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

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I am over 6 months post one time breast fat transfer for £5,648 and have retained 100% (see my attached b&a). They now look perfect except... I am now looking into intralesional steroid injection as I have redeveloped hypertrophic scarring after surgery for the periareolar laser burn. I have a follow up appointment next week so hoping to get this done.

I have also been researching facelifts. Looks like there is a difference between smas facelift and deep plane facelift! Dr Jacono explains it as smas peels the skin off the face to then stitch up the smas layer vs deep plane does not pull the skin away from the smas. Am following a Londoner on Instagram who had her deep plane FL 10 days ago with Dr Bray and is posting videos daily! This is the best way to look at her before face in action vs after. However the prices are unaffordable for most ladies. Dr Jacono charges $120,000 and Dr Bray up to £26,000 for his clinic based deep plane face and neck lift. Traditional smas is cheaper at £14,000 with other surgeons. Cheaper still is Korea which charges between $9000 and $12,000 for a smas FL. Cheapest is Dr Oelbrandt in Belgium who charges €3-4K for a smas facelift. I have messaged Dr Dongmin Park to ask how much his deep extended smas facelift costs. I wonder if this is the same as deep plane?

I then looked at my face and in my 40s it was taut because I love sugar free chewing gum! I was doing my own facial jaw yoga! However this did not address the hollowing in my temples and upper lids which is where fat transfer comes in. I am now over 3 years post full face FT and top up 14 months ago. I am also back to chewing chewing gum after meals. I put together a comparison of me vs a Bray lady who is also 54. I would say the cheapest way to get a tight lower jaw is daily chewing gum or being a chatterbox! The next cheapest way is threadlift but this lasts 6 months to a year. Then comes fat transfer for $2k. I think this lasts as long as you keep your weight above the weight it was on the day of your surgery. I was not aware of this but luckily I weighed 95 lbs when I had my facial FT top up so it is easy to keep my weight above this, especially during lockdown.

The lip lift from 4 years ago which involved lifting the muscle layer too is still lasting so this is like getting a smas for the lips! Aargh I just spotted the sun spots. I need to do a glycolic acid treatment and dye my roots with L’Oréal Excellence light ash blonde 9.1.

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Dear Miss Orange,

I have not researched FL too much but I think Korean docs are better at Fgs and probably head to Seoul for FL on that basis.lol. They could really maximize FLs and they know Asian faces which are significanty different from Western faces. Could be wrong.
 
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Miss Orange,
Please can I get your opinion on liposuction from a medical point of view and not an aesthetic view. It has been widely reported having a too large waistline is bad for health but if one has liposuction in that area, does one have the same health benefits from surgical intervention as a person who has not had surgery who has a slim waistline? Thanks
 
Miss Orange,
Please can I get your opinion on liposuction from a medical point of view and not an aesthetic view. It has been widely reported having a too large waistline is bad for health but if one has liposuction in that area, does one have the same health benefits from surgical intervention as a person who has not had surgery who has a slim waistline? Thanks
Good question @seoulsister. Central obesity or the apple shape is associated with more fat around the internal organs too. By losing weight, the internal organ fat and external waistline go down. Lipo would address the external waistline but mask the fat around the organs as one would be misled into thinking one had lost weight when actually fat may still persist inside.
 
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Dear Miss Orange,

I have not researched FL too much but I think Korean docs are better at Fgs and probably head to Seoul for FL on that basis.lol. They could really maximize FLs and they know Asian faces which are significanty different from Western faces. Could be wrong.
Good point @seoulsister. Not only do Korean FL surgeons know Asian facial beauty but they also embroider extremely well. Yesterday I had steroid injections to my periareolar surgical scars in London. Whereas my lip has no scar from a Korean plastic surgeon who used the finest sutures. He probably wore a magnifying loop as the thread was almost invisible. In my opinion Asian skin is more likely to pigment or tend to develop hypertrophic scars if operated on in the West and more likely to be invisible if operated on in Korea. Asian patients insist on no scars so Asian surgeons are more meticulous with their stitchwork in my opinion.
 
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I am researching facelifts and came across the most incredible results! I am gobsmacked at how a 70 year old can look super young now! And a 60 yo too (second set of b&a). I need to fly to San Diego but alas I doubt I can afford California surgery prices. This means ladies can look 30s at age 70!!! But how would a 30 yo man feel or think if he suddenly found out his date was actually 70?! I learned the hard way sitting next to a guy in his late 20s/early 30s on an aeroplane. I should never have revealed my true age. His face changed and he looked at me like I was a freak and stopped talking to me. Ouch. So if you do end up looking a lot younger, never ever ever reveal your true age.
 

