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

TPF may earn a commission from merchant affiliate
links, including eBay, Amazon, and others

Status
Not open for further replies.
#3,751
MissOrange said:
Yes I think smas facelift will lift the mild sagging in your neck and that you do NOT need platysmaplasty.
Click to expand...

Thank you, @MissOrange.
MissOrange said:
Hi @Lien,

I studied VLif Dr Shin’s mother’s result and even she wishes at 9 months he had made her facelift tighter as she is showing laxity with a nasolabial line reemerging and a minor jowl. To me this is not worth a 12 or 16.5 million won facelift to have this laxity reemerge at 9 months. No way would it last 2 years in my opinion. For an older woman, this degree of postop laxity may be acceptable but you are young so this is not acceptable.

Also after seeing a real life patient who had a forehead lift in the UK now show laxity and lots of forehead wrinkles like a Sharpei dog, no way would I ever advise a forehead lift. Much better to add volume with fat graft to the forehead and temples.View attachment 5911198View attachment 5911199View attachment 5911202
Click to expand...

@MissOrange, so the problem with Dr Shin's mother FL is that Dr Shin didn't pull her face taut enought? It has nothing to do with the forehead lift, right?

The UK patient who's had the failed forehead lift, would you be able to share her name/Insta handle please? VLif wants to do a forehead lift on me too, not because of my forehead wrinkles (of which I have very few) but more because of my eye ptosis. The latter is hereditary and despite having had sultures put into my pre-existing double eyelids twice, my eyes are now starting to droop quite badly again, obscuring my vision partially. My father had this condition and towards his 90's, he almost couldn't see. His eyes were two tiny little slits. I don't want that to happen to me too!!
 
Last edited:
#3,753
MissOrange said:
Hi @Lien,

I found a photo from before my facelift and it shows a similar sag under the chin like you have. This was fixed with a smas facelift alone and no neck or platysmaplasty. The right photo is almost 2 years after the smas facelift with no neck or platysmaplasty. See how there is no return of the nasolabial fold, jowl or under chin/jaw neck sag even at almost 2 years. This is what you want from a smas facelift. You can see my moles are still in a higher position. It is vital to find patients who are at least 9-12 months post facelift to ensure longevity with the surgeon of your choice and ideally video updates are better.

View attachment 5911238
Click to expand...

Your results are beautiful. I shall do my research, and note all your advice. Thank you sooo much. x
 
  • Like
Reactions: MissOrange
#3,754
GaNPrestige said:
@MissOrange thank you so much for the elaborate sharing! Just curious, any reason for choosing FG for upper eyelid sulcus over fillers?
Click to expand...
Hi @GaNPrestige,

Fat graft becomes permanent. Facial fillers only last 6 weeks to 6 months. It is such a dangerous area to risk anyone injecting fillers there. Much safer for an oculoplastic surgeon to do lid fat graft which I had done at the same time of revision DES and ptosis correction so it only cost 500,000 won or £300.
 
#3,755
Lien said:
Thank you, @MissOrange.


@MissOrange, so the problem with Dr Shin's mother FL is that Dr Shin didn't pull her face taut enought? It has nothing to do with the forehead lift, right?

The UK patient who's had the failed forehead lift, would you be able to share her name/Insta handle please? VLif wants to do a forehead lift on me too, not because of my forehead wrinkles (of which I have very few) but more because of my eye ptosis. The latter is hereditary and despite having had sultures put into my pre-existing double eyelids twice, my eyes are now starting to droop quite badly again, obscuring my vision partially. My father had this condition and towards his 90's, he almost couldn't see. His eyes were two tiny little slits. I don't want that to happen to me too!!
Click to expand...
It’s up to you @Lien. As I said I would NEVER get a forehead lift. It is a skin only lift and more likely to fail. The person is a private person I met at a private event so no I cannot reveal her identity. In the hands of the right eyelid plastic surgeon, the muscle is cut, trimmed and reattached together so ptosis of the eyelid is corrected permanently, rather than have a couple of sutures in the eyelid muscle. Dr Seo has the most experience in Asian eyes and especially in rejuvenating mature eyes.
 
  • Love
Reactions: Lien
#3,757
MissOrange said:
Hi @GaNPrestige,

Fat graft becomes permanent. Facial fillers only last 6 weeks to 6 months. It is such a dangerous area to risk anyone injecting fillers there. Much safer for an oculoplastic surgeon to do lid fat graft which I had done at the same time of revision DES and ptosis correction so it only cost 500,000 won or £300.
Click to expand...
Is 500,000 inclusive of everything including the actual fat grafting procedure from the body? Mind sharing how was the FG procedure? Painful?? Weird uneven lumps on the FG site, etc?

Do you still recommend Dr Hyo Seok Seo (currently at Machimpyo?) for upper eyelid FG?
 
#3,758
MissOrange said:
It’s up to you @Lien. As I said I would NEVER get a forehead lift. It is a skin only lift and more likely to fail. The person is a private person I met at a private event so no I cannot reveal her identity. In the hands of the right eyelid plastic surgeon, the muscle is cut, trimmed and reattached together so ptosis of the eyelid is corrected permanently, rather than have a couple of sutures in the eyelid muscle. Dr Seo has the most experience in Asian eyes and especially in rejuvenating mature eyes.
Click to expand...
The reason why they've suggested a forehead lift, is that the muscles in my forehead are drooping, thus pushing down my eyelids. I know this for a fact because my eyebrows have moved lower. But in saying that, you're right that it is the muscles that need correcting, not the skin. I really want my eyebrows to be raised; so an upper blepharoplasty would not address this. However, an upper blepharoplasty is preferable to having sutures put in; as the latter hasn't fixed my droopy eyes. I kinda knew this but really wanted to avoid going the surgery route, which as it's turned out may be unavoidable after all if I don't want to have my vision obstructed.

