When I envision facelifting I expect the results to be like this Koln doctor achieved temporarily with threads, fillers and botox, but expect permanent results with an actual facelift. But in reality I am seeing dreadful deep plane facelift results both in the US and UK. To me when a male plastic surgeon charges £20k up to £70k for poor mediocre results, it feels like a scam taking advantage of vulnerable women who may be going through a painful divorce or who have suffered depression from the sudden onset of menoface and are prepared to sell their car and house to fund what they may be sold as a facelift that will last 15 years so is worth the investment and transform them back to their youthful face. I have seen the angry video rants when their facelift falls at 7 months and listened to another share how the majority of ladies in Beverly Hills walk around with fallen facelifts.
Perhaps the answer is fat graft + smas FL +postop steroids as a permanent version of fillers + threads. The majority of ladies in the US and UK are solely relying on a facelift without replacing volume loss. This may account for why my smas FL result is better than most, even those getting a smas facelift. So the order again is first op: upper bleph with lid fat graft, 2nd op: lip lift, 3rd & 4th ops: full face fat graft + top up and finally 5th op: smas FL or FL/NL + postop steroids. Ladies who try to get everything done in one op risk mega swelling, facial distortion and unpredictable healing and results.
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