POSTED UNDER Facelift REVIEWS
Composite Facelift in Aug 2021-- Not Happy, but Getting a Revision in Sept
ORIGINAL POST
Composite Facelift in Aug 2021-- Not Happy, but Getting a Revision in Sept
elisabeth821August 13, 2022
$22,000
My surgery with Dr Prysi was one year ago in 2021. I was not happy and still not happy with my outcome. I was referred by a trusted friend and I do not live there. However, since expressing my dissatisfaction, Rae Lynn contacted me and Dr Prysi has offered to revise the lower part of my face. I had the "composite facelift" this is both upper and lower face, its the full FL. I chose him bc my friend, who lives in his area, said that his technique is "SO" good, one of the best she has ever seen with the cheeks as far as "lifting" them high up and into place. A lot of his before and afters are very good too (although not all --some are minimal) but it was enough to convince me to put my faith and money in his procedure. Im only 48 , a lot of his patients I think are a little older it seems. So, I felt really good , like wow, this is great, getting this done a little younger. My cheeks though have definitely dropped down, and it happened after only about 2-3 months. I did go see him for a revision but they expected me to pay the regular price, I was not going to do that. That was a lot of time and money gone too. Anyway, I am scheduled to go in Sept. Thank God! However, he has only offered to do the mid-lower face. Ive gotten the opinion of a couple of friends who very objectively and politely tell me I should get both upper and lower redone. Considering I paid nearly $22,000 ( a lot of money) last year and I can not afford to repay him this year and it would not be fair to me. I am posting a couple of pictures here from just after the procedure and present day/now. I would really like some other opinions here on this because I am so unhappy with the cheeks that I was so happy with for a brief 2-3 months. I really like Dr Prysi. He is a very warm and friendly guy, and I do think he is skilled. I do not totally blame him nor was I ever angry at him. Its just a weird "fluke" that happened. But, I do feel I deserve the revision for the work I paid for last year. Anyone reading this and understanding about cheeks/tissue lifts of the upper face, Id love to know what you think as well. Also, I plan to post my afters of the next revision surgery coming up this September. Thank you for reading this!
Replies (38)
August 14, 2022
Presuming that the picture on the end is the most recent one and The prior three are the first 2 to 3 months after your procedure, I definitely see what you’re talking about and it definitely Appears that your mid and upper cheek area need to be resuspended/relifted. Also you said that he agreed to do with the lower face but I actually just read a reply from Dr. pricy that another patient had inquired about to realself regarding a surgery she had with another surgeon and she stated she still had jowls and he said that the mid face would have to be suspended via a mid facelift to adequately get rid of the jowls. That being said I presume that since he’s stating that he’ll do your lower face it’s because of Joel issues which according to what he answered in the other girls inquiry it seems that he would want to with the midface to fix the jowels adequately As he stated would be necessary in his reply to the gals inquiry. I have been doing a lot of research on facial plastic surgeons in Southwest Florida as me and the other two girls in my office are looking to get a facelift done in several months while our office is closed for renovations and remodeling. I will be looking forward to seeing your outcome and hoping that he does in fact relift your mid face seeing as you paid all that money and I don’t know what you look like before but it seems that your mid face needs to be re-lifted to give the look for a look close to what you had the first 2 to 3 months postop. Please do keep us posted I’ll be sharing this review and these pictures with the other two girls in my office.
August 17, 2022
Dr Andres Bustillo in Coral Gables is superb, his IG pics are amazing & most important I’ve seen several of his patients that he performed a Real DeepPlane Neck & Facelift on & there is no doubt his 18 yrs of specifically focusing on facial surgery makes him superior to most!
August 16, 2022
. . . just read the complete review - there is no such thing as "just a mid-face" lift. For a good result, the surgeon ALWAYS includes the neck NO MATTER YOUR AGE! Then the lower face and on up or you wind up looking weird (old eyes not matching the new younger neck/lower face. I've never even heard of (I live in Newport Beach) cheek lift? For the volume to be restored in the cheek area requires fat grating. DO NOT go to this doctor! There are very few doctors who have the expertise for fat grafting! Do your own research! Asking/going with the "friend's advice" is never a good idea! Dr. Sadati in Newport Beach is the same price and he's done 5000 facelifts and is an expert in fat grafting. I get the feeling that because you are young he didn't do a deep plane (lifting all 3 layers) but charged you for one. Get it re-done by someone else and I would bet that whomever that doctor is will confirm my thoughts.
August 17, 2022
Thanks Thriving, I appreciate that. And no, I certainly would never rely on just "friends" advice. No way. I just meant that they could see what I was referring to. My neck has no wrinkles though. Would I still need that?? Also, I will look up that Doctor. Prysi does not do fat grafting. Has your fat lasted a long time??
