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

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#2,311
@MissOrange I had my undereye hyaluronic acid dissolved yesterday because I'm having fat grafted to the lower eyelids. Has anyone had fat grafted to the upper eyelids?

Over a year ago, I had hyaluronic acid fillers placed in my temple and zygomatic bone area. I wonder if I should get them dissolved and instead have fat grafted to that area too. Or maybe HA is better for that area, as should mimick bone consistency.

Lastly, I'm pretty happy with my lip fillers, but I wonder if having fat grafted to my lips would be a better choice or it's better to not touch anything since I'm beyond happy.
 
#2,312
Tremere said:
@MissOrange I had my undereye hyaluronic acid dissolved yesterday because I'm having fat grafted to the lower eyelids. Has anyone had fat grafted to the upper eyelids?

Over a year ago, I had hyaluronic acid fillers placed in my temple and zygomatic bone area. I wonder if I should get them dissolved and instead have fat grafted to that area too. Or maybe HA is better for that area, as should mimick bone consistency.

Lastly, I'm pretty happy with my lip fillers, but I wonder if having fat grafted to my lips would be a better choice or it's better to not touch anything since I'm beyond happy.
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Hi @Tremere, leave your lips alone. I had fat graft to my upper lids. I never tried lower lids. Interesting you had h.a. fillers to your temples and yes fat graft would be more permanent there.

I was watching the tv show 'I'm addicted to plastic surgery' following 3 people, one having threads, another a mini FL with platysmaplasty and another having a bbl. The one having a mini FL and neck was put in tight bandages for 2 weeks then seen in clinic for exchange of bandages! Maybe I should have worn my head compression garment for 2 weeks and not one?
 
#2,313
Tremere said:
@MissOrange I had my undereye hyaluronic acid dissolved yesterday because I'm having fat grafted to the lower eyelids. Has anyone had fat grafted to the upper eyelids?

Over a year ago, I had hyaluronic acid fillers placed in my temple and zygomatic bone area. I wonder if I should get them dissolved and instead have fat grafted to that area too. Or maybe HA is better for that area, as should mimick bone consistency.

Lastly, I'm pretty happy with my lip fillers, but I wonder if having fat grafted to my lips would be a better choice or it's better to not touch anything since I'm beyond happy.
Click to expand...

I havent had fg to the upper eyelids but ive had it above the brow. It just kept dying because of constant movement. The only thing that worked permanently for me is QO fill. Its been 4 years since Ive had it and its still there, zero frown fills still despite my age :P

Though recently some clinics stopped using it. Im not sure why though. I will find out next time I'm in korea because I need some dissolved in my chin. Its a little, just a little too pointy for my liking since i went overboard with it. Fingers crossed it can be dissolved since they say its like a HA. But I have some doubts since it never disappeared even after 4 years. The clinic i did it at did however reassure me that it can. It works great for the forehead and upper brow region though lol.
 
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#2,314
K Couture said:
I havent had fg to the upper eyelids but ive had it above the brow. It just kept dying because of constant movement. The only thing that worked permanently for me is QO fill. Its been 4 years since Ive had it and its still there, zero frown fills still despite my age :P

Though recently some clinics stopped using it. Im not sure why though. I will find out next time I'm in korea because I need some dissolved in my chin. Its a little, just a little too pointy for my liking since i went overboard with it. Fingers crossed it can be dissolved since they say its like a HA. But I have some doubts since it never disappeared even after 4 years. The clinic i did it at did however reassure me that it can. It works great for the forehead and upper brow region though lol.
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Hi @K Couture, good that QO fill has worked in your upper eyelids. Filling the eyelid hollows really does make one look younger. I googled QO fill https://www.jivaka.care/qofill-filler/. In the U.K. profhilo (injectable H.A.) seems to be popular.
 
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#2,316
Gats said:
I'm not a fan of the totally frozen look from botox but that could help out with this problem, living with that look for a couple months in exchange for keeping the injected fat for years to come is a trade off I'd make.
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yeh soooo botox helped with it but when i did it i got a side effect lol. It made one brow drop lower than the other LOL. I had to use make up to draw my brows to make it look even. Curse of having an assymetrical face...makes this kind of treatment unpredictable at times
 
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#2,317
MissOrange said:
Hi @Tremere, leave your lips alone. I had fat graft to my upper lids. I never tried lower lids. Interesting you had h.a. fillers to your temples and yes fat graft would be more permanent there.
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Yes, I think I will leave my lips alone. I've been told fat there is unpredictable and doesn't last long.

