How to go from 50+ to looking 20+ with plastic surgery rejuvenation.

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Today’s post is on use of CT scan imaging to help you decide whether it is facial contouring you need or facial lifting procedure. I had not realised how cheap it is to get a 3D ct scan in Korea until I was offered this for only 10,000 won or just under $10! CD copies are also sold for an additional 20-40,000 won! I took photos of the images on the computer screen for my record too. This showed me that my zygoma is not big and that my lower face needed lifting! I managed to get quotes for FL cheaper than ASPS from Namu, Girin and View f2f but still a lot more than Dr Oelbrandt charges for his smas facelift so I shall choose Dr O in future.

Meanwhile here are some amazingly clear images so you too can see how obvious it becomes that it is a skin/fat issue and not a bone issue for me.
 

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For those who cannot tolerate breast implants or who have had them explanted, breast fat transfer becomes the only option for breast augmentation without implants. In the US it costs $9-11k, in the U.K. £4-5k but in Korea it is 3-4 million won or £2-2.7k! I have met with Dr Hong of Fresh clinic this afternoon and was so impressed that I have booked breast FT for tomorrow with harvest jet fat graft from my love handles to use. It cost me 4 million won + 10% tax which I can reclaim at Incheon and I paid by cc. Not sure if credit cards offer insurance for overseas procedures but the price was the same for cash or card. He will use prp fat graft. The added bonus is the liposuction of my middle aged love handles! After the swelling went down from revision periareolar mastopexy back in July 2019, my breasts looked like I had breastfed! I decided I could not live with this appearance and hoping my breasts retain some of the extra fat being transferred. In the U.K. they wanted me to gain more weight but in Korea and in the US they can handle slim ladies! I shall keep you posted of how this develops.
 
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Today’s post is on use of CT scan imaging to help you decide whether it is facial contouring you need or facial lifting procedure. I had not realised how cheap it is to get a 3D ct scan in Korea until I was offered this for only 10,000 won or just under $10! CD copies are also sold for an additional 20-40,000 won! I took photos of the images on the computer screen for my record too. This showed me that my zygoma is not big and that my lower face needed lifting! I managed to get quotes for FL cheaper than ASPS from Namu, Girin and View f2f but still a lot more than Dr Oelbrandt charges for his smas facelift so I shall choose Dr O in future.

Meanwhile here are some amazingly clear images so you too can see how obvious it becomes that it is a skin/fat issue and not a bone issue for me.
Hello miss orange
As dr OH from Regen suggested you zygoma, do you still have a good opinion about him ? are you disappointed he didn’t suggest you face life over than zygoma ?
 
Hello miss orange
As dr OH from Regen suggested you zygoma, do you still have a good opinion about him ? are you disappointed he didn’t suggest you face life over than zygoma ?
Hi @Pakune, oddly they only did x rays at Regen and not CT scan. At the time of exam back in Feb 2018 my face was swollen with fat graft so not ideal to assess my zygoma. I now know to make sure to see CT scans before booking any facial bone contouring procedure. I think my fat graft has now almost completely reabsorbed from my forehead and lower face which has resulted in skin sagging which was not present back in Feb 2018 when I went to Regen shortly after my MVP full face fg. I guess the bottom line is facial fat graft is temporary. I may go back to nasolabial fillers. It suggests that tomorrow's breast FT may also be temporary but at least the lipo of the love handles will be permanent and as I will have liposuctioned most of my body at one point or another, I am hoping remaining fat cells in my breasts expand as they are doing in my bottom. I will not get breast FT top up as each FT stretches skin.
 
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Hi @Pakune, oddly they only did x rays at Regen and not CT scan. At the time of exam back in Feb 2018 my face was swollen with fat graft so not ideal to assess my zygoma. I now know to make sure to see CT scans before booking any facial bone contouring procedure. I think my fat graft has now almost completely reabsorbed from my forehead and lower face which has resulted in skin sagging which was not present back in Feb 2018 when I went to Regen shortly after my MVP full face fg. I guess the bottom line is facial fat graft is temporary. I may go back to nasolabial fillers. It suggests that tomorrow's breast FT may also be temporary but at least the lipo of the love handles will be permanent and as I will have liposuctioned most of my body at one point or another, I am hoping remaining fat cells in my breasts expand as they are doing in my bottom. I will not get breast FT top up as each FT stretches skin.
I think you are making the good decision according to your ct scan
Your zygoma doesn’t seem that obvious and I’m wondering if I should do this surgery now
Apparently my face bones are very weak and don’t have much bones..
I just noticed that your bite is not perfectly aligned thanks to your ct scan but it’s not visible on your picture ! Which is amazing, and prove that fatgrafting and genioplasty can hide little bites concerns ! It’s a good news for me and some others lol
Thanks for sharing with us miss orange
 
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I think you are making the good decision according to your ct scan
Your zygoma doesn’t seem that obvious and I’m wondering if I should do this surgery now
Apparently my face bones are very weak and don’t have much bones..
I just noticed that your bite is not perfectly aligned thanks to your ct scan but it’s not visible on your picture ! Which is amazing, and prove that fatgrafting and genioplasty can hide little bites concerns ! It’s a good news for me and some others lol
Thanks for sharing with us miss orange
Remember as we age our bones thin and reduce in size. My OH keeps saying my facial bones will shrink with age for free!
 
