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

[MissOrange]

Today's post is on picking a surgeon in his or her prime and not in their decline. We all age and so do surgeons! Have you ever noticed how a surgeon who was great is now mediocre or suddenly producing poor results?

It is such a fine balance to find a surgeon experienced enough (and not practicing on you as a guinea pig) and best at his or her peak performance than to book when his results are now declining and disappointing. Think of a standard deviation curve.

To ensure you choose a surgeon in his prime follow recent patients' results and monitor for a fall in performance or an increase in patient dissatisfaction. If this is the case, then time to move on and find another younger yet experienced surgeon.

Too many times I hear I was lucky. No, I had 2 surgeons who did operation swaps on me while under...Guy Sterne in Birmingham doing a mini periareolar lift instead of full anchor lift and Dr Choi in Seoul doing a vermillion lip lift instead of bullhorn.

The other surgeons yes I was fortunate to book them in their prime but they may not stay in their prime as they are now older.

 

[MissOrange]

Today's post is alarming. I had thought that if you get your smas facelift under local there is no way a surgeon can swap for dp practice, but Bella Vou clinic in Kent is advertising deep plane facelifts under local! This means choosing to do smas under local and not GA is no guarantee either.



One can only suspect a swapped operation, as only the surgeon will know the truth, regardless of whether he or she provides the operation summary record.

Suspicions may grow when one sees super early laxity with nlfs reappearing in a matter of weeks, dog ear outpouch swellings in the upper cheeks, drop of the malar pads to a lower position with inability to smile and raise the cheek fat to a high rosy apple cheek position due to cut ligaments, downward slanting of the outer eyes due to early facelift laxity, neuropraxia, a longer duration of surgery than anticipated, etc. As a point of reference my smas under local took only 1.5-2h.

The consequences of a swap are catastrophic as once the facial retaining ligaments have been cut, the damage is permanent and resigns one to a cycle of repeat revision DP facelifts over and over for sagging or a lifetime of botox and fillers to hold up the face.

We need the scaffold ligaments. This may account for the incredible number of facelifts some celebs end up having as DPs fundamentally do not hold for long without intact ligaments.

 

[dannythedragon]

Hi dannythedragon, here are the photos - before, D2 with swelling at its peak, D7 (i have really bad bruises and my incision line start from top of ear all the way to neck) and D8. I will be taking down my photos after some time. I was hoping the incision would start from around temple area so perhaps it would kinda "elongate" the length of my eyes but the doctor refuse to do it on me.

@kathybunny

Dear Kathybunny, how is the facelift from Asps? hope everything is ok

 

[anniebee135]

Hi MissOrange, yes you are the one who placed ASPS on my radar haha. The other 2 clinics I consulted with was Vlift which was initially my first choice & Girin. I paid 11mil KRW at ASPS, slightly higher than the other 2 clinics because ASPS don't offer discount. Girin & Vlift offer 20-30% discounts in exchange for online review. By the way i'm not against posting review to get discount because i don't think anyone would post fake review if the clinic screw up their faces badly so these clinics must be pretty confident with their work to ask people to post review of them i guess.

Actually ASPS did cut my retaining ligaments. I specifically asked if my retaining ligament would be cut during my consultation with Dr Lee and the translator told me yes otherwise they can't do the SMAS FL. This is what i understand from Vlift too.

I still have the stitches as ASPS told me i can only get it removed around day 12! It's not itching but it's such a hassle to find a clinic to remove it in my own country. I wish i can remove it myself but i'm not a doctor like u haha.

Oh on top of the FL, ASPS also did botox for me at no extra cost so i will have to wait and see if my jawline stays almost the same after the effect of the botox wear off. The korean consultant was pretty nice to offer me free filler for my nasolabial fold as she said the FL would not eliminate that but as my stay in Korea is too short so she said i can only do it the next time i go Korea.

