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

[actuallyacat]

@MissOrange you look amazing! Your jawline is so sharp omg. And the price was so reasonable too! Idk why some Hollywood stars look so fake with all their millions and access to expensive surgeons (cough-cast of Friends at the reunion-cough) when you've managed to look so young with surgeons who don't overcharge. That's a real skill, researching what procedures to get, which surgeons.

I just finished reading this entire thread btw, took me weeks lol! I learned so much. My favorite pics in this entire thread were those side-by-side pics of you looking down with your loose jawline before and super-tight jawline after. Incredible!

I'm in my mid-30s and I got undereye fat repositioning 3 years ago, which really helped because my eyebags were starting to get pretty bad. I was considering getting a full face fat graft next but now I'm thinking... maybe just the temple and forehead. What do you suggest for the mid & lower face when a face lift isn't necessary yet?

 

[MissOrange]

@Ms Orange….Omg .You look amazing…as always. Just in time I have been obsessively following Dr Jacono ..would have to sell a body part to afford him Your results are fantastic. Was this a skin only vertical face lift/ mini lift or a smas lift? Sorry to make you repeat yourself if you already mentioned it.

Don’t sell your kidney @Mimmiesmama! Lol. I object to paying anything over £15,000/$20k for a deep plane facelift. Mine was a vertical facelift that lifted the smas with 2 pds sutures instead of smas imbrication (trim the smas and then resuture together) or smas plication (fold and sew over the smas). I figured that as my rib cartilage is being held in place by pds sutures which then get replaced by fibrosis and as my chin is held up with pds sutures and they have both held for over 5 years and counting, Professor Tonnard’s macs suspension, ie lifting the smas layer with pds sutures and trimming off skin makes sense. His patients he followed up for 7 years and it still held. A smas facelift can hold for 5-10 years but you have to pay £12-15k. So I figured as Dr Rhodes charges much less for a macs lift which also lifts the smas layer and lasts 4-10 years, it makes sense to go with Dr Rhodes. I think because it is a macs lift, there is a limit to how much a plastic surgeon may charge and that by telling ladies they all need deep planes, some plastic surgeons can charge a fortune and get rich quick! Yet deep plane FL has not been around for 10 years. So who knows if it lasts 15 years? Our facial bones continue to shrink and reabsorb as we age. No facelift can hold forever with eye sockets enlargening, and zygoma, maxilla and mandible shrinking.

 

[MissOrange]

@MissOrange you look amazing! Your jawline is so sharp omg. And the price was so reasonable too! Idk why some Hollywood stars look so fake with all their millions and access to expensive surgeons (cough-cast of Friends at the reunion-cough) when you've managed to look so young with surgeons who don't overcharge. That's a real skill, researching what procedures to get, which surgeons.

I just finished reading this entire thread btw, took me weeks lol! I learned so much. My favorite pics in this entire thread were those side-by-side pics of you looking down with your loose jawline before and super-tight jawline after. Incredible!

I'm in my mid-30s and I got undereye fat repositioning 3 years ago, which really helped because my eyebags were starting to get pretty bad. I was considering getting a full face fat graft next but now I'm thinking... maybe just the temple and forehead. What do you suggest for the mid & lower face when a face lift isn't necessary yet?

Hi @actuallyacat well done on reading the entire thread! Yes the dramatic b&a side by side comparisons are always the best to look at. My face has changed so much that I am going through another identity crisis again. I think go for fat transfer in the upper lids, temples and forehead and either wait to get a lower FL or use fillers in the nasolabial folds. Here is a side by side of fat transfer July 2020 5 months post fat transfer in Korea Jan 2020 vs August 2021 a month after a facelift. You can see that they give different results and that a lower facelift makes one look older than fat transfer as it creates that sharp v line. The downside of fat transfer is when the lower face fat transfer disappears and the lower face then sags +++. It is quite shocking and unless you can get back to the clinic for a top up, it becomes a revolving door as you keep needing to go back or drink ++++ water to reinflate the face.

 

[MissOrange]

i would totally do my forehead lift with him if i didnt have to pay 30k LOL. Also he is one year away from retiring and i dunno how id feel letting a surgeon that old operate on me. When he did my concentric malar lift it was like more than 13 years ago!

@K Couture no way would I pay $30k for a brow or forehead lift! OMG! Prices in the US are crazy!