Well it is 9 am in Seoul so my cut off and now nil by mouth for my 3 pm op. I have found the cheapest botox thus far...77,000 won for crows feet, ie £50! I head to Namu for this shortly. They also offer lipolysis injections for fat in the face for 100,000 won about £70. Facial liposuction is too high risk imo so this is a good option.
 
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Hi @BigBrownEyedGir

I had bad FG at DA and paid them 2.5 mill for 2 (ie including top up) then 1 mill for the third. Then I went to mvp and paid 1 mill for multiple procedure loyalty discount. I think you should stop at 2 or 3 but go to MVP or Fresh. It is high maintenance and requires a ban on msg, salty foods, foods high in fat and religioud weight control and +++ water intake.
I love salty foods and alcoholic beverages/coffee and I hate drinking water. Lol maybe this is why my skin and face looks like crap haha. Good to know, thank you @MissOrange I will look into MVP and Fresh.
 
Today's post is on how soon post rhinoplasty can you get emergency revision. In the US and UK they make you wait a year. However I pushed for my emergency revision at 3 months for rhino abscess and collapsed tip with my UK rhino surgeon and got it. In Korea Dr Jin revised a rhinoplasty successfully at 3 weeks and 2 days. I think ideally emergency rhino revision is undertaken at under 2 weeks due to scar tissue formation making it difficult to work on the nose.

Here is a blog post on the pros and cons of septal, ear and rib cartilage in rhinoplasty.

https://www.vippsblog.com/plastic-surgery-101/cartilage/
Just to add for anyone who is reading this, VIP will obviously be biased towards rib cartilage as that is what they specialise in. There are quite a lot of disadvantages to using your own rib cartilage too, such as:

- Warping
- Resorption which means that the shape of the nose could change (especially with diced cartilage fascia)
- It is quite a hard material and apparently makes the nose feel quite stiff
- Harvesting the rib cartilage is quite invasive and I heard it is more painful and uncomfortable afterwards than the rhinoplasty itself
- Leads to scarring at the site of the harvesting
- Potential for donor site morbidity
- More expensive

Although I haven't had rhinoplasty yet, I think I will probably choose to augment my bridge with silicone. I think rib rhino is too invasive and has the potential for more aesthetic issues.
 
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OMG! So much has happened between 14:50 Friday January the 17th and now Tuesday January the 21st!!!

I was in my surgical wrap jacket and trousers at Fresh, and it was 10 minutes before my op time. I started to have a massive anxiety panic attack over what I had been told by Evelyn the consultant and signed on Fresh's consent form! Evelyn had informed me that Dr Hong does the anaesthesia himself! I had asked her if there was an anaesthetist surprised to see the consent form read propofol, midazolam and ketamine! I kept worrying I might die like Michael Jackson as this was a clinic not hospital with no anaesthetist to intubate me if I stopped breathing on propofol. No anaesthetist she replied. Dr Hong does it himself. Then her words that I could come back for injections if I got breast oil cysts or lumps after breast FT kept replaying it my mind. She went on to say if that didn't work Dr Hong could remove the cysts or lumps. I live in the uk so coming back to sort out potential complications was not an option. I started weighing the risks and benefits of breast FT with the risks of propofol administered outside a hospital setting by the doctor and not anaesthetist?

It was 14:50 and I was frantically asking my January kkt group what to do???? I trained in surgery in the States. I knew in the US and UK propofol is used for GA and not for twilight sedation.

Decision made, I cancelled! Evelyn tried her best to reassure me Dr Hong had no anaesthetic complications and his asian patients have not had cysts but I could not imagine how he could do both the iv sedation, monitor my breathing and do my breast FT with lipo from my flank. They have a good cc policy and I got back 90% of the total surgery price on my cc but lost the 10% deposit or 400,000 won.
 

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As I walked out of Fresh I thought I am 5 minutes walk from mvp and starved since 9 am so why not see if I can get breast FT later today or tomorrow. MVP had quoted me 3 million when I had enquired months earlier asking prices around the uk, europe and korea.

The manager Ellen was off that Friday and a new consultant told me Dr Seo did not do breast FT but Dr Hyun did. Alas both had full op lists for Friday and Saturday.

At this point I started thinking well my lower face could use some fg top up as imo ulthera may have caused fg loss to my lower face. So I asked to see Dr Seo for lower face fg top up.

I waited and in between surgeries I had a minute with him. He assessed my face and like View, Namu and Girin said I needed a lift. He suggested full face fg with threadlifting. As I hero worship Dr Seo for rejuvenating my old eyes and for correcting DA's fg, I trusted him 100% and said yes, yes anything Dr Seo says.

I bargained hard on the price as Ellen was not there so staff did not know about my loyalty customer discount or multiple procedure discount.

