Surgeon recommends eyebrow botox for UEE, cheek fillers for eye bags. Bullshit?

[gymmaxxer1234]

I want to reduce UEE and and the "bag under eyes" tired look.

A highly-rated local surgeon told me I'm too young for any kind of invasive surgery, and strongly recommended filler and botox:
- Botox around the eyebrow area to lower the eyebrows a bit, reducing UEE.
- Cheek fillers, to improve overall look and reduce "bag under eyes" effect.

The cost would be around $1500 for 3-4ml filler and 1-2ml botox. Effect would last for around 1-2yrs.

Is this a reasonable plan? Or is the surgeon full of shit?
I'm really skeptical that cheek fillers will fix the "bags" and that botox will make a significant difference to UEE.

 

[Deleted member 29167]

jfl

@RealSurgerymax @julianchicago surely all he needs is botox

 

[exeter]

View attachment 2803382

I want to reduce UEE and and the "bag under eyes" tired look.

A highly-rated local surgeon told me I'm too young for any kind of invasive surgery, and strongly recommended filler and botox:
- Botox around the eyebrow area to lower the eyebrows a bit, reducing UEE.
- Cheek fillers, to improve overall look and reduce "bag under eyes" effect.

The cost would be around $1500 for 3-4ml filler and 1-2ml botox. Effect would last for around 1-2yrs.

Is this a reasonable plan? Or is the surgeon full of shit?
I'm really skeptical that cheek fillers will fix the "bags" and that botox will make a significant difference to UEE.

st. bo2cel levels of shit eye area

 

[gymmaxxer1234]

st. bo2cel levels of shit eye area

I am aware, please help me improve it. Don't wanna drop $1500 for zero visible effect or botched looksmin

 

[Deleted member 47699]

Infra + supra implants, then do soft tissue surgeries.

 

[gymmaxxer1234]

Infra + supra implants

That'd be ideal, but I'd like to avoid invasive surgeries and travelling to LA for Taban if possible... Do you think fillers/botox would be a complete waste of time, or is there any hope of a decent improvement (even if not as significant as implants)?

 

[RealSurgerymax]

View attachment 2803382

I want to reduce UEE and and the "bag under eyes" tired look.

A highly-rated local surgeon told me I'm too young for any kind of invasive surgery, and strongly recommended filler and botox:
- Botox around the eyebrow area to lower the eyebrows a bit, reducing UEE.
- Cheek fillers, to improve overall look and reduce "bag under eyes" effect.

The cost would be around $1500 for 3-4ml filler and 1-2ml botox. Effect would last for around 1-2yrs.

Is this a reasonable plan? Or is the surgeon full of shit?
I'm really skeptical that cheek fillers will fix the "bags" and that botox will make a significant difference to UEE.

jfl

@RealSurgerymax @julianchicago surely all he needs is botox

Yes bullshit.

You need implants

 

[gymmaxxer1234]

Yes bullshit.

You need implants

View attachment 2803885
View attachment 2803883

Damn. I was really hoping I could avoid invasive procedures.

Is this also bullshit? Apparently it's done only with fillers, looks amazing though

 

[Deleted member 47699]

That'd be ideal, but I'd like to avoid invasive surgeries and travelling to LA for Taban if possible... Do you think fillers/botox would be a complete waste of time, or is there any hope of a decent improvement (even if not as significant as implants)?

Fillers in that area migrate hard and don't hold for long, botox is a no go imo in that area. I'd rather do a fat graft which holds up for 10 years, it's also risky but it has the better value for your money. optimally u'd need implants

 

[gymmaxxer1234]

@RealSurgerymax you design custom infraorbital implants right? Do you have any surgeon in Italy or western EU you work with? Can it be done with local anesthesia?

 

[RealSurgerymax]

@RealSurgerymax you design custom infraorbital implants right? Do you have any surgeon in Italy or western EU you work with? Can it be done with local anesthesia?

Yes I invented the style that makes results like this, this are my case designed by me:

No local anesthesia. General Anesthesia for this. Yes I work with a surgeon in Italy, Dr Pagnoni he is excellent.

 

[Roge]

@RealSurgerymax you design custom infraorbital implants right? Do you have any surgeon in Italy or western EU you work with? Can it be done with local anesthesia?

