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

[MissOrange]

Dear MissOrange,
Have you asked the FL FB ladies the merits of losing weight before FL? I suppose it makes sense definitely to lose weight before not after. 98.8 probably favours your body more lol

@seoulsister you have a point! Omg 2 hours ago I took a selfie and for the first time in 5 years, I have finally regained the face MVP clinic gave me in July 2016!!! I have beaten myself up so much for ruining my face 3 days after the photo of me at age 50 for getting full face fat graft at DA clinic. And a tpfer told me I ruined my face with too much fat graft. Sigh. Well it has been a crazy 18 days going from a high fat diet and weighing 102.2 lbs with terrible sagging to a super low fat, high carbs and high protein diet with wearing a head compression garment and doing my facial exercises mouthing 'O' 'E' and now weighing 98.8 lbs 2 days in a row.

I shall keep my consult appointments as they are free and the train fares are non refundable and see what Dr Nick and Dr Amir say. To think Dr Bray's PA emailed me back in March saying I needed a £25k FL/NL!

I shall wait until next week and doll up to see how pretty I can look for my appointment with Dr Nick Rhodes in York. He might look at me and the saggy pics I sent and scratch his head in confusion and say there is nothing to lift? What happened?

I applied the free golden ratio app to the afters of postop ladies of Bray, Kremer and Nick Rhodes and the winner was Nick Rhodes. He made a 59 yo look 25 according to the golden ratio measurements for only £4995 (bleph+VR vertical macs FL).

The free golden ratio face app says I look 23 in the photo on the right. Yay 55 years old and still looking 20s.

 

[MissOrange]

I came across a US plastic surgeon whose comments have made me more confused. He says he can do deep plane lifts in a 25 year old??? And that smas lifts make one look older, that a smas is a fiat and a deep plane a Ferrari, and how a mini facelift is called maximum scar as it relies on tension? Here is his IG video.

So I started studying 2 of the ”top” U.K. FL surgeons’ IG before and afters. The deep plane lift in a 57 year old by Bray who had a GRFace age of 72 did result in a GRFace age of 52 but the 57 yo who had a GRFace age of 55 only looked one year younger postop after Bray’s deep plane and both of Bray’s ladies were still in the normal beauty category and not pretty or perfect as the facelift did not address the philtrum, nose tip, fat, forehead, etc. This suggests that research papers may be right in that deep planes may be better in ladies in their 70s+ or those who look 70s beforehand.

The smas vertical lift by DK increased his patient’s GRFace beauty score and GRFace age went up from 42 to 44; the latter is what the surgeon in the video was alluding too. Hm. Maybe the lesson of the day is smas may improve wrinkles and sag but may also raise the GRFace age. DK said he couldn’t make a person more beautiful with a FL if they were not beautiful when younger. This suggests to increase the beauty score from ugly or normal to pretty or perfect, one may need to have additional procedures to a FL, ie lip lift, blepharoplasty, etc.

With my GRFace age at 23 if I have a smas lift now, I may well up end looking 30s! I shall be very mindful of this when I see Nick next Saturday for my F2F consult.

That said my plastic surgery role model Cindy Jackson who is 65 has already had at least 5 facelifts! I keep thinking what am I missing out on? Lol. She has achieved being in the perfect GRFace beauty category. I achieved a perfect GRFace beauty category without a FL and used that photo for my current passport. At least I have a perfect category photo to look at for the next 10 years in case my face ages more. Lol.

If one wishes to spend £29,500 on Bray’s deep plane FL or $120,000 on Jacono’s deep plane FL, it may be worth considering surgeons who do deep plane for less ie Dr Karri’s deep plane for £7,500 so that one can also get tip rhinoplasty, bullhorn lip lift, upper lid blepharoplasty with lid fat graft also to reduce the GRFace age significantly and increase the beauty score.

 

[MissOrange]

Okay so here is an image of the free golden ratio face app. I have also put together a collage and as you can see with Angelina Jolie as the perfect 10, I am still struggling to look as beautiful as she is! Lol. Cindy Jackson has achieved the perfect GRFace at a score of 9.39 but at a GRFace age of 40. My score is highest with my glasses on at 9.43 which suggests I look better with glasses on than without but subjectively I am nowhere as stunning as Angelina! Lol. What do I need to do to increase my score from 9.43 to 10 while struggling to fight postmenopausal facial bone reabsorption and lack of oestrogen causing loss of deep facial fat? Lol.

