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

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I swear you’re paid by him or get plastic surgery deals by him. He is a known botcher who ruins faces and lives. People be careful. This lady on here literally promotes him and has been doing it for years. When you have PS and you’re happy, you don’t write in here every day about the same doctor. I actually went to him based off her reviews and my life is completely ruined.
 
I swear you’re paid by him or get plastic surgery deals by him. He is a known botcher who ruins faces and lives. People be careful. This lady on here literally promotes him and has been doing it for years. When you have PS and you’re happy, you don’t write in here every day about the same doctor. I actually went to him based off her reviews and my life is completely ruined.
Can you elaborate?
 
I swear you’re paid by him or get plastic surgery deals by him. He is a known botcher who ruins faces and lives. People be careful. This lady on here literally promotes him and has been doing it for years. When you have PS and you’re happy, you don’t write in here every day about the same doctor. I actually went to him based off her reviews and my life is completely ruined.
Hi @peachpurse, I am sorry you are not happy with your experience with Dr Seo and feel you have hooded lids. Did you pay extra for ptosis correction? I see you have not posted any photos as evidence. One can blur out parts of the eyes to maintain anonymity but you have not done this either. You have your own thread where you talk about your experience.

Please do not hijack my thread where I discuss ALL my surgeons Dr Seo, Dr Choi, Dr Kim, Dr Stanek, Dr Viel, Dr Mills, Dr Floyd, Dr Oelbrandt and Dr Rhodes. My experience with Dr Seo was only at the Most Valuable Plastic surgery clinic and not Machimpyo. The English speaking manager Ellen was my contact to ensure Dr Seo understood everything I wanted as I did not speak any Korean in 2016-2018. I think it is vital to have someone who can interpret medical terminology to avoid misunderstandings.

Readers can decide whether to believe a poster who posts with before and after photos and youtube videos like I do or you who posts no photos and instead slanders my eye surgeon. There is also no way to tell if you are a shill working for a competing clinic as shills often refuse to post photos.
 
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Hi @Minda, thank you for following my thread for years! It is good to get feedback. Fillers are not permanent. I had dermal fillers in my 40s and had to have them every year in my nasolabial folds. Also one cannot inject fillers all over the face as the body may react to the overwhelming amount of foreign substance and after menopause one needs to replace a lot of facial fat loss. Fat grafting eventually becomes permanent with repeated grafts and I think the fat grafting is one of the main reasons my skin texture is baby soft, an added bonus.
Dear MissOrange, how many times did you have the fat injections until they became permanent? Also, with Dr Seo, how much downtime do I need to buffer? I work in an office and will have to take vacation leave to do this procedure.
 
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Dear MissOrange, how many times did you have the fat injections until they became permanent? Also, with Dr Seo, how much downtime do I need to buffer? I work in an office and will have to take vacation leave to do this procedure.
Hi @Minda, it was trial and error for me with facial fat graft as I did not know I needed to eat a diet high in protein and fat for 4 months to help the grafted fat cells survive. I only figured this out when I had breast fat transfer and only needed one operation as it lasted with this strategy. For the face, a top up is recommended and is either included in the initial price if done within 3 months or for a much reduced price if done later. I lost count of how many times I flew back to Korea to get facial fat grafting as I was managing it all wrong postop. I think I flew July, Sept 2016, April 2017 (all 3 dates to DA plastic surgery clinic and Dr Kim), then Feb 2018 and Jan 2020 (with Dr Seo). Did I really have 5 full face fat grafts? I got carried away not knowing why it lasted only months with DAPRS clinic and 2 years with Dr Seo at MVP. I think if one gains 3 lbs post surgery and eats a high fat and protein diet for 4 months you can get away with just one full face fat graft or one with a top up and it should last. I had fat injections to my eyelids 3 times in total. Again, I did not know how to help the graft survive but do now so fingers crossed, no more facial fat graft needed ever. In fact my last facial fat graft was over 3 years ago and counting so I think it is a combination of having Dr Seo do my fat grafting and finally figuring out that I needed to eat a diet high in protein and fat for 4 months.

As for downtime, it depends on whether you can get ahold of a prescription for prednisolone postop to reduce swelling. Bruises take 2 weeks to resolve. I would recommend you wear camouflage skin foundation for the bruises if you have to go back to work early. There is no getting around looking like a battered wife unless you can source steroids postop. I never learned about steroids in 2020 so it took ages to look normal again. I think by 3 weeks you should be fine. Knowing what I know now, I would only get full face fat graft with steroids postop as whenever the skin stretches with swelling there is a chance of skin sagging when completely deswelled. After 5 full face fat grafts my lower face sagged from profound facial swelling 5 times in 4 years.
 
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@MissOrange, thank you so much for the detailed sharing. With all the uncertainty of fat retention and having to maintain one’s weight and diet and the down time, would you still say that the results are worth it versus conventional fillers? I don’t mind a high protein diet, but the high fat part scares me. Im struggling to keep my excess weight off as it is.
 