I will look into Dr Seo (it's Dr. Seo Hyo-Seok, right?). Thank you for your suggestion.

No worries about the person you met. I thought maybe you knew her from her Insta account.
 
  • Like
Reactions: MissOrange
#3,759
Hello MissOrange! From what I know and have experienced myself, an endotine forehead lift procedure is executed to weaken the forehead muscles and glabellar (muscle between your eyes). It is not skin only. I think a coronal brow/ lift is skin only ( the incision is across your forehead and it is pretty sizable)That’s pretty old school and I hear only the older docs still do that. Endotine FH lift can produce good results. I am only 2 months into recovery but I think it is a worthy procedure. It will make your forehead a bit bigger because in addition to weakening those muscles (so that you can’t really crinkle your brow/forehead), they will basically trim and staple your excess skin up, higher. The bigger forehead is probably the biggest downside if you are aleady concerned about that; you’ll need to address that later.

@Lien , this procedure will slightly lift your brows and your lids will be more open. Your crease may be slightly bigger. It might also slightly raise your nose; you may get a little more nostril show (at least while u r swollen. help with a drooping nose. This is what i saw) lots of bruising to your eyes, even though surgeon does not touch your eyes
 
Last edited:
  • Love
  • Like
Reactions: USK and Lien
#3,760
figjamm said:
Hello MissOrange! From what I know and have experienced myself, an endotine forehead lift procedure is executed to weaken the forehead muscles and glabellar (muscle between your eyes). It is not skin only. I think a coronal brow/ lift is skin only ( the incision is across your forehead and it is pretty sizable)That’s pretty old school and I hear only the older docs still do that. Endotine FH lift can produce good results. I am only 2 months into recovery but I think it is a worthy procedure. It will make your forehead a bit bigger because in addition to weakening those muscles (so that you can’t really crinkle your brow/forehead), they will basically trim and staple your excess skin up, higher. The bigger forehead is probably the biggest downside if you are aleady concerned about that; you’ll need to address that later.

@Lien , this procedure will slightly lift your brows and your lids will be more open. Your crease may be slightly bigger. It might also slightly raise your nose; you may get a little more nostril show (at least while u r swollen. help with a drooping nose. This is what i saw) lots of bruising to your eyes, even though surgeon does not touch your eyes
Click to expand...

I don't have a lot of wrinkles on my forehead, thank Goodness. I'm really looking more to raise my eyebrows, thus pulling the eyes upwards a bit more. My brows are too low, thus pushing my eyelids down, making my eyes smaller and "sleepy" looking. It's also the potential obstruction of my vision that I am most concerned with.

I'd definitely welcome my lids being more open/ bigger. Atm, my creases are hidden by the folds of the skin over them. Only thing is that I wouldn't like more nostril show. But hey, you can't have everything, right? haha.

How long does the bruising to the eyes last for? Is the procedure painful to the eyes at all or just soreness to the forehead?

Thank you for chiming in. This is super helpful!! x
 
#3,761
MissOrange said:
Hi @Gats, thank you for the link to Karam’s video. Really useful. I think the cut off age of 45 he mentions may apply to Westerners but not to Asians who age slower. I have put a collage together to demonstrate that facial fat graft alone corrected my loss of facial volume. This was before I had a facelift. I did not have sagging just profound loss of volume at age 50 (in the bottom left pic), aargh the dreaded ugly menoface. Excuse the eyes as it was the next morning after Dr Seo had operated on my eyes and I still had sutures, purple ink marks on my lids and below my eyes and bruising. Interestingly it shows that eyebrow tattooing makes a big difference when comparing the pics. Ellen at MVP advised me to get eyebrow tattooing when she first saw me in 2016. At the time it cost $200 but the lady they use was not available so I paid a lot more to have it done in the UK when I got back.

The top pic is me in 2019 at 53 next to former Korean ambassador to the UK Enna Park aged 57. By this time I had had 4 full facial fat transfers. I think what eventually created lower face sagging was the number of times I kept going back for more facial fat graft top ups and the subsequent strain on my facial skin from repeated skin stretching after the 5th facial transfer. My facial skin had reached its limit from repeated profound swelling, made worse as I chose to fly back to the UK on a 12 hour flight on days 2/3 which is the worst for swelling and this contributed to sagging after I deswelled. I did not know back then how to retain facial fat graft but now I do so I have maintained my fat graft for almost 4 years with no need for a further top up. If you have no skin sagging then yes you can try full face fat graft without a facelift and even one top up but make sure you control the postop swelling with postop steroids for a week. My case is unique in that I had 5 facial fat transfers (3 at DA (2016-2017) and 2 at MVP (2018 and top up 2020).

As for should you get fat transfer at the same time as a facelift, the answer is no. This applies to breast lift with fat transfer also. The trauma of a face or breast lift to the tissues would not be a conducive environment for fragile fat transfer cells to take and may lead to faster reabsorption of the newly grafted fat cells.

Also the best time of year to get any fat transfer is in the warm months as the cold weather may not help the grafted cells survive. Seriously this tip occurred to me just now as I recall thinking my 2nd full face fat graft in hot September in Korea looked so good but when I returned to the cold UK it started to reabsorb. I did not know to keep feeding the fat cells foods high in fat and protein back in 2016.


View attachment 5902590
Click to expand...
Hi can you tell me exactly the dose of prednisone and for how long you took after fat graft?
 
Status
Not open for further replies.
Top