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Expert Job!

UPDATED FROM karenski7777
4 months post

Progress photos

karenski7777
$22,400
I thought I should at least give you the jowls over time. I have not put in a current photo, but you get the drift. Hopefully next time I post I will have had the lip dissolve and fillers done as well, so that you can further compare the jowl problem.

karenski7777's provider

Patrick Tansley, MSc, MD, FRCS(Plast)

Patrick Tansley, MSc, MD, FRCS(Plast)

GMC UK Specialist Plastic Surgeon

5.0 | 75 Reviews
PROFILE

karenski7777 rating for Dr. Tansley:

Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
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Replies (5)

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December 30, 2019
Hoping everything will work out for you. Its alot of money to spend and not be happy how disappointing keep us posted
December 31, 2019
Thank you.
January 9, 2020
Be careful with the fat dissolving injections. I had them done in 2018; & the sagging skin is there now; and surgery is the only thing that can address that.... I had fillers to help hide it; but that made minimal results.
December 23, 2022
Although I initially did some inquiries about fat desolving injections (even went and talked to someone who had had a lot of experience with them), they all said much the same - that there were no guarantees, and my own doctor was not really in favour with the idea. Needless to say, I did not bother with the fat dissolving injections. But thanks for your cautions. That comment was helpful and I'm sure will be for many others who visit this forum. :-)
March 11, 2020
Sorry you’ve not had the desired outcome. Did you have just the fat and skin re-draped or did you have the deep muscle lifted and stitched too? (SMAS)

Your ears have healed beautifully but your under chin seems like it was done by someone less experienced (it’s quite a simple wound closure too so Im wondering if there was a complication. Have you asked for your theatre notes?
December 23, 2022
Thank you for your comments.

The skin and fat were simply re-draped. No muscles were touched to my knowledge.

All the scars have gone white now, and are noticeable if you look.

Yes, there was a complication, and no, I didn't see the theatre notes. The doc didn't say where the issues occurred, but revealed that my skin was so fine that the stiching was causing the stretched skin to tear. He said the stiching needed extra care, which in turn blew the operation time out by a couple of hours.
August 29, 2020
The title of your post says "Expert Job". I was confused by that.
December 23, 2022
Yes, I thought the job was great initially, but once the swelling started to go down and gravity started to work on the fat deposits, the fat found it's way back filling up the space that the receding swelling had left.

Thankfully, though, it hasn't moved much since then and seems to have settled down. Thankfully, although still visible, I don't believe it's as bad as it was pre-op, and my neck still looks great.

As I mentioned in a previous post, I think my expectations were a little above the reality of the procedure. Some doctors are very skilled at what they do, but they are not miracle workers by any means.
January 21, 2022
Hi. How are you ? I would love to hear some updates noting your review was two years ago. I’m contemplating the same surgery lower face and neck in brisbane abs was surprised about the bowels issue ? I find it hard to understand why your dr did not mention that the fat would make them sag fairly quickly??? I’m also interested in your view about if u had your time again what would you change ? And would you go to USA now
Knowing what U know
December 23, 2022
Hi LSMCS,

Apologies for not replying more quickly - I actually haven't been back to this forum for quite a long time now.

I'm glad to say that my jowels are not hanging around my ankles atm. Initially, it looked like a fantastic job, and I still believe it was even though my jowels did start to sag again, but thankfully, not as much as they were pre-op. I think the problem is that the swelling gives you a false idea of the final outcome. Apparently the swelling can take several months to fully go down, even though most of it disappears in the first few months. So the skin will take some time to reveal the real "new" you.

Although I still have to use a little artistic makeup to make it less noticable, considering the time I had it done, the jowels have held OK up until now - all things considered.

I don't know why the doctor didn't mention about the jowel fat causing the skin to start sagging again. He was very thorough when discussing the pros and cons of the procedure. Perhaps he wasn't keen on removing it because of the complications that could occur (See a comment by another real-selfer below). I happened to read about it before the operation whilst I was doing my own research, but there wasn't really any information out there concerning this issue.

If I had my time again, I would probably insist on a cheaper hospital, or that I am sent home after the recovery not be held over night for "observations".

Yes, I had considered Dr Farley in the USA, as he has excellent reviews, but the thought of going alone and negotiating all the travel transfers etc. was far less appealing even though the cost was substantially cheaper. The other problem with using an overseas doctor is that any complications that many arise later, or if I needed of some revision, it would require yet another trip back overseas (including accommodations), and this will quickly inflate the overall cost of the procedure.

