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

[K Couture]

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

The mri isnt only to check for tears. Its to check for other conditions like capsular contraction etc. Its also used to find indicators of ALS, which is a rare form of cancer which the tear drops have been known to increase the risk of. I have a tear drop implant too btw. Unfortunately at the time of me getting my breast done, the studies relating to anatomical implant and als have yet to be released thus surgeons had deemed it safe. Eventually I will replace it with motiva.

Problem with Fat graft to the breast is unless you naturally have volumous breast and just want to create natural cleavage or contour the shape, its fine. Other than that, you will find lots of dissatisfaction with it as the resorption is quite high when fg is used and results are not good. 1/2-1cup bigger is what you can expect and even then you dont know how long it will last. Theres's several reasons for this.

1) You need at least 400 cc of fat available. 200 each side. Thats quite a lot of fat btw for asian women. Many of us dont have anywhere near the sufficient amount to harvest

2) When such a large volume off fat is transplanted into the one region, it means there is less room for new blood vessels for the fat cells to develop into the transplanted area. This is why it dies off so easily.

So unless you are a bigger girl (and i dont mean asian big), you might want to look into motiva instead.

Also, i would advise NOT going to thailand for plastic surgery. I have investments in the thai surgical industry and i myself know better than to do any procedures there. I'll give you an example. During one of my meetings with a group of senior surgeons, I brought up the use of endoscope during breast augmentation procedures. All of them just laughed it off and admitted to charging a higher price for the endoscopic technique to patients WITHOUT actually performing the endoscopic technique. This means patients are paying a premium for procedures which they are not even having. They even explained that the patients wont know the difference and even went on to justify that even if the endoscopic method is used, the surgeon still needs to physically reach in to make the incisions and that the endoscope is just for visual advantages. This is incorrect as I have witnessed an endosopic breast augmentation performed in Korea whereby the surgeon actually splits the breast tissue layer by layer with a fine fiber laser so as to create the breast pocket between the muscles. Fact is, thai surgeons are not adept in using the endoscopic method. I hope this gives you something to think about when considering Thailand. The industry is very shadey there.

 

[beautifullife1212]

Wow, thanks for the insight @K Couture !! Learn so much form you. I will learn more about fat transfer and motiva then.

 

[pumpkin77]

The mri isnt only to check for tears. Its to check for other conditions like capsular contraction etc. Its also used to find indicators of ALS, which is a rare form of cancer which the tear drops have been known to increase the risk of. I have a tear drop implant too btw. Unfortunately at the time of me getting my breast done, the studies relating to anatomical implant and als have yet to be released thus surgeons had deemed it safe. Eventually I will replace it with motiva.

Problem with Fat graft to the breast is unless you naturally have volumous breast and just want to create natural cleavage or contour the shape, its fine. Other than that, you will find lots of dissatisfaction with it as the resorption is quite high when fg is used and results are not good. 1/2-1cup bigger is what you can expect and even then you dont know how long it will last. Theres's several reasons for this.

1) You need at least 400 cc of fat available. 200 each side. Thats quite a lot of fat btw for asian women. Many of us dont have anywhere near the sufficient amount to harvest

2) When such a large volume off fat is transplanted into the one region, it means there is less room for new blood vessels for the fat cells to develop into the transplanted area. This is why it dies off so easily.

So unless you are a bigger girl (and i dont mean asian big), you might want to look into motiva instead.

Also, i would advise NOT going to thailand for plastic surgery. I have investments in the thai surgical industry and i myself know better than to do any procedures there. I'll give you an example. During one of my meetings with a group of senior surgeons, I brought up the use of endoscope during breast augmentation procedures. All of them just laughed it off and admitted to charging a higher price for the endoscopic technique to patients WITHOUT actually performing the endoscopic technique. This means patients are paying a premium for procedures which they are not even having. They even explained that the patients wont know the difference and even went on to justify that even if the endoscopic method is used, the surgeon still needs to physically reach in to make the incisions and that the endoscope is just for visual advantages. This is incorrect as I have witnessed an endosopic breast augmentation performed in Korea whereby the surgeon actually splits the breast tissue layer by layer with a fine fiber laser so as to create the breast pocket between the muscles. Fact is, thai surgeons are not adept in using the endoscopic method. I hope this gives you something to think about when considering Thailand. The industry is very shadey there.

