Angels in the Room - Honolulu, HI
Excellent Care and Results! - Honolulu, HI
I couldn't be happier with my breast augmentation experience. The staff in Dr. Ishii’s office is so skilled, helpful, and friendly. During my consultation, Dr. Ishii instantly made me comfortable. I felt like he really listened to what I wanted. He provided helpful feedback and in the end my results are even more than I could have hoped for. The surgery itself took place at Surgicare. The staff was great and the setting felt very professional. After surgery Dr. Ishii and his staff made me feel very taken care of. If I decide to have any more surgery I will definitely return to Dr. Ishii.
My first BA was performed 12 yrs ago. I had two kids and breast fed both, searched for help to put my breast back to a womanly shape, technology was not as good as it is now so I wasn't able to have much access to reviews and other peoples comments. My consultation went well and the surgeon seemed experienced and caring. Wish I could view comments back then, Anyway I had a BA with a lift in one surgery. The results seemed ok to me at the time although I knew nothing better, but right away I was unhappy with the uneven scar around the areola and noticed that one side the pocket was made too large , well but I had no idea it needed a fix , I just continued on with my life , Sometime later within a year I noticed whenever I flexed or used my arms or anything that involved pectoral muscles, well then it would cause an indent into the breast creating a deformed look , Now the beautiful breast I always wanted had to be hidden due to this deformity. By now it was too late to go back to the doctor and I had already used all my savings for the BA , it would take me years to save again. Meanwhile I had another baby and was able to breast feed with no problems but my breast became worse and more in need of revision surgery, Now I am researching doctors credentials. Reviews and training to find an excellent surgeon to help and do my revision surgery. At one consultation The surgeon said my issues with my breast were too challenging , wow ! How depressing, so I'm still in search , I decided to Email photos and a small explanation of what is wrong to several highly experienced Doctors to see who would be confident to take my case, I got one reply so far and waiting for two more. My goal is to have 3 consultations . BTW the problems I currently have are: bottom out breast, capsular contraction in one, need a lift and repair a bad job on the areola scar in one side , need to repair oversized pocket in one, need to fix the dynamic pectoral deformity which I found from writing Doctors on this sight to be a mal placement of implant ! And need to change out old implants. Please help me pick the surgeon right for me . I will keep you posted. First consult is July 9 th 2014 !! Updated on 28 Jun 2014: I narrowed my search to 3 Doctors all board certified, all great reviews and all over 20yrs experience. If anyone has comments on these Doctors in Hawaii please write about your experience . Dr. Schlesinger, Dr. Lenard Yu, Dr. Wong Updated on 30 Jun 2014: I'm getting discouraged , several Doctors have told me my first BA was basically so bad that my case is going to be a very difficult and challenging one . Man !! I need an experiences capable doctor , preferably in my state !! (Hawaii) Is their any that capably can correct my breast problems and give me beautiful results ?? My first surgeon DEFORMED my breast !!!! Watch out girls !!! Updated on 2 Jul 2014: I'm expanding my search for the right surgeon. I'm open to out of state doctors. I definately want to get this right the FIRST time !! Especially considering cost, time off if work , and probably won't have funds to get another revision !! My God they run sooo high the first time !!!! Updated on 3 Jul 2014: Hey so since I'm military I may get transferred before I'm able to actually have the revision surgery but I'm still going to consult here because it could be that I would have enough time. But I'm keeping my options open to outer states. Everyone's comments about their outcome and Doxtora is very helpful. Updated on 3 Jul 2014: I was stationed in Hawaii twice , first was when I got my initial BA and 12 yrs later I'm here again. Originally from Alabama. Looking for a surgeon who can do a top of the line job on my breast revision. I want an excellent job and all my issues and concerns met with satisfaction hoping if something went wrong within the first few months, The surgeon would correct it. I realize nothing is perfect and not looking for perfection but problems can be corrected successfully with great results if I find the right Surgeon Updated on 3 Jul 2014: It helps tremendously to hear everyone's stories and outcomes along with experiences with named Doctors ! Appreciate this site !! Updated on 3 Jul 2014: I want my revision to be done right the first time. I'm searching for the right Doctor capable and confident and highly qualified to do it right the