Local anesthesia for cutting your face open

 

[gymmaxxer1234]

Yes I invented the style that makes results like this, this are my case designed by me:
View attachment 2804736View attachment 2804738

No local anesthesia. General Anesthesia for this. Yes I work with a surgeon in Italy, Dr Pagnoni he is excellent.

Can we talk in private or something to discuss costs/travel?

 

[gymmaxxer1234]

Local anesthesia for cutting your face open

I am fucking terrified of general anesthesia, dunno why

 

[RealSurgerymax]

Can we talk in private or something to discuss costs/travel?

Dm

I am fucking terrified of general anesthesia

It’s much safer under general. The depth for implants isn’t too deep

 

[lookmaxxer998]

View attachment 2803382

I want to reduce UEE and and the "bag under eyes" tired look.

A highly-rated local surgeon told me I'm too young for any kind of invasive surgery, and strongly recommended filler and botox:
- Botox around the eyebrow area to lower the eyebrows a bit, reducing UEE.
- Cheek fillers, to improve overall look and reduce "bag under eyes" effect.

The cost would be around $1500 for 3-4ml filler and 1-2ml botox. Effect would last for around 1-2yrs.

Is this a reasonable plan? Or is the surgeon full of shit?
I'm really skeptical that cheek fillers will fix the "bags" and that botox will make a significant difference to UEE.

JFL, nah don’t use the filler and botox cope. You need supras

 

[lookmaxxer998]

Yes I invented the style that makes results like this, this are my case designed by me:
View attachment 2804736View attachment 2804738

No local anesthesia. General Anesthesia for this. Yes I work with a surgeon in Italy, Dr Pagnoni he is excellent.

Pagnoni said saddled infras don’t go beyond the orbital rim, then what exactly is the difference between saddled and non-saddled?

 

[viniciussdc]

View attachment 2803382

I want to reduce UEE and and the "bag under eyes" tired look.

A highly-rated local surgeon told me I'm too young for any kind of invasive surgery, and strongly recommended filler and botox:
- Botox around the eyebrow area to lower the eyebrows a bit, reducing UEE.
- Cheek fillers, to improve overall look and reduce "bag under eyes" effect.

The cost would be around $1500 for 3-4ml filler and 1-2ml botox. Effect would last for around 1-2yrs.

Is this a reasonable plan? Or is the surgeon full of shit?
I'm really skeptical that cheek fillers will fix the "bags" and that botox will make a significant difference to UEE.

Actually, boyo, only botox and fillers could help you, at least temporarily. Check out this American plastic surgeon below and attached is one of his most recent works:

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[RealSurgerymax]

Pagnoni said saddled infras don’t go beyond the orbital rim, then what exactly is the difference between saddled and non-saddled?

Someone misunderstood

 

[longjohnmong]

If you're really young, you might as well give just the botox a shot. You can get it cheaper than $1500 surely.

 

[gymmaxxer1234]

@RealSurgerymax @etc

So I had a video consultation with Dr. Graziani. He mentioned that fillers/botox are not a good option for my anatomy, and that he strongly believes that some minor surgical procedures done under local anesthesia would be the best option for me.

He specifically mentioned that upper eyelid fillers to reduce UEE would not work well on me. He also said that implants would be unnecessarily invasive/risky in my case, and that for under-eye support he would recommend either filler or fat grafts.

Needlessly to say, this seems a much safer option than going under general anesthesia and getting implants. Graziani's results are also extremely good (, , https://looksmax.org/threads/i-found-a-great-eye-surgeon-in-italy-europe.488260/).

He also mentioned that the whole thing would cost no more than €10000.

I will have to fly to Turin/Milan once for an in-person consultation, then fly again for the surgery, then once again to remove sutures.

I know this goes directly against your own interests, but do you think this plan is reasonable? I'd much rather do this compared to getting implants and having a more invasive surgery being done on me.

I'd rather have a decent eye area improvement with fewer risks rather than a radical transformation with higher risks. Just want to know whether Graziani's suggestions make sense before I pull the plug

 

[PrimoMaxxer]

He also said that implants would be unnecessarily invasive/risky in my case,

In what cases would the risk be appropriate then lol.