 

[actuallyacat]

Hi @actuallyacat well done on reading the entire thread! Yes the dramatic b&a side by side comparisons are always the best to look at. My face has changed so much that I am going through another identity crisis again. I think go for fat transfer in the upper lids, temples and forehead and either wait to get a lower FL or use fillers in the nasolabial folds. Here is a side by side of fat transfer July 2020 5 months post fat transfer in Korea Jan 2020 vs August 2021 a month after a facelift. You can see that they give different results and that a lower facelift makes one look older than fat transfer as it creates that sharp v line. The downside of fat transfer is when the lower face fat transfer disappears and the lower face then sags +++. It is quite shocking and unless you can get back to the clinic for a top up, it becomes a revolving door as you keep needing to go back or drink ++++ water to reinflate the face.

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Ohh I see what you mean. Fat graft makes you look like you're so young you haven't lost all your baby fat yet. Did you find that fat grafts accelerated/contributed to your skin sagging, or was the fat graft only temporarily hiding the sagging that was already there which reappeared once the fat was reabsorbed?

I notice you never got anything done specifically for the undereye, whereas that's the part that showed the first sign of aging for me. Luckily for me, the nasolabial folds aren't an issue... not yet anyway lol I'm worried about the cheeks becoming more hollow over the years though. Do you think fat graft or filler would be better for that area?

PS if you're still trying to up your water intake, my trick is to drink one cup when I wake up, plus before and after a meal. Since I typically eat 2 meals a day that means 5 cups just from building that habit into my day, not to mention coffee, tea, soup... I find it's pretty easy to hit approximately 8 cups a day, which I've had to do since I'm on isotretinoin (adult acne--fun) and get cracked lips if I don't hydrate enough.

 

[MissOrange]

Ohh I see what you mean. Fat graft makes you look like you're so young you haven't lost all your baby fat yet. Did you find that fat grafts accelerated/contributed to your skin sagging, or was the fat graft only temporarily hiding the sagging that was already there which reappeared once the fat was reabsorbed?

I notice you never got anything done specifically for the undereye, whereas that's the part that showed the first sign of aging for me. Luckily for me, the nasolabial folds aren't an issue... not yet anyway lol I'm worried about the cheeks becoming more hollow over the years though. Do you think fat graft or filler would be better for that area?

PS if you're still trying to up your water intake, my trick is to drink one cup when I wake up, plus before and after a meal. Since I typically eat 2 meals a day that means 5 cups just from building that habit into my day, not to mention coffee, tea, soup... I find it's pretty easy to hit approximately 8 cups a day, which I've had to do since I'm on isotretinoin (adult acne--fun) and get cracked lips if I don't hydrate enough.

Hi @actuallyacat I think getting fat grafts accelerated the skin sagging. I only really needed it in my upper lid. I should have stopped July 2016 after I had upper lid fat graft in May 2016 and never got full face fat graft later in July 2016. I had no sagging before full face fat graft. Fat graft or fillers for a small area like under your eyes might work. Just don’t get it done anywhere near the cheeks or lower face as gravity makes the heavier fat sink and stretch the skin.

I apply carmex lip balm to my lips every morning as like you I get chapped and dry lips. Good idea to drink water upon awaking and with meals. Now that I had my lower face tightened I don’t need to rely on drinking water to lift my face.

 

[actuallyacat]

Hi @actuallyacat I think getting fat grafts accelerated the skin sagging. I only really needed it in my upper lid. I should have stopped July 2016 after I had upper lid fat graft in May 2016 and never got full face fat graft later in July 2016. I had no sagging before full face fat graft. Fat graft or fillers for a small area like under your eyes might work. Just don’t get it done anywhere near the cheeks or lower face as gravity makes the heavier fat sink and stretch the skin.

I apply carmex lip balm to my lips every morning as like you I get chapped and dry lips. Good idea to drink water upon awaking and with meals. Now that I had my lower face tightened I don’t need to rely on drinking water to lift my face.

Aw that sucks, so even though fat graft is supposed to be for anti-aging it actually has a side effect that ages you in the long term. If I lived in Korea I might consider getting a full face fat graft done every once in a while to maintain but since I don't, I guess I'll just stick to the upper face and look into fillers for the lower face. Thanks for answering my questions! Tpf is lucky to have you.

 

[MissOrange]

Dominic Bray turns an ugly duckling into the Duchess of Sussex. Jacono and Bray do FLs under local anaesthetic alone. Bray: However, as this is comprehensive deep plane surgery it is never rushed and can take up to 4 hours. That is a long time to lie in one position so I prefer to make the time pass comfortably for my patients with a little sedation.

