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

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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!


Your results look amazing!!
 
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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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Oh wow. I thought that was Elizabeth Hurley there in the video!
 
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Oh wow. I thought that was Elizabeth Hurley there in the video!
I wish! @Lien with 1 week to go I am both nervous and excited! I learned that I will need to eat soft foods for 4 days postop! And to use a fork and not spoon. Some surgeons say to wear compression for 4 weeks and some say not to wear any compression. Very confusing.

I was given the old price so I am super happy. I have learned his record is trimming 3.2 cms of skin from each side with his VR smas lift. One 49 year old lady he did the VR lift in January of this year looks 28 according to the golden ratio measurements app! But the record is a 59 year old lady who looks 25 after his vertical VR lift. I wonder how young I will look afterwards if I am starting at looking 20s already. Lol.
 
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I wish! @Lien with 1 week to go I am both nervous and excited! I learned that I will need to eat soft foods for 4 days postop! And to use a fork and not spoon. Some surgeons say to wear compression for 4 weeks and some say not to wear any compression. Very confusing.

I was given the old price so I am super happy. I have learned his record is trimming 3.2 cms of skin from each side with his VR smas lift. One 49 year old lady he did the VR lift in January of this year looks 28 according to the golden ratio measurements app! But the record is a 59 year old lady who looks 25 after his vertical VR lift. I wonder how young I will look afterwards if I am starting at looking 20s already. Lol.

Ahhh, the compression issue - kinda like fat transfer for breasts, I reckon. Some surgeons say wear it, some don't. Who knows!

Great that you got the old price!! Maybe you'll look 10, hahahaha. Good luck, @MissOrange. I am waiting for your update with bated breath and good luck to you. Happy surgery and great healing!! xx
 
Ahhh, the compression issue - kinda like fat transfer for breasts, I reckon. Some surgeons say wear it, some don't. Who knows!

Great that you got the old price!! Maybe you'll look 10, hahahaha. Good luck, @MissOrange. I am waiting for your update with bated breath and good luck to you. Happy surgery and great healing!! xx
@Lien it is now 6 days to go! Woohoo. I have to travel super light as the hotel will not store luggage during this covid period. So I have downsized to one tote bag! The cheapest I could find for a FL in Korea was 6 mill won at MVP and 9-12 mill won elsewhere. I never thought I could afford a FL in the U.K. Well I can’t afford London prices which are now £14.8k to £20k! But I can hop on a train and travel up North. I guess it is the same for Americans who can fly to a cheaper state rather than pay a fortune for a FL in NYC or California. The running costs would be a lot less outside of big cities.
 
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With 5 days to go I am reminded of these 2 selfies I showed Nick Rhodes. I told him I wanted to look like the zero gravity face when standing up. The photos show I actually have a natural v line jawbone hidden by lower face laxity! I wonder if he can deliver on Monday? Even halfway would be good.
 

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With 4 days to go to my very first FL, I found photos of Han Ye Seul that indicate she may have had a FL in 2013! She would have been 31. How time flies. She is now 39 dating a 29 year old. Does that mean if you look younger, you have to date younger men or does that mean if you are single at 39, men your age prefer younger ladies in their 20s and think by the time a 39 year old weds, she may struggle to have children?

I put together a side by side of HYS posing in bed with zero gravity vs mine. Amusing to compare eyes as I had brought Dr Seo a picture of HYS in May 2016 and asked for her eyes. Pretty close. I need to change my eye makeup for a better match. Dr Seo has now left MVP and set up his own clinic Machimpyo. His IG is dotplasticsurgery.

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When researching plastic surgeons for facelifts, make sure you do not fall for the chin pressed against the neck before IG photo to demonstrate a double or triple chin before a facelift, neck lipo or neck lift compared to an after using the natural smile to show a sharp jawline. This is all an IG illusion. I have put together a collage of me today to demonstrate how someone may be fooled into believing I had an amazing £20k FL/NL when all I did was pose using my smiling facial muscles to lift up my face! Another trick used is to show after photos with full makeup, high brightness setting to eliminate wrinkles, lines, folds, lighting and filters. Try to find like for like before and after photos of non smiling ladies with no makeup or filters.
 