Hope this helps.
UPDATED FROM karenski7777
4 months post

Over 4 1/2 months now

karenski7777
It is now late Dec 2019. I originally wanted the surgery to rid myself of the jowls time had created. I had read enough to know that simply pulling the skin/jowls up did not fix the problem because the weight of the fat simply stretches the skin and the jowls reappear very quickly. However, when I asked the doctor on my last consult about the fat removal (which I had taken for granted up to this point as standard procedure), I was told that he couldn't do anything about it since that it was all me. Well of course it's me. All my fat is me as well, but that doesn't mean it cannot be removed. (Alarm bells ringing but too late to pull out - I'd already paid, the date was set and I trusted he make it all right.) In photos my jaw is looking more square and sagging a little more in the second photo - 2 months on.
It was a beautiful job, initially, andI was very happy. Unfortunately now only 4 1/2 months later that jowlie fat has begun its journey back downwards.
Presently, I am looking at a procedure called lipo dissolve (which the admin at the clinic suggested I pursue, and which I wish I'd known about earlier) to correct this by removing some of the weighty fat and prevent further "falling fat" reforming the jowls. Naturally, the risk is that after the removal of fat, the skin may simply sag like an empty sack, making it look worse, but am told that fillers elsewhere can offset the problem, and help to lift the skin back up. Sounds great, but means more cash and down time. Thankfully, so far the reformation of the jowls is not too advanced, but I cannot afford to leave it much longer.
To add to this feeling of regret, I recently met someone who traveled to USA from Australia to Dr Harley to have the same procedure done, and at roughly the same time I had my procedure, who paid half the amount and whose scarring is almost invisible. That rubbed salt into the wound. Although I had investigated going to the US for surgery, I decided the costs of flights and other transport, plus accommodation would be enough to make such a venture far too expensive. The other consideration is that if something went wrong, it was a long way to go to have a small adjustment done. However, those fears cost me big time to the tune of over $33K. The hospital and anethetist costs here in Brisbane were extraordinary!
What have I learnt from this? The doctor doing the procedure may charge a reasonable price, but this cost may be minimal compared to the hospital and anethetist costs, AND if the hospital charges per time and not by procedure, any run-on can add thousands of dollars to the final bill as was my case. It is worth checking hospital for operating costs etc.
Also the "before" and "after" pictures at doctors' offices are not always indicative because the after shots are usually taken within the first six weeks before long term problems occur. It is far better to check out sites like this to guage what the real results are likely to be.
I have noticed too that some B&A photos from some doctor's sites have been enhanced to make them look better than they actually are, so stick to sites that have real people's testimonies and pictures. (I can tell this because I have been using photo enhancements software and other picture editing software for some time and can tell at a glance.)

Replies (3)

January 1, 2020
Yes it seem from the photos that your face is beginning to fall. He also WAY over charged you!! Sorry this happened but I wish more people that got ripped off or messed up would post about it. Thank you for an excellent review and I wish you the very best.
February 27, 2020
be extremely careful with a doctor removing fat from the jowl area. I tried this 10 years ago when it first came out and the doctor removed too much fat from one area on each side of jaw. It's indented. I had to get years of filler injected which cost ridiculous amounts of money and even had a lower face lift trying to correct it. the indentations are not as bad after all the time effort and cost I've put in trying to repair but if I knew this was a possible outcome, I absolutely would have lived with the slight jowling I had
March 3, 2020
I'm having the same problem only worse.....also my cheeks are deflated. I need a redo....and a LAWYER!
UPDATED FROM karenski7777
26 days post

4 weeks tomorrow and getting better each week

karenski7777
I'm slowly getting use to my new face, or rather beginning to see my old face. Still need the monkey lines around the mouth and the tear troughs filled if I truly want to look like I use to, but so far people's remarks have been very positive. So I am very happy with the response. One ladt said I was getting younger every time she saw me, another said I am looking very well. Doesn't get better than that!!

I no longer need to wear the head bandage which I personally found a little uncomfortable. So glad that's done with! The scars are healing very well but every now and then my skin pushes out a piece of dissolvable stictches from underneath the skin. They're hardly visible, but I can feel them to touch. Both doctor and nurse have happily removed anything bothersome, so no drama there.

I am having near infrared treatment to assist with the healing of the scars and so far it seems to be doing a wonderful job. Will soon be able to apply some scar healing gel that should take away even more redness.

You may be wondering where are the stiches that normaly follow the hair line. Actually those stiches normally near the top of the ear were hidden up through the hair instead. So they are totally "invisible" to those who are looking. Very happy with the outcome.

The staff at Northeast Plastic Surgery are always wonderful, and are happy to answer every question. They have been quite supportive and caring.

When I look at the stitching and scarring of some people, and even when reading things that have gone wrong with some people's neck & face lifts, I am so very thankful for choosing Dr Tansley. He is a truly skilled plastic surgeon. The signs of surgery are minimal. The under chin is probably slowest to heal, but fading fast nonetheless.

Thank you Dr Tansley and Staff.

Will update again early October.

Replies (1)

September 17, 2019
He really did a great job! Would you be willing to post any "before" photos?
September 19, 2019
There are some in the original post under the heading "Expert Job". You can see my jowels quite prominantly in them. :-(
September 19, 2019
My neck is quite loose looking as well in the original before pics. Let me know if you need more and I'll look and see what I have that's suitable to post. :-)
September 20, 2019
The before photos are posted in karenski7777's previous post. And I agree, at 4 weeks, karenski7777 looks AMAZING. I am in the process of deciding who will be doing my procedure, and this post is compelling. karenski7777, thank you for posting photos.
September 20, 2019
You look fantastic! Your before photos look a lot like mine...except my sternohyoid muscles (I think it's these muscles) are off the hook. Thanks again for posting your photos, as they are incredibly helpful.
September 28, 2019
Can you post the link to yours. I'd love to read about your journey too. :-)