Are you a doctor?? Thank you for all detailed and professional information! What you write and the information I collected by asking many doctors are almost same in many cases! I am becoming a fan and thinking of diving into all the posts you've written so far!
Fat graft for breast may be effective for those who already have quite volume on their breasts is what I've been told too! Plus risk of some lumps being created.. well, I'm not a right candidate anyways..

 

[K Couture]

Are you a doctor?? Thank you for all detailed and professional information! What you write and the information I collected by asking many doctors are almost same in many cases! I am becoming a fan and thinking of diving into all the posts you've written so far!
Fat graft for breast may be effective for those who already have quite volume on their breasts is what I've been told too! Plus risk of some lumps being created.. well, I'm not a right candidate anyways..

No im not. Im an investor in a plastic surgery hospital in thailand (im not thai btw so im not culturally inclined to those shadey business antics youll find in countries like thailand) and i import medical technology from korea and germany into my hospital. Anyways because of this I've attended seminars and met with various surgeons and done lots of medical research. Thats mainly where my knowledge of the industry comes from. That and im also a plastic surgery junkie lol. Ive done everything so far besides my lips, which i plan to do soon in korea once that stupid hotel quarantine is removed. -_-

Also, make sure the doctors you are speaking to are plastic surgeons. A close friend of mine is a lasik eye surgeon and he himself doesnt know much about it. Just like how a plastic surgeon's knowledge on autoimmune diseases cannot compare with an immunologist.

Yeh lumps can happen more often in the breast than face when fg is used due to the sheer volume and forced compaction of the transplant site. I was wanting to add some fg to my breast augmentation for added cleavage but I had used up all my fat available (300cc) during my bbl. I dont have enough fat anymore unfortunately -_-.

 

[MissOrange]

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.

Hi @beautifullife1712, 7 years is when the risk for alcs jumps up. I panicked as I was at the 7 year mark with textured silicone breast implants. I had an itchy rash over my right shoulder blade that wouldn't go away. Then my eyes kept burning, getting super dry, blurry, red. Then I got severe oesophagitis and palpitations that lasted hours! I was a ticking time bomb with breast implant illness. My T cells were working overtime to get rid of the foreign body and in the process were attacking my own body!

Itching can be a sign of reaction to the implants. I would prioritise finding a breast surgeon who does en bloc explants which includes the capsule. In the UK there are 3... Dr Claudia Harding Maclean, Dr David Floyd and Dr Guy Sterne.

Fat graft is for later as the breasts have to heal from the trauma. There is more chance of the fat graft reabsorbing if done at the same time as explant.

If you can find a plastic surgeon who does the traditional liposuction for fat graft and no tumescent fluid, like I had with David Floyd, then the chances of retention with my postop protocol is close to 100% with no lumps. I am 5'1 and had 145 ccs/175ccs fat grafted combined with a diet that led to fat cell hypertrophy for 4 months meant I am still a 32e cup which is huge on my tiny frame.

By the time you need fat transfer the quarantine will be over. I had a 19 month gap between explant and fat transfer due to covid delays and rescheduling which meant I went through the depressed phase of having asymmetric a cup/c cup with tubular deformity for over a year after the revision periareolar mastopexy. It is a process and journey.

 

[beautifullife1212]

Dar Miss Orange,

Oh my, I just know that there are so many ways to explant the breast implant. I've always thought it is as simple as remove the implant. Does this mean my breast will even be smaller than before implant since there are some tissues being taken away ?
Do you do the revision of periareolar mastopexy while doing the en bloc explant or after ?

Are the tissues taken quite a lot ? I'm actually happy with my implant appearance right now if not due to my itches and BII possibility. I cannot imagine my breast without the implants
How long did it for the BII symptoms stop after the explant ?

I really need to think ahead on this while looking for goof breast surgeon.