 

[Fortunecat]

@MissOrange How have you been? I hope all is well for you! I can see that you are in your journey for a facelift! Best of luck to you in your beauty quest!!!

 

[dpnot]

@mlydzz it is the amount of fat that needs monitoring as the fat graft has introduced more fat cells to the face and if too much fat is consumed, these fat cells may expand unpredictably. It needs careful monitoring of fat intake and seeing how much fat affects the face.

Oh no thats so disappointing cuz I'm a big foodie ((

 

[MissOrange]

@MissOrange How have you been? I hope all is well for you! I can see that you are in your journey for a facelift! Best of luck to you in your beauty quest!!!

Hi @Fortunecat, I may be holding off on a FL. Looks like some surgeons end up making their ladies look older after FL by creating a too strong or sharp jawline. I have been studying teenage faces and they have baby fat which makes the jawline less sharp. A great surgeon would take this into account so as not to create an imbalance and older face.

 

[MissOrange]

Here are 2 selfies today. One lying down which shows me what a FL would look like and one sitting upright. The FL would pull up the lower face but if too tight would put me in my 30s. Without a FL the slight skin droop over the jaw resembles a young person with a bit of baby fat and puts me in my 20s. Fingers crossed tomorrow the plastic surgeon says I do not need a FL. It has been tough maintaining my wedding day weight this past week.

 

[Fortunecat]

Here are 2 selfies today. One lying down which shows me what a FL would look like and one sitting upright. The FL would pull up the lower face but if too tight would put me in my 30s. Without a FL the slight skin droop over the jaw resembles a young person with a bit of baby fat and puts me in my 20s. Fingers crossed tomorrow the plastic surgeon says I do not need a FL. It has been tough maintaining my wedding day weight this past week.

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Oh my! I did not know about all these stuff!
@MissOrange You are so well-versed in this!!! Do update us on your progress again!

 

[MissOrange]

Hi @Fortunecat, well I had a series of good days and then yesterday after 3 hours of tube and train travel to York I had a bad face day. I had eaten sushi for lunch and chicken salad with crisps on the train. Maybe it was the salt or msg that made my cheeks swell! Nick Rhodes told me I was a suitable candidate for his VR FL! My entry level FL is on for July 5 in 15 days!!! I asked exactly how he does his FL and his incision is along the temple, curves inside the front of the ear and ends at the bottom of the ear. He does not cut behind the ear so as to avoid a pixie ear. He then dissects skin down to the jowls and elevates the smas with 2 permanent braided Ethibond polyester sutures and secures to the temporalis fascia. He told me that this fascia is incredibly strong. He then sutures the tissues to anchor points with monocryl dissolvable sutures and closes skin with a running prolene suture that can then be removed in a week. The moment he mentioned polyester my heart sank. I dare not speak up but after the consult messaged to explain I had eczema to polyester and how I had my permanent nose sutures holding my rib rhino graft exchanged for pds 5 years ago after my nose abscess. I was so afraid he would cancel like Kremer but instead his wife Orla reassured me they had pds in stock and offered me a call with Nick next week. I hope he agrees to try pds instead of ethibond on my smas. It is deviating from his normal practice but I researched and the jury is out for both rhinoplasty and FLs as to whether to use permanent or dissolvable sutures. The premise is that as long as dissolvable sutures hold for 3 months, then scar formation maintains the hold. I realised this means my rib graft in the bridge and tip of my nose is being held in place now by scar formation after the pds dissolved in 3-6 months and it has held for over 5 years now! Does this mean my entry level VR FL could also hold for 5 years plus?

I read that the gold standard is smas imbrication for a full FL which involves dissecting, trimming and suturing the smas rather than just rely on sutures like in smas plication or MACS suspension but I think this is patient dependant. I have relatively mild laxity and I think excess skin from too many fat grafts stretching my skin so think even trimming the skin 2.5 cms on each side which is what Nick does combined with a pds dissolvable lift of the smas until scar formation secures it, should work wonders! Time will tell.

