I thought I would start a new thread as I seem to have hijacked smitten kitten's thread on MVP to share my journey. I summarised my plastic surgery journey on
www.drunacoales.blogspot.co.uk. Here is a short summary of my tips.
1. As you age, the nose tip droops. Bear this in mind when you get your primary rhinoplasty as it may not be your last. My tip drooped after 16 years and needed revision. In SK they prefer ultra soft silicone for the nose as it is easier to fit. Take care as some people react to foreign material more than others and you may need to remove or exchange on average every 10 years as with most body artificial implants. Ear or rib cartilage is autologous and less likely to cause a reaction. Get several quotes on kakao from various clinics. One clinic JW may start at 13 million for rib rhino revision but then drops to 11 million if they know you are active on social media but then may drop even further to 8 million after a consultation with the plastic surgeon and may even drop to 7.4 if you look like you are going elsewhere as shared by another KK friend. This is something foreigners are not used to...negotiating. Or clinics like GNG or MVP will start with a fair price like 4.5 million at GNG for rhino or 3 million special at MVP. MVP is noted for trying to give foreigners as close to local prices as they can. There are 2 types of noses...long nose and Barbie nose. Make sure you bring an A4 of a favourite actress or model or use the facetouchup app to see which suits your face. Bear in mind the nose and ears continue to grow with aging!
2. In your 40s, you start to lose fat from your face which then makes your face look bony. The most resistant fat is in your cheeks which then makes your face look unbalanced, ie chipmunk cheeks on a bony skeleton face. The answer is not cheek liposuction or buccal fat removal but full face fat graft to rejuvenate and replace all the facial fat lost with ageing. Be patient as fat grafting may need 3 attempts to stay and be prepared to gain a few lbs to help the fat graft thrive.
3. Eyelid sulcus hollows with ageing. Again fat grafting to the lids rejuvenates. You can combine this with an incision des or blepharoplasty. Again bear in mind that skin sags so actually a bigger crease buys you more time before it sags. Your first des is never your last when battling gravity.
4. Philtrum sags with ageing. You may have seen smiles with no upper teeth show. This is because the philtrum has sagged from 11 mms to 20 mms and basically covers your upper teeth show even at rest. Try a bullhorn lip lift and do not ask the plastic surgeon to cut into the nasal sill or it may distort the nostrils. The only downside is a scar but if you wear makeup, you can hide as it takes a year for the scar to be invisible.
5. SMAS facelift. I have seen this in girls as young as 30. As it is costly and with ageing all skin sags, I would suggest trying to put this off as long as possible by using other anti ageing procedures. Bear in mind any bone surgery may accelerate skin sagging and you may end up requiring an earlier SMAS facelift.
Hope this helps ladies especially from 40+. I turn 51 shortly and my next milestone hurdle will be conquering ageing at 60!
I am flying to SK next month to have my primary rhino done along with DES and under-eye fat removal. However, I've been having some fears lately and was hoping to be able to get some reassurance or guidance from you! You truly look beautiful & reading your threads has brought me some comfort to soothe my pre-op fears. However, here are some other things that I had on my mind that I could not find answers for so far. 
there's so much contradicting info around, brokers etc etc so it's rly difficult to sus out the truth from lies... 
