heylo

The rings are genetic and not age-related. Even young people have them although they do deepen with age. Mine were there as a teen and are slightly deeper now.

Platysma bands and central hollowing age the neck more. You can treat early banding with botox and do meso on the neck for volume.

I agree the woman's picture appears to show strands of hair as opposed to creases.

Now that is impressive. I like her face shape in both, however. The skin looks totally different but with these filters it's hard to tell what's real. Was that an SMAS only or did she have FC as well?

 

Well my honest opinion is that if you cover her mouth, she looks 20s or 30s but if you cover her nose and eyes, she looks her age. With dental veneers she would look younger and also if she had filler in the lips, not necessarily to make them bigger but so that they would not invert.

Maybe the filtering or airbrushing accounts for this but she is also heavily overfilled and the picture isn't one that I would take notice of as an after due to the retouching involved. The filler or fat has made her face look more like a block, which is a mistake I think some doctors make when they try and blend things in yet create more of a mask look by filling in every single cranny at the expense of all facial contours. The lower face looks a touch heavy which is not ideal after face lifting but again, it's not a good image and most people look lifted when smiling

The other SMAS images on VIP's site look good though although I can't see the area around the ear in all of them and that's important to gauge. I have seen a blogger get a face lift at Banobagi and I could see her stitches just about - they seemed very neat. With that being said she was a blogger and they knew it, so she was likely in for a better result than average. She was also very young and pretty and did not need it but that's another thing.

 

Good find. I wonder why they rely so heavily on consultants? No-one wants to have a consultation with some pretend nurse.

 

It's certainly up to you what you do - it's just puzzling to me why you're providing a lot of background info as well as many pics publicly if you don't want people to put forward their own opinions?

Maybe you should make a specific request in order to limit feedback to those who agree with everything you say.

 

Sorry for the late response. Yes, I get that impression - he seems to be open to anything and everything. Although maybe, in your case, the other doctors had a better eye for what you needed. For e.g. many doctors today recommend damaging fillers to people, even to those who lack bone structure.

Not sure about the location aspect, though. I think the money hungry doctors tend to gravitate towards LA/NYC/Miami. The latter has quite a poor reputation because there are a lot of "chop shop" clinics with unqualified PSs.

Not that Eppley isn't likely money hungry but there are some decent PSs in the smaller cities. High prices in central NY and places like it mean you're likely paying for the rent. I think in other, smaller countries, this phenomenon isn't as marked, though, because there's only one or two "big" and populated cities and it makes sense to practice there rather than out in the sticks where no-one gets PS.

 

Disagreeing with her judgement neither belittles her nor you, although it's sad that you're defending a so-called "friend" who very rudely insulted you. Going by everything you've said here thus far, however, I'll give this friend the benefit of the doubt. You're clearly hell-bent on encouraging others to reaffirm your negative propositions and there's no way of knowing whether she yielded to that type of pressure or not.

If she didn't, then part of the issue is the bad crowd you're hanging around with and/or seeking validation from. At your age, you're likely to be part of cliquey social groups but after you've worked for a while, you will hopefully encounter a better calibre of person.

You've provided plenty of evidence that shows you're a pretty girl. Having acne or struggling with minor weight gain isn't tantamount to being a monster. Many attractive celebrities suffer from similar and many get minor procedures - nose refinements, etc. That doesn't mean they're unattractive or perceive themselves as genetically defective until these improvements materialise.

In short, your perception of these problems and the way you speak about them shows that you're disconnected from reality. That's why I think therapy would be helpful in your case.

 

That is not honesty. She is either jealous or trying to get at you in order to discourage your talk about your appearance. You don't have eye bags, but you do have a youthful eye roll when smiling - all the Korean girls want this. You need to stop internalising offhand comments with ulterior motives and also, try to refrain from using anonymous rating sites to try and "prove" to yourself that you are "homely" when you are not.

You say you look goofy when you're mid-laugh... who doesn't? If anything, you look the most pretty, natural and approachable in that last pic. And about age 18 too, no older than that.

You need to talk things through with a professional, IMO... the internet and your "honest" friend aren't going to be of any use I don't think. I feel for you too, because the next 10 years of your life are going to be really, really unhappy unless you address the root causes of these problems as soon as you can.

 

@Lonekitty if you had a case for extensive surgery I'd be honest and tell you. I've seen many young people who are far less fortunate than you, yet their concerns are proportional to the problems they have.
In your case, you have a beautiful complexion (despite the breakout) and you're young looking. You also have lovely lips and an "ideal" eye shape. You don't have anything to improve structurally and have no protrusion around the mouth.
There's a distinct risk that you'll end up much, much worse if you go ahead with this stuff - you are talking about replacing smooth skin with scarred skin, removing structural support, changing proportions (which would deviate from the more-or-less ideal ones you have now)... etc. I don't sense an objective on your part, just an overall dislike of your appearance and somehow, you've convinced yourself that you're deformed when you're above average in terms of facial attractiveness.
The only thing you could benefit from surgically is a mild nose refinement... but until you can see yourself clearly, I would seriously recommend holding off on any surgery.

