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

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Here are the b&a’s from the youtube interview of Dream patients. I like how they made videos so you can see their animated after faces in action and how the 55 year old is one year out and it is holding. She had fat graft too. Sounds like she had it under general anaesthesia as she says her throat hurt from the tube. I still look younger than the 55 year old as she did not get fat graft to her upper eyelid and her lips are still thin, a sign of age. Sounds like we have another contender for facelifts in Korea…Dr Yoo At Dream, to join 2 other facelift clinics in Korea, ASPS and Bio Clinic.

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Day 5. I applied arnica cream over my lower cheeks and under my jaw as I see a little bruising appearing. Today I took my last day of 20 mg of prednisolone to deswell. Here is a comparison of day 5‘s last year without pred vs this year with. If you are getting surgery that will make you swell up like a moon man face, then consider asking your GP or surgeon for a prescription for prednisolone 30 mg a day for 5 days. I am tiny so I took 20 mg a day.



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Is prednisone 20mg comparable to prednisolone?
 
There’s a Aug-Sep group chat with a few people. Would be great to meet up (if our trips overlap). Happy to add you. What’s your kkt id?

**please be sure to set your id to be searchable or else nothing comes up when searching for you in kkt** Thanks
Thank you!
K Couture - Could you tell me how frequently you had to visit the doctor post surgery? Is it daily? or every couple of days for a week? I'm debating if I should book my hotel close by. I find gangnam just a little too busy.
 
Does anyone know if Korean surgeons use hydroxyapatite for cheek implants? It's a kind of coral composite that is like bone. I prefer a 3 dimensional look and may want a cheek lift/implant with my face lift. Here is one of my favorite examples
 

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Hi @catlover6 I know what dose as I was both an ENT surgeon and a GP for many years so prescribed steroids both in ENT and as a GP.

Please, please do NOT have a facelift without postop steroids for 5 days. Cold packs are not enough. I used compression garments, cold packs, popsicles, cold pineapple juice, arnica pills, zinc, etc. and still my face swelled after the first facelift. Here is a brutal collage showing what I looked like going into the Coppergate Clinic on July 5, 2021 for my first and on January 31, 2022 for my second facelift and how much my face swelled by day 5 without prednisolone after the first facelift which I strongly believed stretched my thin skin and created more loose skin. You can see the clinic in the background. This second facelift is much better now as I took 5 days of 30 mg of prednisolone on postop days 2-6 so had zero swelling. Top US facelift surgeons Ben Talei ($50k), Amir Karam ($75k) and Andrew Jacono ($120k) all prescribe steroids to their facelift ladies. I am trying to prevent you from feeling low when the sagging commences once the swelling goes, ie it can be as early as 6 weeks or commonly around 17 weeks. What rang alarm bells was when Nick said at 6 weeks postop ladies give him gifts but at 6 months they come with 2 fingers asking for their face to be pulled up and demonstrating with their fingers. I have British ladies contacting me at 4-6 months postop lamenting how they wasted £9k-£13k for a facelift that did not last, including deep planes as none of them were prescribed steroids by their UK plastic surgeons. Take the steroids with a glass of milk or with food. It is just once a day. No side effects as you are not taking it for 6 weeks at doses above 40 mg a day. The paediatric dose of prednisolone is 1-2 mg per kg with a max dose of 40 mg a day. You as an adult would be on 30 mg a day.

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(1) I noticed you mentioned having taken 20mg for your recovery and recommend 30mg for others. Why is that? :smile:
*Edit: nvm just saw your reply explaining the difference in your guidance
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(2) I’m based in the US - any idea how to source this? I’ve asked my GP and they were not willing to prescribe.
 
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Today's post is on porcelain veneers vs crowns. Two decades ago in my 30s, I was given 2 upper front teeth crowns which I did not consent to or expect. I was terrified as the UK dentist kept drilling and filing and I thought this is more than a little file to sort 2 front teeth that stood out too much. I insisted on going to the toilet and almost fainted when I saw 2 little peg stumps. I looked like a witch or something from a horror film. He had sent his female dental assistant home before he started on my teeth so there was no witness. I could not complain or he would leave me like this and let him carry on and put on temporary crowns until the moulded crowns came back from the lab. I saw him again to have the final porcelain crowns put on. My front teeth no longer stuck outwards so I just accepted he did what was needed. I have since learned he has escaped to Thailand after getting in trouble with the dental regulator.

