My Journey with Back of Head Augmentation in Korea

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Hi,

Thanks everyone for their advice. I am considering going to Gojak Institute with Dr. Song in Korea or Line Plastic Surgery in Los Angeles based on the forum here. I live in the US so going to Line Plastic Surgery would be easier for me, but I want the best results possible. Does anyone recommend going with Dr. Song at Gojak Institute instead of Line Plastic Surgery (Dr. Hsu/Dr. Yao)?
 
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I'm so happy that I found this forum and first of all want to thank EVERYONE sharing their experiences here and giving advice.
I'm balded guy from Germany and have a really short/flat backhead (makes like a 45 degree line from the top til height of the ears). After all I've read, I think it should be easy to fix for someone like Dr. Song.
I also searched for a clinic in Germany, but the only alternative I found (and sounded good to me) is Sinic Clinic in Berlin. It costs more than twice of what Dr. Song charges you, but they use customized silicon implantants instead of cheap bone cement.

It would be worth it paying 6k USD + flight at South Korea, but tbh I'm a bit afraid of that long distance... never have been leaving Europa for now. And I struggle with the thoughts of what could go wrong and than you dont just can fly back there a week later, y'all now?

Are still people here from Europa who also took their flight to South Korea and are happy with their decision? Are there any alternatives in Europa where they use similar technic like Dr. Song?
And are there more experiences on Line plastic surgery in Los Angeles?
Many thanks in advance :smile:
Greetings from Frankfurt
 
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Hi,

Thanks everyone for their advice. I am considering going to Gojak Institute with Dr. Song in Korea or Line Plastic Surgery in Los Angeles based on the forum here. I live in the US so going to Line Plastic Surgery would be easier for me, but I want the best results possible. Does anyone recommend going with Dr. Song at Gojak Institute instead of Line Plastic Surgery (Dr. Hsu/Dr. Yao)?

Dr Song at Jogak has the most extensive experience in head augmentation and has a good track record with results, but results at Line Plastic Surgery look good as well judging by recent posts in this thread
Personally I'm from Europe and have no choice but to travel far to have this surgery done (given the 2 options above) and i'll go with Dr Song (this year). I recommend you to read the early pages of the thread; some went with him and describe their experience
 
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So I had my initial surgery at Line plastic surgery clinic in LA back in November 2021. If you guys scroll back a few pages, you will see my posts. Long story short, I waited 4 months for everything to heal up, and decided to shave my head. While the results from the initial procedure of augmenting the back of my head were significantly better than where I started, I was not fully satisfied and felt that some critical areas in the mid back of my head where the occipital ridge should be were clearly lacking in volume. I addressed my concerns to my consultant at Line plastic surgery, and they decided to to take care of me to comeback for a revision. I had my 2nd surgery yesterday and I will show you the results the second time around. The first go around was in November, at which time 45ml/cc of bone cement was added to the back of my head, because that is what my scalp could accommodate. Since the mid part of the back of my head was still lacking, my surgeon agreed with me, and we added another 35ml this second time around, because this is what my scalp could now accommodate after healing from the initial procedure back in November. In essence, there was still some room to add more, and this is exactly what was done. I am currently wearing a head gauze/dressing for the next 2 days in a hotel recovering and flying home within 3 days immediately after my post of follow up, but from what I see now, the results from this second time around look very promising. The first “before” photo shows what the back of my head looked like with 45 cc of MMA after 4 months post op. The second “after” photo shows what the back of my head looks like with an additional 35 cc added to the mid part of the back of my head (with now a clearly defined occipital ridge) immediately minutes post op. Keep in mind that there is still alot of swelling still, as Inam fresh out of surgery. The incision was also done through the same initial scar from the first op back in November 2021. Time will tell the final result as the swelling in my neck goes down. In total, after two MMA procedures with the same doctor over the course of 4 months, a total of 80 ml/cc of bone cement (MMA) was added to the back of my head. Overall, I feel that the clinic staff at Line were amazing and accommodating to me, and even did the revision free of charge because I was not satisfied with the initial results as even the doctor agreed that they were a bit lacking. Shaving my head helped tremendously. To those who may be thinking about doing this procedure, I highly recommend that you shave your head for it prior to going under the knife, despite the fact that the doctors may tell you its not necessary. It makes a big difference in achieving a better result for you, and I only wish I had shaved my head the first time around because it would have given me a more satisfying result. Whats done is done, check out the pics and judge for yourself. Good luck!
 

