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

[MissOrange]

Glad to see my rhino surgeon is still doing chin reductions along with rhinoplasties. I don’t think anyone else does chin bone shaving in the UK. I know I benefited from it. Something to explore as an alternative to 2 jaw surgery they push heavily in Korea. When I was in my late 40s I emailed my photos to ID clinic in Korea and they replied that I needed 2 jaw surgery! No way!

 

[MissOrange]

Lucian Ion's IG post reminded me of my b&a after he did my rhino and chin and the power of Korean facial fat graft...

 

[MissOrange]

To think I was 49 years old and weighed 94 lbs looking old and sad because my dad had just died in the before and almost 57 years old weighing 97 lbs in the after...I've come a long way in my journey to stop growing old. The chin looks a lot shorter in the after with chin reduction surgery and ageing causing facial bone loss but the face looks plumper with more fat volume with fat graft. I hope I don't need a chin implant if my facial bones continue to shrink with each decade! OMG, is my ear lobe sagging? No wonder I can't wear heavy earrings.

 

[Lunar2]

You look great! You can definitely tell side of your lips (jowl area) sagging is gone.

 

[MissOrange]

Gosh the youcam app thinks I am 24. Its time machine function allows you to see how you look if you did look your age. If the app thinks I am 24 at age 56 then the photo of 58 will be me at 90. No wonder people talk down to me as if I am a kid. I never get the elder respect I am due at almost 57!

 

[Lunar2]

Gosh the youcam app thinks I am 24. Its time machine function allows you to see how you look if you did look your age. If the app thinks I am 24 at age 56 then the photo of 58 will be me at 90. No wonder people talk down to me as if I am a kid. I never get the elder respect I am due at almost 57!

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Ha! Ha! I'd rather be talked down and look in my 20s than respected for looking like a senior!

 

[lisa.t]

Hi

Hi @Tremere, I got my facial fat transfer from Dr Hyo Seok Seo in Seoul. I would recommend only Korea for facial fat transfer as they have far more years of practice than UK surgeons. The two complaints I have heard about facial fat transfer in the UK is that the fat either drops down the cheek or it does not last and disappears within a few months. In my opinion the 2 best at facial fat transfer are Dr Seo now at Machimpyo clinic and Dr Hong at Fresh clinic. They have the most experience in facial fat transfer and fat graft retention.

I had a smas plication facelift. I would NEVER get a deep plane facelift because the cutting of the facial retaining ligaments is permanent with deep plane. Also it involves deeper dissection and tissue disruption. It is far more expensive to get a deep plane (£20-£40k in the UK), there is no guarantee it lasts (I have seen several deep plane facelifts drop within 5 or 6 months in different UK deep plane facelift patients) and revision is rarely free (I have heard how surgeons may blame a patient’s anatomy for the early drop and refuse to revise or if they do agree to revise, they do a smas plication instead of another deep plane) or even undertaken by another surgeon if your surgeon refuses to revise (some surgeons state they will not revise other surgeon’s facelifts). The cost of deep plane revision by another surgeon may be double what you paid for to the original deep plane facelift surgeon if he even agrees to take you on as he knows the scar tissue will be immense, deeper and close to the facial nerve and its branches so a much higher risk of litigation, permanent nerve damage and facial paralysis. The revision surgeon may be uninsurable if he damages the facial nerve and the insurance company has to pay out a massive amount.

Hi MissOrange, I find your post very interesting, because I’ve heard that a "deep plane facelift" gives better and longer lasting results as compared to a SMAS plication. When you wrote “cutting of the facial retaining ligaments is permanent with deep plane,” does that mean that "cutting retaining ligaments" is just another way of describing a “deep plane” facelift? Cutting ligaments is the technique described on the V.Lif website. And so you would you not recommend that kind of procedure?

 

[MissOrange]

Ha! Ha! I'd rather be talked down and look in my 20s than respected for looking like a senior!

@sunny23 a hospital supervisor had me standing the whole time while he was talking and seated in his office! He looked younger than me but thought he was older! Boy did he look silly when I said I was almost 57 and he had not offered me a seat! Boy when I am 60 I am going to sit in the seat for the elderly on the train and flash my driver’s licence if anyone tells me I am not old enough to sit there!

 

[MissOrange]

Hi



Hi MissOrange, I find your post very interesting, because I’ve heard that a "deep plane facelift" gives better and longer lasting results as compared to a SMAS plication. When you wrote “cutting of the facial retaining ligaments is permanent with deep plane,” does that mean that "cutting retaining ligaments" is just another way of describing a “deep plane” facelift? Cutting ligaments is the technique described on the V.Lif website. And so you would you not recommend that kind of procedure?

Hi @lisa.t, I have seen really bad sagging results of deep plane facelifts after 6 months. To access the ‘deep plane’, the surgeon has to sever all the facial retaining ligaments and create spaces in between the branches of the facial nerve. This is not done with smas facelifts. With a smas facelift, the lift is confined to trimming excess skin and pulling up and securing the smas muscle. Ideally the smas should be cut, trimmed and resewn as in a smasectomy. In my opinion, deep plane is a marketing ploy to make ladies fork out £20-£50k and there is no evidence it lasts 10-15 years, as the facial bones continue to lose mass and the fat volume in the face continues to shrink. This means all facelifts would need revising on a regular basis as the face shrinks with aging and the skin becomes more redundant.

