valenrina Posted February 24, 2020 Author Posted February 24, 2020 I did not cut my mandibular angle but my mandibular body, so the ‘depression’ and skin bulge appear further down the jawline, not at the angles like hers. I’m asking advice from my clinic as well as second opinions from other clinics, but I haven’t truly figure that out yet tbh. I’m not in the medical field so it’s all guesswork for now. I had to take this photo under really harsh white lights, otherwise the skin bulge is not that obvious.
valenrina Posted February 24, 2020 Author Posted February 24, 2020 That depression and skin bulge has been baffling me for years. I’m looking at the anatomy of the masseter muscle and it doesn’t seem to reach so far down into the mandibular. So still skin sagging? Anatomy of masseter: https://www.getbodysmart.com/mastication-muscles/masseter-muscle
pakune Posted February 24, 2020 Posted February 24, 2020 For me it’s obvious you have saggy skin But this gap looks like muscle move
valenrina Posted February 24, 2020 Author Posted February 24, 2020 yep, some saggy skin, I’m really quite old but that shouldn’t cause the funny bulge? Not sure what do you mean by muscle move. Hmm... I wasn’t clenching or biting, so the muscle should be at rest. Yep, that’s my rest ***** face. Ha.
yunggrandpa Posted February 24, 2020 Posted February 24, 2020 I think they meant that the gap area looks like the muscle has moved (like a tear - just using that as an example! Who knows what it could truly be right now). Personally, I don't think that random space is sagging either, because the rest of your facial contour isn't like that, it's just that one spot and it's not like your v-line would have a random cranial dip in it like that. Plus, it does look incredibly similar to the other image, just a slightly different placement and less pronounced, basically a less severe version. I think you could really benefit by having a thorough scan done at any unrelated clinic (so they wouldn't lie or be biased, just in case) to see if you do have any tearing or muscles that moved positions, etc. due to the v-line. By the way, the dip doesn't appear to look bad imo! However, just to be safe, I'd get a scan to make sure things don't worsen or tear more in the future, if that is possibly the case.
valenrina Posted February 24, 2020 Author Posted February 24, 2020 Ikr, it can’t be normal sagging. Reading that article is like an epiphany. Thing is, not many clinics are willing to take-up revision cases. I contacted View and the first thing they said was maybe I had the bulge before surgery and I just didn’t notice It. Oh, come on, seriously? I wouldn’t trust View to do any revision based on their attitude even though they weren’t the ones who did my primary surgery. MVP’s consultant said that she had never heard of it before. She would have to talk to Dr. Seo and see if he would be interested to take a look at the case. Mina said that they would send me an email with recommendation. WannabePS said their facial contouring specialist is not around atm. Guess what, no reply from my original clinic yet. Getting a CT scan in SG will cost me an arm and leg, not to mention surgery. In retrospect, it’s really not that obvious under normal light and from frontal view. Believe me, I had to move around my house a lot to find the harshest light, most unfavourable angle and spot to cast that insane amount of shadows. Maybe, it’s just not serious enough to warrant me to do anything, but it’s nice to know what’s really is causing it. I’ll wait to hear from the clinics.
yunggrandpa Posted February 24, 2020 Posted February 24, 2020 Wow, how disappointing for them all to give this kind of attitude! In the end, I am happy that like I said it is not really noticeable and I imagine it looks totally normal in regular lighting. With all of these clinic's behaviour, perhaps it is better to leave it alone than to deal with people who don't even want to really help solve the issue (and I had no idea scans are so expensive, they are free in my country and I never thought about it before). I am glad though that you did end finding articles etc. that match with your case. You know your body best and it's ridiculous when someone will say something like "that mark was always there" when you know it wasn't. Smh.
madambutterfly89 Posted February 24, 2020 Posted February 24, 2020 I wonder if a lift will help resolve this issue
valenrina Posted February 25, 2020 Author Posted February 25, 2020 A lift and fats graft will improve the corners of my mouth and jowls, and may mask the dent and skin bulge. However, if it’s a muscle issue, it will just hide the problem and not correct it. Maybe hiding the problem is aesthetically good enough, but maybe like what @yunggrandpa said, it probably pays to find out if the muscle tear (if that’s what it is) will regress even further.
