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

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#2,416
MissOrange said:
Hi @K Couture,

Thank you for taking the time to give a detailed analysis of my FL results. I agree with you. My right side is pulled tighter and it is raising my lip higher on that side. It is difficult to get it exactly even as each side was filled with 40 ccs of anaesthetic fluid so there would have been distortion to work with too. You have a good eye to spot the asymmetry. It does not bother me as it is slight and I can work with it with makeup and lipstick. Probably why the surgeon did not use the b&a frontal full face photos I sent him to add to his Instagram. Lol. Oh well, let’s hope as you say it is internal bunching on the right side that is yet to dissolve. Here is a full frontal face selfie. Good spot!

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Yeah it can be difficult get it right especially if the patient has asymmetry pre op. I noticed there's more fatty deposits on one side in your pre op photos too. My face too is not symmetrical but my issue is more the bone than tissue distribution. Your results definitely shows an improvement from before tho. And everything else has held up nicely. fingers crossed its the bunching. Even if its not like i said additionally tightening is easy as you could probably just get away with a muscle/skin lift. I had that issue about 4 months post op. I noticed my lower jowel / upper neck region on the left side was very very slightly different. But I couldnt stand to look at it so I went and had a skin lift with a partial muscle lift to alleviate the problem. 4.5 years later and its still holding up well. From what i recall the procedure only took like 40 mins to perform under sedation. No need for ga
 
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#2,417
K Couture said:
Yeah it can be difficult get it right especially if the patient has asymmetry pre op. I noticed there's more fatty deposits on one side in your pre op photos too. My face too is not symmetrical but my issue is more the bone than tissue distribution. Your results definitely shows an improvement from before tho. And everything else has held up nicely. fingers crossed its the bunching. Even if its not like i said additionally tightening is easy as you could probably just get away with a muscle/skin lift. I had that issue about 4 months post op. I noticed my lower jowel / upper neck region on the left side was very very slightly different. But I couldnt stand to look at it so I went and had a skin lift with a partial muscle lift to alleviate the problem. 4.5 years later and its still holding up well. From what i recall the procedure only took like 40 mins to perform under sedation. No need for ga
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Hi @K Couture, wow you had asymmetry too! Yes if the asymmetry no matter how slight bothers you, then absolutely get it revised. I am not yet 3 months out so will wait and see if it gets better or worse. I couldn’t bear going through the procedure again so can let a slight asymmetry pass. My right cheekbone is bigger than my left. I know that as I had facial x rays in Seoul. I have small fat pad deposits over my left malar cheekbone and in the middle of my forehead. Again, I accept that plastic surgery comes with its imperfections. It took ages to come to terms with asymmetric nostrils post revision rib rhino when I had perfectly symmetrical nostrils before rhino. I think also having bad periareolar scarring has made me more accepting of imperfections as even revisions come with risks of something else going wrong.
 
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#2,418
MissOrange said:
I only had radiesse for my nasolabial folds for over 10 years so cannot comment on juvederm. I usually need 1.5 cc’s total or 0.75 cc per side.
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hi miss orange! first off you look lovely. I was wondering what your thoughts are for getting fat grafting to the nasolabial fold area as opposed to other fillers. have you ever gotten fat grafting to the paranasal area? do you opt for fillers because they last longer or..? thank you~
 
#2,419
asymitri said:
hi miss orange! first off you look lovely. I was wondering what your thoughts are for getting fat grafting to the nasolabial fold area as opposed to other fillers. have you ever gotten fat grafting to the paranasal area? do you opt for fillers because they last longer or..? thank you~
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Hi @asymitri,

Ideally best to address the cause of the nasolabial folds which may be due to skin laxity or volume loss. Fillers are a temporary measure. Fat graft lasts 1-2 years in the lower face due to movement. A good facelift can remove the nasolabial lines.
 
#2,420
81 days post vertical vector facelift. Dr Seo gave me young, sexy, beautiful eyes, Dr Ion gave me a lovely nose and chin and Dr Rhodes gave me a natural beautiful young facelift. Really pleased at the combined efforts of Korean and British board certified plastic surgeons to rejuvenate a 55 yo ajumma.

IMG_20210924_164504_713.jpg
 
#2,422
MissOrange said:
Hi @asymitri,

Ideally best to address the cause of the nasolabial folds which may be due to skin laxity or volume loss. Fillers are a temporary measure. Fat graft lasts 1-2 years in the lower face due to movement. A good facelift can remove the nasolabial lines.
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I see. Thanks for your response. I'm only 20 so the sunken-in part of my midface is due to my bone structure. :'(. I know some clinics (I think VIP) do midface augmentation, but I read that this procedure can lead to complications like changing the shape of someone's smile. So I think I might try fat grafting to my paranasal area first.

Are you worried about fillers traveling in the face (especially since the lower face has more movement)?
 
#2,423
asymitri said:
I see. Thanks for your response. I'm only 20 so the sunken-in part of my midface is due to my bone structure. :'(. I know some clinics (I think VIP) do midface augmentation, but I read that this procedure can lead to complications like changing the shape of someone's smile. So I think I might try fat grafting to my paranasal area first.

