disfifured I had to go into hiding for over a year, unable to work and completely traumatized. Dr. Coleman had changed me inside and out. Consequently it ended my marriage.

To my surprised none of the associations he belongs to took any responsibility for endorsing him.
The NYDOH said they knew about what Dr. Coleman was doing but did nothing about it.

The bottom line is.
There is nobody watching over you.
If you allow him to put you to sleep he will do whatever he wants
with you.

By experience I am sure that by now Dr. Coleman is very aware of this site and he is doing his very best trying to shut it down, at the same time he might be also posing as a patient with a "positive experience" to create a " balance".

By the way It is common knowledge that in order to lipo fat from a woman's inner thighs, Dr. Coleman goes thru the vagina and not from the inner thigh itself.

That is why the women in this post are talking about their private parts, IS NOT because they are " HOT" for Coleman to the contrary they are "APPALLED" by him and his actions.

Sorry, never tried a threesome, never watch horror movies. Never allowed them in the house while raising my daughter. Life has enough horrors, do not need to emulate any. I understand your trying to make light of this Heather. There is nothing light of it. I will be posting pictures so that you will never be put in this position again. Waiting to hear from April...to help me figure out how? Not too computer savvy here. Love and Hugs to you.

If I may interject as a neutral person who had considered Coleman at one point and decided against it for various reasons, it may well be that people complaining about him cannot share details of p.surgeons they've been treated by, nor disclose too personal information because they may be trying to sue him, as expressed by many on this board,in which case no p. surgeon will ever help them if they print public information identifying them. I went through a similar ordeal with another p.surgeon so I understand the desire to want to forewarn others yet keep critical information private.

Heather, Do not take it personally, these mindless statements. There is nothing wrong with any of your postings. I find them to be very clear and concise. And do not feel the need to apologize, for being the beautiful and honest person that you are. This is an obvious...all out attack on your person. Now why would a happy patient even be here and not instead...out enjoying life? Intentional slander my friend. It is about to backfire now. OOPS?

I am not offended, but more finding myself rather compelled...to go to Kinko's or Staples tomorrow and have some pictures put on disk. Upload and present. That will be for you Heather, for your healing. So to prevent any more trauma. I am beyond being traumatized, so to post pictures will be fine with me. This will stop the bullying. I never liked bullies.

By the way Chris and Erin, I find the both of you to be insulting gossips, lacking in depth and compassion...which leaves me to question...who are you serving here? Mankind or Coleman? And please, the thought of Coleman being anything other than?...someone I sought help from as my surgeon...really is enough to cause some giggling over here. Beauty is in the eye of the beholder and I do not find Sydney to be attractive, sensual, intriguing in any way...which would cause me to want to hook up so to speak. He is most definitely not my type, no chemistry here..."NOT"...for sure. Laughing/Smiling.

Heather, you have shared so much insight and it is very helpful for all. Thank you. Please connect directly with me if you would? Would love to know you. Together, one day...we shall be waving good-bye to Coleman. His career will be over soon, with "Divine Intervention." The sixties? It was a time for learning tolerance for individuality. We are now in the time of..."THE TRUTH SHALL BE KNOWN!" Look at the world around you and take notice how this is occuring.

"First they ignore you- then they laugh at you and hate you-then they fight you-then you win."
~Henri Rousseau

Oh, one last thing. Recently, I tried to talk a friend into going to see Dr. Coleman. She has a birth defect that she has had operated on many times. From what I remember about Dr. Coleman’s work, I hope his type of fat grafting might really help her out.

She came across this board somehow, and has refused to even call Dr. Coleman’s office to schedule an appointment because of the wild crazy things that the people on this board are saying. I am very upset and have wanted to relate my experience for over a week.

However, I have been terrified of injecting any comment into the rantings of Corey and Heather, for fear of being attacked, which it looks like they are doing to anyone who says anything that is not supportive of their negativity.

I am particularly bothered by their direct second person statements to Dr. Coleman. For example, “Tiring hiding so many lies upon lies isn't it Syd?” “In life Syd, what you steal and is not yours to have, you may get it for a while but you won't keep it sweetheart.” “Sydney, I "NEVER" gave permission…” These bizarre second person comments combined with the long discussion of their vaginas is definitely on the frightening, crazy side.

They seem to relate personality disorders and potential psychosis rather than honest complaints.

Thanks for contributing some balance Chris. I asked a lot of what I thought were constructive questions in my first post but recieved no response from any of the other patients other than a further rant against Coleman. I also emailed the party asking for all dis-satisfied patients to come forward (with similar questions) and recieved no reply.

For those patients who consider themselves victims, I feel for you, honestly and sincerely. And as I stated before, my own results created some new problems post 2nd and 3rd procedure (hence my questions). But the way you're going about complaining just detracts from your credibility.