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Not long for you to go now, @MissOrange ! Are you excited?
Hi @Lien it is D-2 today. I booked a wash and blowdry for Sunday morning in preparation for Monday. I have taken HCQ with zinc prophylaxis as I shall be travelling by tube and train during Monday morning rush hour. It should cover me for a week. It will be raining in York so I can hide my bandaged face under an umbrella. I shall wear a zipped hoodie instead of a baseball cap for better coverage. My only worry is I will be able to hear sounds and smell the smoke from the electric cautery during the op under local so I may get palpitations and it is a long op 2.5 hours to be awake. I hear they play music in the theatre which will help unless I don’t like the music! Lol. I shall take a sleeping pill to make me drowsy. I would love to have been put to sleep and then awake to “it’s all done” but that would entail a hospital and GA. Under local, I am anticipating less bruising and swelling and a faster recovery.
 
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Hi @Lien it is D-2 today. I booked a wash and blowdry for Sunday morning in preparation for Monday. I have taken HCQ with zinc prophylaxis as I shall be travelling by tube and train during Monday morning rush hour. It should cover me for a week. It will be raining in York so I can hide my bandaged face under an umbrella. I shall wear a zipped hoodie instead of a baseball cap for better coverage. My only worry is I will be able to hear sounds and smell the smoke from the electric cautery during the op under local so I may get palpitations and it is a long op 2.5 hours to be awake. I hear they play music in the theatre which will help unless I don’t like the music! Lol. I shall take a sleeping pill to make me drowsy. I would love to have been put to sleep and then awake to “it’s all done” but that would entail a hospital and GA. Under local, I am anticipating less bruising and swelling and a faster recovery.

Wow! You're doing it under local?! Was mild sedation not available? I've had sultures done to my eyelids under mild sedation...so not GA but not local. I am too squeamish to be awake!

Anyhow, the best of the best of luck. Will your hubby be there to take you home?
 
Wow! You're doing it under local?! Was mild sedation not available? I've had sultures done to my eyelids under mild sedation...so not GA but not local. I am too squeamish to be awake!

Anyhow, the best of the best of luck. Will your hubby be there to take you home?
Hi @Lien, no I shall be on my own. I shall walk to the nearby hotel after the op tomorrow and head home by train the next day. I have been compiling a collage of my bad face sag days. I don’t know why they happened. Was it loss of fat graft? Was it a sensitivity to msg/salt causing cheek engorgement weighing down the face? Was it weight loss or dehydration deflating the lower face? Was it a delayed menopause reaction? I am hoping that after tomorrow, I shall not have any more bad face sag days. And by excising the excess skin, I get more of a U shape or V line and a smaller face! Time will tell in 18 hours time!
 
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Hi @Lien, no I shall be on my own. I shall walk to the nearby hotel after the op tomorrow and head home by train the next day. I have been compiling a collage of my bad face sag days. I don’t know why they happened. Was it loss of fat graft? Was it a sensitivity to msg/salt causing cheek engorgement weighing down the face? Was it weight loss or dehydration deflating the lower face? Was it a delayed menopause reaction? I am hoping that after tomorrow, I shall not have any more bad face sag days. And by excising the excess skin, I get more of a U shape or V line and a smaller face! Time will tell in 18 hours time!

Amaaaaazing luck to you again, @Miss_Orange. I shall be thinking of you today and tomorrow. U-shape/V-line/smaller face, here comes Miss_Orange!!

Please take care on the way to the hotel post-op as well as on your journey home. And if you're feeling dizzy/sick/not up to travelling, please consider staying back for an extra night.
 
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