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POSTED UNDER SMAS Facelift Reviews

SMAS Face and Neck Lift with Fat Transfer - La Jolla, CA

UPDATED FROM MamaGun
3 months post

Bio-identical hormone replacement therapy

MamaGun
WORTH IT$11,000
Ok so face is looking great! I look younger and so it was now time to FEEL as good as I look so I decided to seek out a natural minded doctor to help with the menopause symptoms. She prescribed BHRT creams...So I have been on this cream for 2 weeks, a mix of estrogen and progesterone and some testosterone. So in just 2 weeks I have gained 5 pounds and I'm bleeding...this did not seem like a good idea at all...now I don't want to go out at all because I feel fat!!! Only positive is that I no longer have the hot flashes but its not worth it! I'd rather be hot than fat! So thats my update....Its the height of summer fun and swimsuits and Im a chubba and I'm MAD!!!! Anyone have experience with this stuff???

MamaGun's provider

Michael Brucker, MD

Michael Brucker, MD

Board Certified Plastic Surgeon

4.7 | 51 Reviews
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MamaGun rating for Dr. Brucker:

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Replies (4)

June 13, 2014
Hi I just had my face lift also in Walnut Creek California and would love to see your photos privately. I can send you some of my before and after as well which I have not shown anyone yet I feel very hesitant about it same way you do by the way I'm 52
June 15, 2014
Hi Netalia, Sorry, I just saw this comment. I would love to do some photo swapping. Unfortunately the only way RS allows it is to swap personal emails. I dont mind if you dont and if you want to PM me with it will work. I will go ahead and PM you with mind! :) I have cut back on the estrogen cream part of the therapy to every other day. I have lost 1 pound (why does it take a week to take off a pound but only weekend to put on 5???) anyway the hot flashes are coming back but not as frequent or as hot. SO for now, every other day is the way I will go. I look forward to your pics.!
June 13, 2014
please excuse my smartphone. If I make a mistake it's almost impossible for some reason to correct it on this real self site....I meant to add that I've been on bio identical hormone cream for a couple years now and no problems at all with weight
June 13, 2014
for some reason I did not have any drains put in very interesting I wonder why he said I didn't need em and I love my result excellent results it's been 3 weeks tomorrow post facelift Bravo to my doctor in Walnut Creek California. Dr Joseph Mele.....
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June 15, 2014
MamaGun: ReBio-identical hormone replacement therapy...I had hysterectomy at 52 because of frequent periods and heavy bleeding and they claimed there was a cyst that "could" be cancerous so a long story short, I was not familiar with NHR and my mother would tell me how she took a pill (premerin) everyday that kept her young so I kindof got pressured into this and if you are every considering this, I could tell you a lot more privately; however, I went from a person who never sweat and didn't know what a headache was to someone who would break out into a major sweat every hour and feel like a vise on my head ...all that lasted a year....even though I had asked them to not take out my ovaries in writing, they still did so IMO that's why the NHR with the bioidential never worked that well.. that intensity finally subsided and I am just generally "hot" most of the time and being out in humidity can get unbearable. Not everyone has this type of reaction to hysterectomy but just to share what can happen..Fortunately over time, one learns to live with this but I now take 1 gram of .625 conjugated estrogens vaginally a couple times a week which really helps and 1mg of estradiol gel (Divigel) about 3/week and that seems to help manage the symptoms. If I could afford it, I would probably do the Bio-identical if I had someone thorough trained in how to read all that. I honestly couldn't tell you if it has attributed to any weight gain. It's one of those things you just have to see through trial and error what works for you. Would love to see your pictures and will share mine as well. I'm really curious about the fat transfer part of your surgery. Very happy all that went well for you. Recovery is a long process...I think I still have some numbness on my head 17 years later.. but all in all, it was the best investment in myself I ever made with my life as I got to truly age gracefully.......included a little lipo as well to hips and stomach which has lasted even though I put on 20 pounds since then.
UPDATED FROM MamaGun
25 days post

