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

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MissOrange, what do you think about chin implants? i'd like to get a V-shape face but without the v-line surgery. I'm afraid that my skin wont be tight enough to snap back.
Hi @Teina, interestingly facelifts bulk up the midface/cheeks and may then make the chin look smaller as the skin is pulled up. If the face is pulled tight across the cheeks, it can even make the eyes look smaller. Some surgeons recommend a chin implant if the face looks too round after a facelift. A long face may end up rounder and it depends on whether the patient is okay with this. Even with v line surgery, some Korean surgeons want to create a sharp pointy chin by moving bone to the chin and fixing it there. I think it depends on what your aesthetics are. In Japan a small chin is desirable. In Korea, a pointy chin with V line jaw is desirable. In the US a square jaw is more desirable. I think my aesthetic is more towards the Japanese look.

The pro is a pointy V line chin if done well. But the cons with a chin implant is if a too big implant is placed, it creates a masculine, strong chin and if removed or exchanged there is still loose skin from the stretch. Or the chin implant may become infected or rejected as it is a foreign body and this can happen in the short term or long term. Have you tried fillers to see if you like a bigger pointy chin? I would say try fillers to achieve the V line look first before you spend $1000s on a chin implant. Once you put an implant in, you start the cycle of replacements every 2-5 years on average and rarely every 10 years. Prices of surgery escalate each year so one has to factor this in whenever one gets any foreign body implant as even removal costs $$$$. I have made it a point now never to get a foreign body implant after spending a fortune on implants with all its complications, replacements, removals and fixing sagging skin.
 
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Hi @derpbunnie, please send me an IG message to remind me. I am now done with facial fat grafts and am happy with the fat content. I would say in hindsight, I needed prednisolone tablets for a week postop to prevent the skin stretching from swelling. But as I did not know this, each time the face swelled after full face fat grafting, the face then deswelled, looked great for a month but continued to deflate and then sagged big time! Partly my fault as I did not know I needed to feed the fat for 4 months postop. This made me desperate to fly back to Korea 2 months later to get a top up. But yet again it inflated then deflated and I got into a never ending cycle of flying back to Korea, getting more fat put in, swelling, deswelling, losing the fat and sagging more and more in my lower face.

What I should have done is take a week of prednisolone postop so the face did not swell up like a balloon and I should have eaten a lot of protein and fat for 4 months to keep the fat grafted cells alive. I do not think Korean surgeons prescribe prednisolone. If you have 3 full face fat grafts, you may end up needing a lower facelift like I got. I literally lost track of how many face fat grafts I had including top ups but would guess 5?! It ultimately stretched my lower face skin by a whopping 7 cms!!! Best to stop after 2 or 3 facial fat transfers and get a lower facelift or take postop pred so the skin does not stretch and no facelift is then required later.

Dr Seo, who did my better facial fat grafts, has left MVP and is now at his own clinic Machimpyo, same area Apgujeong. From what I hear, it is difficult for foreigners to get in touch. Most of his patients are locals and his bread and butter are upper blepharoplasties.
This is the first time I've heard about taking prednisolone after fat grafts; that makes so much sense. Thanks for sharing this knowledge! The problem I had with mine was that the fat on the left side of my forehead disappeared, leaving a weird looking indentation, while the right side was fine, and the nerve on the left side (supraorbital nerve) might have been damaged, according to what one doctor told me. Needless to say, I'm not going back to that same clinic.

I just checked out Machimpyo and their website appears to have an English version! I will try to get in touch with them and see what happens. Thanks for the info!

FYI my IG is @itzwhuteva. I tried to message you there first actually but it must have gotten stuck in your message request inbox, so I deleted it and tried contacting you here instead xD
 
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This is the first time I've heard about taking prednisolone after fat grafts; that makes so much sense. Thanks for sharing this knowledge! The problem I had with mine was that the fat on the left side of my forehead disappeared, leaving a weird looking indentation, while the right side was fine, and the nerve on the left side (supraorbital nerve) might have been damaged, according to what one doctor told me. Needless to say, I'm not going back to that same clinic.

I just checked out Machimpyo and their website appears to have an English version! I will try to get in touch with them and see what happens. Thanks for the info!

FYI my IG is @itzwhuteva. I tried to message you there first actually but it must have gotten stuck in your message request inbox, so I deleted it and tried contacting you here instead xD
Hi @derpbunnie, I have messaged you on IG.
 
