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

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#2,461
MissOrange said:
Hi @K Couture, Orla is his wife who used to be a maxillofacial surgeon herself and she is the clinic manager and also sits through the operations done under local. No ketamine. He only used local anaesthetic via facial injections and filling the face with anaesthetic fluid. No iv.

He has since built an operating theatre equipped for full general anaesthetic with intubation by a consultant anaesthetist. The anaesthetist can also offer iv twilight sedation if a patient prefers not to be intubated. He says he chose an anaesthetist with intensive care background too.
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very interesting. Also i dunno if i could handle what u did lol. I would probably get a panic attack. I do notice tho that in western countries they tend to prefer to use local when possible. I have a friend in australia who her breast locally via local anesthesia. She was said she could feel the surgeon's hand in her, how disturbing. I think it comes down to cost and infrastructure, since its alot more expensive to have a facility fitted for iv sedation and ga + the permits and liscenses involved on top of having to hire a certified anaesthesiologist.

Also regarding your scars, have you tried autologous stem cell? Ive seen in korea where they treated a severely acid burn victim from myanmar using autologous stem cell. Considering the damage it was very effective.
 
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#2,462
Gats said:
@MissOrange Have you heard of Miso Sarang Clinic in Korea? I came across their YouTube channel, they specialize in burn scars. I'm not sure they've treated patients with your particular type of burn though, you may want to have a look through their videos to see if they could help your case: https://www.youtube.com/channel/UCBoYY4ui6IMjMxRh0WrxKWg/featured
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Wow! Thank you @Gats! I remember the lady in charge at Dr Hong’s Fresh clinic looking at my periareolar breast lift hypertrophic scars and frowning thinking U.K. plastic surgeons must be so bad as in Korea I know they would take extra precautions to leave as minimal a scar as possible. That was January 2020. It is extremely difficult to show my scars and when I got the laser burn by Dr H last year in an attempt to fix my hypertrophic scars, it left me with horrific burn scars on my right side. It was so surreal watching my flesh disappear daily and almost losing my nipple. When the NHS burns unit took me to theatre to debride and close the open burn wound, I was so grateful. But after 2 sets of steroid injections, I am back to hypertrophic and pigmented scars. The problem is the nature of the original operation, ie any periareolar lift relies on placing too much tension on the nipple skin with lack of support from underlying muscles because there are none there. Only a full lift could provide support. Never ever have this mini lift also known as periareolar or donut lift! The saying mini lift equates to wide scar is so true as it relies purely on skin tension closure and more so with pursestring sutures. The reason why I have no scars after bullhorn and face lift is because the closure is supported by muscle tightening and soft tissue sutures so there is no tension on the skin closure so it is just a matter of placing fine skin sutures under zero tension.

Thank you @Gats for giving me hope. Looks like Miso is the best in Korea for treating scars. I think I shall hear what the laser/burns specialist at the NHS burns unit says next Wednesday. If I get CO2 laser and it works then brilliant. If I get it done and it gets worse, then I need to consult Miso in Korea. If only I could turn back time and have my explant and full lift with David Floyd instead of go to Birmingham and end up with a swapped op while under anaesthesia.

Miso Sarang Clinic results are amazing on youtube!BC4AE016-6FC2-47DE-A1D1-FDADC5E318F0.jpeg
 
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#2,463
K Couture said:
very interesting. Also i dunno if i could handle what u did lol. I would probably get a panic attack. I do notice tho that in western countries they tend to prefer to use local when possible. I have a friend in australia who her breast locally via local anesthesia. She was said she could feel the surgeon's hand in her, how disturbing. I think it comes down to cost and infrastructure, since its alot more expensive to have a facility fitted for iv sedation and ga + the permits and liscenses involved on top of having to hire a certified anaesthesiologist.

Also regarding your scars, have you tried autologous stem cell? Ive seen in korea where they treated a severely acid burn victim from myanmar using autologous stem cell. Considering the damage it was very effective.
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Hi @K Couture, thank you for your input. No the NHS has not suggested autologous stem cell. I think the U.K. may be a tad behind Asia in skin treatments and scar management. But I am under the only NHS burns unit servicing all London hospitals so it has to be the best London has to offer. I shall exhaust what they have to offer first before resorting to flying out to Asia as a last resort. The burns surgeon wanted to treat me with CO2 laser but I was suffering PTSD from the KTP third degree burn. It has taken a year now to reconsider laser but this time with a board certified plastic surgeon and not a doctor with no board certification.
 
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#2,464
What a journey I have had between July 2016 (age 50 made beautiful by MVP clinic in Korea) and enjoying a beautiful Korean face for a few days before I wrecked it with bad facial fat graft (bottom photo on the right with bruising and injection marks coming back to my hotel room from DA clinic) to September 2021 (with and without makeup at age 55) when I finally got back as close to that July 2016 face that I regretted touching with fat graft and weeping in Korea beating myself up for ruining a perfectly fine face. Maybe all I ever needed was a mini facelift and not 5 full facial fat grafts. Or maybe the good facial fat grafts stopped me from ageing in 5 years? I am not touching my face even with botox for crows feet or tca peel. Learned my lesson to leave well enough alone and to know when to stop. As for the fat graft still in my face, I just need to avoid msg as yes it still causes the fat cells in my cheeks to swell and I am not going to risk facial lipo to get it out. I guess the upside is I am now ahead of the game with a face full of transplanted fat cells to cope with low oestrogen. The fat cells should keep my face full as the facial bones continue to shrink in my 60s and 70s. What I fear most is the shrinking of the mandible in old age but I shall park that to one side. I have survived 55 so the next hurdle will be 60.