I then found an IG blogger who has had Nick’s VR FL 1-1.5 years ago and still looks great! That was the final check to find someone at least a year out who was still happy. I have attached her photo as she interviews Nick on his VR FL. She even showed her invisible scars in the video interview!

His old price is £3495 and his new price is £3995. I wonder which one I will be charged soon.

 

[lookingfor2022]

I think it’s very interesting to follow your surgery journey. Especially cause everything looks so natural which is not very often the case but I think it all has to do with finding the right doctors.

I am from Germany and wanted to go to a London eyelid surgeon cause I have some Asymmetry and she takes it very serious and can help me but now we have problems with flying to the uk. Now I can’t come even with booking a quarantine hotel.

my experiences with plastic surgery have a good and a bad side. I did my nose 3 times but I’m done with it. I did my lower eyelids after that but I was a scarless technique from the inside. Sometimes I think the doctor could have been pushing more up but maybe there is a limit cause of this small surgery.

then I had buccal fat removal cause I wanted a more sculpted look and it did work a little but sometimes I think it would have been better if I had the facelift at the same time cause the doctor told me you will be here again in 5 years. And it would have been cheaper if I did it all together. I just had buccal fat removal and chin lipo. Anyway I think with 32 I’m too young for a lift. And maybe this will make my face look too feminine and I’m a guy.

now I just want to fix my upper eyelid asymmetry and chin surgery cause I have this fold under my lip and my chin is very short.
Maybe I would have a lip lift cause my distance under the nose is big ! But I like my natural lip shape and I’m a little scared that it would change too much and I’m afraid of the scar. But on miss orange it looks so good so I don’t know.

 

[Fortunecat]

Hi @Fortunecat, well I had a series of good days and then yesterday after 3 hours of tube and train travel to York I had a bad face day. I had eaten sushi for lunch and chicken salad with crisps on the train. Maybe it was the salt or msg that made my cheeks swell! Nick Rhodes told me I was a suitable candidate for his VR FL! My entry level FL is on for July 5 in 15 days!!! I asked exactly how he does his FL and his incision is along the temple, curves inside the front of the ear and ends at the bottom of the ear. He does not cut behind the ear so as to avoid a pixie ear. He then dissects skin down to the jowls and elevates the smas with 2 permanent braided Ethibond polyester sutures and secures to the temporalis fascia. He told me that this fascia is incredibly strong. He then sutures the tissues to anchor points with monocryl dissolvable sutures and closes skin with a running prolene suture that can then be removed in a week. The moment he mentioned polyester my heart sank. I dare not speak up but after the consult messaged to explain I had eczema to polyester and how I had my permanent nose sutures holding my rib rhino graft exchanged for pds 5 years ago after my nose abscess. I was so afraid he would cancel like Kremer but instead his wife Orla reassured me they had pds in stock and offered me a call with Nick next week. I hope he agrees to try pds instead of ethibond on my smas. It is deviating from his normal practice but I researched and the jury is out for both rhinoplasty and FLs as to whether to use permanent or dissolvable sutures. The premise is that as long as dissolvable sutures hold for 3 months, then scar formation maintains the hold. I realised this means my rib graft in the bridge and tip of my nose is being held in place now by scar formation after the pds dissolved in 3-6 months and it has held for over 5 years now! Does this mean my entry level VR FL could also hold for 5 years plus?

I read that the gold standard is smas imbrication for a full FL which involves dissecting, trimming and suturing the smas rather than just rely on sutures like in smas plication or MACS suspension but I think this is patient dependant. I have relatively mild laxity and I think excess skin from too many fat grafts stretching my skin so think even trimming the skin 2.5 cms on each side which is what Nick does combined with a pds dissolvable lift of the smas until scar formation secures it, should work wonders! Time will tell.

I then found an IG blogger who has had Nick’s VR FL 1-1.5 years ago and still looks great! That was the final check to find someone at least a year out who was still happy. I have attached her photo as she interviews Nick on his VR FL. She even showed her invisible scars in the video interview!

His old price is £3495 and his new price is £3995. I wonder which one I will be charged soon.

