[M37 oldcel] Which surgeries might I need the most?

I've had few consultations with maxfacs and plastic surgeons, where my main concern was old and non-vibrant look. The general consensus is that bimax wouldn't address much of the problem, except partly easing out nasolabial folds. From what I understand, I have vertically descended fat pads in the midface area and a lack of volume in the same place. In order to address these, I'd need to have some kind of facelift, which is a domain of plastic surgery.

Here is what surgeons said:
  • maxfac surgeon 1: too high morbidity for bimax, too young for facelift as it would create "pulled" look. Cheek implant was recommended.
  • maxfac surgeon 2: facelift. Visit plastic surgeon.
  • maxfac surgeon 3: facelift. Visit plastic surgeon.
  • maxfac surgeon 4: bimax+ccw+cheek implants.
  • plastic surgeon 1: deep plane facelift + lower cheek fat pat removal + canthopexy
  • plastic surgeon 2: facelift
did you visit gunson?
 

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