first time. Needs to be attention to detail, very skilled and precise , an artist . Knowledgeable and cares about his patients. Updated on 7 Jul 2014: Hi everyone ! So I did two more consultations . These were out of state. I did 4 total so far . It's really hard to pick. If I go out of state I have to fly and stay over but still comes out cheaper than the cost in my state. Hmmm What to do , What to do ??? I'm kina scared going to a place I've never been before. And in the back if my mind I'm thinking " How do I really kno that this Doctor is legit ? I mean what if the whole before and after pictures on the site are all fake , or not really his ? And what if I get lost in the airport ? I gotta change planes like 3 times ! Who's gonna go with me ? Then theirs an additional cost for another person !!!! It's cheaper to go by myself but I may have anxiety, it's pretty scary going thru this alone and in a strange place !! What is everyone's thoughts ? But the reason I wanna go is that the Doctor is sooo good! No bad reviews and double board certified, great website, love the results more than any other !!! Top of the line I would say , but right now I can't say who the Doctor is and what state and when I'm thinking of going just for safety security issues !! Wouldn't want some freek following me , sorry but I told u I think about these things ! I should have someone go with me yes ? But then it's a extra round trip airfair !! What should I do guyz ??? Updated on 19 Jul 2014: If I had to pick an out of state PS I would choose Dr. Revis. The reasons being ........... 1. He seems confident and reassuring that he can accomplish my surgery and skilled enough to do an excellent job at it. 2. He appears to consider each patient as a new art work to accomplish precise and beautiful results but at the same time never putting your life in harm. 3. I like that he use to do body surgeries for massive weight loss patients but when insurance no longer covered this he developed a long term internal bra for patients doing breast revision. 4. Most of his surgeries have been breast revisions 5. He seems to take careful planning and consideration to each patients different needs and structure and acts as a scientist evaluating the best plan for the specific needs of each patient to have the best outcome ! 6. He takes great pride in his work. I trust he will make the best choices when faced with a problem durring surgery 7. The office is equipped for many out if town and state patients and easily helps with transportation and hotel recommendations . Updated on 19 Jul 2014: 8.He also has beautiful results on his web page. 9. He specializes in larger implants and performs a long lasting technique to prevent quickly needing them repaired or re- done Updated on 26 Jul 2014: Okay I went on two consults and am trying to soak it in. I had two totally different approaches to my Breast Revision. PS#1 sais : exchange implants thru old areola scar, no need a lift but he will put Seri- Silk in bottom and sides of pocket which will raise fold , then he will fix and re- shape pockets and fill with larger implant using hi-profile. He sais my nipples are in the right position and so I suppose raising the fold will help the droopiness, PS#2 wants to do lollypop lift, gummybear textured implant, and no drains and no seri What's you guyz thoughts ?? Updated on 26 Jul 2014: I found a helpful video on this sight from a PS who addresses pectoral muscle deformity, Her patient had the same thing I have, whenever the patient flexes or uses arms in pushing or pulling , the pectoral muscle would indent into the implant , well it was an easy fix and simple reason why it occurred , it occurred because at the time of surgery the pectoral muscle wasn't released, so if they release the muscle and re- direct it then it should be mostly fixed Updated on 28 Jul 2014: Just got a new flip on this. One PS says this could also be caused by initial surgery error when they created the pocket for implants and had to divide the muscle in the middle part of chest , they split too much, too much dissecting and therefore it could be permanently damaged. Omg ! I sure hope not !! Updated on 28 Jul 2014: The video describing this is from Dr. Lisa Cassileth of Beverly Hills. You can type "Flex Muscle Deformity " or go to her site to see the video. Just thought it would help anyone else whoay also have it Updated on 29 Jul 2014: Why does no one seem to want to bother with this problem ? I found very few surgeons that even know about it ! Thank you for all the great surgeons who have descriptively described how this can be repaired. But now I need to find a surgeon who is familiar with repairing this in my area. I don't want to just do a revision and have the continued dis forming problem when it can possibly most likely be fixed ! This is a terrible problem to live with !! I never had a beautiful outcome from the start ! In Fr. Lisa Cassileths Video on this site and her web site , She says the cause is that the pectoral