 

This is an incredible result. Congratulations!

Any idea of how much Fresh PS removed from your cheeks (mls of fat)?

 

Where was the asymmetry? I have close to a 0.5 cm tilt on both jaws.
I think I've seen these pics before... do you have a blog out there somewhere?

 

Dr Eppley has a lot of "history" but do you think he's finally come into his own? The more recent feedback seems to be better than that of old, and he does emphasise on his blog that implants have a high revision rate (20% or something), although it kind of seems surprising that he takes issue with patients requesting implant revisions as that would contradict his own writings on the subject. He seems to specialise in off-beat surgeries and mega jaw augmentation. Perhaps he's worse at the more mainstream surgeries than the less mainstream ones.

@theriksta Did you have surgery booked with him?

 

Great, thanks for the extra info.

If it was revised, I would imagine it'd have to be burred or ground too. I don't think the stuff is typically removable any more than bone, although I could be wrong? Guess that's the one disadvantage over an implant but like you say, if you choose an experienced doctor you get a more natural result with much less trauma to the soft tissue (short incision).

Found the following info about setting times for bone cement: "storage temperature, O.R. temperature, humidity, mixing conditions, mixing speed and handling of the cement influence setting time. Operating room environments can vary widely affecting these conditions. This can all add up to a very unpredictable set time and working time in an otherwise very controlled surgical technique."

 

@Ashly117 What was the incision like and how was it closed? If it was local anaesthesia, I'm assuming it was endoscopic or similar to the 2 inch incision recommended by Item. Also, do you know the exact material was used (there are diff types of bone cement AFAIK)? I heard some are quick drying and have to be shaped quickly to ensure a smooth result.

 

Looks really good and so natural as well. Funny website name though (headsculptor!) Thanks for the info, I'm sure it'll be helpful for many.

 

@MissOrange you had a great nose then, and a great nose now. I hope that your story inspires her as well.

@Marie1000, you have to think - this is the "lowest of the low" point you'll hit. In your own words, you've survived major traumas. The nose may be the most "visible" in your view, but it has the best chance of being remedied in comparison. Please hang on in there. You will be helped and fixed, so pls don't even THINK about doing anything to sabotage that.

@NadineP CCTV is mentioned by @lilpix, and altho some random corner camera isn't going to give a true close-up view of the procedure, the Orwellian-type surveillance is a relatively simple thing to institute and would ensure there's documented oversight. I guess the other thing you could do is pretend you're filming a "documentary about PS" and take a friend with a cam along.

In the future I think we'll see an electronic "smart contract" form of payment being introduced for medical services, so that the doctors only get paid if/when they do the job RIGHT. That could legitimately revolutionise the PS industry and enforce accountability on their part. I mean, we all know PSs love money and wouldn't want to lose out on that side of things for the sake of doing whatever they feel like.

 

We analyse people's actions within our own "empathy" framework, which is why some surgeons belie a highly irrational and sadistic nature. This resident issue is a real problem that happens to so many. I'm sorry. Perhaps it was his "way" of showing disgust at your emotional sensitivity. A mentally sane person would not retaliate against something they didn't like nor do so in such a curiously oblique way. I know, the only way you can truly know the signs is by encountering these brain matter devoid freaks of nature on at least several occasions. I can literally detect a whackjob within the first 2 mins now, lol, it's a special skill.

@Marie1000 and are you based in the UK and did you get a morph from him? Could you take a picture of yourself against the morph and confront him with it?

 

The first surgeon who caused severe damage to my face (actual procedures done without consent, which I believe were a sociopath's form of 'punishment' for me being 30 mins late) was lately outed as a rapist in a newspaper but got it pulled. DNA evidence was found but he couldn't be tried in the criminal court as there were no witnesses to the actual crime.

As a result, he continues to practice and attract custom from around the world who are totally unaware and think he's a genius. It makes me despair that this did not put an end to his career and illustrates the vital need for a system disallowing dangerous individuals with APD to practice surgery of any kind.

My second surgeon was a malignant NPD as well. Sadly, this was quite evident from the get-go but I was so desperate that I still went ahead. Won't be doing that again.

 

I know, I can't believe there aren't comprehensive psych tests for the surgeons themselves. We should ban dangerous individuals with high-level NPD and any level of APD (sociopathy) from the surgical sphere entirely. They should be moved to the back office, behind computers, at a minimum and should not be allowed to interact directly with patients, let alone operate on them. They are a danger to society, IMO.

 

It is not a "right" of the doctor to turn away patients once they have completed a surgery that rendered a BAD result and CAUSED the patient to feel suicidal, which is what the discussion here actually pertains to.

An ETHICAL doctor would, in fact, compensate the patient financially or perform a corrective surgery procedure at HIS expense. They would NOT resort to a psych slur in order to get themselves off the hook.

It is, however, their "job" to reliably assess patients BEFORE surgery. In the cases discussed in this thread, there were AMPLE opportunities for this doctor to decline surgery in advance of taking the money and performing the work.