Why not describe specifically what happened from start to finish, and even add before and after photos if you are willing to compromise your privacy (of course if not, that is completely fair and reasonable, I know I would not share my own pictures). If you are completely honest, you have nothing to fear. If I am not mistaken (I'm no lawyer or expert on the law), it is your legal right to share your own experiences and your own before and after photos in a public forum as well as sharing.

And for those of you who have been damaged, please also discuss some of your experiences with revision surgery (either by Coleman, Saboeiro, or other docs). I've read a patients (on the facialplasticsurgery forum) who had some of the fat in over-filled areas cut-out before having a mid-face lift and other procedures (I believe the doc was Yarmechuk). So far, she is happy and her after photos look nice (still have some swelling though so I think its too easy to judge for sure).

Its clear that you want him to be severly punished. But what's less clear is what exactly happened (the whole process of your surgery(ies) and what victims have done in revision procedures to reduce the damage.

Heather, I must admit that your last paragraph is the most rational statement you’ve made so far on this complaint board.

You and your cohorts on the board here seem to have some bizarre sexual fixation on Dr. Coleman. You are going on about what you have heard about Dr. Coleman’s sexual life, his extracurricular activities, his activities at the gym and what type of shape he is in, even a rash on his face? You and our friends are extensively discussing your vaginas…what is up with that? And you are describing many situations such as Dr. Coleman getting on his knees before you before going into surgery to tell you that you have a beautiful body. You think he draws penises on patients as a recreation activity?

You and Corey appear to be sharing some sort of sick sexual fantasy on this board which has nothing to do with any complaint about Dr. Coleman.

Also from your extensive ravings, I can see that you and Corey must have gone to attorneys, who could not see any problems other than your sexual fantasies, or you two would have sued him if he did even one of the things about which you accuse him.

I am surprised that such obvious sexual fantasies about a physician are allowed on a complaint board. I know personally that Dr. Coleman has done some great work, and am very disturbed that statements like have been made on this board are not better censored. If there is an actual complaint it is not easy to see, only these women’s sexual fantasies.

I have been a patient of Dr. Coleman’s for over ten years, and I have had three procedures done by him. He has placed fat in almost every area of my face now, and I people compliment me on my appearance frequently. Admittedly, I had to have a little adjustment after the second procedure to add some more fullness and take some away, but he has been great at working with me to adjust the results to satisfy me.
During the last ten years, I have referred three close friends who all had good experiences and many acquaintances. The recovery period is admittedly difficult, but the results as far as I know have all been great. For instance, one of my friends had bad eyelid surgery by other doctors and she thought that she could never be corrected. It took Dr. Coleman two procedures to correct her, but she now looks normal.
Because of the procedures I had done, I have been in his waiting room frequently, and have spoken to numerous patients. Although no one likes the recovery, the ones that I saw that are a few months out look great even if they are complaining about tiny problems. I just don’t understand how this could be the same doctor.

Those researching Sydney Coleman, do not be taken in by his post... stating that he is in the process of taking legal measures against false claims being presented here. Listen with your heart to what we are sharing. Do not risk your safety, by believing his attempt at burying us even further. He can stall on that one forever. Meanwhile, he is being paid for experimenting on the unsupecting and vulnerable.

Sydney Coleman, you were not there, when I so lost my sanity for a time... so much that when contemplating suicide, I informed my daughter that I was considering this. My child suffered and endured the trauma, not only of seeing her "Mother" disfigured, but was forced by you...to live in constant fear of losing her as well!"

I felt defeated before, but now I am strong enough to begin feeling angry over what you have done to me. I have that right and I just may post a few pictures of my own in time. They will not lie. It is so obvious that I went from a fairly attractive woman, to a hideous beast within seven hours under your Frankenstein/Hitler mindset. And I did not appreciate that you made me to feel unattractive, by stating that my facelift prior to your injections, did not do much to... enhance my appearance. Tell the patient they look terrible during a consultation, if that is what it takes to get them secured for you.

And what was with your getting onyour knees before me, just as I was about to go into surgery, looking up into my eyes..telling me that I had a beautiful body? I was left very confused as you suddenly stood up and started pointing out multiple flaws on it and my face that you wanted to correct in a rapid fire fashion. Hear this again folks, I was under great stress, about to go in for surgery and he is making sales pitches to me, a zillion in a nono-second! You are no better than a sleazy dishonest car salesman. Worse even.

People, find the courage to join in.. if Coleman has done this to you. You are not alone any longer.. he is going down! And you deserve to be here..waving good-bye!

I am pleased with Heather's comments, regarding Coleman's state of mind. He seemingly is begining to understand Karma, and apparently is keeping tabs on this post here. Heather, you have given me the strength to speak out one more time here. As there is something which I had forgotten to mention.

