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

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Hi @lisa.t, I got my steroids from my NHS GP for an allergic rash reaction to the astra zeneca vaccine. One can also get from a private GP or from a plastic surgeon who does prescribe steroids with a smas facelift, like Dr Marando in Manchester. It is a shame when patients have to source their own rx of steroids because the surgeon will not prescribe.
In my case, my surgeon says it's not true that the face will get saggier after the swelling goes away post fat graft. I can't convince him otherwise. It's very frustrating. I wish I could just accept aging gracefully, it would make life a lot easier.
 
In my case, my surgeon says it's not true that the face will get saggier after the swelling goes away post fat graft. I can't convince him otherwise. It's very frustrating. I wish I could just accept aging gracefully, it would make life a lot easier.
I hear you @lisa.t. It is super frustrating when the surgeon does not listen to his patient yet such a win:win when the surgeon does listen.
 
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@MissOrange what do you think of this surgeon Dr. Michael Byun? He shows wonderful real patient results at the 10 and 15 year post-op mark. They all look quite natural and amazing. Would love to get your thoughts. https://www.chicagocosmeticsurgery.com/best-facelift/
Hi @pie, difficult to assess as he uses smiling afters to compare with non smiling befores. We know that smiling gives one a natural facelift so cannot tell what is from the smile itself and what is from his facelift. It would be more honest to have him post non smiling afters to match the non smiling befores. As he is based in the US, his prices may be very high as US hospitals charge a fortune unless he is doing it in his clinic as a day case?
 
Hi @pie, difficult to assess as he uses smiling afters to compare with non smiling befores. We know that smiling gives one a natural facelift so cannot tell what is from the smile itself and what is from his facelift. It would be more honest to have him post non smiling afters to match the non smiling befores. As he is based in the US, his prices may be very high as US hospitals charge a fortune unless he is doing it in his clinic as a day case?
That’s a good point about the smiling. I’m in the US, so it’s easier for me than SK.
 
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Here is a comparison at age 50 at Incheon airport 3 months post chin reduction, 2 weeks post rhino revision where the tip is still swollen and nostrils wonky and 1 week post revision des with upper lid fat graft and still bruised. What can be seen is the lower face has sagged slightly from chinbone reduction. This was prior to any facial fat graft. 7 years later one can see the nose had memory, the nostrils corrected to almost perfect, the tip refined and the nose tip dropped slightly so it no longer looked short or shows as much nostril. This means time in years can refine the nose tip after surgery as the nose continues to grow and drop as we age. 7 years later one can see how facial fat graft rounded the forehead and a facelift shows off the chin reduction which was less obvious as the skin sagged. Skin sag post any jaw or chin surgery can be expected. The lip lift 6.5 years ago balanced the face which now looks in harmony at age 57. One could say just in time for my 40th high school reunion next month if I felt like flying 7,500 miles! lol. Maybe I shall wait until my 50th high school reunion? I look totally different from when I was in high school. No one would recognise me anyway. lol.

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@MissOrange have you seen this Singaporean socialite? She’s only 49 but looks so much older. Can you identify what it is that’s making her look older than her age? Is it that her facelift is too tight and it just needs to relax before looking good?

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@MissOrange have you seen this Singaporean socialite? She’s only 49 but looks so much older. Can you identify what it is that’s making her look older than her age? Is it that her facelift is too tight and it just needs to relax before looking good?

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Hi @pie,

I recognise her. She was an airline stewardess who married an extremely wealthy man, then divorced him and posts regularly of her huge hermes and chanel collection. What is aging her is that her upper lip is too thin (like my before pic at age 49), her philtrum is too long, she has no upper tooth show, and her forehead is too short (face should be divided in equal thirds).
 
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Today’s post is on why some people get wide hypertrophic scars or keloids. My theory is that the surgeon may have used permanent sutures in the layers under the skin and the body is reacting to this in some people, trying to spit out sutures or reacting with inflammation and infection. My facelift scar is invisible as my surgeon used long acting pds dissolvable sutures under the skin for the deeper layers on my request. However for my periareolar mastopexy I suspect the surgeon used permanent sutures and my body reacted with a wide hypertrophic scar. My periareolar scarring looks wide and awful. It flattened with kenalog steroid injection but laser has made areas unevenly hyperpigmented. I am using a spray on tan over my chest to disguise some of the scarring. I am just grateful these scars are not on my face! One day I shall figure out how to fix the periareolar area but for now I will wait years and see what happens. I asked about tattooing but the technician said tattoo can darken areas but not lighten areas and I need the hyperpigmented lasered areas lightened back to skin colour.
 