About my temples and zygoma bone, I feel like the filler used, Juvederm Voluma, it's much thicker than the fat, and it imitates bone consistency better. Since the purpose here is to simulate that I have some actual bone, and not try to combat ageing signs or filling in wrinkles. Does it make sense or should it get the filler dissolved and instead have fat grafted to the area?
 
#2,318
@MissOrange who do you recommend in Korea for face/neck lifts? I'm getting double jaw surgery and V-Line and I'm pretty sure I'm going to need a face/neck lift afterwards. Maybe Dr. Seo at Machimpyo? The head of Namu Clinic? I like Dr. Dongman Park at Bio Clinic but the deep face lift is out of my budget entirely. How much does Dr. Lee at ASPS ask for his face lift and what kind of face lift is it? Deep plane or SMAS? You said that the important thing was that it was a vertical lift, right, that the pull had to be vertical?

And in the UK? Dr. Nick Rhodes for face lift only, no neck lift? Dr. Harris for deep plane lift? Dr. Charles Durrant for neck lift? Isn't there one that can do both at the same time, face + neck lift? Dr. Vasu Karri for facial fat transfer?

Both Dr. Michele Pascali and Dr. Dirk Kremer are out of my budget. What do you think of Dr. Bert Oelbrandt?

And what do you think of forehead lifts? Are they a good idea?

Any recommendations for bullhorn lip lifts in the UK? And in Korea, are Hyundai and Deesse good clinics? I normally prefer individual surgeons than clinics.
 
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#2,321
MissOrange said:
I made a FL video on my instagram today on day 19 to show what a vertical vector FL looks like.
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so i've seen this technique performed several times during a surgical training program by a korean surgeon. The korean surgeon was the one doing the teaching whilst the foreign surgeons observed. Out of the 7 patients 2 required the stitch to be resutured up around one week post op due to the incision site coming undone. It was a fairly simple resuturing though nothing major. But it did give the patients a scare. I have never observed patients undergoing the smas lift have that complication before. I spoke to Mendelson about it (he wasn't the surgeon) and apparently whilst the benefit of that technique is the shorter incision, the risks involved is due to the limited bunching effect and internal suturing due to nature of the technique. According to Mendelson the bunching and added internal suturing gives the tissues more hold and promote better healing when the traditional smas technique is used. Note the opening of the suture seems to have the risk of occuring during the one week mark. 2 weeks post op i think its totally good to go :)
 
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#2,323
K Couture said:
so i've seen this technique performed several times during a surgical training program by a korean surgeon. The korean surgeon was the one doing the teaching whilst the foreign surgeons observed. Out of the 7 patients 2 required the stitch to be resutured up around one week post op due to the incision site coming undone. It was a fairly simple resuturing though nothing major. But it did give the patients a scare. I have never observed patients undergoing the smas lift have that complication before. I spoke to Mendelson about it (he wasn't the surgeon) and apparently whilst the benefit of that technique is the shorter incision, the risks involved is due to the limited bunching effect and internal suturing due to nature of the technique. According to Mendelson the bunching and added internal suturing gives the tissues more hold and promote better healing when the traditional smas technique is used. Note the opening of the suture seems to have the risk of occuring during the one week mark. 2 weeks post op i think its totally good to go :smile:
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Thanks @K Couture! You are the go to expert on facelifts on this site! I know the macs lift is the entry level FL for plastic surgeons learning how to do FLs and the 1 suture lift lasts 1-2 years and the 2 suture lift 5 years (I had this) and the original creator Tonnard used 3 sutures that lasted 7 years. I am working on the principle that as my rib rhino graft has held for over 5 years with the same pds sutures which dissolve in a year and are replaced by fibrosis and my chin is still being held up with pds sutures again over 5 years, then I know my body tends to form fibrosis over pds sutures and holds up the tissues or graft for over 5 years. I am hoping this FL holds for at least 5 years or longer as I also had 5 cms of skin in total trimmed which as long as I keep my weight stable cannot come back.

I did make sure not to open my mouth wide while it was healing as I could feel the pull on the sutures. I was still able to brush my teeth with my mouth closed and eat normal foods even though they say soft foods for 4 days postop. I just had to cut my whole strawberries in half as a whole one wouldn‘t fit unless I forced my mouth wide open which may then break the sutures. So as long as you can open enough to eat half a strawberry you can eat any foods. Or simply cut your food into bite size morsels.