Are you worried about fillers traveling in the face (especially since the lower face has more movement)?
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Actually, there's a high risk of fat graft migrating due to movement when compared to filler. One reason is because unlike filler, it needs to be overfilled because the surgeon always needs to assume some fat cells will die. You arent actually transplanting fat, you are grafting fat CELLS. The newly administered fat cells need time to develop new blood vessels in the new location in order to survive, and not all of the cells will survive. The nasolabial folds is essentially a skin flap, with no underlying structure, which is why its one of the first areas to be visible due to aging. To add, movement in the nasio fold region is high due to you talking smiling laughing etc, which greatly lowers survivability of the fat cells. Hence surgeons tend to overfill a bit more for that region to mitigate this which can end up leading to migration during the early weeks as the fat cells are not as stiff as a filler. To add, if you have fat which migrates you are gonna have a hell of a time trying to get rid of it. Its not as simple as "3cc of fat shifted to this part so im going to lipo 3 cc of fat out". You wont know exactly where the fat went to and neither will the surgeon. Its only a visual approximation. And the surgeon can't suck out the exact amount and may end up taking out too little or too much, including your own natural fat. So it can end up becoming a yo-yo battle.

Filler is much easier to deal with and in the event of an overfill or migration (which happens less often), simply dissolve it with one injection. Yields the same results too
 
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#2,424
asymitri said:
I see. Thanks for your response. I'm only 20 so the sunken-in part of my midface is due to my bone structure. :'(. I know some clinics (I think VIP) do midface augmentation, but I read that this procedure can lead to complications like changing the shape of someone's smile. So I think I might try fat grafting to my paranasal area first.

Are you worried about fillers traveling in the face (especially since the lower face has more movement)?
Click to expand...
Hi @asymitri Try radiesse filler first. It lasts 6-12 months so you can see if you like it. @K Couture is right. Facial fg to the face is unpredictable and once in it is almost impossible to get out.
 
#2,425
h
asymitri said:
I see. Thanks for your response. I'm only 20 so the sunken-in part of my midface is due to my bone structure. :'(. I know some clinics (I think VIP) do midface augmentation, but I read that this procedure can lead to complications like changing the shape of someone's smile. So I think I might try fat grafting to my paranasal area first.

Are you worried about fillers traveling in the face (especially since the lower face has more movement)?
Click to expand...
Hi @asymitri, I have actually tried fat graft for more 3dimensional volume on my face. Like many wise/knowledged/experienced forumers said above, there can be pros n cons. What I heard was that is why fat graft was originally meant to be 2 times(touch up they call it), making it more ideal for locals in convenience reasons. Mild one for the first time, for the doctor to know your absorption rate and etc. Then fulfilling it with the second one. I was uncomfortable with the idea of fillers in my face and I also had the blessed flexibility to visit korea again in 5months at that time so I went for the fat graft.(same price including the 2nd touch).
 
#2,426
Dear pretty Ms. Orange,

I have been a big fans of yours and have been reading this thread since years ago, and you even look younger every day !!

I had breast implant 7 years ago and interest on the breast Fat Graft as you've done.
I believe I've seen somewhere you mentioned that Thailand also has a recommended doctor for this.
Can you please recommend ? Since I'm from Indonesia and it's to far to go to UK to Dr. David.

Looking forward to hear from you, thanks before.
 
#2,427
beautifullife1712 said:
Dear pretty Ms. Orange,

I have been a big fans of yours and have been reading this thread since years ago, and you even look younger every day !!

I had breast implant 7 years ago and interest on the breast Fat Graft as you've done.
I believe I've seen somewhere you mentioned that Thailand also has a recommended doctor for this.
Can you please recommend ? Since I'm from Indonesia and it's to far to go to UK to Dr. David.

Looking forward to hear from you, thanks before.
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Hi @beautifullife1712,

Thank you for reading my thread.
https://phuketpsi.com/procedures/breast-lift/ This was the clinic I mentioned London Lou went to but I think she had breast reduction with breast lift and not breast fat transfer there.
 
#2,428
Thank you Miss Orange !!
Ah yes, sadly they do not have fat transfer there.

I began to feel itch on my breast since a month ago. Is this one of the BII symptoms ?
I'm worried and thinking to remove the BI but want to replace it with fat transfer, but haven't found any reliable doctor to do that
in my country, since I cannot go abroad for a long time due to my work. And nowadays the quarantine back and forth itself will need 3 weeks alone :(

Can anyone tell me if how's the BII experience and how long it usually takes after BI ?
I used mentor BI 7 years ago.
 
#2,429
beautifullife1712 said:
Thank you Miss Orange !!
Ah yes, sadly they do not have fat transfer there.

I began to feel itch on my breast since a month ago. Is this one of the BII symptoms ?
I'm worried and thinking to remove the BI but want to replace it with fat transfer, but haven't found any reliable doctor to do that
in my country, since I cannot go abroad for a long time due to my work. And nowadays the quarantine back and forth itself will need 3 weeks alone :sad:

Can anyone tell me if how's the BII experience and how long it usually takes after BI ?
I used mentor BI 7 years ago.
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is yours anatomical/ tear drop? If so just fyi those implants have all been recalled due to the risk of als. The risk is pretty low though so you dont really have to replace it as long as you do frequent mri and ultrasounds.
 
#2,430
Dear @K Couture , thanks a lot for the feedback. Yes, mine was teardrop mentor.
The MRI shows no tear on the implant actually. I'm just worried since the itches on my breast and my surgeon said it needed to be replaced after 7-8 years. I think he only said it for commercially reason, but I'm also aware of the BII since I learned that BII can happen even though no tear on the implant.

I'll examine my symptoms carefully to make sure for now, until I can find a good surgeon to do the fat transfer locally or can find a chance to go to UK :)
 
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