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

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I am busy today with my words of caution! Never get facial fat transfer with a facelift at the same time. It may fail to take in such a traumatic or hostile environment. The same advice is given to ladies who ask for breast FT at the same time as their breast lift. It won't take or last. You think you are saving on trips to Korea but you are not.

You will need to fly back for facial fat transfer when it all reabsorbs, deflates the face and causes sagging. You will need to fly back to Korea when the facelift sags at 4-6 months if you did not or stopped taking postop steroids after 2 days instead of 1 week to find another surgeon to do revision as Korean surgeons rarely agree to do a free revision as it would mean injuring their pride. The cost of revision with another surgeon may be double what you paid initially. Just like revision rhinoplasty may be double a primary rhino. This is why I say do NOT pay more than $10k for a facelift as revision may cost $20-30k! You need to budget for FL revision if you get it done in Korea without a week of postop steroids. And if you got a deep plane FL, then good luck finding another surgeon willing to do a revision deep plane facelift. The price may be astronomical as scar tissue so close to the branches of the facial nerve in the deep plane make this a very dangerous operation to take on.

Because the unexpected costs may involve revision facelift it is essential you choose wisely. Find 3 patients of your surgeon of choice whose results have lasted at least 1 year and do NOT get a facelift without taking postop steroids for one week.

Remember the right order to rejuvenate your face is do your eyes first and include lid fat transfer, then lip lift, then fat transfer and finally a smas facelift with postop steroids.

If money is an issue fly to Belgium where smas facelifts are €3k. Even my arm lipo plastic surgeon Dr Bert Oelbrandt offers smas facelifts under IV sedation with an anaesthesiologist doctor.
So, say I get a face lift but the area I want fat grafting for is the brow area with the intended affect of reducing UEE. Could this be done in the same session as a facelift? What about coupling the facelift with a lip lift? Or not?

I think your plan suggests:

- fat graft to reduce UEE
- lip lift (bull horn, I want to reduce philtrum height not make my lips fuller)
- fat transfer before face lift (?)
- facelift

What are your thoughts on my face? I too have facial implants (I've linked my post, needs approval from mods) - I have sagging jowls age/bimax and whilst you cant see it in the pictures my midface has sunken due to it being pulled from the sheer size of the cheek implants - should I go for deep plane or still SMAS....where deep plane allows for great pull of the SMAS once released from the ligaments.
 
Wow I just watched You are what you eat a twin experiment on Netflix and Forks over Knives youtube documentary and they both suggest we should eat a no dairy, no eggs and no meat diet, ie eat a whole food plant diet to lengthen our telomeres (live longer), prevent cancer (cancer risk goes up with casein in dairy), prevent strokes, repair narrowed blood vessels and prevent Alzheimers! https://www.forksoverknives.com/the-film/

I always knew dairy was inflammatory to the body but was not aware that eggs and meat were inflammatory too! No wonder when I was in Korea and ate at a restaurant in Lotte mall, they served healthier rice than white rice. But how do I give up bulgogi and kalbi when I arrive in Korea soon? Korea will be full of temptation to go carnivore!

I have already halved my lipoprotein A by cutting out dairy. Now I will cut out eggs and meat to reduce my cholesterol hopefully.View attachment 5929192

This is great news! I can not only look young forever but also live longer!
What in the world do we eat for protein without eggs and dairy and meat? I ate a lot of a lot of fish for a while and got really high mercury. So now it's like, what is really edible?
 
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Do oral steroids also prevent scars from thickening? I heard reason why doctors don’t prescribe steroids is because of a risk of infection while healing. I am a very tiny person so I’m not even sure how many mg I need if I do persuade a doctor to prescribe me one
 
Hi @6098Sophia, welcome to TPF! Glad you have decided against VLif and decide against Braun too while you are at it. I would suggest you ask for a consult with the head surgeon at ASPS as they do smas facelifts there for 11-12 mill won which is about £8k or $10k. It is in Apgujeong between Machimpyo and MVP. I popped in once when I was in my early 50s and they said I did not need it then. I liked their honesty. Of course that was before I had a whopping 5 full facial fat grafts that swelled my face 5 times so needed 8 cms of skin trimmed by a facelift and a smas lift. Here is a link to ASPS smas facelift b&a’s. http://en.asps.co.kr/sub/wrinkle/sub01.asp A famous tpfer had her smas FL at ASPS and it is going 8 years+ and strong!