@MissOrange, thank you so much for the detailed sharing. With all the uncertainty of fat retention and having to maintain one’s weight and diet and the down time, would you still say that the results are worth it versus conventional fillers? I don’t mind a high protein diet, but the high fat part scares me. Im struggling to keep my excess weight off as it is.
Hi @Minda, it is definitely worth it to fill the forehead, temples and upper eyelids as I do not need botox for forehead wrinkles because of the fat graft. I am 50:50 about the fat graft to the mid and lower face as I am not sure whether I needed it or needed a lower facelift sooner instead.
 
Hi @beepboop4, after the face deswells, the grafted fat in the cheeks may drop to the lower face in 4-6 months or the fat reabsorbs leaving the face sagging. It is harder to maintain the fat in the upper cheeks as fat is heavy. Think of breast fat transfer and similarly it is hard to keep the fat graft in the upper pole as it drops due to the weight of fat. I recommend facial fat graft in the forehead, temples and upper eyelids but when it comes to the cheeks and lower face it is very unpredictable. I have had to have numerous repeat fat grafts to my cheeks and lower face as they reabsorbed unevenly, my lower face became sunken and my face sagged. Eventually one retains enough in the face and a lower facelift lifts up the fat graft and repositions in the cheeks better. In other words, once you have fat graft to the cheeks or lower face it is hard work to then maintain or try to achieve a lifted look as fat is heavy and if one gains weight, the fat hypertrophies and drags the skin down and causes nasolabial folds to appear. The lower face loses fat graft faster as we move our mouth when we eat and talk so a full face fat graft may end up very uneven and need multiple attempts to fix it. Facial fat graft in the cheeks and below takes a lot of persistence and repeated grafts to achieve longevity. I’ve actually got too much fat in my face in my honest opinion. But with aging, the facial fat will slowly go down so hoping I can have a slim face in my 60s. I always wonder what I would have looked like had I not had fat graft in my lower 2/3rds of my face and just stuck to having it in my upper third.
Impressive results btw! If you were to get conservative amount of fat grafted to your face just to alleviate midface hollowing, do you think it wouldn't be as difficult to maintain?
Also, perhaps your age may have been a factor in needing so many fat grafts? The older you get, the harder it is for your body to heal and to create new blood supplies. I dont think many younger women here in their late 20s and 30s will need that many fat grafts and as you say, may just need a top up and a high protein/fat diet during the recovery period.

Also did your history of filler use presented any potential complications when getting a Facial fat graft? Im thinking of going on Voluma or Radiesse first to see whether I'm comfortable with alterations to my face as a newby, before potentially going down the Facial fat grafting route in my 30s.
 
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Impressive results btw! If you were to get conservative amount of fat grafted to your face just to alleviate midface hollowing, do you think it wouldn't be as difficult to maintain?
Also, perhaps your age may have been a factor in needing so many fat grafts? The older you get, the harder it is for your body to heal and to create new blood supplies. I dont think many younger women here in their late 20s and 30s will need that many fat grafts and as you say, may just need a top up and a high protein/fat diet during the recovery period.

Also did your history of filler use presented any potential complications when getting a Facial fat graft? Im thinking of going on Voluma or Radiesse first to see whether I'm comfortable with alterations to my face as a newby, before potentially going down the Facial fat grafting route in my 30s.
Hi @AussieCalisthenics, thank you! Yes I think younger ladies will need less fat graft as they still have oestrogen. Good idea to try Radiesse first. I did this in my 40s and had no complications. I limited Radiesse use to the nasolabials.
 
Hi Missorange! Thank you for creating this thread and staying active throughout the years :)

I recently had my first facial fat grafting (midcheek and nasolabial folds) and I regret it so much. I was hoping to look a few years younger, however I ended up looking 10 years older... It seems that my doctor misplaced the fat grafts, depositing them above the nasolabial fold instead of properly filling out the fold itself. As a result, I now have more pronounced folds/shadows on both sides of my cheek. I can also feel distinct, firm lines where the fat was injected (maybe scar tissue from the cannula + fat?). From a side view, my lower cheek protrudes far more than my midcheek area. As the swelling has subsided, everything looks worse - with the folds becoming deeper and my philtrum appearing approximately 2mm longer. Additionally, I have noticed a bulging fat pad adjacent to the corners of my mouth. this procedure made my entire face look saggy and my smile no longer looks the same. Also, not sure if this is abnormal, but during the first week of recovery I could not smile at all, the area felt extremelyyy heavy.

I brought my concerns to my doctor he just brushed me off and said 'trust me, I wouldn't make this kind of mistake', told me not to worry and was rushed out of his office.

I am currently 3 weeks post op - although I know I should wait at least 2 months to have the microswelling fully resolve, I think most of the fat that I currently see is here to stay?? Is there anything you'd advise me to do to 'get rid' of the extra fat within the nasolabial areas before the fat fully settles and integrates? Will radiofrequency (like ultherapy, shurink, thermage, or morpheus8) be beneficial for my case?

Thank you so much in advance!!
 
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