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

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Asian people have this naturally lifted eyebrows, which is lovely.
@MissOrange you started with good skin structure, the V line of the chin is amazing now and you turned back time.
I have a question, do fat transfer on the lips worth it or is better to use fillers? I have trouble finding anyone in my area doing a lip fat transfer, they simply prefer fillers and say fat transfer on lips doesn't last. And I don't know anyone doing fat filler on lips, is just not that popular procedure here.
Hi @SearchingVline, as we move the lips a lot, fat transfer will not last. Fillers in the lip only last 6-8 weeks. You can try applying carmex lip balm daily which helps plump lips and for a permanent solution explore bullhorn lip lift with lip eversion which has given me full lips for 5 years and counting.
 
Hi, lip lift not working for me, my upper lip is already naturally too lifted and mouth is barely closing, and that's actually the main problem + I want more volume in the upper lip. I tried lip repositioning (is a surgery that reposition tissue from inside the mouth) but no success. I'm kind of limited with permanent options, you are right, fat transfer on lips won't last, otherwise would be a popular procedure in the beauty industry.
 
I thought I would start a new thread as I seem to have hijacked smitten kitten's thread on MVP to share my journey. I summarised my plastic surgery journey on www.drunacoales.blogspot.co.uk. Here is a short summary of my tips.

1. As you age, the nose tip droops. Bear this in mind when you get your primary rhinoplasty as it may not be your last. My tip drooped after 16 years and needed revision. In SK they prefer ultra soft silicone for the nose as it is easier to fit. Take care as some people react to foreign material more than others and you may need to remove or exchange on average every 10 years as with most body artificial implants. Ear or rib cartilage is autologous and less likely to cause a reaction. Get several quotes on kakao from various clinics. One clinic JW may start at 13 million for rib rhino revision but then drops to 11 million if they know you are active on social media but then may drop even further to 8 million after a consultation with the plastic surgeon and may even drop to 7.4 if you look like you are going elsewhere as shared by another KK friend. This is something foreigners are not used to...negotiating. Or clinics like GNG or MVP will start with a fair price like 4.5 million at GNG for rhino or 3 million special at MVP. MVP is noted for trying to give foreigners as close to local prices as they can. There are 2 types of noses...long nose and Barbie nose. Make sure you bring an A4 of a favourite actress or model or use the facetouchup app to see which suits your face. Bear in mind the nose and ears continue to grow with aging!

2. In your 40s, you start to lose fat from your face which then makes your face look bony. The most resistant fat is in your cheeks which then makes your face look unbalanced, ie chipmunk cheeks on a bony skeleton face. The answer is not cheek liposuction or buccal fat removal but full face fat graft to rejuvenate and replace all the facial fat lost with ageing. Be patient as fat grafting may need 3 attempts to stay and be prepared to gain a few lbs to help the fat graft thrive.

3. Eyelid sulcus hollows with ageing. Again fat grafting to the lids rejuvenates. You can combine this with an incision des or blepharoplasty. Again bear in mind that skin sags so actually a bigger crease buys you more time before it sags. Your first des is never your last when battling gravity.

4. Philtrum sags with ageing. You may have seen smiles with no upper teeth show. This is because the philtrum has sagged from 11 mms to 20 mms and basically covers your upper teeth show even at rest. Try a bullhorn lip lift and do not ask the plastic surgeon to cut into the nasal sill or it may distort the nostrils. The only downside is a scar but if you wear makeup, you can hide as it takes a year for the scar to be invisible.

5. SMAS facelift. I have seen this in girls as young as 30. As it is costly and with ageing all skin sags, I would suggest trying to put this off as long as possible by using other anti ageing procedures. Bear in mind any bone surgery may accelerate skin sagging and you may end up requiring an earlier SMAS facelift.

Hope this helps ladies especially from 40+. I turn 51 shortly and my next milestone hurdle will be conquering ageing at 60!
Amazing!
 
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@MissOrange love your fat graft results! Is weight lifting or exercising okay after fat grafting and losing around 2-3 kilograms weight ? I am really self conscious about my under eyes and am afraid to get fat grafted under my eyes.. I'm too scared if I develop lumps after?
Hi @babykyoong, for the best results the fat graft should be fed fat and protein and weight should be maintained at or above the surgery weight. If you lose weight after fat graft, then the grafted fat cells have little chance of surviving. Once the fat graft is stable at 4 months, then you may lose a little weight and exercise. Lumps are doctor dependent.
 
Today's post is a b&a at age 25 graduating from med school vs 56 happily retired and happy with my face. In my 20s I wanted to become a plastic surgeon to help ladies become beautiful. We have all witnessed genetically beautiful students enjoy a life of popularity, dating with ease, going on to marry tall and handsome men, getting picked for jobs easily and I wished I could transform and that all ladies could transform if they wished. We have all wished to be that most beautiful girl on campus...

31 years later I guess I am achieving the same goal but by different means, ie by sharing my journey into understanding how the face ages and how to create a more beautiful face using myself as a guinea pig, sourcing the best yet affordable board certified plastic surgeons in the world. Looking back I can see that my 25 yo face divided into thirds has a too short philtrum and too big chin. I did not have the ideal 1:2 ratio. Now my 56 yo face has the ideal thirds ratio and 1:2 ratio of philtrum to chin, bigger eyes with Dr Seo and a more harmonious looking face.