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Hi Squidgame,
I’ve been exploring Dr. Gurleg too., did u manage to meet him?
hi!
yes actually i did a procedure with him last october. i had a forehead augmentation. couldn’t say I’m satisfied with the result. here are the problems:

1. after the surgery i had my whole face swollen badly, like, VERY bad for about a week (it got better and better each day, the first three days was HORRIBLE). the swell left a dark circle under my eyes. Gurlek helped treated it with no additional cost but it was a depressing experience.

Gurlek explained that it happened because the augmentation elevated the face but this explanation did not really comfort me. he asked if I had been sleeping on the side, and i didn’t. the whole time after the surgery i made sure i slept facing up.

because of this i had to stay in istanbul for two weeks after the surgery.

2. i am not happy with the result. the surgery left me with visible ridge at the side of my forehead. this comes from the uneven distribution of the implant material. i have to cover it with my hair.

now I am reaching out to Dr. Song to help me correct the result, but he hasn’t replied to my mail for some weeks now (the first email was replied but not the subsequent ones). he asked for CT scans, it took me awhile after finally i could reach him again with the CT but I still got no answer from him. I want to visit him in April, so if anyone here has contact with him tecently, would you mind telling me whether he was responsive lately? (i am thinking of calling the clinic but not too sure if this would be a better way to communicate)

another note,
I did a little research regarding complications in cranioplasty and some medical journal research suggests that symptoms and output like mine are likely to happen and that there are corrective procedure for them. fingers crossed that Jogak will be the answer for me.

last, regarding Dr. Ali Gurlek,
the other significant problem was he doesn’t speak much details. he is a senior plastic surgeon who has good reputation in turkey so i fell for that. when i was there, there was a guy having back head augmentation and the result looked great. Gurlek showed me many before-after pics of his patiens and they looked good too. his patients are mostly girls, rich women from middle east, some from eastern europe. he is more like can-do-all type of plastic surgeon. i am not too sure whether what happened to me was a pure bad luck or i should have refrained from having the surgery with him at the first place. if you search clinic dr ali gurlek istanbul, google will give you only few reviews and some of them looked really really bad (i remember one bad review from a lady having “cat eye” procedure)

Hi Squidgame,
I’ve been exploring Dr. Gurleg too., did u manage to meet him?
 
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So I had my initial surgery at Line plastic surgery clinic in LA back in November 2021. If you guys scroll back a few pages, you will see my posts. Long story short, I waited 4 months for everything to heal up, and decided to shave my head. While the results from the initial procedure of augmenting the back of my head were significantly better than where I started, I was not fully satisfied and felt that some critical areas in the mid back of my head where the occipital ridge should be were clearly lacking in volume. I addressed my concerns to my consultant at Line plastic surgery, and they decided to to take care of me to comeback for a revision. I had my 2nd surgery yesterday and I will show you the results the second time around. The first go around was in November, at which time 45ml/cc of bone cement was added to the back of my head, because that is what my scalp could accommodate. Since the mid part of the back of my head was still lacking, my surgeon agreed with me, and we added another 35ml this second time around, because this is what my scalp could now accommodate after healing from the initial procedure back in November. In essence, there was still some room to add more, and this is exactly what was done. I am currently wearing a head gauze/dressing for the next 2 days in a hotel recovering and flying home within 3 days immediately after my post of follow up, but from what I see now, the results from this second time around look very promising. The first “before” photo shows what the back of my head looked like with 45 cc of MMA after 4 months post op. The second “after” photo shows what the back of my head looks like with an additional 35 cc added to the mid part of the back of my head (with now a clearly defined occipital ridge) immediately minutes post op. Keep in mind that there is still alot of swelling still, as Inam fresh out of surgery. The incision was also done through the same initial scar from the first op back in November 2021. Time will tell the final result as the swelling in my neck goes down. In total, after two MMA procedures with the same doctor over the course of 4 months, a total of 80 ml/cc of bone cement (MMA) was added to the back of my head. Overall, I feel that the clinic staff at Line were amazing and accommodating to me, and even did the revision free of charge because I was not satisfied with the initial results as even the doctor agreed that they were a bit lacking. Shaving my head helped tremendously. To those who may be thinking about doing this procedure, I highly recommend that you shave your head for it prior to going under the knife, despite the fact that the doctors may tell you its not necessary. It makes a big difference in achieving a better result for you, and I only wish I had shaved my head the first time around because it would have given me a more satisfying result. Whats done is done, check out the pics and judge for yourself. Good luck!
How does the cement feel on your head? Does it feel round and normal? How much were you charged? I’m looking to get this surgery in a few years as I can’t because of work.
 
