Fuck i need a midfacelift post infras

lurking truecel

lurking truecel

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Ideally i would need to replace the infras. I thought the meme about facelift post infras and bimax was just a meme but it isnt. Damn, also its good to ask people if the design is good before doing infras just a heads up for future implants havers. But thats means i will need revision rhino and then some kind of midafacelift and fat graft after. Damn might die before i ascend. Holy
 
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Posted the same thing twice

Get checked for Alzheimer's while ur at it
 
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Just make sure to get the lift in the subperiosteal plane as that's where the tissue descent occured after dissecting away in that plane to place the implants. Most doctors do a more superficial lift, few do subperiosteal anymore. You will also get slightly different results depending on whether you go endoscopically through the forehead or directly through a lower lid incision, as you're pulling more obliquely with the endoscopic forehead incision approach
 
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Ideally i would need to replace the infras. I thought the meme about facelift post infras and bimax was just a meme but it isnt. Damn, also its good to ask people if the design is good before doing infras just a heads up for future implants havers. But thats means i will need revision rhino and then some kind of midafacelift and fat graft after. Damn might die before i ascend. Holy
i have same issue as many other folks

Skin will sag after infras if not done correctly

Also if you go too big with your infras -> decide to make them smaller... oh boy your skin will sag even more
 
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i have same issue as many other folks

Skin will sag after infras if not done correctly

Also if you go too big with your infras -> decide to make them smaller... oh boy your skin will sag even more
Yea i mean i am still kinds coping that fat graft could be a solution but it probably wont. I am thinking fat graft in the temples and orbits around + a more projected nose which i will get fixed could help some. Might be my first approach
 
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Just make sure to get the lift in the subperiosteal plane as that's where the tissue descent occured after dissecting away in that plane to place the implants. Most doctors do a more superficial lift, few do subperiosteal anymore. You will also get slightly different results depending on whether you go endoscopically through the forehead or directly through a lower lid incision, as you're pulling more obliquely with the endoscopic forehead incision approach
Yea i am thinking the forhead approach could be troublesome with implants in
 
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Another W for placement through eyelid instead of intraoral?
 
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Another W for placement through eyelid instead of intraoral?
the thing is eyelid is more for silcone tho so i dont know if its better in that way
 
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the thing is eyelid is more for silcone tho so i dont know if its better in that way
It's not impossible to do peek via eyelid but yea. Also it is quite possible silicone is actually better for infras, or at least this forum is way too biased towards peek and against silicone due to the bimax/lower third focus of most people
 
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It's not impossible to do peek via eyelid but yea. Also it is quite possible silicone is actually better for infras, or at least this forum is way too biased towards peek and against silicone due to the bimax/lower third focus of most people
Yea could be, i dont really know
 
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Is there any evidence for this?
Another W for placement through eyelid instead of intraoral?
Most of the ones I can find are just saying transconjunctival has less risk than intraoral

Edit: nvm I see now that it causes more tissue detachment when going intraoral
 
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It’s over I recon u definitely have bi polar
 
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Surely u already ascended after bimax infra and rhino?
 
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Alright that’s it fuck me I’m doing genio only this year I’m not touching infras till I can straight up afford a face lift (and honestly prob fat grafts too) right after

Over for eye area
 
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Yea i am thinking the forhead approach could be troublesome with implants in
I think it can be ok if the surgeon is good, but it definitely pulls the midface tissue more "outward" at an angle which can widen the malar area
 
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I’m getting infras then a mini lift

Hoping a mini will be enough
 
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What’s all the surgeries you have done so far and what do you need to do?
 
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Careful, you are inching closer and closer toward a not so merry carousel of infinite looksmaxxing.
 
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Ideally i would need to replace the infras. I thought the meme about facelift post infras and bimax was just a meme but it isnt. Damn, also its good to ask people if the design is good before doing infras just a heads up for future implants havers. But thats means i will need revision rhino and then some kind of midafacelift and fat graft after. Damn might die before i ascend. Holy
Bruh this is what I keep warning people about.... AND U ARGUED WITH ME ABOUT IT

:feelswhat:
 
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Some photos showing that issue would be helpful
 
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Careful, you are inching closer and closer toward a not so merry carousel of infinite looksmaxxing.
Yea thats what i am thinking, so far it has beem the most obv things, revision rhino is obvious. Then fat graft is rather simple. But i face lift i dont know, and i never seen many of those result on males young which looks natural. I mean foids cam get away with it but i domt know on males. So i might cope without it
 
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What’s all the surgeries you have done so far and what do you need to do?
Rhino lomg time ago, bimax, infras

Now i plan revision rhino, fat graft

And then possible deep plane facelift or something
 
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Rhino lomg time ago, bimax, infras

Now i plan revision rhino, fat graft

And then possible deep plane facelift or something
Is gaint designing or nah?
 
