dorem Posted April 30, 2016 Posted April 30, 2016 Oh so the hair near the ear will guarantee all fall off? How son after facelift can transplant hair
european95x Posted April 30, 2016 Posted April 30, 2016 I guess everything has its pro's and con's '>.< I would really like to get facial contouring but now I'm scared of sagging skin..
heylo Posted May 5, 2016 Posted May 5, 2016 http://eng.plasticsurgerybeijing.com/quanguquangongzhengxing/quanxiachuima.htm Dr Ma's explanation of why massive facial sagging can occur after zygoma reduction is a good read. He says the sagging is a result of certain types of zygoma surgeries only and in particular, releasing the deeper muscular attachments from the bone. He might be wrong but his explanations make sense to me. My guess is that a deep plane mid face lift would be needed to correct this type of problem. Anything more superficial than that wouldn't reattach the muscles to the bone... Sent from my SM-N920I using PurseForum mobile app
yumigumi Posted September 5, 2016 Posted September 5, 2016 Has anyone ever have significant cheek sagging after 3d malar/cheekbone rotation? http://eng.grandsurgery.com/3d-rotation-malar-reduction/http://www.topps.co.kr/eng/face/face_3d.phphttp://www.braunps.net/04_fat/fat_08.html
jessicacorbyn Posted September 6, 2016 Posted September 6, 2016 Great article thanks . Do doctors always sever the tendons, then? I am trying to read up on the 2 techniques he says cause sagging, but the links don't work
oreocream Posted September 6, 2016 Posted September 6, 2016 I guess V-line and Zygoma reduction always carries a risk of sagging, be it big or small. It's a serious issue to think about and once sagging occurs, it's very difficult to remedy it. Actually for Qiuting, I think her sagging is more visible in photos rather than in person. She was so beautiful before though. Like the old saying goes "If it ain't broke, don't fix it".
k-couture Posted September 8, 2016 Posted September 8, 2016 i dont know if they sever tendons but I do know that when it concerns reduction of the zygoma arch, it detaches the muscle which is one of the primary causes of sagging for zygoma reductions. Its much less visible (at first) for younger ppl but is certainly noticable for older ppl. The older peeps who look great after facial contouring all did a facelift at the same time, which is actually not recommended.
heylo Posted September 14, 2016 Posted September 14, 2016 No, they definitely don't sever tendons. A similar thing happens when stripping the muscle from the chin bone to burr it. If the mentalis muscle isn't resuspended & re-attached by the doctor, you end up with dimpling and drooping. Similarly, if a mid face re-suspension isn't done after a zygomatic procedure, the muscle will just drop down. Throw in the not-so-small matter of loose skin after depleting the bone structure and you end up with a lot more soft tissue with nothing to hold it up. Surgeries that disrupt this natural 'glue' or muscle adhesions should be 'tidied up' afterwards. Even though a lot of Korean surgeons' results look fantastic, there's no doubt that their PSs are woefully unprepared for these obvious aesthetic maladies.
heylo Posted September 14, 2016 Posted September 14, 2016 Just noticed this comment from back in March. A few weeks ago, I had this injected into my saggy fat grafted cheeks. This treatment could be useful for those who've had reductive bone surgeries and ended up with a saggy midface and/or jowls. A lot of saggy fat isn't accessible in a face lift and a lipo cannula may inflict further damage on saggy tissue. Deoxycholic acid (with phosphatidylcholine) has been proven to help the skin to retract i.e. tighten. Combining deoxycholic acid with phosphatidylcholine is what makes the solution spread under the skin, so you don't end up with dents (this is why Kybella should be avoided full stop). The downside is that it's not a 'quick fix' but it's a sensible choice if you're really botched and need to reduce unwanted fatty deposits from jaw reductions, fat grafts, drooping cheeks after reduction or whatever. I read that Lipobean is the only solution approved by the Korean FDA so it's best to stick with that one.
jessicacorbyn Posted September 14, 2016 Posted September 14, 2016 Thank you Why don't all surgeons reattach it then? Is it the sort of thing they might lie about at consultation? :/ I'm in my 20s and really want V line and zygoma reduction. On the other hand I want to minimise the risk though there is always a risk of sagging.
heylo Posted September 14, 2016 Posted September 14, 2016 I think they don't reattach because most of the people in Korea getting this done are young, so they rely on the skin 'snapping back'. Also, they can do more of a 'quick job' if they just reduce and don't bother to tidy up afterwards. Bone reduction surgeries in Korea need careful planning for this reason. You can reduce a little bone with no significant issues. However, if you push the limits on how much you reduce, the aesthetic side effects are going to be worse. If someone has really prominent bones, you have to be realistic.
k-couture Posted September 14, 2016 Posted September 14, 2016 Its not a matter of reattaching it. It deattaches because the arch is holding it up. When the arch is rotated and reduced this is an inevitable occurance. You cannot reattach it at its original elevation simple because its original elevation is now gone as per the procedure. What many surgeons do is to lift the muscle too at the same time but that has minimal effects as the real way to address sagging is via the smas
gantz Posted September 15, 2016 Posted September 15, 2016 So the arch causes more sagging when doing zygoma reduction? Not the front part of the zygoma?
heylo Posted September 15, 2016 Posted September 15, 2016 A deep subperiosteal mid face lift would be needed to literally anchor all the soft tissue (including muscle) to the bone in its new position. How they 'anchor' it, I don't know. I'd imagine something rather mechanical would be needed, e.g. staples or sutures. Problem then, however, is the fact the surgeon would be anchoring more redundant soft tissue to the mid face. This procedure (together with a prior cheekbone reduction) could result in a rather front heavy, amorphous look - particularly if there was no simultaneous removal of excess skin and fat, from either the eye area, in front of the ears or both. This would've all been 'scraped off' prior to the ZO procedure so then the problem of tacking it all back down arises. Now I'm thinking: what MIGHT work better is taking down part of the cheekbone in one area and simultaneously augmenting it in another, so as to achieve a better contour and 'pick up' the loose skin. Like, if you have a protruding zygomatic arch, you could get small cheek implants in the front and reduce at the sides (I'd imagine a temple lift would be needed in such cases, however, because if you mess with the lateral cheekbones you'll find your eyes sag at the outer corners). Rotating the entire cheekbone sounds like a shoddy idea full stop. If you have bad bone structure then you need to take down the high points and augment the low points. From what I've read, the subperiosteal mid face lift is controversial enough on its own. It is risky in terms of nerve damage, is renowned to cause mid face swelling and as a stand alone procedure, it can result in an hourglass type deformity where you look like the Scream. I have this look due to malplaced fat grafts and bad surgeries, and believe me, it is NOT what you want after trying to make your face rounder! Sent from my SM-N920I using PurseForum mobile app
heylo Posted September 15, 2016 Posted September 15, 2016 What kind of facial lifting did they have? SMAS or deep plane? Sent from my SM-N920I using PurseForum mobile app
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