muscle becomes over released at time of surgery, as the breast drops the deformity gets worse. This happens in 5-10 % of patients. The muscle floats up to a higher position and attached itself to skin or tissue instead of the sternum , To Fix it; Put pec muscle back into a normal anatomically position, then if changing implant then place new implant ! Okay so any surgeons in Hawaii experienced in this ? Is it hard to do ? Why do some Ps wanna avoid trying to fix this ? Do they just wanna shove an implant in you and be done ?? Where are the fantastic Doctors ?? Besides the Brave and confident Dr. Chu , Who else ? I give him a lot of credit for wanting to help. I can't wait for my consultation . Updated on 29 Jul 2014: Thank you Dr. Jeffery Zwiren of Atlanta, he says to correct pectoral muscle deformity it requires a re- operation and release of the pectoralis muscle along the lower medial pole of the breast, This would decrease the problem, also the facial bands can be released as well that are creating the crease. Updated on 29 Jul 2014: Ugh, This is really stressful thinking about what the PS#1 wanted to do, by putting in the Seri Silk material, I've heard that it can cause infection in some and what if my body rejects it and I don't want to be sick and have a bad infection !! That could really interfering with my life and work and relationship!! I'm stressing that the Doc doesn't really care about me as an individual and I'm just another piece of meat to chop up on the surgery table, The PS seems so extremely busy I don't think he'll remember anything I say let alone my name !! I'm not sure about him !! It was the weirdest consultation I ever had, I seriously thought he may have been on drugs, or didn't sleep for a couple days but he didn't talk right , not sure if I'm just tripping out and thinking too much but I'm scared. Updated on 29 Jul 2014: Well being that's how I feel about PS #1 , I'm definitely going on one more upcoming consult and that is with the Brave and Bold Doctor Benjamin Chu. I hope he's familiar with fixing what my first surgeon did to deform me. My pectoral muscle was cut and left instead of re- attached , and floated up into the implant pocket and attached itself to other tissue, so now it needs to be re- attached back into a anatomically position which I think it's suppose to be attached to the sternum. I wonder why few Doctors know about this or how to fix it. Do they only cut things but not repair them ? I really hope I get someone to help me!! I feel so terrible living with this deformity. Updated on 31 Jul 2014: Had a consult with a top DPS in my state, He was very personable and knowledgeable , I like his results and feedback, super nice and helpful staff. He examined me and suggested hi- profile saline and says he can move the pectoral muscle back to the right place, honestly he told me their would still be a little indentation problem when flexing but it will be a lot less and muscle back where they belong !! Oh I really really truly hope so !! Updated on 31 Jul 2014: A top PS Updated on 1 Aug 2014: Next , I'm going to see Dr. Benjamin Chu , I'm excited and thinking he can help me. He has a really good review and awesome results. He's done great work on repairing other Doctors mistakes. Highly recommended. Updated on 1 Aug 2014: The PS I met does a endoscopic type breast surgery for less bleeding and pain. I really like that, He uses a small camera, He said he has no problem with doing a bigger size implant, He does most his incisions thru the armpit but will do thru Areola since that's my last incision site. He believes in smooth round implants for several reasons, says it provides a more natural look, and I don't remember why else, ( too much to think about ) He also uses Seri like the other Doctor, but This Doctor seems highly qualified and more professional. I might need it since two PS suggested it , but it does scare me. But I'll have more discussions about it and research. Updated on 1 Aug 2014: I'm deciding to end my review for now. This site was helpful and I appreciate all the support and encouragement , However I have a busy schedule ahead. So far I would like to say thank you to two outstanding top Doctors : In my search I have decided and recommend Dr. Larry Schlesinger and Dr. Benjamin Chu for surgery in Hawaii . I will update my profile with the PS I chose in a few months . Thank you to everyone here and wish you all success in your journeys Updated on 18 Aug 2014: Hey everyone ! I scheduled surgery for November ! I'm just gonna go for it. ! Chose a PS with 30 yrs experience, yet is up to date on current techniques, he's had great reviews and I actually talked to a couple patients of his by phone, I found them on here and they offered to private message each other so we could talk confidentially, That was a really good idea, I would recommend doing that for someone who like me is very nervous about choosing the right PS, but it wasn't just that, He uses a proceedure similar to laparoscopy , with a tiny