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

[MissOrange]

@MissOrange, I reached out to Coppergate to try to arrange a FL like yours. They just told me that Nick Rhodes had stopped acceping patients for VR lifts, due to "exceptionally high demand" and "extensive waiting lists".

Hmm, didn't he just raise the price to £15k or so?

What's going on, I wonder....

Hi @Lien he has stopped offering the cheaper VR FLs which was a variation of macs lift and smas plication but his other surgeons James and Chris he trained in this are still doing it. Nick is now doing Deep Plane FLs from £15k.

The downside of me posting my results with progress photos to 500,000+ global viewers here means the surgeon gets swamped and can then increase his prices competitively as he is then more in demand. Dr Seo became so popular after I posted my results he was able to go from overworked employee at mvp to running his own clinic Machimpyo.

At some point I will need a neck lift. I wonder who I will be able to afford at this rate.

 

[Lien]

Hi @Lien he has stopped offering the cheaper VR FLs which was a variation of macs lift and smas plication but his other surgeons James and Chris he trained in this are still doing it. Nick is now doing Deep Plane FLs from £15k.

Ahhhh, they didn't elaborate that to me. They only said that he was no longer accepting patients (since I asked about the VR). No clarification offered that he's now doing DP.

Thanks, makes sense now for the much higher price.

 

[MissOrange]

@MissOrange, Dr Karam mentioned "deep plane" at 9.54mins into the video.


I've seen, in his YT and Insta accounts, his DP FL in various patients holding up very well with no worsening of nasolabial folds, up to 2 years post-op.

Hi @Lien we don't know if they had dermal fillers or botox within those 2 years as many do after DP. The point of a FL is to remove nasolabial lines but I still see them in his postops (see pics attached). A much cheaper smas FL with postop steroids would have removed all nasolabial lines (sign of skin descent) vs a much more expensive DP with or without steroids that cuts all the facial retaining ligaments so cannot remove nasolabial lines.

 

[MissOrange]

@MissOrange, does Dr Karam perform an Smas and not DP? I've always thought he does DP?

So what exactly is the Vertical VECTOR lower FL? How different is that from the one perfomed by Nick Rhodes? Are they both Smas's? I note that Karam also lifts your temporal areas/ upper brows as part of this Vertical Restore. Does Nick R cut and lift the temporal areas too?

Hi @Lien, Nick lifted everything vertically, including the lateral corners of my eyes. Here is a photo of me when I got to the hotel after same day surgery on Jan 31, 2022. You can see how high the incision goes, ie above my eyes. His £3495 VR/smas FL is superior to any $50-120k DP FL of the top US surgeons...Karam or Jacono and my facial retaining ligaments are preserved so I never need to spend money on regular dermal fillers or botox. To look 20s one must not have any nasolabial lines. Once they appear one looks 30s and older depending on how deep the lines go and by 60 they become deep folds.

 

[Lien]

Hi @Lien, Nick lifted everything vertically, including the lateral corners of my eyes. Here is a photo of me when I got to the hotel after same day surgery. You can see how high the incision goes, ie above my eyes. His £3495 VR/smas FL is superior to any $50-120k DP FL of the top US surgeons...Karam or Jacono and my facial retaining ligaments are preserved so I never need to spend money on regular dermal fillers or botox.

Outstanding work!

But Nick Rhodes is now only offering DP. What if I asked him to give me the same as he gave MissOrange?!

 

[MissOrange]

Outstanding work!

But Nick Rhodes is now only offering DP. What if I asked him to give me the same as he gave MissOrange?!

Hi @Lien, you can ask for a smas plication which is what I got but may still end up paying the price of a DP.

 

[MissOrange]

Here is the extent of Nick's vertical lift. My hooded eyelids got lifted, the nasolabial and marionette lines erased, the jowl gone, the downturn in the lip corners gone, the crease under my lips on my chin gone etc. From old eyes and sad tired looking old face to youthful restoration in a 2 hour op under local....like magic. No anaesthetic risk like with general anaesthesia. And no monster swelling as I had postop steroids from my GP.

 

[Lien]

Hi @Lien, you can ask for a smas plication which is what I got but may still end up paying the price of a DP.

I've done exactly just that. I just wrote back to them and ask them to ask Nick R to "Give me the same as what he gave MissOrange!", haha

 

[Intrata]

Here is the extent of Nick's vertical lift. My hooded eyelids got lifted, the nasolabial and marionette lines erased, the jowl gone, the downturn in the lip corners gone, the crease under my lips on my chin gone etc. From old eyes and sad tired looking old face to youthful restoration in a 2 hour op under local....like magic. No anaesthetic risk like with general anaesthesia. And no monster swelling as I had postop steroids from my GP.

