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

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Hi MissOrange, did you ever experience undereye loss of volume and/or eyebags? I know you had fat graft to the upper eye hollows and that made a huge improvement but did you also have fat graft directly under the eyes too and that's why you don't have volume loss there?

You strongly advise against cheek fat graft, do you just mean that outer part of the face? To make things easier, see the attached facial chart if you want to specify by number. Do you think fat graft is okay for that triangle area beneath the eyes and next to the nose down to the NL folds (areas #6,8,9,11,13,14 in the chart)? Is that where you had it? Or would any of that lead to the chipmunking you are describing and you do not recommend fat graft there? Thanks!

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this is a good question. i wanna know too. i think i have very little fats on my cheeks and thats one of the reason why its making my eyebags look bad. Ive been thinking of the same thing as well, like if the fats injected to area 11, and as we age and sag, wouldnt that make the smile lines even worse? but i also do have very little fats on my upper cheek. Maybe its okay for me to get some fats injected to area 11 and more fats to 8 and 14 to reduce the look of prominent eyebags and smile lines? @MissOrange thoughts? =))
 
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!
Hi Orange,
I am a new member, saw your post, and start reading your journey from page #1. I enjoy reading your journey and I am in my early 50s.
As I get older, my upper eyelids covered 1/3 of my eyes and my eyelashes poke my excessive skin. I also understand this happened due to loss of collagen and bone on eyebrows as we aged too.
I have never done any type of plastic surgery before and would love to make over just for my eyes because I am so tired to pull my eyes with my eyebrow muscles. Every morning when I wake up, I have a MAD face.
Would you recommend which clinics in Korea for eye surgery? and would you give me a piece of advice on how to find a good surgeon that understands MY concerns not what s/he tries to sell their work such as upper blepharoplasty, ptosis correction, epicanthoplasty, lateral canthoplasty, browlift, etc.
I will ask you more questions on other posts and thank you for your time and kindness.

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Hi Orange,
I am a new member, saw your post, and start reading your journey from page #1. I enjoy reading your journey and I am in my early 50s.
As I get older, my upper eyelids covered 1/3 of my eyes and my eyelashes poke my excessive skin. I also understand this happened due to loss of collagen and bone on eyebrows as we aged too.
I have never done any type of plastic surgery before and would love to make over just for my eyes because I am so tired to pull my eyes with my eyebrow muscles. Every morning when I wake up, I have a MAD face.
Would you recommend which clinics in Korea for eye surgery? and would you give me a piece of advice on how to find a good surgeon that understands MY concerns not what s/he tries to sell their work such as upper blepharoplasty, ptosis correction, epicanthoplasty, lateral canthoplasty, browlift, etc.
I will ask you more questions on other posts and thank you for your time and kindness.

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Hi @carong, welcome to TPF! Wow I feel honoured you read every page of my long rejuvenation journey. The good news is you don’t need upper eyelid fat graft. You just need upper blepharoplasty or in Korea they call it double eyelid surgery or DES and get it with ptosis correction so the muscle is lifted too. This ensures longevity of the DES. I can only recommend the board certified plastic surgeon who did mine in Korea. He is Dr Hyoseok Seo and now works in his own clinic Machimpyo near Apgujeong metro station in Seoul. He will cut away the excess eyelid skin, fix the muscle and agrees with you on the size of the crease you want. I chose a small crease as I think a large one may age a mature lady. Can I just add your neck is really good for early 50s, even younger looking than mine!
 
Hi MissOrange, did you ever experience undereye loss of volume and/or eyebags? I know you had fat graft to the upper eye hollows and that made a huge improvement but did you also have fat graft directly under the eyes too and that's why you don't have volume loss there?

You strongly advise against cheek fat graft, do you just mean that outer part of the face? To make things easier, see the attached facial chart if you want to specify by number. Do you think fat graft is okay for that triangle area beneath the eyes and next to the nose down to the NL folds (areas #6,8,9,11,13,14 in the chart)? Is that where you had it? Or would any of that lead to the chipmunking you are describing and you do not recommend fat graft there? Thanks!

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Hi @Gats, wow love the diagram! I would say 6,8,9 are safe but for the nasolabials limit to 13,14. The problem with the larger areas like 11, 12 and 18 is that fat injected there tend to hypertrophy especially if one gains even a few lbs of weight and that area will drag the face down and create deep nasolabial folds. Then when one smiles, the fat all accumulates in the cheek like a huge chipmunk pouch. As I was under for all full face fat graft procedures, I can only assume the surgeon put fat everywhere as I hate it when I smile with teeth show and reveal chipmunk pouches 2 inches big, protruding an inch! Then I miss my flat face. Most of my selfies are non smiling.
 
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OH MY GOD. Seeing your BA photo, its making me feel hopeful. The improvement is drastic! this is the kind of fullness i want! but ive had two doubye eyelid surgery before, i have a feeling its going to affect the fats survival? Have you ever had double eyelid surgery? you dont have any lumps on your eyelids right? just to be sure haha..may i know dr seo's full name?

Thank you so much for replying to me + BA photos. I really really appreciate that. it means ALOT to me! this is one of the answers & result that i've been looking for for YEARS

Btw, i just saw another comment of yours

mind if i ask like how did you know so much about him? sorry i dont mean to be rude at all. im just very careful because my eyes got kinda botched once. so i kinda have trust issues and theres alot of promoters here... Hope you would understand. Thank you in advance =)
Hi @cherryzz, I was like you having had multiple upper blepharoplasties (DES) in the UK that kept falling down, left with wrinkled sleepy eyelids and needing young eyes at age 50. I found @smittenkitten‘s amazing thread on Dr Hyoseok Seo on this purse forum, read her external blog, saw all the photos of her before and after recovery and contacted her by kakao. I chatted for months with her and then booked Dr Seo at MVP like she and her sister booked for their eyes. I saw her before botched eyes from Thailand and to see how Dr Seo fixed that for her was incredible! My eyelids still look perfect 7+ years on which is a record as the lids kept falling down when done in the UK.

