Seeking Refinement Before 35.

I had my 6 week follow-up appointment with Dr. Bitner today. Attached are some of the before and after photos taken by his wonderful nurse, Jaime. The effect of the buccal fat pad removal is very subtle but elegant. I am very happy with my results.

It's been 6 weeks since my surgery. I heard back from Dr. Bitner on my questions about 2 weeks after I originally sent them and followed up. His answers on itching and whatnot were consistent with what I had learned and implemented from RealSelf. I have been getting a lot of random "you look great"s and compliments from a wide range of people, none of which know I had surgery. I feel great but occasionally notice that my submental area still feels a bit odd. I feel that my scars under my chin and behind my ears feel very raised especially when compared to my scars from BA. I am hoping that kenalog injections may be an option and will help reduce them a little bit. I look forward to getting a little more in terms of lip injections and I will be using glabella Botox for a long time to come. I wish the sculptra had done a bit more. I think I need to maybe add a bit more volume to my upper cheeks still. The buccal fat removal is increasingly beautiful. The Submental lipo is the best money I ever spent. I hope this little update helps someone. xo

It's been 3 weeks since my surgery consisting of buccal fat pad removal, submental liposuction, sculptra, dermal fillers and Botox. While I am happy with the surgical results, I am unhappy that I have gotten zero response from Dr. Bitner or his office on my concerns from last week. That said, the incision itching seems to be slowly resolving and responding to a Benadryl cream, and truth be told the incisions look great. Without feedback, I've decided to massage the submental area lightly based on what I've seen from other doctors here on RealSelf. I've also been applying Mederma cream (both SPF and advanced) on the scars. I want to inject the chin scar with kenalog because it feels very raised to me. I can tell there is still quite a bit of swelling in my face/cheeks depending on the time of day and my salt consumption, but overall I look much better than before surgery. I hope that the sculptra continues to increase the volume in my upper cheeks. I miss some of the post-injection swelling in my lips so I may consider adding some juvederm at my follow-up. I have lost volume in my marionette lines so I imagine that none of the fat transferred survived. Oh well! It was worth a shot. The Botox finally kicked in for my brow lift last week, so that was a nice surprise. I can stop wearing my compression garment tonight but I'll probably wear it for a few more days. Most of the numbness is gone from the Submental region and my mouth is 100% normal (can yawn, eat, chew without discomfort). All bruising is gone. Fingers crossed that the sculptra keeps working! Happy healing to all. :)