Hi @MissOrange, how was your experience of doing a major procedure under Local Anesthesia? Did you feel any pain during operation?

I'm planning to get mini-Lipo of torso and arms under Local Anesthsia, and am concerned about the pain as I am very chicken about pain and about safety at the same time (hence the desire to have Local and not Sedation in the first place).

Should I take a Tylenol even before the procedure starts? Did you take anything in anticipation of the oncoming pain?

 

[WICouple]

Thank you for this story and best of luck!

 

[ksurgery]

Here is why a vertical smas facelift is superior to a deep plane. A plastic surgeon did a smas facelift under local anaesthesia for as little as £3495 on me and it still looks great at 2 years with no nasolabial folds.

Here is a pic of me in April 2019 vs Jan 2024 and the difference is a 5th and final full face fat graft Jan 2020 for 2 mill won and a vertical superficial smas facelift Jan 2022 for £3495. Now why would anyone pay $20k-$100k for a deep plane facelift which may cause pronounced nasolabial folds due to cutting of the facial retaining ligaments that are left severed? Or is it that only old Asians like myself know how to bargain and others think paying a fortune means getting value for money?

That said when I looked old I was either treated old or was invisible. Now looking super young I get so much attitude from the public. Do young people really get treated this poorly? Or is it that I am an old opinionated lady stuck inside a young girl's body now?

Hi MissOrange, If we get FL how do we know if the Dr do Smar FL or just skin lift? what if they just do skin lift only and they told us Smar lift, how do we regconize. Thanks

 

[MissOrange]

Hi @MissOrange, how was your experience of doing a major procedure under Local Anesthesia? Did you feel any pain during operation?

I'm planning to get mini-Lipo of torso and arms under Local Anesthsia, and am concerned about the pain as I am very chicken about pain and about safety at the same time (hence the desire to have Local and not Sedation in the first place).

Should I take a Tylenol even before the procedure starts? Did you take anything in anticipation of the oncoming pain?

Hi @mingaling99, yes take tylenol before the procedure. It all depends on how good the surgeon is at administering local. I had tumescent fluid with local poured into my face on each side to numb the area. I felt no pain. It takes a brave soul to be wide awake and smelling the burning and hearing all the cutting sounds. I would have loved to be put under iv sedation but at the time he was not offering this. Now he has anaesthetists working at his clinic so they can administer IV or GA sedation but this would increase the price by £2-3k. My concern with lipo for you is that the surgeon shoves the suction trocar deep and goes back and forth multiple times. Personally I would want IV sedation as it will be far more painful with all the tugging, pulling, and suctioning of your torso and arms. There will be a lot more blood involved too. I don’t know anyone who has had lipo under local.

 

[Intrata]

Thank you @MissOrange. Which clinic did you go for your face Lipo that now has the anesthesiologist on staff please?

The type of Lipo I'm looking into is called mini-Lipo, because they use a tiny (0.9MM) cannula to poke around after they put tumescent fluid and local into a tiny 2-3MM incision. So supposedly, because of the small size of traumas, it doesn't need IV or GA.

The reason I'm even considering mini Lipo is because of how nervous I am about Korean anesthesia seriousness and Korean pain tolerances. I don't got the same nerves. I am very skittish, have low pain tolerance and am also afraid of general anesthesia. So the mini-lipo doctor said, if I am really nervous about pain, he can give me a pain shot, which probably is going to be Tramadol, before he starts injecting local. Do you think Tramadol is enough to withstand the ensuing insertion and probing of local anesthesia and tumescent for a lipo? And does Tramadol start acting immediately?

 

[MissOrange]

Thank you @MissOrange. Which clinic did you go for your face Lipo that now has the anesthesiologist on staff please?

The type of Lipo I'm looking into is called mini-Lipo, because they use a tiny (0.9MM) cannula to poke around after they put tumescent fluid and local into a tiny 2-3MM incision. So supposedly, because of the small size of traumas, it doesn't need IV or GA.

The reason I'm even considering mini Lipo is because of how nervous I am about Korean anesthesia seriousness and Korean pain tolerances. I don't got the same nerves. I am very skittish, have low pain tolerance and am also afraid of general anesthesia. So the mini-lipo doctor said, if I am really nervous about pain, he can give me a pain shot, which probably is going to be Tramadol, before he starts injecting local. Do you think Tramadol is enough to withstand the ensuing insertion and probing of local anesthesia and tumescent for a lipo? And does Tramadol start acting immediately?

I got a facelift in the UK not face lipo. Tramadol is an extremely strong painkiller.

 

[Intrata]

Thank you @MissOrange that's very helpful to know, and very reassuring. I really appreciate you sharing all your expertise as a surgeon as well as a beauty enthusiast with all of us. Your presence here has been so helpful and uplifting. Thank you sincerely.