 

[gymmaxxer1234]

In what cases would the risk be appropriate then lol.

He said that he could get a good result without needing implants, basically that the ROI for implants wasn't worth it given my anatomy.

 

[RealSurgerymax]

@RealSurgerymax @etc

So I had a video consultation with Dr. Graziani. He mentioned that fillers/botox are not a good option for my anatomy, and that he strongly believes that some minor surgical procedures done under local anesthesia would be the best option for me.

He specifically mentioned that upper eyelid fillers to reduce UEE would not work well on me. He also said that implants would be unnecessarily invasive/risky in my case, and that for under-eye support he would recommend either filler or fat grafts.

Needlessly to say, this seems a much safer option than going under general anesthesia and getting implants. Graziani's results are also extremely good (, , https://looksmax.org/threads/i-found-a-great-eye-surgeon-in-italy-europe.488260/).

He also mentioned that the whole thing would cost no more than €10000.

I will have to fly to Turin/Milan once for an in-person consultation, then fly again for the surgery, then once again to remove sutures.

I know this goes directly against your own interests, but do you think this plan is reasonable? I'd much rather do this compared to getting implants and having a more invasive surgery being done on me.

I'd rather have a decent eye area improvement with fewer risks rather than a radical transformation with higher risks. Just want to know whether Graziani's suggestions make sense before I pull the plug

Don't ask a Ferrari dealer which BMW to buy.

 

[PrimoMaxxer]

He said that he could get a good result without needing implants, basically that the ROI for implants wasn't worth it given my anatomy.

If he's saying the ROI isn't worth it for you idk who it would be worth it for.

 

[Marelago]

10k usd for eyelidsurgery is an astronomical price. I studied the surgical outcomes from Graziani. And my conclusion is that the patient had only minor flaws on the eyelids to correct.
The mentioned hunter eyes failed in his surgical intervention on all patients. To archieve hunter eyes is not so easy only doing some upper lower eyelid adjustment. Most patient need Orbital decompression to archieve this.
And the pre post surgery photos are misleading with other light angles make up etc. I don't think Graziani will improve your eye region drastically. It would be maybe in best case a 10 percent improvement. You have weak eye support and a bit protruding eyes. The elegant method to resolve this problem is with orbital decompression setting back your eyeballs. so your infraorbital rims will be more forward (without doing a thing on them). And also your upper eyelids will be less exposed.

 

[gymmaxxer1234]

10k usd for eyelidsurgery is an astronomical price. I studied the surgical outcomes from Graziani. And my conclusion is that the patient had only minor flaws on the eyelids to correct.
The mentioned hunter eyes failed in his surgical intervention on all patients. To archieve hunter eyes is not so easy only doing some upper lower eyelid adjustment. Most patient need Orbital decompression to archieve this.
And the pre post surgery photos are misleading with other light angles make up etc. I don't think Graziani will improve your eye region drastically. It would be maybe in best case a 10 percent improvement. You have weak eye support and a bit protruding eyes. The elegant method to resolve this problem is with orbital decompression setting back your eyeballs. so your infraorbital rims will be more forward (without doing a thing on them). And also your upper eyelids will be less exposed.

Did you end up having any surgery in the end? Anyone you could recommend?

 

[Marelago]

No i haven't surgery yet I'm figuring out if OD is appropriate in my case. Because I have lifted brows and assymetrical eyelids that could give the impression that my eyeballs are protrudet. So i will go to another oculoplastic surgeon in may and than I will decide.

But your case is different than mine. You have clearly protrudet eyes and eylidsurgery canthoplasty, rim implants would do only a slight improvement if any. Go to Bernardini.

 

[gymmaxxer1234]

This is the reply I got from Taban, but no way I'm travelling all the way to BH. Was curious...

Dr Taban reviewed your photos. Yes, he can help you. He states several procedures can be considered including upper eyelid filler injection, orbital decompression, and infraorbital rim implant. The fees range from $2000 (filler) up to $35K if you do everything. It is best to have a more detailed evaluation and discussion during an online/virtual consultation to determine. The fee is $500, credited toward future procedure.

Please let me know if you want to schedule an appointment.