3 weeks and 4 days later

MamaGun
I am visiting my 2 daughters ages 22 and 25. I did tell them I was going to do a F/L N/L but did not say when so when they saw me they were still not sure. When I asked what they thought ,,they both said they thought I looked better but weren't sure why.. but as they continued to study my face they both agreed I look great! I showed them a before shot to remind them and they really thought the improvement was amazing! And so here is my wrap up...
I am very happy with my outcome. I do not look done. I have several opinions now to back that up! My neck is not as tight as I would have thought BUT my daughters agree it looks age appropriate and that anything tighter would have looked odd. So props to my PS for that intuition also! I did not do my eyes and I DO NOT regret it. I dont have a problem with my hooded eyes. Its a family trait and I did not want to look like a different person. I DID, however, do the fractional laser around my eyes and that really improved the texture of the eyelid skin which is just what they needed. Perhaps in 6 months I will laser again to tighten them further.
The SMAS method is just amazing! I love having cheeks again! My jowls are tighter and though still swollen, do not make my face look fat when I smile for the camera!
I would lend this advice to anyone reading who is considering cosmetic surgery....think about the eye surgery carefully. Dont just go ahead with it because "oh well, I will be out anyway" Or "its just costs a little more "...etc... As I read many reviews on this site it seems the post eye surgery is what gets most people down. I personally just think its overkill! Do you really hate your eyes? If so then consider it but dont be talked into it just because of convenience sake!
My only complaint is that I still have residual pain in my left temple when I chew. That has me a little concerned as it has been almost a month and I have been only eating soft foods and still cant have a full on yawn without pain.
However....All in all ...Im happy and I would recommend my surgeon 100%.
I will gladly private message anyone with photos if requested. I just dont want anyone I know to run across my photos on the internet. No one would guess what I had done and I would like to keep it that way!
;)

Replies (2)

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April 21, 2014
Nice feedback from your daughters -- that sounds like just what you were aiming for!!
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June 6, 2014
Thanks so much for the review you original fears are exactly mine right now on day 4 - so don't want to look overdone or chinesey. I too had a highly experienced surgeon so will just have to go through the motions & have faith. Totally & absolutely appreciated your review. Much aprc8d.
June 6, 2014
Dont worry! Yes I felt very pulled but within a week it went down and I was looking pretty normal! Normal enough to go out and not have anyone really notice anything! And now 2 and 1/2 months later there are areas I wish he had pulled a bit more BUT I would rather have too little than too much and its amazing that I am saying this now after the way I felt a few days after surgery! :D
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June 6, 2014
Haha very very reassuring I have to say - think I would have gone into a panic without this site - well actually I probably would not have found the courage at all. The world is filled with such amazing women
UPDATED FROM MamaGun
13 days post

2 weeks post op

MamaGun
I have to keep reminding myself I just had surgery a few weeks ago! I feel pretty normal now unless I feel the sides of my numb and hard face. I took a chance to venture to MX for a little R and R and "little" was what I got! Because we had a boat delivered from San Diego I have been on the run since I got here. Walking back and forth the the marina office, searching for banks and services, shopping for needed supplies for the boat. Walking stairs constant movement. Yes Ive been worried Im pushing myself too soon. I have literally been on a chaise lounge 30 minutes in these past 3 days! The good news is my face shows no signs of stress as a result of it all. I still have the pain in my left temple if I chew ANYTHING that has texture at all! That has been rough as the food here is fabulous..oh well, frijoles and rice always work! Im overdue now for my final stitch removal. I hope I am not asking for trouble there! Aside from a few tiny bruises on my neck and jaw it would be tough for a beholder to know I had anything done so I feel confident going anywhere now, even among those who know me. As I said, still numbness, still some swelling but not too visible to an untrained eye. All is pretty good overall and I like what I see. Honestly the redness which continues from the laser more than 6 weeks ago is what bothers me more than anything from the surgery! Anyone having laser??? Prepare for the stubborn redness! It takes a long, long time to subside!

Replies (2)

April 11, 2014
Hi MamaGun...you have so much energy!. Sounds like you are doing so well. It's still early days...my main goal is 29th April which will be 3 weeks. Like you, so far hardly any bruising...i am on my 3rd day & will have the drains removed this evening....that's going to make a big difference to me...they are pretty disgusting aren't they!. Have a great day!
April 11, 2014
I hate those things but Im thinking I wish they were left in longer. I have been reading about complications that can arise. One being hematomas which I am concerned I may have developed under my jaw. My drains were removed the very next day. I am seeing nurse today so I will ask if that is what I have. Its just an isolated swollen area that feels tight. But do enjoy getting those things out...you had them in plenty long enough!
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April 12, 2014
the drains are the worst part for me so far... really tenders there under the skin. But of course you want them to do their job...
April 14, 2014
It helps all of us if we have photo's --- some people cover there eyes if they want the privacy aspect. Glad you doing well