Considering multiple procedures

Brent Moelleken, MD answers: Makeover recommendations for the face?

If I was your patient, what would you do to improve my looks? Carte Blanche.

If you can, please give me two options (with average cost of the procedures): a low-budget and a high-budget route. Thanks!

P.S. The only things I had ever done (almost a year ago) were Botox and Restylane in the frown lines, Juvederm in nasolabial folds, marionette lines and a little in the lips. I took more views but seems I can only post one.


Brent Moelleken, MD
20 days ago

Your best bet is to schedule several consultations with fine surgeons and see what they have to offer.

You are lucky to be on RealSelf, where there are many fine surgeons to pick from.

Your case will be very complex and detailed.  The choices you will make will be dependent on your medical history, your specific goals and the extent of procedures you are willing to undergo.

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A: Unfair and irrelevant question

Robin T.W. Yuan, MD
20 days ago

I do not mean any disrespect, but the question or situation you pose is so common and illustrative of the problems in cosmetic surgery. While seemingly important and specific, the question is actually not the question patients should be asking. What cosmetic surgery should be doing is giving patients the look that they want. This is dependent on what the anatomy is to begin with (since everyone is built differently and looks different) and especially on what a patient wants to look like (what they want to get rid off, diminish, augment,  change, or keep). Cosmetic surgery can do an infinite amount of things in a variety of ways. As I tell my patients, I can turn you into the opposite sex if you wanted. The question is what do you, the patient, want to look like? This takes a lot of analysis, insight, and thinking. Most patients know what they don't want but can't say what they do want.

There is no easy, snap answer.Sit down with yourself and try to determine what will make you happy. Then, go over your thoughts with a sensitive and experienced surgeon. Otherwise, you can look like a thousand of different people depending on the surgeon's personal bias.

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