Here is a stark reminder from 2018/2019 that ANY FACIAL procedure that causes profound SWELLING may then deswell and cause profound SAGGING. If you want longevity, you must have zero swelling postop and that can only be achieved with postop prednisolone (UK)/prednisone(US).
I learned the hard way with a record 5 full face fat grafts causing profound swelling then sagging and one VR facelift that caused profound swelling then sagging. After 6 bouts of swelling, 6 fab faces, then several months of deswelling, sagging face misery and depression, I finally worked out how vital it is to only get facial fat graft or facelift with steroids. The surgeons won't tell you as they may want your repeat business for endless fat grafts or revision facelifts.
I took 4 days of 20
mg of pred after my 2nd facelift in 2022, never swelled and the lift has held for over 2 years now. Don't figure it out after 3 or 4 facelifts. Be smart. No steroids= no facelift. Swelling=sagging.
Manchester Star Clinic, Dr Marando's office is now saying he does not prescribe steroids as it interferes with healing. Check directly with Dr Marando at consult as he did prescribe for a friend and she looked great at 8 months. Turkey's Dr Mehmet Comert told a British man at consult he does not prescribe steroids as it hampers healing but will if swelling doesn't subside.
Why is it forcing ladies to fly to the US and pay $50,000-$120,000 to Karam, Nayak or Jacono to get pred after a facelift as they do prescribe pred and understand the importance of minimising swelling? Jacono is dual board certified in plastic surgery and ENT/head and neck. In ENT (ears, nose and throat surgery) steroids are often prescribed so he has familiarity with steroids.
Alternately fly to Canada and see Dr Cory Torgerson. He prescribed 40 mg pred for 2 weeks for a recent smas FL patient and charged $15k with tax or £8782 so is affordably priced, does smas and gives steroids postop!
Patients can't be expected to buy pred themselves from Indiamart online as they won't be confident in dosage. It is such a crying shame and a big injustice in plastic surgery forcing many ladies into their 2nd revisions or even 4th revisions like Katie Price, all the while making predominantly male plastic surgeons super rich doing primary and revision deep plane facelifts. No postop steroids= potential repeat customer or pay another surgeon for a facelift too and the cycle continues. Break the cycle. Have only one VR facelift ever in your life with one week of postop pred. The challenge is obtaining pred externally from a private doctor or online.