Sydney, I "NEVER" gave permission for you to remove fat from my belly area...in your attempt to create a sixpack look, like the picture that you shoved in front of my face...while I was about to go under, telling me that all of the models were now doing this? I thought it looked bizarre and distinctly recall...scrunching up my face with a look of distaste, which in itself would indicate disapproval. I liked my belly looking natural.

You did not have the right to harm me and to alter my look. You have nearly destroyed me and I have suffered severe depression because of what you have done. Yes, suicide crossed my mind too. Yet, I am here still...stronger than ever. A force to be reckoned with, because those of us harmed by you have come together in a group...and we are not alone any longer. We are the voices of the truth and we shall prevent you from doing this to others. Your career must end, it is the only resolution.

Although I have now I have learned to accept, the ughly crooked line that you created, which runs from my belly to between my breasts, I will never accept anything less, than your taking responsibility for having left me deformed. And may I ask, why was I under for seven hours, when I only requested fine lines minimized around my eyes and for plumping of my lips for a more youthful look? Was it $24, 000.00 that you were paid?

And why has this post not been forced down? Because we are telling the truth.

One more question: What ever happened to the support website (wearecolemanpatients.com)? It seems to have been suspended due to non-payment from its owner. I would like to look at it. Will it be re-opened or is there a similar site elsewhere with a new name? If so, what is the name?

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?

I almost let him do my face, thank god I didn't.
When I had my consultation with him I saw a lady
who's face was so swollen it looked really bad. But when
I saw his nurse Donna I was shocked. I thought
Dr. Coleman did a horrible job on her. Wow I feel
for his patients and believe them.
His nurse told me he used to be a ballerina.
Later I learned from many people that Dr. Coleman
is gay and hates women. I honestly believe that.
I know he is involved in The Martha Graham Dance Co.
He looks a too out of shape to be a ballet dancer.

I'm amazed at how famous he is but does such horrible work!

I'm sorry you had such a bad experience but a friend of mine went to dr. coleman to have fat grafted for breast enhancement. She was thrilled with the results and said she really liked dr. coleman. unfortunately, plastic surgery is one of those things that doesn't always work out. I personally think it's a big gamble and some ppl are happy with plastic surgeons that other people arent.

I hope that April Smith will print this. She has not responded to my request, for communicating directly. It may be too painful to discuss for her at this time. Understandable!

My own Gynocologist of sixteens years, did not recognize me, nor a neighbor that I have known since childhood, one with whom I had just spoken with several months prior to surgery. To be told by him, "you seem familiar, but I do not recognize you?" Heartwrenching to say the least.

There is a man who lives in my area, also disfigured by Coleman...we knew...just by seeing one another..."COLEMAN VICTIM!" He looked so hideous and this dear man, too...had a face with the trademark..."CRO-MAGNON LOOK!"

Literally, we are left with jutting foreheads, heavy eyelids that look as if small pillows have been placed upon them. Manly squared off jawlines, protruding lips that are insanely huge. Cheeks that have so much fat injected, a smile is too distorting to describe as anything other than freaky!

The only thing that I have found to be helpful, is the juicing of fresh veggies. It seems to help the fat go down a bit faster, if you can call over a three and a half year period fast. I dare to say, the man appears to fit the criteria of a psychopath, from what I have read and by noting how we have been...so "inhumanely treated!"

Although I am not qualified academically to make such a statement, here I will share the defintion of a "Psychopath" from the Oxford Dictionary. You decide.

Psychopath/A person with chronic psychopathy, esp. leading to abnormally irresponsible and antisocial behavior, loosely a mentally or emotionally unstable and aggressive person.

It was an absolute irresponsible act of aggression on my person/life/spirit. It was surgical rape, in the sense that it was not my desire to alter my look, only to have fine lines filled in. He also experimented on one of my legs, removing fat in the ankle area and above my knee area...in what appears to be an attempt at creating a more muscular look. It actually does look this way, but only on one leg and without my knowledge. I have been experimented on, perhaps for him to gain experience.

There is a class-action lawsuit suit about to be filed against him. I could not be a part of this, because my time is beyond what the law requires. I would appreciate contact with others for the benefit of our healing together. My best...

I also have terrible experience. My lips are so big I can't smile. My cheeks are too big and i have been to all the doctors and it can't be fixed.

I knew this man. Every time he was at the GYM the hospital call stating the patient was in pain? o very sorry you experience him. I experience a shalow man and unfit Dr. according to your experience.

I am a former victim of Sidney Coleman. To have been so disfigured, that people have actually stood in front of me to stop and laugh? Pointed out the surgical freak? Simple fine lines that were to be injected with fat? My face has been... for over three years... the size of a basketball. Lopsided and hideous looking. If you want your life destroyed, it would be less painful to jump in front of an oncoming train.