r/RealPlasticSurgery

This patient came to me bothered by the aging appearance of her lower eyelids, face, and jowls, and she also felt she had lost definition along her neckline and in her chin area. Her goal was to look refreshed and natural rather than dramatically different. To address her concerns, we performed a facelift, a transconjunctival lower eyelid blepharoplasty (an approach through the inside of the lower lid that avoids any visible external scarring), fat grafting to the jawline and perioral areas, and a chin implant. She now shows a softer, more oval facial contour with a meaningful reduction in the lines around her eyes, mouth, and jawline, and her neck and chin definition have come back noticeably. Feel free to drop any questions below!

I was scrolling IG this morning and my gawd. I saw Drew Sidora’s recent surgery. She looks stunning at only one week post-op. She tagged Dr Fasusi … I can’t wait to see her new body

Hello,

I come here to know if any of you experienced this, and if it got better?...

I've been like this since the 4th week or before, i dont remember now because at that moment I had more serious issues like seroma and under breast folds because of it.

If it doesn't get better I will need a revision and I feel devastated by the thought of undergoing surgery again since I had a lot of complications and struggled a lot with my mental health too (I have borderline personality disorder) :/

The swelling on the left (your right) subsided pretty quickly, however the right (your left) gets worse and then better and then worse again... I dont know what to do anymore, I'm seriously at my limit right now. Im right-handed so perhaps that plays a role in the swelling? Well, im trying to use more my left now...

Any tips will be pretty much appreciated

Thank you for reading

Here is my 2-month update on the Verteporfin trial for a body scar. The procedure was a scar excision (left completely unsutured) performed by Dr. Bloxham in New York, using a 3 mg/ml dose of Verteporfin.

What happened so far:

 Delayed Healing: We noticed a significant slowdown in the healing process caused by the Verteporfin, which was expected.

 Suboptimal Aftercare: Unfortunately, the wound care wasn't perfect. A thick scab was allowed to form, and the area was accidentally exposed to direct heat sources, which might have compromised the final result.

Current Observations (2 Months In):

 Baby Hairs: We are seeing brand new baby hair growing right in the middle of the wound. This is huge, as hair follicle regeneration is impossible in normal, fibrous scar tissue.

 Repigmentation: The tissue seems to be regaining melanin. It used to be completely white and featureless, but now the color is blending back in.

Our Take & Expectations:

We likely won't get a 100% "scarless" result due to the lack of sutures and the aftercare mishaps. Instead, it looks like it will be a hybrid of fibrous tissue and healthy skin. However, the hair growth is an incredibly positive and encouraging sign of regeneration.

Next Steps:

We plan to run more trials in the future using the same dose (3 mg/ml) or slightly lower on other body scars. Crucially, we will use sutures next time, as we noticed the outer edges of this wound—where the tension was lower—are healing almost completely scarless.

IF YOU ARE FROM NY AND WANT TO CONTRIBUTE DR BLOXHAM IS SEEKING NEW PATIENTS TO TREAT THEIR BODY SCARS.

This patient is 7 months post-op following a complex functional and cosmetic rhinoplasty to address an overprojected and pointy nasal tip, deviated septum, tension lip deformity, and dorsal hump. External nasal valve weakness and turbinate enlargement were also corrected, had the valve weakness gone unrecognized preoperatively, breathing would have actually worsened after reduction. Lateral crural strut grafts were used to support the airway, the septum was corrected, and turbinates were reduced. She's already showing a more natural, less distracting nasal appearance with significantly improved airflow, and we're all thrilled with how beautifully she's healing. You may also notice her lips appear subtly fuller, the result of microdroplet Silikon-1000 for permanent lip augmentation. Feel free to drop any questions below!

I wanted to share some before and after photos following a deep plane face and neck lift. The after is 4 weeks post surgery.

I am almost 42F, which sounds young for this procedure (I thought the same before I had it) but I had the start of a visible turkey neck / platysmal banding, which you can see in the before photo. I had spent a small fortune on minimally invasive procedures to try to fix the problem, but decided in the end to go for what I knew would work.

Happy to share any details about the procedure or recovery for those interested!

EDIT to answer some of the common questions I'm being asked.

The doctor was Dr. Prem Tripathi in the San Francisco Bay area. I am very happy with the whole experience and the result. One thing I really appreciated is that the doctor did not try to push procedures on me. I asked him about other possible complementary procedures, and he straight up said I did not need them.

I paid $30k for the dp face and neck lift. If I had just done an extended contour neck lift, it would have been 20k. Adding a browlift to the face and neck lift would have made it 37k. Disclaimer: I think the prices are not universal, they depend on the individual. If you call the office, they will tell you ballparks, though. The prices include a full face laser, usually 2k. They also normally include fat transfer to the face, but I did not do this (don't want to male my face more puffy, plus doctor said I don't have enough fat).

Recovery was pretty easy. I basically had some jaw pain for maybe 1.5 weeks, akin to tmj pain. It was not bad at all and mostly just at night. I would say I was presentable to the point people would not think I had surgery by day 8. There was some tightness around the chin for maybe 1.5 weeks were it felt like I had a chin strap on even when I didn't, a really weird sensation, but that went away pretty quickly. I still have some numbness around the ears, but it is not uncomfortable and should resolve with time. Otherwise back to normal 100%.

The incisions are around and behind the ears and under the chin. I am using silicon scar strips which should help them fade. The doctor will laser them to help diminish them free of charge, if necessary.

This patient is post-op following a facelift. You can already see a noticeable improvement in the smoothness and contour of her jawline and neck.

This patient is 10 months post-op from a facelift, brow lift, and upper blepharoplasty. Her goal was to look like herself, just more rested and youthful. Her recovery was smooth and seamless, and she was able to return to her routine within a few weeks while her results continued to refine. As with all my surgical patients, her scars were treated at 6 weeks with an erbium ablative laser. We also used an Nd:YAG laser to fade a venous lake on her lower lip. Drop any questions below!