 

[gymmaxxer1234]

Bernardini's reply:

“Può considerare una blefaro superiore con abbassamento della piega superiore per coprire la palpebra esposta
con lipofilling del solco superiore
8.000,00€
+ blefaro inferiore trans-congiuntivale per elimare borse e occhiaia
8.000,00€
se pacchetto completo 13.500,00€”

Translated to:

"You can consider a upper blepharoplasty with lowering of the upper eyelid fold to cover the exposed part of the eyelid
with lipofilling of the upper groove
8.000,00€
+ trans-conjunctival lower blepharoplasty to eliminate bags and dark circles
8.000,00€
if you get the whole package it's 13.500,00€"

Thoughts?

 

[Foreverbrad]

I had Botox brow drop, it’s got dual benefit of reducing UEE and eliminating forehead lines.

It will only reduce UEE by 2-3mm on its own. In my case.

 

[Mrxshmallow]

Bernardini's reply:


Translated to:


Thoughts?

How you contacted bern?

 

[CopeTilliRope]

Don't ask a Ferrari dealer which BMW to buy.

man do you know any way to reduce a log midface with a person with no gummy smile and also a long philtrum you would litteraly save my life been harassing french surgeon for years . thanks

 

[gymmaxxer1234]

How you contacted bern?

Paid for a remote photo/video analysis. His secretary can give you info

 

[gymmaxxer1234]

I had Botox brow drop, it’s got dual benefit of reducing UEE and eliminating forehead lines.

It will only reduce UEE by 2-3mm on its own. In my case.

DM'd

 

[Mrxshmallow]

Paid for a remote photo/video analysis. His secretary can give you info

How much it costed?

 

[gymmaxxer1234]

How much it costed?

~60 EUR

 

[RealSurgerymax]

man do you know any way to reduce a log midface with a person with no gummy smile and also a long philtrum you would litteraly save my life been harassing french surgeon for years . thanks

Yes. Get in line for a consult pls and be patient

 

[CopeTilliRope]

Yes. Get in line for a consult pls and be patient

no way i thought it was absolutely physically impossible . i consulted every major maxfac in france sorry to disturb you but how? do you manage to impact the midface and reduce soft tissue too ?

 

[Mrxshmallow]

~60 EUR

Only 60? Lmk when it can be done like how many months wait?

 

[kgizzla]

All I've seen in my research is that fillers made eyebags worse. I've only seen positive results with blepharoplasty, a little bit more expensive but they last a lifetime.

 

[valhalar]

Yes I invented the style that makes results like this, this are my case designed by me:
View attachment 2804736View attachment 2804738

No local anesthesia. General Anesthesia for this. Yes I work with a surgeon in Italy, Dr Pagnoni he is excellent.

Do supraorbital implants always require further advancement of the forehead? Basically I already have a prominent male forehead, just want to get supras slightly lower down. Can you do this without making the lower forehead more prominent?

 

[valhalar]

He also mentioned that the whole thing would cost no more than €10000

Why the hell should filler in the eyes cost 10,000 euro?

 

[Sodoku]

Yes bullshit.

You need implants

View attachment 2803885
View attachment 2803883

Orbital decompression v implants. Which would you go for?

 

[idkwhattoputhere]

I had Botox brow drop, it’s got dual benefit of reducing UEE and eliminating forehead lines.

It will only reduce UEE by 2-3mm on its own. In my case.

where did they inject? I’m thinking of doing my own brow botox and UEE filler

 

[Foreverbrad]

where did they inject? I’m thinking of doing my own brow botox and UEE filler

Essentially two straight lines of dots across the forehead.
I’m not saying it was the best job possible.

 

[Foreverbrad]

Do supraorbital implants always require further advancement of the forehead? Basically I already have a prominent male forehead, just want to get supras slightly lower down. Can you do this without making the lower forehead more prominent?

I asked Pagnoni and it was a no. This was for small implants with an upper eyelid incision rather than full width implants with a coronal incision. Best he could do was implants with minimal thickness 1-2mm but plenty of drop down. I think this is because the fixation screws location can’t/shouldn’t be inside the eye orbit.

@RealSurgerymax maybe could design something? You’re not the only one with this concern.