anonymous57

Radiesse for Increase in Cheek Volume - San Francisco, CA

I am an independent cosemetic consultant with no affiliation to any ps. I have also had a FL and can relate to a lot of comments here. Doing your research is so
Important as is having realistic expectations. Having said this you still maybe unhappy with your results. As I am. There is a fine line between natural and not tight enough. Be sure to discuss this with you ps surgeon,
I do private confidential consults, and follow- up coaching to help make your post-op journey more pleasant. You can contact me info@ niptuckcoach.com or go to my website.

I am still on the fence as to what I will do, having second thoughts as to whether or not my surgeon can actually give me the results that I expect. This is based on what I understand that he will be doing on a revision versus a second opinion with another surgeon.

If money was not an object- i would have my revision done by the PS whom I went to for a consult on my revision. However, the thought have spending another $10,000 +on a revision is quite disturbing.

Getting in writing exactly what my surgeon is planning on doing is a good idea.

I definitely want to have a revision, however, I need to have clarity with my decision.

MY PS has agreed with my assessment regarding the laxity of my neck. Now I have to decide if I want him to do my revision. As long as I am very clear with him what I expect and if he feels confident that he can deliver than I will probably have him do my surgery.

Here is something I recently read:
It may help you in discussing this issue with your surgeon. My neck is sagging already as well...
and now I know that my surgeon did not go deep enough to produce the results that I wanted.
This angers me - since if he did not know how to do this surgery- then he should be held accountable for not telling me. I guarantee that if I walked into his office today, for a consult he would tell me that I need a neck-lift.


By Michael Law, MD - Raleigh-Durham Plastic Surgeon. Producing a level and youthful contour below the jawline often requires treatment of the soft tissues that are deep to the subcutaneous fat layer. Through a small, hidden incision below the chin the subcutaneous fat layer is thinned, delineating the anatomy of the platysma muscles which form the two parallel anterior neck ‘bands’ in many patients as early as their forties. The anterior borders of the platysma muscle can be sutured together in the midline of the neck, permanently eliminating the platysma bands and creating a sling effect which lifts and supports the neck soft tissues. This procedure is called a ‘platysmaplasty’. In some patients a prominent fat pad exists deep to the medial border of the platysma muscles which cannot be reduced by liposuction, and if necessary it is directly reduced prior to platysmaplasty to further improve the submandibular contour.

I have since had a second opinion from one of the top PS in my area, who specializes in FL.

To my dismay, he has informed me that my surgeon did not go deep enough into the neck layer. He further told me that I only received a superficial neck lift.

This is quite disturbing since I was very specific with my surgeon as to what I expected from my NL. There is no way he dissected my bands and sewed them back together. I do not want my surgeon to reform a re-do now that I know his skill level will not give me the results that I know are possible.

I am not sure what I am going to do- as a re-do with another surgeon is costly. I should not have to pay another surgeon to fix what my PS did not do.

To be quite frank- I am very angry about this. Plus my PS has not responded to my concerns..

I will keep you posted.
What I learned from this .. ask lots of questions to make certain your surgeon has the skills to preform the surgery that you want. It takes a very skilled surgeon to tighten the neck the right way. There should be no residual laxity, if the surgeon goes deep. It is not about lipo suctioning the fat. it is about going deep into the muscle layers to tighten them up to where they used to be, like a sling. I should not have any bands showing or looseness.
My neck did not have sever sagging, nor was it full.

Stay tuned...