For me I was more worried about forming a suture abscess as I think I left a fragment of permanent prolene in my left earlobe. I took doxycycline antibiotics and applied topical fusidic acid to the incision hole until it closed. Now that I am at 19 days, I can relax about any suture abscess which occurred at 2 weeks post my rib rhino 5 years ago. Perhaps my body has now formed fibrosis over the fragment of suture I left behind. The subcutaneous sutures are monocryl which dissolve in 6 weeks. As my skin heals fast, I took out my sutures early. Would not recommend others do this though but if you suffer from eczema or psoriasis it may be worth discussing early suture removal with your surgeon as our skin tends to heal much faster than normal.

Today I learned that the creator of the deep plane FL stopped doing deep plane FLs before he retired! Gosh even USA has brokers!

F46E657A-66F8-4123-928B-2811241BEE63.jpeg
 
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#2,324
MissOrange said:
Thanks @K Couture! You are the go to expert on facelifts on this site! I know the macs lift is the entry level FL for plastic surgeons learning how to do FLs and the 1 suture lift lasts 1-2 years and the 2 suture lift 5 years (I had this) and the original creator Tonnard used 3 sutures that lasted 7 years. I am working on the principle that as my rib rhino graft has held for over 5 years with the same pds sutures which dissolve in a year and are replaced by fibrosis and my chin is still being held up with pds sutures again over 5 years, then I know my body tends to form fibrosis over pds sutures and holds up the tissues or graft for over 5 years. I am hoping this FL holds for at least 5 years or longer as I also had 5 cms of skin in total trimmed which as long as I keep my weight stable cannot come back.

I did make sure not to open my mouth wide while it was healing as I could feel the pull on the sutures. I was still able to brush my teeth with my mouth closed and eat normal foods even though they say soft foods for 4 days postop. I just had to cut my whole strawberries in half as a whole one wouldn‘t fit unless I forced my mouth wide open which may then break the sutures. So as long as you can open enough to eat half a strawberry you can eat any foods. Or simply cut your food into bite size morsels.

For me I was more worried about forming a suture abscess as I think I left a fragment of permanent prolene in my left earlobe. I took doxycycline antibiotics and applied topical fusidic acid to the incision hole until it closed. Now that I am at 19 days, I can relax about any suture abscess which occurred at 2 weeks post my rib rhino 5 years ago. Perhaps my body has now formed fibrosis over the fragment of suture I left behind. The subcutaneous sutures are monocryl which dissolve in 6 weeks. As my skin heals fast, I took out my sutures early. Would not recommend others do this though but if you suffer from eczema or psoriasis it may be worth discussing early suture removal with your surgeon as our skin tends to heal much faster than normal.

Today I learned that the creator of the deep plane FL stopped doing deep plane FLs before he retired! Gosh even USA has brokers!

View attachment 5145602
Click to expand...
Its not so much the Macs lift that has this complication. Its more when its performed using the vertical vector since this technique seeks to manipulate additional tissue planes. Ah thats a good point actually. Excessive facial stretching can further increase the risk of suture tearing.

And yeh for the type of lifting you had it usually lasts 5 years. But I believe because you seem to have good tissue structure it should last longer. I was told by my facelift surgeon that ulthera helps increase the longevity of a lift but i just cbf doing it because I never notice much (if any)difference each time i do it. Mine was a smas lift and i actually requested mine to be pulled horizontally from the malar region deliberately because I know the smas lift can cause a slanty eye effect for people with more anterior projection like myself. My scars are not visible in the slightest though because it was done within the hairline not at (in front of). I opted for that because I wanted a lift that lasts 10 years and up since knowing myself, the moment i notice any sign of sagging i will rush to do something. And while repeated facelifts is fine, the incision site and form thicking scars the more you do it which could be difficult to conceal. Im such a junky the other day I counted I've literally done like 21 lots of surgeries over the years Sheessssh. Once the quarantine is no longer required ima fly to korea to do a forehead lift, not because Im sagging there but because my eyebrows are naturally lower, giving me resting betch face -_-/

I know Dr lee in Korea does the deep planes. Crazy expensive prices. A friend of mine paid like 25k-30k usd i believe to do it with similar results to a smas. She was kinda pissed after but at least she looks good now. Actually Mendelson who is a facelift master himself is also retiring by mid next year. Dude is ancient now too lol. He was meant to retire last year but due to covid he decided to extend it.

All the best with your recovery x
 
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