camera when doing surgery to lessen scarring and for better recovery and hopefully less pain. But I do need a lot of stuff done to repair what my first surgeon did wrong and things that need to be fixed just due to length of time so I expect pain and It's kina scary, but gotta do it ! My surgery is gonna be 6 hrs . WOW ! That's a lot , OMG I hope I don't die or have a bad complication or a deadly bacterial infection ugh ! I'm free king myself out and gotta think positive, I'll sure need everyone's help when it gets closer, So I'm working a lot to pay for the remaining amount due ! It's getting tighter and tighter, haven't had much time to work out, what can I do ? I need to work to pay the balance but now I have no time to work out, I want my body to look fantastic for my boobs ! If I have too much weight on surgery date then loose it after, it won't work cuz then my boobs will have loose skin, so I have to loose NOW ! At least 10-15 lbs would be good. I've only got 3 months to go ! Okay so If I think of my end results that I want and all the $$ I'm paying which this is costing me about 13,500 total!! Well then I think I better get my butt up early and do my Workout ! Especially now I can run before I get my new boobs! ! At least I don't have to now worry bout ruining them cuz their already ruined !! Ha ha ! But , how many days a week should I work out ? Remember I'm working super long days to make $$ for the rest of my surgery cost so I'm also tired !! Well so I think I'll start with 4 days a week and that will give me energy and when it does I'll increase !! Oh and I'm good on diet, I'm doing a no sugar natural whole foods only diet, That should help with energy too ! Man! The things we gotta go thru just to look and feel good !! But I gotta remember how happy I will be in the end and keep in mind my wish pictures !! So , can I do it ?? Make enough $$ working long hours , eat right and work out without getting burn out ?? I say YES !! As long as I eat healthy and the exersize should eventually help with energy !! Cheer me on everyone !! It's a hard road ahead these next 3 months !! I'll also take b4 and after pictures later ! Updated on 19 Sep 2014: I'm still here, just checking in. Been really buisy working working and working !!! I got 1 & 1/2 months more to go !! I amaze myself at how I'm earning all this in such a short time ! Good old fashioned HARD Working Girl !!! Thank God I have good health to do it !! Updated on 19 Sep 2014: Eating healthy has definately increased my energy, don't feel sluggish at all ! Updated on 26 Oct 2014: I'm getting excited !! My pre-op is this week !!! Then Surgery in two weeks after that !!! Wow , I see such amazing results from Girls here, I hope my results turn out amazing too !! I waited years for this revision and worked really hard doing extra work to pay for it !! Also my revision total cost is about $14,000 !! So it better be top quality and no further revision or fixing after !!! This doesn't include airfare cost to fly to and from the island my PS is on !! And also hotel cost and rental car cost !! That adds up to probably another 3,000 !!! I need advice on good questions or statements for my PS when I go for my Pre- Op, I want him to listen and take notes about what I want so theirs no assuming or guessing !! I really need these fixed right !! Updated on 1 Nov 2014: A cancellation happened and I'm getting surgery sooner than expected !! I'm excited !! Updated on 2 Nov 2014: November 4 Updated on 4 Nov 2014: Oh no (: The nurse called to tell me they had an emergency and were super sorry but had to put off my surgery until next week. I can't believe it ! I was so ready (: But they are paying my flights for the inconvenience ! That's good ! Well girls, it looks like we gotta wait another week , I will update then Updated on 11 Nov 2014: Hey girls , I did it ! Had surgery 11/10/14 !! One day post op today ! I was the last patient ! Surgery started at 5pm , about 4 hours. The staff at the surgery center were all super caring and professional ! They were not fake !! I have a good sense of people's sincerity and all were sincerely caring ! I really needed that ! Well and now about the surgery : Surgery: I finally now know what caused my pec muscle deformity , and what my original surgeon did wrong. My original surgeon didn't stitch my pocket well enough and the implant tore through the muscle, over time it got worse to the point that my muscle was shredded and needed to be reconstructed ! Wow ! And my Doc did it !! Also on the other side the muscle had to be put back to the correct place to correct the muscle deformity in that side . This too was done wrong by original PS !! I'm sooo super glad I picked this surgeon ! He is so skilled and has a lot of experience ! He often fixed what other PS messed up !! Because they had to re- Construct the muscle on one side and repair the massive tears , that side is really sore ! I'm not missing a dose of pain meds ! The side that wasn't sore but needed to re- attach the