Today's post is a concerning one on facelift surgeons. We have seen how a tpfer flew to Korea, paid $10k to Vlif for a smas facelift and ended up getting a DP unbeknownst to her. She was told after the operation! The face then sagged within months. This poor lady had her facial retaining ligaments permanently cut without her consent! I have yet to see a case of a face not sag after DP or DP revision as we need our scaffold ligaments!
Why would a surgeon do DP instead of smas while you are asleep unbeknownst to you? One obvious reason may be to gain practice doing DPs at your expense.
How then do you know if the surgeon does a dp instead of smas while you are asleep?
One way may be to look for 'dog ear' swellings in the upper cheeks. Think Angelina Jolie in Maleficent.
Some ladies who have deep plane end up with these unusual deformities but what if you consented to a smas and developed suspicious dp dog ears?
With smas I have never seen any ladies develop dog ears.
What if you paid for smas, took postop pred but developed dog ears and early sagging within weeks?
Unless the surgeon tells you he did DP and not smas, how will you ever know?
You can ask for a copy of your operation records but what if the surgeon refuses to provide one?
It is a worry that some surgeons end up doing a different operation while you are under. Case in point, I paid for and consented to explant with a full anchor breast lift with Guy Sterne and awoke to a mini donut perareolar breast lift which put all the tension on my skin sutures closing around the areolae instead of an anchor lift distributing tension below the breast so as not to leave hypertrophic scarring. I ended up with early breast sagging and hypertrophic periareolar scarring. This led me down the rabbit hole of asking for a free revision, third degree periareolar laser burn, burn surgery repair, breast fat transfer for asymmetrical lift revision and finally areoiar medical tattoo to mask the pigment changes. He got away with it as his consent form just had one word mastopexy ie breast lift next to explant.
I was fortunate with my facelift as my surgeon was not doing deep planes in 2022.
All I can advise is find a surgeon or clinic who only does smas (ie ASPS clinic in Seoul) and not deep plane or have your smas under local as he cannot do a dp under local. And if you dare go under, then write on the consent form 'only SMAS' next to facelift/rhytidectomy so the surgeon cannot add 'sub' to smas as sub smas=DP! Then take a photo of your signed consent form as often times the consent form is on an ipad and not paper so may be easily altered.
Welcome to the unscrupulous world of plastic surgery where not only do you have to navigate ghost surgeons or doctor swapping in factory clinics or training hospitals, or one anaesthetist covering simultaneous patients under GA in Korea, but now the phenomenon of operation swapping both in Korea and in the UK!