Here is a youtube link to her channel. She did not do youtube 7+ years ago but has done now.
 
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Dr. Seo was or is a board-certified?
Hi @carong, his name is no longer on the list. Not sure why. I would still trust him with my eyes as he did such a fab job and eyes is his main plastic surgery specialty. He has lots of b&a eyelids on his website. I found this example as closest to your before to give you an idea of what your after might look like. See how in the after, the eyelashes now curl upwards instead of down.

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this is a good question. i wanna know too. i think i have very little fats on my cheeks and thats one of the reason why its making my eyebags look bad. Ive been thinking of the same thing as well, like if the fats injected to area 11, and as we age and sag, wouldnt that make the smile lines even worse? but i also do have very little fats on my upper cheek. Maybe its okay for me to get some fats injected to area 11 and more fats to 8 and 14 to reduce the look of prominent eyebags and smile lines? @MissOrange thoughts? =))
Hi @cherryzz as I also posted to @Gats, I would not touch area 11 with fat graft as it is a large area and the fat cells can swell when one gains a few lbs and then cause the fat weight to push the skin down and worsen the nasolabial area. I had lower blepharoplasty x 1 when I had lower eyelid bags decades ago. Never came back. I never had any sunken area under my eyes but who knows where the surgeons injected my full face fat graft. All you see is multiple needle marks all over the face with fat graft and Montezuma’s revenge swelling from day 2/3 that lasts weeks. Then after a few months, the face deswells completely and the skin sags. At this point one must make a decision whether to go for more fat graft with more swelling and eventual worsening of the skin sag or cut one’s losses and get a facelift to address the skin laxity. As I have said, in hindsight I would never get facial fat graft or a facelift without being armed with a box of steroids to combat postop swelling.
 
This is why I advise against getting fat graft in the cheeks... I have taken this selfie to demonstrate the huge chipmunk pouch of fat that appears if I smile broadly with teeth show. I hate it when asked to smile in family photos as I know I must not else the huge fat filled cheek bulge appears. It has been 3 years since my last facial fat graft and the cheek fat has not gone down. Fortunately when I don’t smile, there is no fat to see.

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Hi @carong, his name is no longer on the list. Not sure why. I would still trust him with my eyes as he did such a fab job and eyes is his main plastic surgery specialty. He has lots of b&a eyelids on his website. I found this example as closest to your before to give you an idea of what your after might look like. See how in the after, the eyelashes now curl upwards instead of down.

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Hi MissOrange, thank you so much for your response, I really appreciate your time and kindness.
The simple eyelids is what I want, I don't want to have a drastic change, to be honest. The eyelashes facing down are my biggest concern and I see this pic how the eyelashes are face up. I will contact the clinic then. Thank you so much MissOrange.
 
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Hi @carong, welcome to TPF! Wow I feel honoured you read every page of my long rejuvenation journey. The good news is you don’t need upper eyelid fat graft. You just need upper blepharoplasty or in Korea they call it double eyelid surgery or DES and get it with ptosis correction so the muscle is lifted too. This ensures longevity of the DES. I can only recommend the board certified plastic surgeon who did mine in Korea. He is Dr Hyoseok Seo and now works in his own clinic Machimpyo near Apgujeong metro station in Seoul. He will cut away the excess eyelid skin, fix the muscle and agrees with you on the size of the crease you want. I chose a small crease as I think a large one may age a mature lady. Can I just add your neck is really good for early 50s, even younger looking than mine!
Hi MissOrange,
Thank you so much for your complimentary about my neck :) and thank you for the surgeon name and his clinic too. I will look it now. Yeah reading your journey is really interesting actually, I like to learn from others who had done it and jot down important things. I don't want to spend a lot of money and don't knowledge myself that would be scary.
 
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Hi MissOrange,
Thank you so much for your compliment about my neck :smile: and thank you for the rgeon's name and his clinic too. I will look at it now. Yeah, reading your journey is really interesting actually, I like to learn from others who had done it and jot down important things. I don't want to spend a lot of money and don't knowledge myself that would be scary.
 
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Here is a 4 year update on my arm lipo for €1250 at age 53 by Dr Bert Oelbrandt in Belgium. Huge difference between the before pic with batwings and the 4 years after last month at age 57 in the same bikini. Thank goodness lipo was enough as an upper arm lift scar is really long! Always go for lipo first.

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He seems like a really good doctor for body surgery. I'd trust him over the BBL doctors in the DR or Colombia. I'm not interested in a BBL, but I'm planning on getting liposuction in several areas of my body and thought that a BBL Doctor was my only option until now. Thanks for sharing.
 
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Love your transformation missorange!
You were already gorgeous before the surgeries though, but more rejuvenated now.
Could you let me know which clinic you went for your chin reduction and how many mm of bone was shaved? Did you get the height and width of your chin reduced? Is there anything you’d do differently about your chin?

Also planning on getting a chin reduction (height and width reduced) along with a genioplasty to move it forward as it is recessed a bit. Really worried about the sagging though as I’m going into my late 30s now and already have sagging from the jaw reduction from my early 20s I wish I have never done. Probably aged like 10 years due to it. Anyway TIA!
Which dr u decided ?
 
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