Years later I ended up with dead nerves in these 2 front teeth and had to pay £900 per tooth for 2 root canals to drain the abscess diagnosed on x ray. The Harley Street recommended dentist tested the nerve sensation and looked really sad for me that the nerves were dead. He said he did not know if the nerves were damaged at the time of the crowns. The hole in the centre of the teeth was filled in and I have no idea what composite material was put inside the hole in my crowns. You know you are in trouble when you have a dull toothache with pus coming out from behind your front teeth crowns. It means you have an abscess infection and need urgent root canal drilling and draining. Although at no time did the dentist offer me antibiotics first? I wonder if the tooth abscess would have cleared on antibiotics alone? It would have saved me £1800.

I found Dr Mervyn Druian who gave me 15 beautiful veneers (8 upper and 7 lower) and replaced the 2 crowns for £500 per veneer/crown. He informed me veneers last 10 years. I had the top 8 veneers and 2 crowns replaced after 10 years thinking getting bigger veneers would improve my lack of upper teeth show but after getting this done I realised it did not help upper teeth show and I actually needed philtrum shortening and a lip lift! The cost to replace the veneers had gone up to £900 each x 10 (8 upper veneers plus 2 crowns) or £9000 as a decade had passed. I hope these veneers last 15 years as it is too costly now. I have already had to pay £1000 to replace one lower veneer that cracked after a routine dental hygiene appointment as hygienists use a drill to clean the teeth which can cause hairline cracks or chips! The going rate in 2022 is now £1250 per tooth for one veneer! I now do my own dental hygiene after buying my own dental tools at poundland! lol. I even had my plaque count checked and it was low so I am doing a good job myself and I do not need to use a drill!

Never get crowns! I feel sorry for the latest trend of young persons flying to Turkey to get a full mouth of crowns. Turkey teeth is such a bad idea. Crowns can kill the nerves to the teeth. I hope I don’t end up getting false teeth! I would not get a dental implant as the metal screw is a permanent foreign body.

Porcelain veneers are more natural in my opinion and are thin veneers bonded to your teeth like fake nails. I would say do not replace all at 10 years. They can last longer. Just replace one veneer at a time when it cracks or chips. Young teeth means white teeth. As we age they discolour and turn yellow or darker. In the NHS, dentists are more likely to extract a tooth for a toothache than do an expensive root canal to save a tooth. Best to pay privately for a root canal to save your tooth! If you lose teeth, the jaw bone thins faster and you can actually expedite facial aging. One cannot have an expensive facelift and still have bad teeth. If anyone finds a cosmetic dentist in Korea who does porcelain veneers for less than £1000-£1250 a tooth, please share!

This is my teeth as of today. Fingers crossed they last until I am 70. Any porcelain crack or chip will cost me £1250 or more as the prices rise each year!

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Hi MissOrange. I know you warned about a full FG bc it migrates down and makes you sag faster. Do you feel the same about fillers? I’m thinking of getting 2-3 ml of fillers to improve my mid face area, but have been holding off due to fear of sag.
 
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Today's post is on porcelain veneers vs crowns. Two decades ago in my 30s, I was given 2 upper front teeth crowns which I did not consent to or expect. I was terrified as the UK dentist kept drilling and filing and I thought this is more than a little file to sort 2 front teeth that stood out too much. I insisted on going to the toilet and almost fainted when I saw 2 little peg stumps. I looked like a witch or something from a horror film.

That's terrible he did without asking you. I had to do a crown as I had to do a root canal, I too remember being shocked when I looked in the mirror and saw my molar had been whittled down to a tiny stub. BTW your teeth look great! I still my have natural teeth aside from the crown, they are definitely not as white as yours given I drink so much coffee and tea! Also your gums look great, mine are receded from having braces before.

Regarding the cost of dental care, even with insurance some of the major procedures can be expensive out of pocket here in the US as well. Does anyone have experience with dental work in Korea? I'm curious how the standards are there and how much you would save if any versus getting the work done locally.
 
Hi MissOrange. I know you warned about a full FG bc it migrates down and makes you sag faster. Do you feel the same about fillers? I’m thinking of getting 2-3 ml of fillers to improve my mid face area, but have been holding off due to fear of sag.
Hi @pie, I have only had 1 ml of filler in my nasolabials in my 40s and it did not cause sagging. I should think 2 mls should be fine in the midface but I am no expert. Fat graft is in the order of 50ccs so a lot more than fillers and can be heavy and migrate down.
 
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