After 20 years in practice, PSs should KNOW what they can/can't do, and who is or isn't eligible for a risky surgery based on their looks, sense of perspective relative to their 'problem' area, and what the surgeon can achieve in terms of their skillset. SIMPLY PUT: if you can't deliver on a practical level, don't take the money and look for the back exit when the complaints come in. Or if they can only improve an issue to an extent, albeit not fully, then it is the surgeon (expert's) job to establish accurate expectations in advance.

If the CAUSE of the suicidal feelings is SURGERY, then a solution must ultimately be sought to the actual problem that CAUSED the psychological issue, as well as the "symptoms" of the botched work (depression) in the interim period.

 

It's about being able to cope in the interim period, though. If a minor filler treatment is safe for her to undergo and could help her nose look better whilst she waits for a revision, then there's an argument to be made for it.

 

Wow @MissOrange what an utterly torrid tale. I'm heartbroken to hear about your terrifying nasal infection and breast implant ordeal. The sense of isolation and loneliness you convey reminds me so much of my own PS "journey", alone and terrified in more than one hotel room, covered in bandages and shuffling around on painkillers whilst trying not to think the worst (which always came true in my case). It also made perfect sense to manage your post-rhino result by improving your nasal/facial relationships, rather than fixate on the nose again, which may have been too traumatic at that time and perhaps evocative of the awful infection. When I feel at my worst, I manage my mood by - perversely - doing a light skin peel or microneedling, so that I don't have to look at my "usual" face for a week and end up with less offensive skin at the end of it I also try to keep up with the botox injects, even tho it's aesthetically futile, just because ridding a few lines is something very simple I can do to make myself feel 0.00001% less grotesque. I appreciate these suggestions may be a bit far out for most, but they work for me. On a more basic level, exercise and good food are really important, esp. if you want to get your health up for these heavy duty ops.

@Marie1000 After the anger, pain, hurt have all subsided to a certain extent (there will be many "off days" and several torturous "off weeks"), you can assume the challenge of getting fixed. Keep your eye on the goal at all times. The rest of us here have all reached the F--- It stage and even when there are knock backs, we come back to that stage because that's ultimately the perspective we need to get fixed. I can see a glimmer of it now when you're describing what went down with Ion, so at least that's a positive sign!

As MissOrange rightly mentions as well, the purgatorial waiting game is the worst. But in the grand scheme of life, it's NOTHING. All you have to do is survive for 12 months, give or take. Once you are actively seeing WORTHWHILE docs and exploring tangible remedies, you will feel hope again.

 

@Marie1000 So very sorry to hear this. The OP's Realself profile can be found earlier on in this thread, where a link was posted.

The most important thing is, at this stage, to hang on. Vent all you need to. We have been there ourselves and have lived this nightmare. Some of the posters on this thread have a great deal of experience with revision rhinoplasty. Please reach out to them. You will be amazed at what a properly executed revision can achieve, particularly if this was your first nose procedure. You will have a very difficult year ahead, but proper research and not rushing into the next disaster are absolutely essential.

You're a 41-year-old lady who knows her own mind. Recover your strength, get back to him, tell him straight up that he's using "BDD" as an attempt to deflect the blame onto you, and that you will NOT be seeing a psychologist.

Edited to add: please make an appointment with your GP as an emergency case and get seen TODAY. This is a very typical response to bad PS, we have all had the same! Your objective right now must be to "ride the wave" - get medication that could at least stabilise your mood whilst you search for a revision. Your problems are FIXABLE - I promise you. Please don't take your own life over issues that CAN and WILL be corrected

 

Sorry to bubble burst, but is this review legit? If the OP's language is supposed to be native English, or even another European language, it's quite obvious from the types of grammatical errors made that the person writing it is more than likely Korean.

@Trishsul Have heard previous feedback about Fresh PS being bad at "listening" to customers' requests and recommending fat grafting in every single case. It's a shame, as their website looked promising, but it's not up to some patient coordinator to determine what people *must* do with their own faces.

 

The OP's question also concerned the types of imaging used to assess the facial bone structure. From my understanding, there are lots of different types. If you're interested in orthognathic surgery, the most basic one that's used to assess your profile and dentition is a cephalometric x-ray. For a more comprehensive picture, there are cone beam scans and CTs that produce a 3D image of the entire skull.

 

Yes, her mother wrote to him before her first op, saying that she'd been diagnosed with a mental health condition and asking him to reconsider, or something to that effect. I know this because Mariana stated this on LYB UK, actually bemoaning the fact he "ignored" it and put her in a situation where she disliked her nose more, and I read it. I must try to find the exact post she made - it must've been at least 4 years ago when the forum was active. At that time, it actually struck me as very significant, for her mother to do this. Perhaps because it was quite unusual. Having not seen pictures of her at that point in time, I chalked it up to a meddling mother who couldn't let go of her adult daughter, but all the evidence points to the fact that there was indeed a more serious cause for concern.