 

[MissOrange]

Dar Miss Orange,

Oh my, I just know that there are so many ways to explant the breast implant. I've always thought it is as simple as remove the implant. Does this mean my breast will even be smaller than before implant since there are some tissues being taken away ?
Do you do the revision of periareolar mastopexy while doing the en bloc explant or after ?

Are the tissues taken quite a lot ? I'm actually happy with my implant appearance right now if not due to my itches and BII possibility. I cannot imagine my breast without the implants
How long did it for the BII symptoms stop after the explant ?

I really need to think ahead on this while looking for goof breast surgeon.

Hi @beautifullife1712

Yes the breasts go smaller after explant. Some ladies get a full breast lift at the same time as explant to give a lifted and fuller look and some are happy to have smaller breasts. I would not recommend the periareolar mastopexy I had as it doesn’t work. It reminds me of a skin only facelift that droops as the skin stretches with gravity in 6-12 months. If you get a breast lift it has to be the full anchor lift. I expected the full anchor lift and had shown a photo of his past patient who had this before I was taken to theatre but awoke to a mini periareolar lift which has left me with bad scars as there is too much tension around the areolas.

Once the implants were removed I awoke to no rash on my back and all my symptoms immediately resolved. I was clearly reacting to the textured silicone. Hope I have no lasting damage from 7 years of exposure to the textured silicone.

 

[MissOrange]

Today is a warning for ladies getting facelifts. If you end up with joker lines or cross cheek depression this is a complication and not normal! http://vallambros.com/publications/joker-line.pdf

Find a better facelift surgeon if you see his patients with this complication. Looking like Maleficent is a bad result. It amazes me when ladies have this cross cheek joker line from their facelift and think it is normal!

 

[MissOrange]

The best combination for reverse facial aging is fat transfer with a vertical facelift. Here is a lady who had a bad facelift and was left with cross cheek depression (joker lines) at age 44 and she had this corrected with fat transfer and fillers at age 50. I like how the author also points out how the hollowed upper lids were also filled.

I have added my 3 month update selfie. See how the combination of past fat transfer and a 3 month old facelift gives the best results for rejuvenation. Sometimes a facelift alone is not enough to reverse aging as it does not address the loss of facial fat. I would never have imagined that I would look this good at age 55. In my 20s I always thought being 40 or 50 was old and I would be dead by my 50s! Lol. We can truly turn back time! I have no fat left on my body so no more facial fat transfers for me which is good as I think I overdid the fat transfers. 5 is way too many! I should have had a facelift sooner than an umpteenth fat transfer. My aging depleted facial fat compartments have now been refilled with permanent fat. My upper eyelids are also full and stable. That only needed 2 fat transfers.

It is strange how before I would take loads of selfies to get one selfie I liked and now each selfie looks great that I stop after 1 or 2! I go to London restaurants and look around and notice that most diners are not as attractive yet seem to have a great time. This makes me feel a tad shallow for obsessing about my looks. But it seems to help to look attractive. I accidentally spilled my champagne and the waiter immediately came back with a full glass of champagne!

Do I have to adjust now to not only looking younger but also more physically attractive than I have ever been? I went to the local post office and was standing in the queue (part of life in the U.K. is queueing for everything, even petrol! Lol) when a young man behind one of the counters motioned to me and pulled me out of the queue to serve me! I was shocked! Is this a perk of looking attractive? If this is what life is like for beautiful people, I’ll take it! Lol. Beats having spent a decade being invisible in my 40s. Or is it that men will give me preferential treatment as women may be jealous?!

I guess if you are a handsome man you are more in luck as there is more chance of female staff serving you. I once watched a handsome man flirt with the Virgin Atlantic airline counter check in staff and she upgraded him to first class for free! I was standing behind him having paid the full £3000 and looking like an aging lady in her 40s. Lol. I now need to think of places where men are more likely to serve customers.

 

[Pakune]

Did you stop your Facebook group miss orange ?

 

[MissOrange]

Hi @Pakune, yes I did. Too much work to moderate.

 

[MissOrange]

Today I saw a postop lady with a bad lip lift and facelift result. Her upper lip is still very thin. Remember to find a lip lift surgeon who not only shortens the philtrum to 11-13 mms but also everts the upper lip to create fuller youthful lips. Here is my before and after at almost 5 years post bullhorn lip lift where the surgeon also everted my upper lip so it is permanently full and youthful. Do not waste your money on surgeons who trim a couple of mms and charge you mega bucks! That is not a proper lip lift.

