BL, Upper Bleph, Dr Harley - Asheville, NC

I guess it's ok. Disappointed. After swellling subsided, my face looks thinner and I have some jowling. Dr Harley injected 2 syringes of Voluma (1 per side of face) to help fill it out. I will need more. Cost $1860 (that's including 30 units of Botox for crows feet and to lift tail of brow). I was hoping I would not need fillers after the surgery. My neck looks great, just a small amount of loosening. My eyes healed well. Thx for asking.

Thank you so much for posting... it's so helpful when considering the procedure to see other reviews. I am on the young side for a face lift too - 47. My face is also thin. Your last post implied that you are dissatisfied with your results. I'm constantly weighing the pros and cons of an early face lift. On the plus, my skin is (hopefully) younger and more elastic and I prefer the idea of taking ten years of 46 vs 56 :). Also, I had kids later, so I'd love to look and feel younger for my 4 year-old daughter. However, I also have longer to lament a bad decision. I'm scheduled for a consult with Dr. Harley in June and seeing your less than glowing review gives me pause. Can you please elaborate on your overall pleased/regret ratio? I'm so confused as to how to proceed and data points such as yours are very meaningful and sincerely appreciated. Did the filler solve the asymmetry? Is the asymmetry a result of the surgery (one side falling after the imbrication vs. the other) or a matter of genetic fat location pre-surgery? Do you wish you had never done it? Or are you glad you did it but wishing it were better? Do you feel self-conscious about the results, or overall pleased? I hope this isn't too personal, but this anonymous board is the absolute best place to discern honest results. Thank you so much for helping those of us coming after you!!!

Hi, Lisa. Dr Harley did my BL last year. I was 53. Overall, I am pleased, especially with my neck results. Dr Harley has injected 4 syringes of Voluma to help fill out my face and correct the asymmetry, an additional $3200. It has really helped. I wished I had known that most people need filler/fat post facelift before I had the BL. Maybe, it's because I'm thin, but after the fact, I researched it and that was the info I found. I healed well except for a very small infection,
of the incision, behind my right ear, that Dr Harley prescribed additional antibiotics. If I were u, i would thoroughly discuss the need for fillers/fat post surgery and the additional cost. He is a very talented, caring surgeon. As an old RN, I know u won't find many surgeons with his disposition/knowledge/care and concern. Hope this helps u.

R you saying you had $5000 worth of fillers post op? Omg! In your consult with Dr H did he advise you that you'd need that level of filler. I know he doesn't do fat transfer but do you wish you'd have considered that. And will you have to re-do the filler at least every 2 yrs or so? If yes....yikes!

The fillers cost was an additional $3200. I paid $9000 for the BL and upper Bleph. Yes, I will need to have fillers for as long as I want my face to be full/ more symmetric. Probably every year or so. That's why it's imperative that u know "going in" if this will make ur face thinner/ gaunt. No, he did not discuss this with me pre-op and I didn't know most people will need fat/filler post-op. He told me he could refer me to a colleague who does fat transfers, after my surgery, but I wanted/needed an immediate correction. The right side of my face has settled more than the left and he suggested filling my marionette lines when I went in for the Voluma. It has been very distressing for me.

Sounded like you first had 1800 then an additional 3200. But agreed that 3200 every couple of yrs is a lot. Did you have asymmetry on the right side that surgery didn't correct? Would offer advice but since I have never had facial asymmetry nor Voluma it probably wouldn't be worth anything anyway. :) Maybe I'll PM you.

No. Almost everyone's face is asymmetrical to some degree. To me , it seemed like the surgery made mine seem more prominent.

would seem like Dr H's before and after pics (taken b.4 the fillers) would show the changing asymmetry. But then again the docs seem to get those afters taken asap these days so swelling might still have been present in the afters, distorting the actual result. Really a bad deal that you will be filler-dependent to maintain your "look". In 5 yrs time you'll have spent as much on fillers as you did on the original Biltmore Lift.

I know. Maybe in 5 years there will be other procedures that will render facelifts obsolete. I've enjoyed our discussion. Have u had any kind of facelift? Thx

***i saw one of your comments*** darned autocorrect :)

Hi Lisa, I think you may have already seen my reviews, but I'm 52 and have always had a round face. My lower face/neck lift with lipo did not make me look gaunt or asymmetrical. It just gave me my chin and neckline back from ten years ago. My face is still plenty round! I think buccal fat removal, if someone wanted it, would definitely change the shape of one's face. It seems odd to me that patients would need expensive fillers AFTER plastic surgery, although I'm sure in a few cases it might be necessary. Best regards!

The right side "settled" more than the left. Most people have asymmetrical faces. Myself and Dr Harley are probably the only two people who notice it. My eyes are much better. I had dry eyes before the upper bleph. Overall, I am happy with the results of the surgery. It did seem to thin my face, but Voluma helped restore it. I'm very happy with my neck results. 11 months later, it is still nice and tight.

That's great news, I'm glad you are happy with your results! Best regards .

Thx, Facial. Right now, Nov 8.

TY, Lynn

Great! All incisions are healing well. Upper bleph did dry my eyes more, but I knew it would. They are improving, though.

TY, Bethy.

TY, OverSeas. He is an artist. I feel so grateful. My foundation helps a lot, Clinique Redness Solution, because I have Rosacea.

Thanks for the foundation recommendation. I will try it. :)

UW

TY, Blakey. No Juvaderm by Dr Harley, but I have had some in the past by a wonderful nurse injector.

Looks wonderful! I changed my username! Used to be liftingforgirls! It was my IG name. Kinda a dead giveaway if someone gets on here!

TY. I am probably going to delete my account because of work, in the next few weeks.

TY, Willow. I don't remember the procedure. Only remember taking the pill "cocktail." I only remember bits and pieces of the day after. TLC took super care of me and kept me medicated and comfortable. You will be fine. Follow Dr. Harley's orders.

Lucky you! Can I ask if you drink alcohol of any kind? I have already stopped having any wine... it seems like the non drinkers sleep through the procedure better. Just curious... and motivating!

No. I really don't like it and it makes me flush So badly.

I'm a non drinker also, but he had to give me a little bit more to get me down lol.