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Careful, you are inching closer and closer toward a not so merry carousel of infinite looksmaxxing.
Yea thats what i am thinking, so far it has beem the most obv things, revision rhino is obvious. Then fat graft is rather simple. But i face lift i dont know, and i never seen many of those result on males young which looks natural. I mean foids cam get away with it but i domt know on males. So i might cope without it
I’ve got a few more surgeries planned, and eventually filler for minor touch ups.

Im also a bit worried about myself going down the slippery slope of plastic surgery…
 
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Another W for placement through eyelid instead of intraoral?
No, it is not the incision that causes it. At least with respect to infrazygo implants. I spoke with Eppley and he told me this: in both cases you are releasing roughly the same surface area of periosteum from the skin. The sagging comes from the combination of swelling and your periosteum not yet being securely reattached to the skin by scar tissue during the healing process. The swelling, combined with the unattached periosteum, weakens the collagen bonds in your skin and causes sagging. A midface lift is the only solution.

The advantage of the eyelid incision, however, is that it is easier to place the implant accurately and work around the infraorbital nerve to mitigate nerve damage.
 
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Yea thats what i am thinking, so far it has beem the most obv things, revision rhino is obvious. Then fat graft is rather simple. But i face lift i dont know, and i never seen many of those result on males young which looks natural. I mean foids cam get away with it but i domt know on males. So i might cope without it
There almost never done on young people, especially not young males. They are becoming more popular for people in 30's early 40s, but its almost exclusively foids getting them. Typically they do have decent results, and surgeons have been saying its easier to do when the skin/bone quality is so good.
 
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I’ve got a few more surgeries planned, and eventually filler for minor touch ups.

Im also a bit worried about myself going down the slippery slope of plastic surgery…
1773181095210
1773181124956

1773181177109


Many just look gayified from midfscelift though
 
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sunil can do
 
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There almost never done on young people, especially not young males. They are becoming more popular for people in 30's early 40s, but its almost exclusively foids getting them. Typically they do have decent results, and surgeons have been saying its easier to do when the skin/bone quality is so good.
Yea but foids often look kinda unexpressionable and shit after face lift even if the skin looks better. For males it could look gay. I am a bit scared of doing it. Also you kinda ruin the chance of getting a face lift later as ypu already used scar tissueto hold the face up once
 
Second one mogs imo.
Yea he didnt do face lift tough, only bleph which can acts as a lift as ypu remove excess skin. So yea it wasnt even valid
 
There almost never done on young people, especially not young males. They are becoming more popular for people in 30's early 40s, but its almost exclusively foids getting them. Typically they do have decent results, and surgeons have been saying its easier to do when the skin/bone quality is so good.
Endoscopic subperiosteal midface lifts are much more frequently done on patients in their 20s. A lot of people have naturally low set periosteums anyway (e.g., Polish). They typically do not involve skin removal, and most people under 35-40 need no skin removed. The lowset periosteum more than excess skin is typically the aesthetic bottleneck wrt soft tissue in y oung patients. They are quicker and less invasive operations.

There are good surgeons in Turkey you can do this for 7-10k euro.
 
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Endoscopic subperiosteal midface lifts are much more frequently done on patients in their 20s. A lot of people have naturally low set periosteums anyway (e.g., Polish) They typically do not involve skin removal, and most people under 35-40 need no skin removed. They are quicker and less invasive operations.

There are good surgeons in Turkey you can do this for 7-10k euro.
Okey whats the recovery like . Might do it, turkey trip
 
Endoscopic subperiosteal midface lifts are much more frequently done on patients in their 20s.
True but its like really nichey. For people in there 20s with congenital issues it can work.

Most people that get them looks bad. Are they releasing the zygo lig with this technique even or just plicating?
 
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Man the second one completely ascended with Rad. But nigga is like 80k everything included what happened there.
Bleph, rhino, a infra paranasal type implant and fillers lol
 
What's the problem? Sagging?
 
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No, it is not the incision that causes it. At least with respect to infrazygo implants. I spoke with Eppley and he told me this: in both cases you are releasing roughly the same surface area of periosteum from the skin. The sagging comes from the combination of swelling and your periosteum not yet being securely reattached to the skin by scar tissue during the healing process. The swelling, combined with the unattached periosteum, weakens the collagen bonds in your skin and causes sagging. A midface lift is the only solution.

The advantage of the eyelid incision, however, is that it is easier to place the implant accurately and work around the infraorbital nerve to mitigate nerve damage.
So what do you do if you get infras, just pray you get lucky and aren't a case that needs a midface lift?

Is this a serious concern even with infraorbital rim only implants?
 
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True but its like really nichey. For people in there 20s with congenital issues it can work.

Most people that get them looks bad. Are they releasing the zygo lig with this technique even or just plicating?
They're bad if the surgeon is bad and they're not that nichey. If you have implant induced sagging you can do a facelift. Age is not a good indicator.
 