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I noticed my lower face was sagging slightly so I sent my photos to Dr Dominic Bray, Dr Dongman Park and Dr Paul Tulley and all confirmed I needed a facelift. The prices quoted ranged from £25k (Bray for deep plane face and neck lift), $15-20k (Park for extended dual plane FL) and £8-9k (Tulley for short scar smas FL).

I was surprised that the assessments with the same photos ranged from requiring full face and neck lift all the way down to mini facelift that it made me question whether I needed a FL.

I then studied b&a photos of FLs on doctor websites and noticed that the dimensions of the faces changed with FLs. As we age we know the lower jawbone shrinks. After a FL, the length of the face may appear shorter and the cheeks wider as it now emphasizes a smaller jawbone but not as much a smaller zygoma. The golden ratio is changed. This means for some ladies it may make them look less attractive post FL if by shortening the length of the face and widening the cheek area, the proportions are further off the golden ratio.

I then recalled my F2F consult with a plastic surgeon where I showed him 2 photos of me, one with sagging lower skin and one without. He asked me had a lost weight in the one without. I said no, I had gained weight.

As we age we lose facial fat volume. I then realised that my lower face had deflated again because I had lost 3 lbs in weight in less than a month recently! Sudden weight loss can deflate a face especially post menopause! In fact mature ladies may need to adjust their ideal weight to one above their wedding day weight to compensate for the loss of facial fat with aging!

So I have started eating more again and my face is back to normal. No need for a FL.

I found this photo of 51 yo JLO and do not know if it is real or if her IG photos are photoshopped to make her look better than this photo but it clearly shows how we lose facial fat from our forehead and lower face as we age.

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Hello miss orange, thank you so much for sharing all this info! One of the reasons I joined purseblog ☺️ its very refreshing to read first hand experiences and you are full of surgery knowledge!
You state that when you age the lower jaw bone shrinks. I'm not happy with my square jaw and forward pointing chin and I'm planning to visit south Korea for v line surgery.
I'm almost 29 now, should I worry about shrinking to much jaw bone in the future?
( I only want natural results, so no very aggressive jaw cutting)
 
Hello miss orange, thank you so much for sharing all this info! One of the reasons I joined purseblog ☺ its very refreshing to read first hand experiences and you are full of surgery knowledge!
You state that when you age the lower jaw bone shrinks. I'm not happy with my square jaw and forward pointing chin and I'm planning to visit south Korea for v line surgery.
I'm almost 29 now, should I worry about shrinking to much jaw bone in the future?
( I only want natural results, so no very aggressive jaw cutting)
Youre on the same boat as me :(
 
Good time of the day dear MissOrange! I am ready to do bullhorn liplift. I remember you have performed the 1st in Seoul and second was done in GB, you were quite satisfied with your second liplift. According to my research there are 3 types of this surgery. Which one have you used???
This is what written on the most popular method:
'The most common procedure is the bullhorn lip lift, also called a subnasal lip lift, which involves removing the skin just below and to the sides of the nostrils.' -- Have you used this method???
How long is approximately the upper lip is motionless? As much as I understood from this site this type of surgery is not very much performed in South Korea? (I am trying to plan/use logistics of doing the surgery in SK together with DES revision, facial fatgrafting or better doing this type surgery before my trip to SK here in Florida, US).
Please advise.
 
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I am ready to do a lip lift too. I saw these pics on this Dr's IG; and thought this would be perfect for me. I have the same issues that this patient had, ie. downward turning lip corners and a slightly saggy jaw. I'd love to hear your opinions, @MissOrange .

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I am ready to do a lip lift too. I saw these pics on this Dr's IG; and thought this would be perfect for me. I have the same issues that this patient had, ie. downward turning lip corners and a slightly saggy jaw. I'd love to hear your opinions, @MissOrange .

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Looks good @Lien but remember to find his past patients and try to chat with them. Looks like the lady has had a face and neck lift too. Photos on IG may be photoshopped so for best due diligence find a real patient. Have you looked up Dr Mascaro in Florida? Not only did he do a good bullhorn lip lift but corrected the Cupid’s bow asymmetry in the upper lip by extending the incision line around the nose and carefully suturing to create symmetry for a U.K. friend of mine. I was left with upper lip asymmetry after a vermillion lip lift in Korea and the asymmetry was not corrected during my bullhorn lip lift in the U.K.
 
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