Hi kathybuuny did you get a neck lift as well? and how long did is take to heal? and how was the scaring. I am considering ASAP and want to know how it went there for you? thanks

 

[blisssoul1]

Hi kathybuuny did you get a neck lift as well? and how long did is take to heal? and how was the scaring. I am considering ASAP and want to know how it went there for you? thanks

I would like to know too.. I’am also considering ASAP.

 

[MissOrange]

A British friend has now booked Dr Lee at asps for 9 million won for smas FL next month! The won is extremely weak. I don’t know what is going on in Korea but 9 million is £5113 which makes it the cheapest price for smas FL under GA by a chief plastic surgeon! And there is zero chance of DP swap as Dr Lee only does smas FLs! Remember to get ahold of prednisolone externally as the clinic does not provide any.

 

[MissOrange]

Here is what I found about asps on allaboutmei. It is very hard to find any of their b&a’s for smas FL. I do like the fact that it says that Chief surgeon Dr Minkoo Lee, is a doctor in the plastic surgery dept of Seoul National University Hospital.

 

[anniebee135]

A British friend has now booked Dr Lee at asps for 9 million won for smas FL next month! The won is extremely weak. I don’t know what is going on in Korea but 9 million is £5113 which makes it the cheapest price for smas FL under GA by a chief plastic surgeon! And there is zero chance of DP swap as Dr Lee only does smas FLs! Remember to get ahold of prednisolone externally as the clinic does not provide any.

SMAS Full Face Lifting Surgery with Dr.Lee Min Koo

APGUJEONG SEOUL Plastic Surgery's head doctor for lifting surgery, Dr.Lee Min-Koo is offering the SMAS Full Face Lifting Surgery. The most effective lifting surgery in the world! Get the promotion now!

www.allaboutmei.com

this was on allaboutmei

 

[annasierra]

Hi @MissOrange I don't know if you remember meeting me in Seoul in January (we found the shut down clinic), but hi!!

Not here for anti-aging, but to seek your advice... I know this might not be your area of expertise, but I would be happy for anything you could point me towards.

I had double jaw surgery in 2021 and I've just been told that I'm still slightly class III and have a really messed up bite. Two orthos have suggested a revision, either upper or lower jaw. A third said that if I hadn't had surgery before, she would recommend it now, but is wary because of the risks, and she thinks that she could get me into a healthy bite without it.

I've contacted my original jaw surgeon to speak with him, but in your opinion, should I try to become a proper class I or make do with my compromised bite? I'm a little wary of the risks of revision, as a lot of people who get DJS talk about nerve damage etc. which I seem to have largely avoided... I am fine with the recovery process BUT I don't want to tempt fate.

I LOVE the DES and the rhino I got in Seoul this winter but am not happy with my lower face, so will likely be getting a genioplasty regardless of whether or not I revise a jaw, and am also considering a jaw shave/recontouring. Can I "fake" having class I?

Can send you pics through PM if that would help at all!

 

[MissOrange]

Hi @MissOrange I don't know if you remember meeting me in Seoul in January (we found the shut down clinic), but hi!!

Not here for anti-aging, but to seek your advice... I know this might not be your area of expertise, but I would be happy for anything you could point me towards.

I had double jaw surgery in 2021 and I've just been told that I'm still slightly class III and have a really messed up bite. Two orthos have suggested a revision, either upper or lower jaw. A third said that if I hadn't had surgery before, she would recommend it now, but is wary because of the risks, and she thinks that she could get me into a healthy bite without it.

I've contacted my original jaw surgeon to speak with him, but in your opinion, should I try to become a proper class I or make do with my compromised bite? I'm a little wary of the risks of revision, as a lot of people who get DJS talk about nerve damage etc. which I seem to have largely avoided... I am fine with the recovery process BUT I don't want to tempt fate.

I LOVE the DES and the rhino I got in Seoul this winter but am not happy with my lower face, so will likely be getting a genioplasty regardless of whether or not I revise a jaw, and am also considering a jaw shave/recontouring. Can I "fake" having class I?