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They're bad if the surgeon is bad and they're not that nichey. If you have implant induced sagging you can do a facelift. Age is not a good indicator.
Seems like its a good indicator to me b/c if your 30-40 your going to have some overall laxity, so tightening one section makes little sense. Just about every facial plastic surgeon does face lift, very few offer midface as a standard because it is nichey. I've never really seen any that look good, and people often complain that they wish they had gotten a full face lift after.

Though you didn't answer the question, are they doing these limited face lifts via plication only or are they releasing ligaments as well?
Can you provide any before and after of decent midface lifts? Cuz I really haven't seen any, might be my basis since Ive spent minimal time on it vs full face lifts.
What surgeons are doing these well?

Obvi an endoscopic mid-facelift should be sufficiently distinct from an endoscopic facelift... If all there is, is endoscopic face-lifts, that's not a midface lift, its just a facelift. By no means does using an endoscope mean the lift is somehow restricted to just the mid face.
 
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Ideally i would need to replace the infras. I thought the meme about facelift post infras and bimax was just a meme but it isnt. Damn, also its good to ask people if the design is good before doing infras just a heads up for future implants havers. But thats means i will need revision rhino and then some kind of midafacelift and fat graft after. Damn might die before i ascend. Holy
what would you change about the original infra design if you don't mind me asking?
 
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Seems like its a good indicator to me b/c if your 30-40 your going to have some overall laxity, so tightening one section makes little sense. Just about every facial plastic surgeon does face lift, very few offer midface as a standard because it is nichey. I've never really seen any that look good, and people often complain that they wish they had gotten a full face lift after.

Though you didn't answer the question, are they doing these limited face lifts via plication only or are they releasing ligaments as well?
Can you provide any before and after of decent midface lifts? Cuz I really haven't seen any.
What surgeons are doing these well?

If what your saying is true, that information should be easily provided and not needed to be gatekept since your saying any surgeon that's not bad can do it....

Virtually every fucking facial plastic surgeon under the sun does face lifts.
Age is a good index, not a good indicator, and indicfators are more reliable than indexes. That's why i said it.

Anyway I am only speaking about the case of patients in their 20s who only have midface implant induced sagging and had no prior issues pre-op. The vast majority of such patients would be needing endoscopic subperiosteal midface lift through the eyelid or maybe forehead. Because the layer that has fallen is the periosteum, which is what is lifted in implant installation, and no skin needs to be removed, hence the endoscopic mode of entry. You dont need to worry about any other techniques until your mid 30s at the earliest. It is the same procedure Yaremchuk would do with almost all his midface implants back in the day.

I don't understand your question. Plication vs. releasing ligaments is a peculiar binary. Plication is associated with smas layer techniques and this audience would generally be looking at endoscopic subperiosteal. If you have a midface implant installed, your zygomatic retaining ligaments are already released anyway, so it is besides the point.

Any further discussion is useless. Consult surgeons and they will answer questions better than me or anyone else here can. ideally those with experience working on those wtih impalnts.

You can look into Kul, Sakarya, Pascali, Kerem, Ozocak, Comert.
 
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Age is a good index, not a good indicator, and indicfators are more reliable than indexes. That's why i said it.

Anyway I am only speaking about the case of patients in their 20s who only have midface implant induced sagging and had no prior issues pre-op. The vast majority of such patients would be needing endoscopic subperiosteal midface lift through the eyelid or maybe forehead. Because the layer that has fallen is the periosteum, which is what is lifted in implant installation, and no skin needs to be removed, hence the endoscopic mode of entry. You dont need to worry about any other techniques until your mid 30s at the earliest.
:lul::lul::lul::lul::lul:

Crazy since it's not more reliable based on your experience. Yes this is actually not a formal surgical consultation, and is an informal discussion. In all practical terms I am correct, thus positions otherwise is non sequitur.

As I said I am not as familiar with this "mid face" only procedure, since you know it's very niche(only people in 20s as you said) and typically people regret it(granted that is not from a sample of patients with implants but in general only). A lift implies tighting of muscle and/or ligaments, my question is how is that being achieved... You clearly didn't bother to fucking answer. But it appears to be via, suspension or anchoring... IDK how that will hold up over time.

After reviewing the surgeons you listed, who are all in turkey ofc. The only one at all doing a half decent job is ozocak. When reviewing there is obvi extreme patient selection(SINCE ITS A NICHE PROCEDURE) and he's combing it with other lifts. Some of those even have an of the over tightened look. None of them seem to be implant patients as far as I can tell.

That said, there is absolutely no reason for me to go to a consult with one of your fellow turks thou... I'll keep up the informal discussion of practical matters for my own interest. That's in fact the whole point of this forum. You don't want to discus it anymore because were full of easily disprovable shit, about how niche of a procedure it is.
 
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