Hi @kaixin05, it is best to use fresh fat each time. Make sure you can source prednisolone as the swelling from facial fat graft can be extreme.
How to go from 50+ to looking 20+ with plastic surgery rejuvenation.
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Thanks for the reply, MissOrange. Is prednisolone not available in Korea? In Western Europe it is only available on perscription of a physician, not over the counter. I would assume the surgeon would get it for his procedure on you.
@MissOrange, if I may ask: How long do you think your fat grafting will last until you have to re-add new fat? I learnt that it can be re-absorbed. Most probably not at the same rate for everyone.
Today’s post is a stark warning against getting deep plane neck lift. There IS a retaining ligament in the neck, the cervical retaining ligament and once severed it is permanent! I have been seeing more and more neck fails after deep plane neck lift even with revision failing as soon as 10 weeks post. Please only get smas facelift and if your neck is at least a dedo class IV do you get a regular neck lift. And of course only with postop steroids.
Many ladies get facelifts without fat volume replacement. This may create an unnatural lift with potential fat herniation as deep plane facelifts cut the retaining ligaments that hold fat in their respective compartments. The face may then drop and look square again with loss of high cheek volume. Note how even Dr Karam missed his wife’s superior orbital fat compartment.
Only the expertise of Korean fat transfer surgeons with decades of experience can correctly replace fat in all the superficial and deep compartments. I am truly fortunate I ventured to Korea for facial fat transfer to replace superior orbital fat loss, lateral temporal cheek fat loss, forehead fat loss, malar fat pad loss, nasolabial, mandibular and premental fat loss for 2.5 million won and top ups for 1 million won.
OMG! Fellow GP Dr Tim Pearce worked out the same principles that I have, ie the importance of the ligaments and fat pad volume (he depicts as pink balloons sandwiched between the ligament scaffolding). How terrifying then to think of deep plane facelifts that cut these ligaments which then may lead to perhaps permanent facial instability.
Only the expertise of Korean fat transfer surgeons with decades of experience can correctly replace fat in all the superficial and deep compartments. I am truly fortunate I ventured to Korea for facial fat transfer to replace superior orbital fat loss, lateral temporal cheek fat loss, forehead fat loss, malar fat pad loss, nasolabial, mandibular and premental fat loss for 2.5 million won and top ups for 1 million won.
OMG! Fellow GP Dr Tim Pearce worked out the same principles that I have, ie the importance of the ligaments and fat pad volume (he depicts as pink balloons sandwiched between the ligament scaffolding). How terrifying then to think of deep plane facelifts that cut these ligaments which then may lead to perhaps permanent facial instability.
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Bearing all this in mind, now have a look at my late 40s before vs almost 58 after. You can see there is more fat now in the lateral temporal cheek compartment, forehead compartments, superior orbital compartment, malar compartment, and so on and so forth. The lip lift is a must by your 50s too.
As for why I do not advise people get a forehead or brow lift is because this too can damage or sever ligaments in the forehead if done as part of a deep plane and may cause the brow to drop significantly. It is easier to replace fat volume in the forehead and not harm the ligaments. Aargh and yes I know! I look prettier as a blonde! The longest I have held out as a brunette is one month so I may give in by next month.
As for why I do not advise people get a forehead or brow lift is because this too can damage or sever ligaments in the forehead if done as part of a deep plane and may cause the brow to drop significantly. It is easier to replace fat volume in the forehead and not harm the ligaments. Aargh and yes I know! I look prettier as a blonde! The longest I have held out as a brunette is one month so I may give in by next month.
What kind of laser procedures are you talking about ? This is something I’d like to know more info on please?
I'm confused by the different types of necklifts. Platysmaplasy? Sub mandibular gland tightening?
In a matter of days I shall be 58! Thank goodness I don't look old. I'm not ready to grow old.
@MissOrange hey, have you done fg to smile lines, forehead and upper cheek area? Does it sag overtime? Did it last?
Yes it has lasted. It has been over 4 years since the last fat graft top up in Jan 2020. My face sagged as I swelled doublefold with thread insertion and removal at the same time as fat graft and had no steroids, so needed a facelift sooner than later.
Today we study 30 yo Yeonmi Park who may have had extreme zygoma and v line bone contouring surgery in S Korea and then full face fat graft and now needs a facelift in my opinion as the weight of the fat is causing laxity with visible nlfs and marionette lines. Surprisingly she looks older than 30. I initially thought she was in her 40s. She is very brave to undergo extreme bone cutting to get a small face. I would if I didn't suffer from contact dermatitis.
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