**sorry this is so long but its the letter im emailing lawyers, etc**
I am a 28 year old white female, 5’4’’, 132 lbs., excellent health, and mother of two children. I have been an exotic dancer for nine years. This is my personal experience with Dr. Scott J. Loessin, Daytona Beach, FL.
In June of 2004 Dr. Loessin preformed my first breast augmentation. I was a natural small B and went to a large C with saline, round, partially under the muscle implants. Cost $3900.00. I had problems with the left implant shortly afterwards. Initially there was a lot of bruising that traveled along the breast and down my side and arm. I was told this was normal. I made several appointments that were not regular follow up due to symptoms such as bleeding from the nipple and pain. I was told that these symptoms were not related to the implants and was referred to undergo a mammogram and sonogram to check for abnormalities such as cysts, etc. The bloody discharge was also cultured to test for infection. This was in late 2004. All results came back negative/ normal. At this time I was preoccupied with my separation and divorce matters and could not take the time to chase an answer for my symptoms. The bleeding stopped. The pain continued and worsened. The left implant eventually began to ‘move’ down and to the outside of my chest.
I researched my symptoms via the internet and believed them to be from a ‘pocket' that was too large; allowing the implant to move out of position and cause pulling on surrounding tissue. In early 2007 I returned to Dr. Loessin regarding this pain, his work is ‘guaranteed’ for life. He agreed with my thoughts and explained that he could put permanent sutures along the outside of the pocket. He was concerned about the appearance after performing surgery on just one side. He explained that replacing both implants at the time of repair would be best. He asked if I had considered larger implants. I told him that I was interested in high profile implants to achieve the ‘fake’ look as opposed to the ‘natural’ look I had at that time. At that time I had 410cc left and 390cc right saline implants. We discussed 700cc implants that I brought photos of for and example. He also told me that I had “No other choice” but to go with silicone gel implants because I had some rippling along the bottom of the implants that you could feel (not see). He also suggested putting permanent sutures along the bottom of both pockets to raise the implants to correct placement of nipples being too high due to implant movement. He said he would use the same crease incision (under the breast) and the scar would not change. I agreed to have surgery in late July of 2007.
At my pre-op visit, Dr. Loessin was concerned about using larger/ heavier implants with the permanent sutures. He said, “We would be working against ourselves”. He decided that only a 100cc increase per implant would be sufficient to achieve the look I wanted. I was later called by the office nurse, Michelle, who explained to me that the implant company did not make 510 and 490cc implants. The implants came in 50cc increments. I asked her what the doctor suggested. She told me that he instructed her to “Get what you can get”. This is why she was calling to ask what I wanted to do. After much discussion, we decided to go for 550cc and 500cc silicone gel implants, partially under the muscle. Procedure cost $5776.00. Two months out of work for recovery.
His fee for repair was an additional $1500.00. I was not charged for the repair
In late July of 2007 I received my second surgery. At my two week follow up I complained of continuing pain in the left side and a significant ‘dent’ on the bottom of the right implant. Dr. Loessin believed I was convinced the pain was from the problem before and there was nothing he could do to change my mind. I was offered a prescription for pain medication that I refused. Regarding the ‘dent’ he said there was absolutely no was to determine the final appearance only two weeks post surgery.
I returned to him for my two month post op visit with the same complaints. He again said that the pain was due to the most recent surgery. He explained to me that no doctor would ever agree to perform surgery to treat pain, only to treat the problem causing pain and that there was no guarantee that the pain would be gone. He suggested possibly putting more permanent sutures along the outside left pocket to alleviate the pain. He explained that the ‘dent’ was caused by part of the permanent sutures being too tight and that it was a very simple fix that could be done at six months post op .He gave me a prescription for Alcolate, an asthma medication, to help with the pain. I expressed my dissatisfaction with the entire outcome of the surgery including that the overall appearance is barely half a cup size larger and very ‘natural’. At this point I gave up on him and decided to seek another doctor.
Dr. Loessin told another patient of his, who is a close friend to me, that I am a patient for life and if I wasn’t happy I should see him again. I returned to him at about four months post op, armed with my before pictures that I had taken. He had to agree with me that there was little to no difference in size or appearance. He suggested performing the repair all over again. He also ‘changed his mind’ about the ‘dent’ on the right side explaining that my muscle was contracting the implant and the repair would be complicated and cause more damage. I expressed to him how detrimental the ‘dent’ was in my profession as an exotic dancer. He believed that I was better off with the ‘dent’ then the repair. He left the room, and sent the nurse in with a quote for nearly $1700.00 in ‘facility fees’ to repair his repair. I asked to speak with him again. I do not believe I should have to pay him for the facility fees or any fees, considering I had just paid those four months earlier. After waiting for nearly an hour I left the exam room and requested he or the office manager, Debbie, call me at home.
I got a hold of Debbie about a week or so later after three phone calls to Dr. Loessin’s office. I explained to her that I did not feel I should have to pay anything for additional surgery because I was at no point satisfied. She was understanding and sympathetic. She suggested I find a different doctor. She said she would discuss my situation with Dr. Loessin and call me back. I was not contacted again.
I have since moved out of state and found another doctor, Dr. Ralph Kozart. I am in constant pain. I have severe visible rippling on the left side. The left implant is visible lower than the right implant. My scars are twice as long as before and have moved above the crease line where they are now very obvious. Dr. Kozart’s opinion is that the permanent sutures have ‘unraveled’, the ‘dent’ is caused by capsular contracture (scar tissue) and that both implants have ‘bottomed out’ (fallen to unnatural, unattractive position). He suggests replacing the implants with 800cc silicone implants (for the appearance and size I want), fully sub muscular (to repair the enlarged pocket and ‘bottoming out’) and capsuloraphy (removal and repositioning of scar tissue) (to repair the ‘dent’). This procedure will cost $6800.00. Three to four months out of work for recovery.
Dr. Loessin is planning to relocate his practice to Miami, FL. I know two other women who have had cosmetic procedures done by him. Both are unhappy. One had breast augmentation with unattractive results: poor placement and visible rippling. The other had a breast lift and tummy tuck with severe complications requiring months of hospitalization and leaving her severely scarred. I cannot believe that he can legally or morally continue to practice in this manner. I am aware that I signed consent forms stating risks of infection, scar tissue, unsatisfactory results, etc. but there must be some recourse or way to warn others. I would greatly appreciate any information or suggestions. Please do not hesitate to email me with any questions regarding my experience.
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