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Provider Review
In 2014 I had upper eyelid surgery and fat transfer to chin and jaw angles with Dr Gresseschi. I have naturally heavy eyelids that were starting to look too hooded due to aging. The result of the eyelid surgery is shown on the pic from 2018 and is clearly asymmetric. By assessment of other plastic surgeons, the cut on the right eyelid was made too close to the eyelashes, making that eyelid look too hooded compared to the left eyelid. All surgeons consulted refused to do a revision surgery because too little skin remains for cutting. I tried nonsurgical blepharoplasty in Europe (first Plasma BT, then Plexer). It lifted a bit the left eyelid but does not work on the right lid where the problem is because the skin there is too thick and the plasma is not capable of burning through it. The fat transfer did not take in the chin at all. I had much better success there with hyaluronic acid fillers. I explicitly warned Dr G not to inject fat along the jaw line, only in the jaw corners below the ears. Nevertheless, fat was injected along the jaw line transforming it from the youthful v-shape I had to an aged saggy U-shape. It also elongates my face. I asked Dr G to inject some fat above the buccinator muscle to fill some hollowness, he didn't inject there at all. The fat injected on top of the jaw bone and above cannot be removed with liposuction, or FaceTite, because there are nerves passing there. Probably I will have to do a neck or facelift for that to be corrected. Clearly I do not recommend Dr. Grasseschi at all: he does not understand what a patient wants, does not listen to clear instructions, does not achieve symmetry, or aesthetics. To people that are interested in upper eyelid surgery, first try nonsurgical blepharoplasty in Europe - it works for thinner eyelids with less risk to be disfigured by an incompetent surgeon like I did. To people interested in jaw modifications - go for hyaluronic fillers with a good surgeon. Fat is a not a good filler there because it is extracted from the belly typically and that fat is genetically programmed to swell with aging so it will make your face saggy there at the slightest increase of your body weight or age. As explained above, fat will be hard to remove there, unlike dissolvable hyaluronic fillers.