valenrina Posted February 25, 2020 Author Posted February 25, 2020 Regen waited a day to come back to me. The consultant said that when I contacted them in 2018, they had explained to me that it is a skin sagging issue. I asked her if she could probe Dr. Oh further citing references and resemblance from the article. To be fair, it’s quite difficult ascertaining the problem without a f2f consultation. For one, MVP has come back saying that I need to be at the clinic physically for Dr. Seo to ‘feel and examine’. Interestingly, an aesthetic jaw reconstructive surgery clinic in SG replied that although they have no experience in doing masseter muscle reattachment, the area circled on my photo seems to be beyond the attachment of the masseter muscle. (Could be other facial muscle?) I’m trying to book an appointment with the National Dental Centre in SG for a preliminary consult with an oral & maxillofacial surgeon. I’m hoping the government’s clinic will be cheaper. A private one will set me back about S$80-S$200 just for consultation, S$140-S$300 for an X-ray, and more for CT scan. Well, I could wait for covid-19 to blow over and plan a trip to Seoul. I’ve emailed The Face Dental and I’m eager to hear what they say. I’m also pending replies from Hyundai, Banobagi, DA, Namu, and MINE. Nearer the date, I’ll compile a final list of clinics to consult.
valenrina Posted February 26, 2020 Author Posted February 26, 2020 Wanna give an update on this. Oops I realised that it’s quite long by the time I finished writing.Regen: I really must compliment Regen because regardless of the years past, they never fail to answer all my questions within 2 days. The consultant clarified that Dr Oh said, “(it) is not caused by muscle because we don’t cut muscle during v-line”.TFD: Very prompt reply within the same day and corroborated that there is no problem with my bones structure. The consultant said that if I really want to determine if it’s a muscle problem, I’ll need an MRI. However, since the surgery was 3 years ago, he/she doesn’t think it’ll tear further if it’s muscle.Hyundai/MVP/ASPS: Consultant is helpful, but I’ll have to come down for a f2f examination, which is understandable.MINE/NAMU/DAPRS/View/Banobagi: kthxbye, either not prompt in replying or not helpful. I don’t know what happen to Banobagi, they were really nice and willing to go an extra mile when I had my rhinoplasty surgery. All the clinics which responded unanimously recommended fats grafting/fillers at first glance. I think I’ll stop obsessing over the muscle issue. I’ll plan for consultations at these shortlisted clinics nearer the date of travel when covid-19 blows over: 1. Regen: Did most of my surgeries there and they have been reliable in terms of results and post-op care. 2. ASPS: The smile lifting (thread lifts) and fats grafts B&A look absolutely amazing on their website. 3. Hyundai: Fats graft results tend towards dolly rather than natural, but I think it’s still worth going for a consult. I have this nagging feeling about MVP which makes me hesitant. Perhaps it stems from the less than stellar google rating of 3.9/5, and the death of a 20 yr old rhinoplasty patient. Miss Orange had clarified that the man had a pre-existing condition, but I felt that it was still the clinic’s negligence to a certain extent for not uncovering it. I found Miss Orange “real patient review” on MVP’s website. It’s definitely ok to receive discounts from the clinics by posting positive reviews, but I felt the reviews were... how should I say this... over enthusiastic? Sorry, I know that you meant well, have given lotsa valuable advice, and I truly respect you. I totally enjoy your thread btw and read most of the pages.
pakune Posted February 26, 2020 Posted February 26, 2020 Don’t worry I’m sure only Botox or filler can fix your issue
madambutterfly89 Posted February 27, 2020 Posted February 27, 2020 Thanks Val. Whatever you do, try Fillers first. Not too much so you don’t cause weight in the face. If all goes well then fat grafting. If you’re really concern, get an scan done. I think the scans are cheaper In Taiwan. If you have insurance that’ll def help as well
tvxqgirl Posted May 1, 2020 Posted May 1, 2020 Hi Valenrina, I'm also from SG. I have a quote from the National Dental Centre for a 3D cone beam CT scan, would it be helpful for you? I can PM you the backstory.
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