muscle back to the right place , that side has no pain at all ! I told Doc to put in the size that would fill all the skin since he said I didn't need a lift again, I had one at original surgery and it kept good this long, so guess how much he put in girls ?? Updated on 11 Nov 2014: I needed alot of repairing done and a lot of work so their is major bruising under vest . Updated on 11 Nov 2014: Ok here they are , all bandaged and bruised with drains . This does not reflect final results ! It's gonna take time for fluffing and rid of bruises , drains etc.. I needed a lot of repair work because of first PS whom messed them up Updated on 14 Nov 2014: Some changing , super worried about everything though ! They have lots of bruising . Updated on 15 Nov 2014: Well my PS put me at ease , he said all is healing well , breasts are soft and almost symmetrical , he said the side with all the repairs . Updated on 17 Nov 2014: I'm not happy ! Updated on 17 Nov 2014: Bruising is fading , worries about symmastia and do they need more support ? What do you think ? Updated on 17 Nov 2014: Updated on 17 Nov 2014: All us girls know what a roller coaster ride this can be on our emotions ! After surgery you wonder a million things !! Will it all turn out okay ? Worry is my enemy ! I waited a long time and I want it all to turn out fantastic !! That's all !! I been through a lot and a long journey ! My healing will take longer than most due to the repairs needed, I hope I don't have symmastia !! Or any other problems !!! Really really really hope it all turns out fantastic !! Updated on 20 Nov 2014: Just an update, I stopped pain meds after about 4 days post op, no pain but I do have a lot of bruising. Today I just noticed a new bruise under my stitches, not sure what this means. I carefully went back to work today but I was super cautious and I used my back muscles a lot to compensate and now my back hurts . I'm still using Arnica Montana pills and cream for bruising. I was told to take deep breaths every so often to keep the lungs clean and moving and to prevent any kind if sickness. I'm still a little more easily tired , so I can tell I need more rest and much more time for healing ,I wouldn't do anything strenuous , that's for sure and I'm trying to take it easy and rest when I can. Updated on 27 Nov 2014: Post 17 days. I notice a small difference in that breast are a little less close than initially. Bruising is gone, breast feel sooo much better with silicone verses saline. Their not even heavy feeling. Actually I think the saline 400cc felt heavier than these 750 silicone. I feel great physically and got the okay to begin working out. Only no weights for upper body yet. I'm glad not to be easily out of breath like in the first week. I have no pain, got stitches out, internal stitches still need time to dissolve . I would suggest not to go back to work until minimal of 12 - 14 days ! I went back 9 days and it was tooo early ! My back hurt for compensating for trying not to use my chest muscles ! Also I found my daily duties putting me in situations that caused me to have to pull, push, stretch and lift very light things but due to that I wouldn't recommend going back to work until 14 days depending on your type of surgery and individual situation and your PS orders. But for me and the type of surgery I had , I would recommend not going back to work until post 14 days. Updated on 27 Nov 2014: Updated on 4 Dec 2014: Hi, it looks like my left breast dropped and now they match ! I'm liking the cleavage more, I had to get use to it and I notice the tenting of the skin in the middle is a lot better and I'm sure it will continue to completely touch my chest wall. I'm about 3 1/2 weeks Post op here. My measurement across the middle if my breast is 37" and under my bust is 30" so I think I actually gained an inch back on my size. Yeah for me !! Updated on 8 Dec 2014: Man I'm so disappointed ! Didn't my PS know that my breast would be too close ? And my skin in the middle is floating up and I feel that I have to push it down before I it touches my chest. Gosh I would think you can tell by just examination that this is not good. Why me ?? Again ? I feel my breast are not really seperate and when I wear a bathing suit top or bra, the breast don't go in the two cups cuz they're too much tward the middle ! Man I had sooooo much repairs done and I don't want to re- do it ? Why couldn't it all be okay like it is for many others ? I thought my PS was talented enough to pre- calculate for this . Is this a form of dynasties ? Updated on 9 Dec 2014: Hi everyone , Guess I was worrying too much due to the internet ! But PS today sais it's impossible to have symmastia , so when he did the surgery he did something to be sure, but I forgot what he said ha ha , sorry , it's cu I was asking so much questions. Anyway he said I had a little extra skin between prior to surgery and he's right, I remember that, so that's all it is and it's not tenting . That's why it's good to check and ask your