 

[MissOrange]

OMG! I discovered ChatGPT AI (artificial intelligence)! I asked the AI which was longer lasting smas or deep plane facelifts and AI says 5-10 years for smas and 8-10 years for deep plane but that as aging continues it may shorten the duration of the facelift! Correct answer!

 

[lisa.t]

OMG! I discovered ChatGPT AI (artificial intelligence)! I asked the AI which was longer lasting smas or deep plane facelifts and AI says 5-10 years for smas and 8-10 years for deep plane but that as aging continues it may shorten the duration of the facelift! Correct answer!

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Hi @lisa.t, I have seen really bad sagging results of deep plane facelifts after 6 months. To access the ‘deep plane’, the surgeon has to sever all the facial retaining ligaments and create spaces in between the branches of the facial nerve. This is not done with smas facelifts. With a smas facelift, the lift is confined to trimming excess skin and pulling up and securing the smas muscle. Ideally the smas should be cut, trimmed and resewn as in a smasectomy. In my opinion, deep plane is a marketing ploy to make ladies fork out £20-£50k and there is no evidence it lasts 10-15 years, as the facial bones continue to lose mass and the fat volume in the face continues to shrink. This means all facelifts would need revising on a regular basis as the face shrinks with aging and the skin becomes more redundant.

@MissOrange - Thank you for your reply. I had thought that you had a SMAS plication facelift, and that’s what you would recommend, but in your reply to my post, you are saying that a smasectomy is better? And the AI response is saying a deep plane facelift will last longer, but then in your reply, you’re saying a deep plane isn’t longer lasting and that you’ve seen the facelift dropping 5-6 months later? Can you please clarify on what you mean in these two areas (SMAS plication vs. smasectomy) & SMAS facelift vs. deep plane (which one is better and longer lasting) as I am perhaps (mis)interpreting what you wrote as being contradictory?

 

[lisa.t]

Hi @lisa.t, I have seen really bad sagging results of deep plane facelifts after 6 months. To access the ‘deep plane’, the surgeon has to sever all the facial retaining ligaments and create spaces in between the branches of the facial nerve. This is not done with smas facelifts. With a smas facelift, the lift is confined to trimming excess skin and pulling up and securing the smas muscle. Ideally the smas should be cut, trimmed and resewn as in a smasectomy. In my opinion, deep plane is a marketing ploy to make ladies fork out £20-£50k and there is no evidence it lasts 10-15 years, as the facial bones continue to lose mass and the fat volume in the face continues to shrink. This means all facelifts would need revising on a regular basis as the face shrinks with aging and the skin becomes more redundant.

@MissOrange - Would it be okay for me to message you directly and privately? We are about the same age, and you are very knowledgeable about facelifts, and I am in a situation where I will need a revision facelift (due to a bad job) and I have to choose very carefully and wisely (including deciding on the best kind of procedure in my situation and the best clinic & plastic surgeon), and I was considering the releasing ligaments & deep plane kind of facelift revision, but your post is making me think twice as that being the best solution for me, however I am not comfortable sharing my details or photos publicly, and I would really appreciate your help with this. Please let me know if it's okay for me to DM you. Thank you.

 

[MissOrange]

@MissOrange - Would it be okay for me to message you directly and privately? We are about the same age, and you are very knowledgeable about facelifts, and I am in a situation where I will need a revision facelift (due to a bad job) and I have to choose very carefully and wisely (including deciding on the best kind of procedure in my situation and the best clinic & plastic surgeon), and I was considering the releasing ligaments & deep plane kind of facelift revision, but your post is making me think twice as that being the best solution for me, however I am not comfortable sharing my details or photos publicly, and I would really appreciate your help with this. Please let me know if it's okay for me to DM you. Thank you.

Yes you may send me a private message on here @lisa.t. I am sorry to hear you had a bad facelift and need revision. Happy to help.

 

[MissOrange]

@MissOrange - Thank you for your reply. I had thought that you had a SMAS plication facelift, and that’s what you would recommend, but in your reply to my post, you are saying that a smasectomy is better? And the AI response is saying a deep plane facelift will last longer, but then in your reply, you’re saying a deep plane isn’t longer lasting and that you’ve seen the facelift dropping 5-6 months later? Can you please clarify on what you mean in these two areas (SMAS plication vs. smasectomy) & SMAS facelift vs. deep plane (which one is better and longer lasting) as I am perhaps (mis)interpreting what you wrote as being contradictory?

@lisa.t we cannot rely totally on AI as the references they use for 8-10 years for deep plane are the American society of plastic surgery and the Mayo Clinic, which means it is based on the opinion of biased surgeons. My opinion is based on seeing the results of dozens of ladies who have had deep plane with various surgeons. What ladies do not tell you is often after a deep plane they go back on fillers and botox. To me this does not count towards longevity of a facelift. A good facelift requires no form of non surgical facelift afterwards.

 

[MissOrange]

I am noticing that deep plane facelifts may not address nasolabial folds! I have attached 2 results, one by a US surgeon (top pic) and one by a UK surgeon (bottom pic) at 6 months post. The nasolabial folds are still prominent. The deep plane necklift seems to get good results but not as well for the face. Maybe it would be better to get a smas facelift for the face and a regular or deep plane lift for the neck.