Hi @miyumi, a smas facelift in the right hands would sort out the sagging after v line surgery. In Korea they often offer women in their 30s a facelift but rarely in the UK as they do not perform v line surgery. V line surgery reduces the bone much like facial bone loss with ageing after the menopause so yes there can be skin sagging and the need for a facelift at whatever age one does v line surgery.
Because facial bone loss is inevitable with age, do you recommend facial contouring surgeries in our 20s and 30s?
 
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Do your friends and family know you’ve had extensive cosmetic work done? Are they supportive of you?

Also feel free to ignore if this is too personal, but do you have a significant other and do they know about your procedures?
 
Today’s post is on why some people get wide hypertrophic scars or keloids. My theory is that the surgeon may have used permanent sutures in the layers under the skin and the body is reacting to this in some people, trying to spit out sutures or reacting with inflammation and infection. My facelift scar is invisible as my surgeon used long acting pds dissolvable sutures under the skin for the deeper layers on my request. However for my periareolar mastopexy I suspect the surgeon used permanent sutures and my body reacted with a wide hypertrophic scar. My periareolar scarring looks wide and awful. It flattened with kenalog steroid injection but laser has made areas unevenly hyperpigmented. I am using a spray on tan over my chest to disguise some of the scarring. I am just grateful these scars are not on my face! One day I shall figure out how to fix the periareolar area but for now I will wait years and see what happens. I asked about tattooing but the technician said tattoo can darken areas but not lighten areas and I need the hyperpigmented lasered areas lightened back to skin colour.
Hi @MissOrange would you consider scar revision for your periareoler scars? I had areas of very slight hypertrophic scarring on my anchor scars from breast lift and my surgeon revised those areas. So far they look much better.
 
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Hi all. I'm looking for your opinion as well your experience regarding under eye fat reposition.

On 17th April 2023 I had a ptosis correction, outer epicanthoplasty, under eye fat reposition, and fat graft, I will try to avoid the doctor and hospital name. The ptosis and epicanthoplasty tuns out great and in 1 week nothing is visible that I've gone through any surgery, I'm quite satisfied with the result.

The problem is with the under-eye reposition. Since 1 week after the surgery, I notice a bulge on both of my upper cheek and the bulge has been still staying the same in shape and size until now, 6 weeks after the surgery. When I asked this on the 2nd week, the hospital claimed they did not add any fat to that area and asked me to wait until 1 month. After 1 month and it doesn't get any better I asked again the answer was "The doctor used melting thread to tight fat undereye when he repositioned it" and it will need 6 months to look better. I've seen many under-eye fat reposition surgeries and haven't found any problem similar to mine and would like to ask for your opinion:
1. Is it true the melted thread tightening is used in under-eye fat repositioning procedure, since I wasn't told about this in the beginning
2. What exactly causes the permanent bulge
3. Can any revision done to fix this, I don't think it will be better in 6 months, although I don't have any choice but to wait, but I will have to plan something since the bulge makes my undereye worse than before :(
Dear @MissOrange I've PM you too about this. This is the full explanation.

Before.jpeg

after.jpeg
 
Hi all. I'm looking for your opinion as well your experience regarding under eye fat reposition.

On 17th April 2023 I had a ptosis correction, outer epicanthoplasty, under eye fat reposition, and fat graft, I will try to avoid the doctor and hospital name. The ptosis and epicanthoplasty tuns out great and in 1 week nothing is visible that I've gone through any surgery, I'm quite satisfied with the result.

The problem is with the under-eye reposition. Since 1 week after the surgery, I notice a bulge on both of my upper cheek and the bulge has been still staying the same in shape and size until now, 6 weeks after the surgery. When I asked this on the 2nd week, the hospital claimed they did not add any fat to that area and asked me to wait until 1 month. After 1 month and it doesn't get any better I asked again the answer was "The doctor used melting thread to tight fat undereye when he repositioned it" and it will need 6 months to look better. I've seen many under-eye fat reposition surgeries and haven't found any problem similar to mine and would like to ask for your opinion:
1. Is it true the melted thread tightening is used in under-eye fat repositioning procedure, since I wasn't told about this in the beginning
2. What exactly causes the permanent bulge
3. Can any revision done to fix this, I don't think it will be better in 6 months, although I don't have any choice but to wait, but I will have to plan something since the bulge makes my undereye worse than before :sad:
Dear @MissOrange I've PM you too about this. This is the full explanation.

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@beautifullife1212 You asked for under eye fat reposition as your under eyes area was sunken. It looks like fat graft has been repositioned as requested or swelling. I think only your surgeon will be able to tell on examination and palpation. If it is fat graft then speak to your surgeon about ways to reduce the fat or wait it out as fat graft reduces by 50% if you do not feed the fat cells.
 
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