PS . He said many would die to have my cleavage !! I'm just not use to it, and if course he also said if I'm not happy he can give me a small gap between the two breast if it really bothers me but have to wait 6 months. What do you all think ? Maybe I'll post more pictures soon so I can get a variety of opinions. Should I move them just a little but apart or leave them ? Updated on 13 Dec 2014: Updated on 20 Dec 2014: Hey, can I start a new review under tummy tuck ? Hey Beth, where are you ? Updated on 25 Dec 2014: I been wearing thing bra to help the tenting between breast. PS thinks it's just a little swelling and the bra will help until it fully heals. I do feel the bra helps lay the skin down flatter between the breast. It's irritating to wear but I know it's helping. Anyway it seems longer but I'm only 6 1/2 weeks post. Any difference ? Updated on 25 Dec 2014: Updated on 7 Feb 2015: Updated on 13 Feb 2015: What do you guyz think ? Updated on 15 Feb 2015: Here's a picture example of the space and definition I was wanting. Do you see how her chest in the middle is flat and attached and how her breast are definitely two separate ! I'm including several picture examples Updated on 15 Feb 2015: This picture has closeness but they still look okay because they are symmetrical and placed evenly behind the areola . Updated on 15 Feb 2015: Look at these photos! Evenly placed ! Definition, Some are close yet the skin in the middle is still flat to the chest ! It still can look good with large implants if they are placed correctly and proper measurements were taken of the chest for a good fit ! Updated on 16 Feb 2015: Look at all the good results !! There is NO reason why I can't have good results too but I don't !! My friends all has BA and look great !! Did my PS forget about me ?? Am I going to be swept under the rug ?? I feel terrible !! My breast are ugly !! I hate them !! Updated on 16 Feb 2015: Hey Realself friends ! If you had a great symmastia repair or know of a great surgeon who is really great at Revisions , Please list their name here. Thanks. Updated on 16 Feb 2015: Removed pictures ! Updated on 16 Feb 2015: Okay , so two other PS said I have symmastia but my PS and another said I don't so it's 50/50 ! I think probably my PS would kno best . Anyway all this is driving me nuts !! I'm gonna forget about all this for awhile and go to the beach and the gym and take care of myself !! Wish I could erase this whole page but it's non erasable !! Their just thoughts at the moment ! Please don't assume anything that I said cuz I'm not even sure what to think !!! Updated on 17 Feb 2015: Updated on 17 Feb 2015: Updated on 17 Feb 2015: Updated on 18 Feb 2015: Updated on 18 Feb 2015:
Simple breast lift without augmentation, auréola reduction. Dr Ichii was an expensive disaster! Lift is recommended when breasts hold pencils under the fold. When closing, Dr decided to liposuction my breast because” one was smaller”!!!, He left me a hole under my breast. Result was 1) breast sizes different (cause now he overcorrected), 2) both auréola different sizes 3) auréola different shapes 4) both breast dripped and holding multiple pencils, as a lift never happened! 5) a weird sunken hole under my right breast. He tried to convince me it would change within 6 months. Shame
Your post suggests that your brow tissues are naturally low. I agree that a browlift at your age is not indicated. Creation of a taller fold with minimal skin excision will expose more of the fold. Seek a consultation with a surgeon who has a lot of experience doing Asian blepharoplasties.
The large pores may respond to a retin-A based skin program and possible nonablative laser to follow. Deep nasolabial folds at a young age suggests loss of volume combined with early loss of elasticity in the skin. The above retin-A program can firm up the skin and I would start with this modality. If the nasolabial folds remain deep then you may consider soft tissue fillers.
The larger blue veins can be treated by surgical removal or laser. The dark color under the eyes is due to pigment in the skin itself as well as the thin transparent nature of the skin in this area. This darkness is very difficult to treat and may persist. Until we have a better answer to this problem I would recommend camouflage with cosmetics. Finally, the sunken look around the eyes may respond to soft tissue fillers or fat grafts.
Luiposuction is very safe when performed by surgeons who know what they're doing. However, liposuction is not a substitute for weight loss. In you case, it would be better to first manage your weight with diet and exercise. Once you have achieved a stable weight that you can maintain for the next 10-20 years then you may be a candidate for liposuction.
I doubt if a laser treatment(s) can correct this problem. Lasers have only a very limited ability to shrink skin. If it continues to bother you then I suggest that you discuss this with your surgeon. The neck portion of your face/necklift may need to be repeated.