I consulted with Dirk Kremer in May 2021 and paid in full. At the time he was £12k for a vertical smas face and neck lift although at the time I did not have any neck concerns. He cancelled when I asked that he use sutures and not staples to close the skin and when I asked for pds sutures and not permanent ones. I was promptly refunded by his PA. It made me realise he was not the surgeon for me as he was more doctor centred rather than a shared patient management type of surgeon. His prices are now much higher as it is 2024.

Nick Rhodes however was the complete opposite and even asked me what sutures I wanted him to use as he respected me as a doctor with surgical experience. And in the end I am glad I went with Nick. He even pointed to the theatre board where the list of suture material was handwritten on the board to make sure he had listened to me. He heard me when I said I had a prolene allergy and reacted to permanent sutures but not to absorbable long acting pds sutures. If you choose Coppergate Clinic which he runs as the head surgeon, your choices are go with Nick but now he charges £15k for a deep plane facelift but I guess you can ask him to do a smas one instead or go with his junior surgeons Chris or James and pay £5,500 for a VR lift. They have a one year free retightening policy but make sure you source postop prednisolone yourself as the clinic still does not prescribe no matter my protestations that top US facelift surgeons Jacono, Karam and Nayak all use either intraop, postop or both. Marando is the only UK facelift surgeon based in Manchester who prescribes prednisolone postop at 30-40 mg a day and he does lateral smasectomies. I can recommend him too based on a lady’s excellent smas lift results at 8 months with steroids postop for a week.

Here is a collage of me on day 0 when I got back to the hotel after the facelift and day 4 when I should be swollen but nothing as I had postop prednisolone for 4 days. Compare this to all the swollen facelifts you see on this site. It makes sense why the face then sags at 4-6 months when fully deswelled. And look at the beautiful stitchwork! Nick rivals Korean plastic surgeons when it comes to skin closure. And not one metal staple in sight!

View attachment 5929108View attachment 5929124
Thanks so much for taking the time to reply to me. You have given me so much information and I really appreciate it. I've spent years saving up enough $$ for surgery and I don't want to waste any of my hard earned money on procedures that won't last. If I understand you correctly, you think an SMAS lift is more effective than a facelift? My main issue is nasolabial folds and mid face laxity...
 
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Do oral steroids also prevent scars from thickening? I heard reason why doctors don’t prescribe steroids is because of a risk of infection while healing. I am a very tiny person so I’m not even sure how many mg I need if I do persuade a doctor to prescribe me one
Hi @rosie8800 I weigh less than 100 lbs and 20 mg a day of postop pred worked for me post FL I took for 4 days but should have started from the 1st day and not 2nd for 5 days. I was given antibiotics post FL. Scar thickness is due to skin closure tension and completely up to the skill and technique of the surgeon. The tension must be in the inner layers and not the final skin closure.
 
Thanks so much for taking the time to reply to me. You have given me so much information and I really appreciate it. I've spent years saving up enough $$ for surgery and I don't want to waste any of my hard earned money on procedures that won't last. If I understand you correctly, you think an SMAS lift is more effective than a facelift? My main issue is nasolabial folds and mid face laxity...
Hi @6098Sophia I haven't seen your pic so can"t suggest what you need. If you start your facelift journey with smas then not only will the results be more aesthetically pleasing but future smas FLs every 10 years will be cheaper (and other surgeons can easily do as it is a superficial layer op) than starting with deep plane. Deep plane revisions are normally $30k-$120k. You may be lured in to get DP for $10-20k but when it drops in 4-6 months without a week of postop steroids you will feel cheated out of $10-20k and face a dilemma as few will touch someone else's revision DP or will charge a fortune. Revision DP is the most difficult and most dangerous FL to have due to high risk of facial paralysis as the surgeon now has to operate in scarred tissues stuck to the facial nerve. A Korean surgeon may not wish to risk his career for less than $50k or a US surgeon for less than $100k or may just refuse to do it in most cases.

Suddenly you are stuck being unable to afford a future facelift forever all because you either were tricked by the clinic into thinking you got smas but got DP (as happened at VLIF to a tpfer) or you flew to Turkey for a cheap $7k deep plane. In either 6 months to 5/10 years the penny will drop. That said there is one young surgeon in Turkey who will take on revision DPs for less than $20k.

There are 3 types of facelifts...Macs or VR lift with some sutures lifting up the smas, smas FL with a lot of sutures in rows or deep plane which cuts through every layer of the face and causes total disruption in the face. Most sensible people go for macs (I did the VR macs lift but did not know about steroids then), then smas (as my 2nd with steroids), then as a final and last resort in one's 70s a DP (I will NEVER get a DP which in my opinion may line the surgeon's pocket with gold and wreak havoc in a patient's face with permanently severed facial retaining ligaments).
 
