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Craniofacial surgeon Dr Yaremchuck states: " Reducing the facial skeleton, especially the cheek bones is, in most cases, unwise. It results in an excess of soft tissue which sags. Besides losing definition, it tends to prematurely age " https://www.realself.com/question/india-dr-wanted-cheekbone-reduction-jaw-reduction-plz-opinion-face “ Someone with a poorly developed jaw will age much more quickly( often with neck sag) than someone with more regular features.” Dr David Dunaway, craniofacial surgeon.https://www.harleystreetaesthetics.com/_resources/files/media-articles/monthly-publications/tatler-2015.pdf " Too much bone removal can cause disastrous result later in your life ." Dr Zain Kadrihttps://www.realself.com/question/brighton-tn-type-chin-surgery-needed#24085261 SEE WHAT HAPPENS TO THE FACE WHEN THERE IS BONE LOSS: Sagging and aging due to loss of boney support to hold out the soft tissues and skin. Changes in the Facial Skeleton With Aging https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3404279/
In 2014, after a lot of research, I decided to have zygoma reduction surgery in Korea, which is a very popular procedure for people with a wide face. I consulted a few clinics and ended up with a surgeon who seemed extremely knowledgeable and was able to communicate in English. He assured me that there was not going to be sagging after the procedure and convinced me that fixation through plates and screws was going to be unnecessary because he had been doing this surgery for decades and never ever had a complication. He was adamant against using screws and plates. I stupidly booked the flight to Korea and, to make a very long story short, the day of the surgery was the scariest experience of my whole life. I have had other procedures in the US and have never been so scared. The operating room was dirty and the minute I was passing out and being unable to breath I literally thought I was never going to wake up anymore. Super scary. The anesthesiologist was the secretary and driver. This person did all things for the doctor. Never had such a scary experience before. Anyway, I woke up and I was very, very bruised and swollen. Much more bruised than what I was expecting. The swelling and bruising lasted for months. Even 3 months post op, once I flew back to the US, there was still residual bruising and the facial contours looked irregular, the face started sagging, and my eyes looked droopy. One eye doctor told me that I was having ptosis and scleral show as a result of the facial sagging that was pulling down the lower eyelids. I could also see dents in my facial contours. The surgeon in Korea, with whom I had been e-mailing, prohibited me from having a CAT scan and told me to keep quiet and be positive. He was using scare tactics saying that CAT scans are unnecessary and cause cancer. Day by day, my situation was becoming worse so, finally, I got a referral for a CAT scan from a doctor here in the US and had the cat scan done. What we saw was shocking. I have several gaps in the bones and the bone fragments are very wide apart and are reabsorbing. I have what is called non-union of the fracture. All of this because the surgeon lied to me and was incompetent. When I e-mailed him the CAT scan images, he was still denying and saying that people don't understand zygoma as well as he does and that I will be fine. Then, he tried to put the blame on me saying that he never had a case like this before (lie) and that I must have done something wrong. I am attaching the cat scan images that speak volumes. You can see the gaps and they are getting worse and worse. What I was not informed beforehand, though, is that EVEN if they use plates and screws to close the fractures, the facial sagging still remain because of how they detach the periosteoum. This surgery aged me over 10 years and I am not exaggerating. My facial contours are irregular and unnatural, I no longer have the anatomical shapes of a normal face, I have sagging, ptosis, scleral show, I hear cracking sounds whenever I chew, I look older and deformed... I will need extensive surgery to correct this with a coronal incision (ear to ear), plates and screws, bone grafts. I have been living a nightmare ever since. What I have learned is that a lot of South East Asians surgeons will not tell you the whole story and will use deceiving pictures which NEVER represent reality. When I was in Korea, I saw with my own eyes that they have professional equipment to take pictures from certain lights, certain angles and in most cases they also heavily photoshop.
Hi there! Long time lurker but first time poster (I apologise for the length!)- I've finally decided it's time to start looking into getting a BA given I've lost over 45kilos and my breasts aren't really doing it for me anymore. I've gone from a full D to a relatively saggy B cup and I'm looking to restore some volume and look proportionate again (either aiming for a full C or small D ideally?). I've been informed by a few surgeons at this point (via emails and from photo assessments) that I'm a borderline case and have ptosis of the breast with quite a bit of skin sitting at the top due to the weight loss. While I understand that ultimately, a lift is probably going to be my best friend- I'm only 20 years old and I'm not sure if I want to do such a big surgery at this age. I'm quite aware that pregnancy has a high chance of undoing the work of a lift, and I'd hate to go through the recovery and healing of the scars just to have to do it again 8 to 10 years down the track when I'm done having children (plus I have concerns about breast feeding). I feel like with a breast augmentation, it'll at least help with my confidence for the time being and I can always look at getting a lift later down the track and revise the implants. I'm after a more natural look and don't mind my breast sitting a little low if they're going to be fuller. My nipples are currently above the IMF, and as such I feel I'll be able to go with implants without making it much worse? So far I've been in contact with a few different surgeons and had quite a bit of advice on the realself pages. I've had Dr Narupon from PIAC recommend either tear drop or round implants placed sub glandular or dual plane in order to avoid doing a lift, and so far quite a few surgeons have agreed with this. While I'd love to go with Narupon, I'm concerned about travelling on my own next year and during my uni semester (I'm doing this as a 21st gift to myself). My partner won't be able to come with me due to having his own uni degree to focus on, and as such I'd probably like to stay closer to home if possible. I've got my first in person consultation this Thursday with surgeons from the breast academy, and then the following week will be meeting with Dr Terrance Scamp to hear his opinion after he got back to me on Realself. As of the current moment I've been in contact with: - Dr Harwood - recommended a lift due to having tuberous breast? Only surgeon to say this about my breast shape, have mentioned to a few others who disagree? (Have now booked a consult with him to check in person next monday) - Dr Szalay - recommended implants but suggested I may need to go larger then my small D limit, which I'm contemplating? - Dr Veerawat through Cosmeditour - waiting on a reply - Dr Narupon - recommended either round or teardrop implants placed sub glandular or dual plane to avoid lift - Dr Thanakom - recommended tear drop implants placed sub glandular or dual plane to avoid lift - TCI southport - rejected based off photos, suggested a lift - TCI parramatta (would be willing to travel) - Dr Duong said that while they recommend a lift (based off photos), they'd still proceed with implants as long as I cleared the in person consultation and would be happy with a 'less optimal' result. - The Breast Academy - Sent in photos, they decided that they couldn't make a decision based off these alone and have decided to bring me in for a free quick in person consultation this Thursday. - The Breast Institute - Sent photos, believe to be 'too difficult' of a case. Suggest lift. (Really unimpressed with these people, very abrupt and rude) - Dr Scamp - meeting for an in person consultation in a week, has suggested implants alone based off my goal images and my own photos. - Update: Have contacted Dr Ali Hussain. Has said he's happy to help and will contact me soon. I was just wondering if anybody else has been a borderline case and opted to just go with implants for the time being? I'd love to hear about your experiences! I'm going to try and figure out how to upload some pictures onto here (edit: Have now got an album!) , but I'd really appreciate any feedback I can get!