Can send you pics through PM if that would help at all!

Hi @annasierra,

I remember you very well! You have a small face I envied and are very tech savvy! I am surprised you are considering revision djs. You can send me pics through PM to remind me of your jaw. As long as you are able to eat and chew fine, then you may be able to ‘fake’ a class I. Revision DJS should be reserved for severe cases of malocclusion preventing the ability to chew or eat as the risks of nerve injury, infection, asymmetry etc. are great. I was told I needed DJS by ID hospital and am so glad I did not get this. Chin shaving and a vermillion lip lift to remove my duck lip filler scar tissue was enough to improve my profile. My upper and lower teeth do not meet at the back of my mouth from nocturnal teeth grinding, ie I have a big gap, but I am still able to chew and eat food.

We sure did have fun snooping around a haunted clinic! lol. My friend is going back to Dr Seo for upper lid fat graft top up next month. It will be warmer than -13C in Jan. I won’t be going with her as she knows the way now. Happy to hear your des and rhino healed well. It was a bit swollen in Jan. Good to know you are happy. You must remind me which clinic you went to. My memory is not as sharp as it once was.

My Brit friend has his smas facelift booked for 18 days from now in Korea! I am super excited for him. I wish Korea wasn’t so far away otherwise I could pop over this month. Sigh. Oh well, the addict is staying away and I have been 2.4 years clean without plastic surgery!

 

[o_0h]

Hey @MissOrange I have a question for you, do you think you will ever come to a point where you will choose to let go of the desire to look younger than your age through plastic surgery? I guess this is more of a philosophical question, we all want to maintain youthful looks while the nature of reality is that everything is impermanent and we all age and eventually die. I'm just curious (not trying to be rude at all) whether you've contemplated this and your take on it?

 

[MissOrange]

Hey @MissOrange I have a question for you, do you think you will ever come to a point where you will choose to let go of the desire to look younger than your age through plastic surgery? I guess this is more of a philosophical question, we all want to maintain youthful looks while the nature of reality is that everything is impermanent and we all age and eventually die. I'm just curious (not trying to be rude at all) whether you've contemplated this and your take on it?

I have finished reversing accelerated aging from menopause 2.4 years ago. I don't plan on any more plastic surgery until my 70s. I just didn't want to look 50s. Looking 20s happened by accident as I reversed the changes menopause created to my face and body. For instance getting rid of nlfs will make anyone look 20s.

I am now focusing on longevity. Sadly 7 million people died of covid but I already worked out prophylaxis and early meds to prevent and treat so my OH and I are novids (never tested pos for covid). I have my working theories on how to prevent and treat cancer too. And am working on improving my memory with daily blueberries and vitamin E. There is a lot to keep me busy as my next project and challenge include how to tackle the pfizer covid mrna gene therapy jab side effects many of us took unwittingly and its risk of turbo cancer. But all this is reserved for my private social media account as this is a plastic surgery forum. And hopefully I have warned the public here on the permanent risks of deep plane facelifts.

According to this physical therapist's balance test I am also under 30s physically. Cross your arms, stand on one leg and close your eyes for at least 30 seconds.

 

[Ellie_220]

Hi @summer46 yes I suggest botox and radiesse dermal filler before the menopause and then a facelift after. If ladies pay for a facelift before menopause then they may have to pay more for revision after the menopause.

I am 48 and have lost a lot of fat, but not quite entered menopause. Do you think a full face fat graft before facelift might be a good idea?

 

[MissOrange]

I am 48 and have lost a lot of fat, but not quite entered menopause. Do you think a full face fat graft before facelift might be a good idea?

Hi @Ellie_220,

Yes facial fat graft before facelift would actually improve the facelift result.

 

[Sarakhamis]

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.

View attachment 6006918

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!

Dear MissOrange, I'm planning to do deep face-lift SMAS, from your experience could you please recommend some names from Korea or China. Much appreciated in advance