Hi @Teina, interestingly facelifts bulk up the midface/cheeks and may then make the chin look smaller as the skin is pulled up. If the face is pulled tight across the cheeks, it can even make the eyes look smaller. Some surgeons recommend a chin implant if the face looks too round after a facelift. A long face may end up rounder and it depends on whether the patient is okay with this. Even with v line surgery, some Korean surgeons want to create a sharp pointy chin by moving bone to the chin and fixing it there. I think it depends on what your aesthetics are. In Japan a small chin is desirable. In Korea, a pointy chin with V line jaw is desirable. In the US a square jaw is more desirable. I think my aesthetic is more towards the Japanese look.

The pro is a pointy V line chin if done well. But the cons with a chin implant is if a too big implant is placed, it creates a masculine, strong chin and if removed or exchanged there is still loose skin from the stretch. Or the chin implant may become infected or rejected as it is a foreign body and this can happen in the short term or long term. Have you tried fillers to see if you like a bigger pointy chin? I would say try fillers to achieve the V line look first before you spend $1000s on a chin implant. Once you put an implant in, you start the cycle of replacements every 2-5 years on average and rarely every 10 years. Prices of surgery escalate each year so one has to factor this in whenever one gets any foreign body implant as even removal costs $$$$. I have made it a point now never to get a foreign body implant after spending a fortune on implants with all its complications, replacements, removals and fixing sagging skin.
Thank you. I didn't consider the risk. I've never really heard anyone talk about the chin implant being an issue. I'll look into genioplasty. I'm 29, i dont think i'll be qualified for the face lift.
 
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I just made another revelation. Fat grafting can be permanent after all and the key is to maintain the exact same weight you were when you got your fg and top ups. This morning I weighed 98 lbs in India which is closest to the 99 lbs I always weigh for my fat graft top ups. It means that 1 full face fat graft with 2 top ups is enough to last. When I went down to 95 lbs I noticed my lower face start to sag and my lids started to hollow.

Here is my morning photo in the pool at 98 lbs. The pool man asked if it was the first time in India for my daddy too! Lol. I don't blame him as I look super young. You look super young and beautiful. I am heading to SK in 2 weeks for full face fat graft. I used to do it every year but has not done it for 4 years. Does dr. Seo MVP performs good full fat graft? I plan to do it at VIP but dr. Lee tends to put little fat which doesn’t last long. Can you suggest where to go for face fat graft? Thanks so much.
 
I am over 11 months post smas facelift and all is holding nicely at age 56.5 years of age. I weigh 95.2 lbs. Here is today's selfie at arm's length which seems to be the most accurate for android selfies. As my right cheekbone is bigger than my left cheekbone, I worked out I look better from my left profile!

I had a look at 70 yo Sharon Osbourne who has had 5 facelifts and her eyes are tiny! This may be a side effect of too many facelifts?

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No if you look at Sharon's photos from when she was in her 20's she has slanty tiny Asian eyes back then. She should've had her eyes done in SK instead of using UK and US doctors to make her eyes Euro. LOL
 
Hi @Moon88 I tried threads but then realised I cannot tolerate foreign bodies so had them removed the next day. I had a smas facelift operation to cut away 7 cms of skin and suture up the smas muscle layer.
Hi, does anyone know if we should be taking prednisone 1-2 days prior to FL ? Or after? Some say prednisone could cause infections and some say it doesn't. Does anyone have any experience taking it after FL or any face surgery to reduce swelling? Thanks
 
Thank you. I didn't consider the risk. I've never really heard anyone talk about the chin implant being an issue. I'll look into genioplasty. I'm 29, i dont think i'll be qualified for the face lift.
I had a chin implant 4 years ago in korea. Though i think it’s too small and probably will replace it with the bigger one (myb in 10 years), i haven’t had any problem with my implant so far.. and many doctors say (including mine), i dont have to replace it unless it gets infected.
 
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Hi, does anyone know if we should be taking prednisone 1-2 days prior to FL ? Or after? Some say prednisone could cause infections and some say it doesn't. Does anyone have any experience taking it after FL or any face surgery to reduce swelling? Thanks
Hi @moomoomui, yes I took prednisolone for 5 days after my revision facelift. Ladies copied me and took prednisolone for a week after their revision facelifts and they all look great as it minimised swelling and skin stretching. And now a lady with a different UK plastic surgeon also got steroids postop and another lady will get prednisolone from her surgeon too. I may be influencing the way British ladies get their facelifts in a good way to reduce chances of skin sag at 4-6 months! Finally British ladies are being treated as well postoperatively as American patients of the top US surgeons.
 
I agree, but can’t figure out what exactly is giving her age away here. Is it the lack of baby fat on her face?
Hi @pie, the telltale signs of aging are loss of mandibular bone as we age so the chin and jaw are smaller and thinner. Her upper eyelids show ptosis and the outer corners point downwards. Her lips are thinning and the dry hair quality is that of a lady post menopause.
 
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