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@MissOrange oh my! I am so excited for you. However, I would like to ask you if you are going to have this VR FL now, will you be able to have the full SMAS lift in the future because you mentioned that there will be scar formation etc? Will this VR lift affect any FL that you are going to do in the future?

 

[MissOrange]

@MissOrange oh my! I am so excited for you. However, I would like to ask you if you are going to have this VR FL now, will you be able to have the full SMAS lift in the future because you mentioned that there will be scar formation etc? Will this VR lift affect any FL that you are going to do in the future?

Hi @Fortunecat that is a good question. Nick said it would not affect a future full FL though. Can't remember how he explained it. The consult was an hour and full of details about the operation. I didn't take any notes as I did not expect to receive so much information. Incredibly educational.

 

[MissOrange]

With 12 days to go I am both nervous and excited to get my entry level vertical macs lift with pds dissolvable sutures. Dr Tonnard who invented this claimed his ladies macs lift with pds lasted 7 years from 1999 to 2007. I have looked at 3 of Nick Rhodes's recent ladies and 1 who is 1.5 years out. They consistently look super young and pretty. The best result was a 59 year old who ended up looking 25. She is a month out so will be posting a realself review after her next check up. Here is an IG blogger in her early 40s who is 1.5 years out and had his VR FL around December 2019 and lip lift around December 2020, now looking 22 based on her golden ratio measurements. She would have paid £3495 for the VR facelift and £1900 for the lip lift. Incredible pricing and result!

The vertical vector FL is catching on in USA. Dr Amir Karam also does vertical smas lifts with fab results.

In Korea they push deep plane at all ages. I would say hold off on the big guns until you have severe lower face and neck sagging. I much prefer subtle rejuvenating vertical lifts every 5-7 years so you still look like yourself, just a natural younger version.

Also look at pricing. There is no point in emptying out your entire savjngs account £29,500 or $120,000 for a deep plane lower facelift when it does not address the ageing forehead, receding hairline, upper lid hollows, crows feet, drooping nose tip with ageing. You need to budget to rejuvenate your entire face and body.

 

[MissOrange]

The secret to reverse facial ageing is to combine a fat transfer to replace lost deep tissue fat, with upper bleph, lip lift and a vertical vector facelift. Dr Amir Karam’s 60 year old had fat transfer, upper and lower blephs and a vertical vector lower facelift. One cannot expect to turn back time successfully without addressing the loss of deep facial fat post menopause with either natural weight gain or autologous fat transfer. I have gone one step further and addressed an ageing drooping nose tip with a tip rhinoplasty and then a Barbie nose lift. So the final step for me to stay looking 20s is the vertical vector entry level FL in 12 days time.

 

[MissOrange]

I think it’s very interesting to follow your surgery journey. Especially cause everything looks so natural which is not very often the case but I think it all has to do with finding the right doctors.

I am from Germany and wanted to go to a London eyelid surgeon cause I have some Asymmetry and she takes it very serious and can help me but now we have problems with flying to the uk. Now I can’t come even with booking a quarantine hotel.

my experiences with plastic surgery have a good and a bad side. I did my nose 3 times but I’m done with it. I did my lower eyelids after that but I was a scarless technique from the inside. Sometimes I think the doctor could have been pushing more up but maybe there is a limit cause of this small surgery.

then I had buccal fat removal cause I wanted a more sculpted look and it did work a little but sometimes I think it would have been better if I had the facelift at the same time cause the doctor told me you will be here again in 5 years. And it would have been cheaper if I did it all together. I just had buccal fat removal and chin lipo. Anyway I think with 32 I’m too young for a lift. And maybe this will make my face look too feminine and I’m a guy.

now I just want to fix my upper eyelid asymmetry and chin surgery cause I have this fold under my lip and my chin is very short.
Maybe I would have a lip lift cause my distance under the nose is big ! But I like my natural lip shape and I’m a little scared that it would change too much and I’m afraid of the scar. But on miss orange it looks so good so I don’t know.

Hi @lookingfor2022 You are right. The key to looking natural is to research, research, research and find the best surgeons for each rejuvenating procedure. Message me your photo and I can give my thoughts. Yes both Germany and USA have blocked travellers! No Brits can enter Germany or USA! Aargh!