 

[K Couture]

Today I saw a postop lady with a bad lip lift and facelift result. Her upper lip is still very thin. Remember to find a lip lift surgeon who not only shortens the philtrum to 11-13 mms but also everts the upper lip to create fuller youthful lips. Here is my before and after at almost 5 years post bullhorn lip lift where the surgeon also everted my upper lip so it is permanently full and youthful. Do not waste your money on surgeons who trim a couple of mms and charge you mega bucks! That is not a proper lip lift.

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your scars healed really nicely. How long did they take to no longer be visible? Or rather, are they still visible when you are not wearing make up? I'm planning to get that done too

 

[MissOrange]

your scars healed really nicely. How long did they take to no longer be visible? Or rather, are they still visible when you are not wearing make up? I'm planning to get that done too

Hi @K Couture,

My LL scar went from red to pink to white but became raised so at 1 year at my 1 year follow up I asked for kenalog injection and she injected deep and within a week the scar flattened and shrank to a tiny white line. Without makeup one can see it if one knows to look for the thin white line up close else it is not obvious. Makeup makes the scar invisible. I have just read 10 pages of reviews on CO2 for LL scars on @missliplift's IG page. Her IG is a wealth of knowledge on LLs. She concluded that Caucasian ladies respond well to CO2 but non Caucasians appear to end up with worse scars, dents, atrophy, wider scar etc. I was debating whether to try CO2 laser for my wide periareolar scar as I have my follow up in 10 days at the burns unit, but am terrified if it worsens the scar which is already wide, raised, with variable hyperpigmentation. I had such a horrific third degree burn from a ktp laser that it has taken me a year to reconsider laser which the burns unit consultant says would help if CO2 and not KTP.

 

[MissOrange]

For ladies in your 40s or 50s taking similar steps to look 20s, be warned that life changes. You may be asked to go clubbing, to karaoke bars, to play sports by the younger generation but find that you are still a 50+ yo who goes to bed at 9 pm. You may look 20s but when you shop, you forget and buy familiar, comfortable or grown up clothes as you are still 50s on the inside who grew up in the 80s. You may ask your OH to take steps to reduce what looks like a 40 year age gap but the most he can do is look 50s with exercise and dyeing out the grey. The perceived age gap is still 30 years to the public and you still get disapproving stares as a couple.

Your eyes see a 20+ yo in the mirror so you find any 65+ yo stranger who flirts with you is a pervert. You suddenly have difficulty with intimacy. Your brain can't cope with the 30-40 year perceived age gap with your partner who either looks his age or a decade younger at his best. The relationship changes from partners to a parent-child one. Your adult children refuse to listen to you as a parent as you look more like an annoying classmate. You question what will happen when your older partner dies as now your brain thinks 60s is close to dying at 70+. He is less than a decade older in chronological years but as women outlive men, you face a possibility of needing a second husband.

This is frightening as men in their 20s look like your adult children. You fear men in their 30s will look at you with repugnancy once you reveal your true age. Bear in mind Caucasian men age rapidly by 40+ and again the age gap would appear to be 20-30 years with looking 20s dating a 40+ yo man who looks 50s when in actuality you would still be older chronologically. If you find a 55 yo man who looked 20s I guess that might work but that is nigh impossible in this world unless he is Asian. I guess the only way it would work is if you forced yourself to date younger men and only tell them your true age if they proposed.

Life becomes very complicated with preferential treatment from men and discriminatory treatment from "older" women who see you as a pretty young girl when in actuality you may be chronologically older than them.

I guess you could watch movies where the mother and daughter switch bodies to see what life might be like but at the end of the movie they are grateful to go back to their own bodies but you cannot wake up to your older face and would be stuck with a face 30 years younger and a younger figure as you may need full body lipo with optional lifting so the body fits the new face.

It will take time to adjust psychologically to this transition from 50s to 20s and how you interact with the world who now sees you as a young girl.