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#2,465
K Couture said:
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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ohh I see. thank you so much for explaining this! I appreciate it. filler kind of scares me to be honest. I may just try fat grafting to the forehead and not to the paranasal area... so I guess my other options would be a bone graft (which supposedly is a procedure that isn't done often to the paranasal area unless if you have a deformity) or paranasal implants (but people say it can change your smile...) :sad:
 
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#2,466
pumpkin77 said:
h

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).
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ahh I see. that makes sense! thank you for sharing this with me. I think I will have the chance to visit korea again next year (around 6-9 months later if I end up going to Korea this fall).

where did you get fat grafting to in your face? and how long would you say it took to go from looking "overly plump" (like very round, recently injected look) to more normal looking haha?
 
#2,467
MissOrange said:
What a journey I have had between July 2016 (age 50 made beautiful by MVP clinic in Korea) and enjoying a beautiful Korean face for a few days before I wrecked it with bad facial fat graft (bottom photo on the right with bruising and injection marks coming back to my hotel room from DA clinic) to September 2021 (with and without makeup at age 55) when I finally got back as close to that July 2016 face that I regretted touching with fat graft and weeping in Korea beating myself up for ruining a perfectly fine face. Maybe all I ever needed was a mini facelift and not 5 full facial fat grafts. Or maybe the good facial fat grafts stopped me from ageing in 5 years? I am not touching my face even with botox for crows feet or tca peel. Learned my lesson to leave well enough alone and to know when to stop. As for the fat graft still in my face, I just need to avoid msg as yes it still causes the fat cells in my cheeks to swell and I am not going to risk facial lipo to get it out. I guess the upside is I am now ahead of the game with a face full of transplanted fat cells to cope with low oestrogen. The fat cells should keep my face full as the facial bones continue to shrink in my 60s and 70s. What I fear most is the shrinking of the mandible in old age but I shall park that to one side. I have survived 55 so the next hurdle will be 60.

View attachment 5216133

View attachment 5216150
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" 5 full facial fat grafts "

When did you get full facial fat grafts? And how often?
 
#2,471
asymitri said:
ohh I see. thank you so much for explaining this! I appreciate it. filler kind of scares me to be honest. I may just try fat grafting to the forehead and not to the paranasal area... so I guess my other options would be a bone graft (which supposedly is a procedure that isn't done often to the paranasal area unless if you have a deformity) or paranasal implants (but people say it can change your smile...) :sad:
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why would filler scare you? You just dissolve it if you dont like it. Its a better alternative for the naso folds than fg. Paranasal implant is a nono. You can feel the implant when you speak and it has a risk of being displaced
 
#2,472
K Couture said:
why would filler scare you? You just dissolve it if you dont like it. Its a better alternative for the naso folds than fg. Paranasal implant is a nono. You can feel the implant when you speak and it has a risk of being displaced
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I'm not sure if I'm allowed to link this youtube video, but I watched videos from plastic surgeons saying that filler never goes away completely even if you try dissolving it. I guess I'm worried about the filler moving to other parts of my face. For example, if I got filler on my nose, it would eventually move along the side of my bridge and end up making my nose look wider. If I put filler in the paranasal area (which I'm sure would look nice at first) it will also move too since the paranasal area has a lot of movement. I'm not sure where the filler will end up migrating to :( maybe it will go to my cheeks or my upper lip (not the lip area, but the skin part) and make my mouth look like it's protruding more.
 
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#2,473
asymitri said:
I'm not sure if I'm allowed to link this youtube video, but I watched videos from plastic surgeons saying that filler never goes away completely even if you try dissolving it. I guess I'm worried about the filler moving to other parts of my face. For example, if I got filler on my nose, it would eventually move along the side of my bridge and end up making my nose look wider. If I put filler in the paranasal area (which I'm sure would look nice at first) it will also move too since the paranasal area has a lot of movement. I'm not sure where the filler will end up migrating to :sad: maybe it will go to my cheeks or my upper lip (not the lip area, but the skin part) and make my mouth look like it's protruding more.
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Ah this is true. A small amount of the filler will remain. Which isnt necessarily a bad thing to be honest when used in paranasal region. But for the nose bridge, its horrible. actually when i inject my filler, i deliberately administer is 1-2mm inwards a little to expect some degree of migration during the first few days before it settles
 
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#2,475
K Couture said:
Ah this is true. A small amount of the filler will remain. Which isnt necessarily a bad thing to be honest when used in paranasal region. But for the nose bridge, its horrible. actually when i inject my filler, i deliberately administer is 1-2mm inwards a little to expect some degree of migration during the first few days before it settles
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I guess I'm worried about the paranasal area because if it ends up in the area on the sides of my nose (like cheek area but by the nose), my nose will look even more sunken in and recessed from my side profile. :(
 
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