This is slightly misleading @Transformation2021 as the lady also had a rhinoplasty and brow or forehead lift at a later date. We don’t know who did her rhino but Bray does not do rhinoplasties. She looks completely different at 18 months vs 5 months, her nose is smaller and her brows higher. This suggests she had additional surgery, ie rhino elsewhere and maybe Botox to raise her eyebrows.

 

[Lien]

This is slightly misleading @Transformation2021 as the lady also had a rhinoplasty and brow or forehead lift at a later date. We don’t know who did her rhino but Bray does not do rhinoplasties. She looks completely different at 18 months vs 5 months, her nose is smaller and her brows higher. This suggests she had additional surgery, ie rhino elsewhere and maybe Botox to raise her eyebrows.

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Wow, that's CRAZY! Talk about the complete transformation into a swan! She looks like an entirely different person. Why not, eh?

 

[Lien]

Good morning, @MissOrange , I've been meaning to ask you: how's your lipo and fat transfer going? Are you still happy? I had lipo to my tummy and a FT with a local surgeon here in Singapore when I had my implants removed. I still think it was the right decision to have a FT as I didn't want to end up with two deflated empty bags when my implants were removed. But I think the surgeon didn't do a very good job with the FT. My upper poles are flat/ even concave and now I have fat on my back on my bra line, when I never had fat before. It's hideous! (I used to have a beautiful back). My lipo was not great either, but after thousands of dollars of LPG/lympha massages, my tummy is not as hideous as it was before. I am now thinking I may pay David Floyd a visit when I go back to the UK, to remove my bra/back fat and fill up my upper poles. I might as well have my tummy fixed once and for all (though this is not as important as the others).

So, now I have 2 things I wanna have done in the UK: this FT to my boobs and a FT to my forehead & temples. I wonder which I should have done first, hmm....

 

[seoulsister]

Dear @MissOrange

You said that you are, " going through another identity crisis again." What are your current thoughts on your recent FL now it's been a while to get used to everything?
"a lower facelift makes one look older" I'm not sure if that is the case if it was done in Seoul by the right doc though current conditions makes it difficult to get there.
Long term I guess in an ideal world at some stage you could have a Fl in Seoul and compare, many years from now.

 

[MissOrange]

Dear @MissOrange

You said that you are, " going through another identity crisis again." What are your current thoughts on your recent FL now it's been a while to get used to everything?
"a lower facelift makes one look older" I'm not sure if that is the case if it was done in Seoul by the right doc though current conditions makes it difficult to get there.
Long term I guess in an ideal world at some stage you could have a Fl in Seoul and compare, many years from now.

Hi @seoulsister, my smas seems to have dropped a little so I no longer have a v line jaw but more my natural u shape and the golden ratio app puts me back at age 20 and not 30s with the sharp v line I had for 6 weeks post Macs FL. So now I recognise my U shaped face again but without any bad sag days. Identity crisis over.

 

[Lien]

Hi @seoulsister, my smas seems to have dropped a little so I no longer have a v line jaw but more my natural u shape and the golden ratio app puts me back at age 20 and not 30s with the sharp v line I had for 6 weeks post Macs FL. So now I recognise my U shaped face again but without any bad sag days. Identity crisis over.

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You're still very beautiful and look very young. But why do you think your face has gone from V-shaped to U-shaped?

 

[MissOrange]

You're still very beautiful and look very young. But why do you think your face has gone from V-shaped to U-shaped?

Hi @Lien, the dissolvable monocryl sutures dissolve at 6 weeks and were placed subcutaneously to hold soft tissues under the skin closure. These would have dissolved. Surprised it made a difference though to the lift as I thought the 2 pds sutures on each side were suspending the smas. The pds sutures dissolve in 6 months but may not have been tight enough as the area was flooded with 40 mls of local anaesthetic that would have stretched the skin. This is my theory. As long as I don't get any bad saggy face days and don't have to drink tons of water to expand a deflated face with excess skin, I am content. I keep telling myself at least I got 5 cms of skin trimmed off. Although skin only FLs notoriously only last a year at most. The b&a of me without makeup of my before good face vs my after 6 week FL are now very similar.

 

[seoulsister]

Hi @MissOrange
I am glad you are content. Let's hope at the 6 month mark when the pds sutures dissolve there is no adverse change.