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POSTED UNDER Eyelid Surgery REVIEWS

44 Y.o. Mom of 2, Happy with Tear Trough Implants and Neck Lipectomy

ORIGINAL POST

I chose to have my surgeries performed by Dr....

justjordans
WORTH IT$4,300
I chose to have my surgeries performed by Dr. Apostolakis in Austin (see review on him below).
The two things that I thought long and hard about having done are both influenced heavily by genetics. Some people are simply blessed with better anatomical structure than others. In my case, the almost 45 degree angle of my neck has always been there and bothered me tremendously. It made me self conscious (more so in the profile view), and had nothing to do with being skinny or being overweight. I often would have a double chin sort of appearance in photos....would always ask people to "hold the camera up and get the downward angle etc etc". It turns out that the angle is mostly affected by the position of one's hyoid bone in their neck. I have a "low hyoid bone". It was comforting to hear this same piece of information from 2 different surgeons during my "research phase" and consultations. So, I was told that I could have fat dissection done on my neck which would improve that angle, but that I would not be an Angelina Jolie with a 90 degree neck....due to the hyoid bone. And, I was told I likely do not have much fat in there, but he (Dr. A) would do what he could to give me the improved look I was seeking. So, this is one of the procedures I had done.
I also chose to move forward with tear trough implants. I have had these eye bags and "tired looking" under eye areas for many many years. Again, much of this is influenced by genetics, but it is also a natural aging process....but appeared greatly sped up in my case with the added hereditary factor. I decided to also have the tear trough implant surgery done to improve, or get rid of, my lower eye bags and tired looking appearance. Dr A. has performed over 1,000 of these procedures. He explained that using the implants has been his approach to lower eye surgery vs the traditional lower blepharoplasty. In the traditional way, the "extra" lower eye fat that seemed to cause the bagginess was removed and the extra skin cut away, all stitched up and done. With tear trough implants, an incision is made in the inside of the lower eyelid. NO fat is removed unless excessive, and a somewhat tear drop shaped, silicone implant, is inserted and placed on the orbital bone with the fat re-draped over it. No stitches required. This creates a "building up" effect on the lower portion of the socket with a very smooth appearance by the use of the natural fat being re-draped over the implant. Thus, the bag is corrected, but without leaving a hollow eye look that sometimes occurs with the traditional lower bleph procedure.

justjordans's provider

Louis W. Apostolakis, MD

Louis W. Apostolakis, MD

Board Certified Facial Plastic Surgeon

justjordans rating for Dr. Apostolakis:

Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
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Replies (3)

June 15, 2017
How do you feel about everything now? I am in the early recovery period (4 weeks post) and feeling impatient. My eyes are asymmetric, under eyes look unevenly puffy and feel so tight!, my smile only reaches bottom half of my face. I had an upper & lower, tear trough implants, and co2 lasering under eye.
October 12, 2017
I hope your gorgeous smile has returned. It is one of the most beautiful features with your lovely teeth and I can understand how difficult the healing must have been after this procedure. I’d love to hear an update on your neck, hoping also everything smoothed and tightened to plan. I understand your goals were different to the PS that discussed the lower lift, in that you were simply concerned about the bit under your chin, but I believe he was giving his honest assessment. All surgeons have their own aesthetic preferences, and also may try to undercut one another by offering stop gap services that they know will later lead to the same thing which inevitably costs the patient more. I’m not saying this is what happened with you by any means, just that it’s highly competitive and opinions about the right procedure are as varied as you would find amongst regular people’s ideas regarding aesthetic preference. In fact there’s a good video on YouTube by a woman who went to a number of surgeons and asked what they thought her main issues were that needed correcting to look more aesthetically pleasing and what procedures they would do, and each surgeon said something totally different based around the types of procedures they did most commonly.
August 11, 2018
He's amazing! I had the implants as well and it ook 10 years off an old face!
UPDATED FROM justjordans
9 days post

Pre Surgery photos

justjordans
Some with make up and some without...just for the "before" perspective

Replies (0)

UPDATED FROM justjordans
9 days post

Out of surgery

justjordans
The drains and the head wrap had to stay on only that first night. When I went back in the next morning, Dr. A removed all of that. No real pain, just a bit uncomfortable. Too swollen and numb all over to open mouth more than a bit...only able to have liquids. I was also told that chewing the first few days would use the cheek muscle too much and could cause increased bruising. Soup and protein shakes it is!

Replies (1)

May 4, 2017
Says 9 days post op, but this was the day of surgery.