November 2, 2022
You are correct! Any surgeon that tells you to have only a mid-face; lower face and not address the neck doesn't know what he's doing! Run!
August 17, 2022
Hi elisabeth821! From my research, it's pretty unusual to do only a mid-face lift. If your mid-face is going then so is everything else. But, I'm certainly not a surgeon, so not sure. Yes, the fat will last but it needs to be done by someone very qualified - fat grafting is a relatively new procedure and there aren't that many surgeons out there with enough experience to do it correctly. Kevin Sadati in Newport Beach is one; Gary Moytkie (sp?) in LA - Also, get on a plane if you have to! So many of these reviews I read they picked their surgeon based on convenient location. Bad idea. I felt so bad for you, I can't imagine what I'd do if I got a facelift, spent that much money and didn't look anything less than amazing for at least 15 years! I haven't had my FL yet - it's booked w/Sadati for next summer.
August 18, 2022
You said that he is a nice doctor, but he is doing half a revision on you? I live in Boca and there are some great Doctors here and in NY too. I actually had my nose done about 2 years ago , with Dr Reish in NY, and was very displeased with the results. Needless to say, he showed a lot of integrity when I expressed my unhappiness. He offered to redo my nose and no cost except OR fees or a full refund. I took the refund. But, I was so impressed with this I still to this day refer him to my friends up North. That is so commendable. And, honestly as it should be in the PS world. I do not understand these doctors that can do shotty work and send you away after youve paid thousands. Not to mention, you are a walking billboard for him! You could refer others to his practice especially if you look good! I can see what you are talking about in that last photo. I hope you showed him. If he cant see it or doesnt care to, that is awful. That is a lot of money. You are a lot nice than me and most women I know!!! He is given the second chance to right a wrong. I hope he fixes it for you. Your pics do look really good 2 months after. I see why you are so upset. You should be able to enjoy that for at least 2-5 years! I think your friend steered you wrong. Dr Tzakis in Boca is VERY good. I would not waste my time with that Dr who does not want to revise his work. But, also IF you do, I cant wait to see the after, please update us with those after shots. I hope it works out for you, all the best!!!
October 19, 2022
I looked up Dr. Tzikas and there are several bad reviews for him. Looking for talented and honest surgeon to do my FL revision. So hard to find. Many fake reviews on many surgeons I suspect. Don’t know how to trust any surgeon.
October 22, 2022
I am also looking for talented surgeon to do my revision. Just like you - I learned my lesson and check all lowest reviews- if is more than one and about bad results these true . There is a lot of fake results here. If you find a talented surgeon who will do your revision ( a lot of surgeons don’t want to do revision and consider it too risky) please share the name . I have been quoted 80k plus- crazy. I am so devastated. I look older and much less attractive now. I am so depressed. Best of luck
UPDATED FROM elisabeth821
1 year post
PLEASE NOTE-The first three photos are me 2-3 months after, last photo is now (1 year later)
elisabeth821August 15, 2022
PLEASE NOTE-The first three photos are me 2-3 months after, last photo is now (1 year later) Im sorry for the confusion on the post, if any. I wanted to show when I was SO happy vs what is like now, 1 year post off. I am realistic and logical. You cant expect to look the same from 2-3 months like 4 or 5 years later. BUT after ONE year it should be close and you should still be happy considering the nature of the surgery, downtime, time and money spent!
Replies (20)
August 16, 2022
Yes! It should last at least 10 years? Did you have a deep plane face lift? e.g. a facelift that's not just the skin being pulled? If it was a "mini" (only skin) you're lucky if it lasts a year. Just looked at the pictures and you should get your $22,000 back!!!! Then, go to another better surgeon - I'd be so disappointed! That's a lot of money to spend and not be happy.
September 16, 2022
I decided not return to him. I did send him a letter, asking for a partial refund.
August 18, 2022
Its called a Composite facelift. I do not think its a deep plane. Maybe that is some of the issue...
August 29, 2022
Yes, you should most definitely be happy - for up to 10 years! I don't think I'd let the same doctor perform the "re-do"?
October 21, 2022
Do not let the same surgeon do the revision, that was the best he had, I’m sure. I am going to a different one for my not up to par surgery, revision after 13 month! Can’t wait!

September 4, 2022
He did erbium laser on me 3 years ago, at $5,000. It didn’t do anything! I was so mad!
September 11, 2022
Agree! What happened? You didn’t lose weight did you???
November 2, 2022
Even if she had (and looking at the pics she looks at about the same weight) won't make that much difference - unless of course it's more than 20 lbs
It's really hard to see your before and after objectively as none of the pictures are clear.