Had my CT today. My back is extremly flat and my up is also flat.Do you guys think it can be fixed? Had anyone here also a Bone, Muscle reduction to reduce the wide of the Head?
 

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How does the cement feel on your head? Does it feel round and normal? How much were you charged? I’m looking to get this surgery in a few years as I can’t because of work.

Everything feels normal, like its always been there as “your head.” Its my 6th day after my final surgery and I still have my staples in, so naturally my scalp feels a bit tight and there is some tension pain, but it’s nothing too bad and getting better each day. In one more week, I take my staples out.
In total, I had 2 surgeries using bone cement MMA with Doctor Hsu at Line Plastic surgery clinic in LA. Even though the 1st surgery was a significant improvement from the original head shape, I felt that did not achieve the results I had anticipated. Later, I learned that my thick hair and not shaving my head pre surgery had some effect on the initial outcome. Line plastic surgery was kind enough to agree with my situation, and agreed to have me come back for a revision surgery. Everyone was kind and welcoming, and easy to talk to. Eunice, my consultant at Line LA, was wonderful about keeping me in the loop of things and communication was great. I was nervous and had my doubts having to go through this for the second time around, but she constantly reassured me and kept up regular communication which put me more at ease. I had my 2nd and final surgery performed by Dr Hsu once again on Feb 24 this year, and I feel that he did a phenomenal job. Recovery seemed to be easier the second time around, and in contrast to the first initial surgery, I did not experience the same level of swelling and bruising the second time around. Its worth noting; I got a very close buzz cut this time around, and commmunicated exactly what I needed done, and even helped the doctor by marking a dot on the back of my head to show him EXACTLY where I needed the occipital bump (ridge) to be more round and defined. He was gracious enough to agree with me, and working within the realm of reality on how much more MMA my scalp could accommodate, added an additional 35cc of MMA on top of the 50cc which was already there from the initial surgery back in November. In total 80cc of bone cement after the 2nd and final surgery.
In all, I realize I will never have the “perfect” shape I would have liked to have, but Im honestly very satisfied with the final result of the 2nd procedure/revision. Overall, I think the current shape works for my facial symmetry, and I am pleased with the results. I feel I can comfortably rock a buzz cut or wear my hair longer without any issues of self consciousness regarding my profile view. I would recommend Dr Hsu at Line plastic surgery clinic in LA, but I would definitely recommend you to shave your head prior to surgery. Even though he doesn’t require it, I feel from personal experience that it significantly helps the doctor see EXACTLY what he is doing with no obstruction or optical illusions due to the hair covering you head shape, and I think the chance of your final result being aesthetically pleasing to you is certainly better. Win, win.
The first 2 photos represent where I started before I had surgery using bone cement. The second set, is after my initial surgery in November of last year at the same clinic. Even though the 1st surgery was a significant improvement from the original head shape, I felt that we could have done better.
The last set of photos is the final result of the 2nd MMA procedure for the back of the head after 6 days post op. The swelling which was there immediately post op, has mostly subsided. You can see the exact shape which was molded using MMA bone cement. My staples come out next week, and I can move on.
I hope sharing my journey on here helps someone that was in my position or considering or looking for a doctor who will perform this surgery. I can say that an implant would likely achieve a more predictable result, as they are custom molded and require a 3d CT scan however; there is only one doctor in the US who actively performs them, the procedure is more time consuming and drastically more complicated, and is NOT CHEAP. This procedure with MMA isn't cheap either, but its far less expensive than an implant, and probably more attainable to more people. Being that I had experience with this clinic and this surgeon, I would definitely recommend Dr Hsu at Line in Los Angeles California.

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