What amazes me is my lower lip is full and I never had surgery there but just applied carmex lip balm every day for decades! I stopped using lip fillers in my 40s. Maybe that is why models live by vaseline on their lips. It achieves the same thing as carmex and gives fuller lips?!

At 25 I struggled to keep my weight around 99 lbs. At 56 I am maintaining a weight of 95-96 lbs with ease! At 25 I lived on cheetos, lays, milk duds, Captain Crunch cereal, Dunkin donuts, American pizza, tatter tots, capri sun (never drank water), Chinese takeaways, etc. At 56 I have no crisps or chocolates at home, stopped ordering Domino's pizza, rarely eat a Chinese takeaway and live on my husband's healthy home cooked meals and drink water with every meal. I noticed that my weight goes up after I order and eat a just eats food delivery and goes down on days I do not eat takeaways. The other thing I noticed was when I was 25 I lived in a bungalow or a flat in the US so rarely climbed stairs and never did housework and now I live in a house with stairs and do daily housework as exercise.

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You are beautiful. If I could just go back to how I looked before surgery I could then look in the mirror and recognize the person I see. It’s so sad.
Thanks @Pawleys1. What has happened to you? Have you changed too much? Do you have identity crisis issues? It takes time to adjust and I do miss my long dark hair look but now my hair won’t grow long anymore post menopause.
 
Today's post is a trip back to see when I started to lose my looks, ie when did the ravages of time set in or aging begin. And it looks like they began when I turned 25! No wonder Leonardo di Caprio has a rep for only dating ladies under 25! In decades gone by women wed young, some as early as 19 or 21. Nowadays with women putting off marriage for their career they may be pushing themselves out of the marriage market or making the odds extremely difficult.

Here are 2 collages. The first one is of me growing up up to age 16. Looks like my face looked best at a weight of 99 lbs and with long hair as a 16 yo in front of an artificial Xmas tree. You'd think wow a pretty Korean kid. She will grow up beautiful but beauty is fleeting...

The second collage is at ages 25, 33, and in my late 40s. Aging has accelerated due to immense work hours and work stresses. One would think it would be impossible to get back the fresh youthful face of a 16-24 yo but I have achieved it and so can you all! When I look back at my photos I look more like my 16 yo face now and do not recognise my old faces. lol. Next week my Uncle who hasn't seen me since the bottom right photo will see my new and improved face! I wonder what the US immigration officer will think? Thank goodness I changed my passport photo to one at least with blonde hair. lol

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And here is one to demonstrate how at 56 I look closer to my 16 yo face than my 49 yo face. By 49, my aging face had lost oestrogen, fat and bone and needed 7 cms of loose skin excised (3.5 cms from each side). Who would have thought my stubborn thigh fat reserves would some day save my face and breasts! And a piece of my rib cartilage my nose! Autologous grafts are superior to silicone and irradiated cadaver any day!

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Yay in sunny California I can finally don a bikini! Here is my figure over 2 years post breast FT with lipo to the flanks, 360 thighs and inner knees. My abs look great from eating more meat, cutting out dairy, and doing stairs at home. Last abdo lipo was 2 decades ago. I seem to have toned up as I have no loose tummy skin! If you want to go down the lipo route, remember traditional lipo only and not Vaser!

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Hi @eimibilli,

Welcome to my thread! Thank you for reading my plastic surgery diary. You mention a key point about Korea and that is postop pain relief. They do not give anything stronger than tylenol as far as I am aware!!! This has stopped me from getting anything major done in Korea as I would need to bring stronger painkillers with me but opiates are not allowed into Korea! Bone shaving in a rhino is painful as you mentioned and I was given tramadol postop after my rhinoplasty in the UK and yes my operation in the UK was done under GA to protect my airway in case of excessive bleeding. The concern about getting a rhinoplasty in Korea is that twilight sedation is not as safe and we have heard about a death of a young male patient from rhinoplasty in Korea under twilight sedation who bled a lot from his rhino with blood pouring onto the operating room floor per cctv. In Korea rhinoplasty is often done in clinics and not hospitals so resuscitation equipment is limited.

As I have not had a rhinoplasty in Korea, I cannot recommend or comment on who to go to. But do NOT get rhino at April31 in Korea. I know 2 Americans and 1 British lady who were all botched at April31. One then got revision in USA, another went quiet and another sadly ended her life.
That's horrible about April31. I don't want to have nose surgery. But maybe Korean surgeons generally are not so good or skilled at doing nose surgery on caucasians. Nose surgery on an Asian nose versus a Caucasian/other type of nose are not really the same thing. But April31 might still be a very bad clinic.
 
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I have decided I need to sort out my areolas with tattooing (had periareolar mastopexy x 2 in 2019) to make them perfectly circular. I have booked THE Tracie Giles, owner of the Knightsbridge clinic for November 28 for one areola for £295. I shall see how it goes and if fab then can pay for the other but the right one needs the most attention with a white flat scar line around the areola and the normal periareolar pigmented area needing a more even circular border. I have no raised hypertrophic scars now thanks to steroid injections but need an expert tattooist opinion as to how to clean up the white scar lines and the test area of CO2 laser that left the test area hyperpigmented. In other words a touch up as my breast ultrasound and mammograms are normal but on exam I was told I had a lot of scars.

I used this clinic before for my eyebrow tattoos which are still pigmented years later so I know I am not allergic to the tattoo ink.
 
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