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Hi @6098Sophia I haven't seen your pic so can"t suggest what you need. If you start your facelift journey with smas then not only will the results be more aesthetically pleasing but future smas FLs every 10 years will be cheaper (and other surgeons can easily do as it is a superficial layer op) than starting with deep plane. Deep plane revisions are normally $30k-$120k. You may be lured in to get DP for $10-20k but when it drops in 4-6 months without a week of postop steroids you will feel cheated out of $10-20k and face a dilemma as few will touch someone else's revision DP or will charge a fortune. Revision DP is the most difficult and most dangerous FL to have due to high risk of facial paralysis as the surgeon now has to operate in scarred tissues stuck to the facial nerve. A Korean surgeon may not wish to risk his career for less than $50k or a US surgeon for less than $100k or may just refuse to do it in most cases.

Suddenly you are stuck being unable to afford a future facelift forever all because you either were tricked by the clinic into thinking you got smas but got DP (as happened at VLIF to a tpfer) or you flew to Turkey for a cheap $7k deep plane. In either 6 months to 5/10 years the penny will drop. That said there is one young surgeon in Turkey who will take on revision DPs for less than $20k.

There are 3 types of facelifts...Macs or VR lift with some sutures lifting up the smas, smas FL with a lot of sutures in rows or deep plane which cuts through every layer of the face and causes total disruption in the face. Most sensible people go for macs (I did the VR macs lift but did not know about steroids then), then smas (as my 2nd with steroids), then as a final and last resort in one's 70s a DP (I will NEVER get a DP which in my opinion may line the surgeon's pocket with gold and wreak havoc in a patient's face with permanently severed facial retaining ligaments).
Which VR are you referring too? Is it Nick Rhodes Vertical Vector 'r' incision or Vertical Restore?
 
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I am busy today with my words of caution! Never get facial fat transfer with a facelift at the same time. It may fail to take in such a traumatic or hostile environment. The same advice is given to ladies who ask for breast FT at the same time as their breast lift. It won't take or last. You think you are saving on trips to Korea but you are not.

You will need to fly back for facial fat transfer when it all reabsorbs, deflates the face and causes sagging. You will need to fly back to Korea when the facelift sags at 4-6 months if you did not or stopped taking postop steroids after 2 days instead of 1 week to find another surgeon to do revision as Korean surgeons rarely agree to do a free revision as it would mean injuring their pride. The cost of revision with another surgeon may be double what you paid initially. Just like revision rhinoplasty may be double a primary rhino. This is why I say do NOT pay more than $10k for a facelift as revision may cost $20-30k! You need to budget for FL revision if you get it done in Korea without a week of postop steroids. And if you got a deep plane FL, then good luck finding another surgeon willing to do a revision deep plane facelift. The price may be astronomical as scar tissue so close to the branches of the facial nerve in the deep plane make this a very dangerous operation to take on.

Because the unexpected costs may involve revision facelift it is essential you choose wisely. Find 3 patients of your surgeon of choice whose results have lasted at least 1 year and do NOT get a facelift without taking postop steroids for one week.

Remember the right order to rejuvenate your face is do your eyes first and include lid fat transfer, then lip lift, then fat transfer and finally a smas facelift with postop steroids.

If money is an issue fly to Belgium where smas facelifts are €3k. Even my arm lipo plastic surgeon Dr Bert Oelbrandt offers smas facelifts under IV sedation with an anaesthesiologist doctor.
Any particular surgeon in Belgium? I do appreciate all your advice
 
Which VR are you referring too? Is it Nick Rhodes Vertical Vector 'r' incision or Vertical Restore?
VR as in vertical vector facelift. It is the same as vertical restore. I had this first but without steroids. Had I had steroids I may not have had the swelling and then sagging at 4-6 months. I would suggest this first for anyone who is young for a first facelift. It comes with a free retightening policy within a year for £5,500.F37121A5-17C9-4EBC-AE47-C274E404FCC5.png
 
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Thank you for your photos @6098Sophia. You have mild neck laxity and very minor jowls. You might be offered a mini lift or macs lift or told to wait until it gets bad enough for a facelift. In your shoes I would wait until it gets worse as it is very minor. Remember before you embark on any plastic surgery, your condition has to be so bad you are prepared for surgery going wrong or failing. I can’t see a surgeon agreeing to a drastic smas or deep plane facelift on you. Also they consider age. For a full facelift in the UK they rarely operate on anyone under 50 or even 55 in some cases. In Korea they don’t care about age as they are more money motivated like the US.
 
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