I managed to get the threadlift quote down from 3 to 2 million which matched Namu's quote for threadlift for me ie 2 million or 4 threads. I never even asked Dr Seo how many threads and just assumed it would be 4 total. I must say I waa influenced by meeting a young man who had just had threadlift elsewhere and what just 1 thread on each side did to lift after mini v line sagging.

Dr Seo approved the addition to the end of the day list and I went to theatre shortly thereafter. I couldn't believe I had managed to get same day surgery with 2-3 hours notice!
 
Here I am going around doing consults 1-2 days prior at Namu, View and Girin, 3 said facelift and 2 said with zygoma and 1 said zygoma, v line shaving and facelift.
 

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Here is the immediate b+a with Dr Seo at mvp for threadlift with 6 threads and full face fg. The bottom left was taken hours before the op while consulting with Dr Seo Friday. The afters were taken Saturday morning as I had already peeled off the forehead tapes ahead of my mvp follow up appt that day for 1:30 pm.

I was amazed I had an instant v line and high cheekbones! But then my anxiety grew and grew. I had not thought it through properly. I have an autoummune reaction to foreign bodies..silicone textured implants (gave me eosinophilic oesophagitis, antral ulcer, burning painful dry eyes, rash, histiocytic reaction to silicone on pathology report on explant, brain fog etc), the premaxilla gortex implant had become infected and drained pus from the roof of my mouth into my oral cavity and had needed urgent removal, my rib rhino had developed an abscess with tip collapse at 2.5 weeks from reaction to the permanent stitches inside my nose and needed weeks of antibiotics and revision rhino again and I always take out stitches 2-3 days post as my skin reacts with intense itching, pain and skin irritation until the stitches come out.

The more I worried, the more pain I felt at the thread insertion sites and the more tight my face felt from simultaneous facial fg + thread tightening. I googled and read that autoimmune diseases are actually a contraindication to threadlifting! That and neurosis which I was having big time about having a ticking time bomb to when my body would totally reject and how it would manifest, ie would I have pus pouring from 6 incisions in my scalp as my body rejects, would I get a facial rash for 6-12 months etc. I went back early at noon to mvp to discuss urgent removal.

I appreciated Dr Seo's amazing abilities to achieve a v line face lifted result with just thread lifts and how he had stayed late on Friday, how nurses stayed late to 11 pm for me, how Anna the consultant rode with me in a taxi to my hotel and mvp covered the taxi ride, how he had spent extra time to give me the best threadlift result even though he was tired from a full list Mon-Sat every week...

Both Dr Seo in between surgeries and Ellen tried to reassure me the threads were dissolvable and I had had dissolvable fillers in the past with no problems but what was truly touching was they showed empathy to my intense anxiety over another autoimmune reaction. I sent reports to Ellen via kakao, photos of my nose abscess (which had poured pus from holes in my nose skin), my pathology and endoscopy reports, etc.

It was now up to Dr Seo. Ellen said they had never had a patient ask for removal as pdo are dissolvable. Dr Seo said why didn't I tell him yesterday about my autoimmune condition? I blamed myself for messing so many people about. I had come in hoping to get breast FT to repair my post en bloc implant removal but somehow agreed to ffg + threads on an impulse.

I said if not today I would have to buy another plane ticket, miss my Monday flight and pay for hotels but that I could not live with daily worry for 6 months.

The clinic was due to close at 5 pm on Saturday. Staff were tired. All eyes were on Dr Seo and I was weeping beating myself up for agreeing to threads and forgetting my body reacts to foreign bodies...
 

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Then came his reply...yes ok. Ellen charged me 500,000 for removal. What a painful mistake I had made. Now 2.5 mill won for a threadlift experiment with removal. The ffg had cost extra but I was happy to pay for the extra boost to help fill out my lower face, malar cheeks and forehead as I felt ulthera may have taken my lower face back a few top ups.

Now came the talk of risks of thread removal under local....scarring, tissue damage, dents, thread breakage, inability to remove all 6, skin sagging...but my physical and mental health had to take priority and I was taken back to theatre at 5:45 pm for removal of 6 threads.

The bottom line is threads give amazing instant lift results and one clinic even advertised this for brides but google and check yourself if you have a contraindication to make sure you are an ideal surgical candidate for threads which are much cheaper than 9-10 million won smas FLs.

As I flew home yesterday my face swelled up from day 3 of my 5th full face fat graft. No photos please until this swelling and bruising subside. With 2 ops in 2 days my facial swelling is now +++ but thankfully my puppy still recognised me even though Heathrow's facial recogniton software did not.

Then I got back Dr Oelbrandt's quote for smas FL based on the photos I sent (my befores above) and he quoted £3.5k. Ellen mentioned in asians with thin skin smas lasts 1 year! Yikes. I shall reassess my face once my balloon face swelling goes down. Should have bought a chanel bag at duty free instead of try threads lol.Oh well at least I know what I would look like after a facelift but knowing that even smas FL is not permanent and may need to be repeated every 5 years, I need to put it off as long as I can using fat, fillers and water for volume to lift.
 
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