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Ready for my "Swan Neck" - San Francisco, CA

UPDATED FROM MissB0923
4 months post

Update: October 8th

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MissB0923
WORTH IT$3,800
Hello friends on real self!

I am here to tell you that this procedure is definitely worth it. My biggest advice is be patient with your healing and go with a Doctor that will truly listen to what you have to say and want what is best for you... Dr. Hagstrom has been incredible.
From my last update, you can tell I was feeling disappointed because I still had a double chin from the front. So I went in for my 3 month checkup in September and shared with my Doctor my concerns and my disappointment. He agreed that I still had a double chin. He said it could just be my jawline or the structure of my chin, but he was shocked that I hadn't gotten better results. He said, "I stand by my work. I will do a revision." And I was so happy because he confirmed that I didn't get the best results and he wanted to make sure I was happy. He said it's important for him to be proud of him work and so he wanted to do this.
I had my revision on Sept. 29th - about a week ago, 9 days to be exact - and I already see a huge difference. It wasn't as hard the second time around, maybe because I knew what to expect. Some of the pain was different- the doctor explained that he had to reopen the scar tissue so it may be more painful. It was just uncomfortable but not much different than before.
I'm still healing and wearing the compression bands at night. I started taking arnica 1 week before and I am still taking it now. I have started massaging again with coconut oil and it hasn't been as painful as the healing process was last time. I returned to work on Thursday the 1st. My neck is still tight and sore and I have a limited range of motion. I have a hard lump under my chin again but the rest of my neck is soft.
I am so thankful for Dr. Hagstrom. He listened to me and I feel like he really cares about me. If you are looking for a Doctor in the San Francisco- or even in California and are willing to travel- I recommend seeing Dr. Hadgstrom.

MissB0923's provider

Mats Hagstrom, MD (license on probation)

Mats Hagstrom, MD (license on probation)

Board Certified Plastic Surgeon

MissB0923

MissB0923 rating for Dr. Hagstrom:

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Replies (4)

October 9, 2015
Hello fellow Dr. H patient! I'm happy to hear you're liking your results. I had abdominal lipo and fat transfer w him in Aug and must say He does phenomenal work. He was my 4th doc consult and so happy I went with him..
October 9, 2015
can you post some photos of your journey? This web site is wonderful and so helpful. Thank you for telling your story, photos also tell a big part of the story. Hope you have great results from your revision surgery. I am at one week post op and hoping for the best.
October 9, 2015
Boy, are you lucky to have a doc like that. I expressed my disappointment with my doc, and he just said that I have to be realistic even when I asked about a revision. He didn't offer to do it again even for a discount. I've given up on him. He got my money and that was the end of that, apparently. Good luck to you!!
October 9, 2015
I forgot to mention in my last post that the fact you HAD a 3 mos. post op visit scheduled is amazing to me and says a lot about your doc. My doc saw me 1 week after and then one more time about a month after the procedure. Clearly my doc wasn't interested in whether I was happy with the "final" result or not. Because of the follow up your doc has, I would encourage others to see him, as well. How can you go wrong with someone who stands behind his work like that????
UPDATED FROM MissB0923
29 days post

Update: July 2, 2015

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MissB0923
It's been 4 weeks since my procedure and as you can tell from the photos I still have quite the double chin. I do still feel slightly swollen and tight, but my range of motion is much better. The tenderness of my neck has really subsided- although it is still there sometimes in some areas. The hard lumps have softened but at the base of my neck right above the right collar bone there is still a lump even though it is softer. I'm still just a tiny bit numb and rubbery under my chin but the rest of my neck has regained all feeling. I have been massaging a little- not as much as I should I'm sure. I don't know if that's why I still have my double chin or not. I'm still sleeping with the compression garment every night in hopes that it'll make the remains of my double chin go away, but I am not really seeing much change.
My feeling about my new neck go up and down still. I can see a difference in the way I looked before and now, but during my consultation with the doctor he said that from the front view I wouldn't have a double chin at all once I got the procedure done. Maybe it's too soon to tell still but I am disappointed that I still have the double chin from the front view. In photos I still feel the need to stick out my chin in order to hide the double chin which is something I was really excited to not have to do anymore.
I have heard that at 6 weeks you really start to see some good results and at 3 months you'll see the final results. I am looking forward to seeing the doctor in September to talk to him and if I still see this double chin from the front view I will bring it up to him.

Replies (5)

July 3, 2015
I had my procedure done about 10 days ago, and I've been following your updates as I feel our profiles are very similar. I'm sorry that there hasn't been much progress for you, and I hope that the skin tightening phase brings more results.
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July 4, 2015
Thanks a lot! Maybe I'm just being impatient with the healing process- maybe my body is taking a long time with the swelling. I will keep you posted :) And congrats on your procedure, too! I bet you look and feel amazing!
July 3, 2015
You look gorgeous. Have you tried not wearing the compression garment a night or two to see if that helps? Maybe it's esaberating the problem with swelling. I also read that lymph massage helps with lumps and swelling, but I don't know anything about it.
July 3, 2015
http://blog.massagebyheather.com/self-lymph-drainage-massage/
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July 4, 2015
Thank you so much! I hadn't thought that maybe the compression band could be continuing the swelling to occur. I really appreciate your tips- I'm going to try it this weekend and I'll let you know what happens. Have a great 4th of July!
July 4, 2015
I had the same procedure done recently on June 24th and like the comment by ljp0057, I seem to be in the same boat as you guys. I saw my doc last Tuesday for a week post op. He says I still need to give it some time, of course, but at the same time, he cautions me to be realistic. He took 50cc's from me and I can only hope that was enough. Though one person suggested not wearing the compression garment at night, I would suggest otherwise. In fact, looking at the type of garment you have, you might consider purchasing online a different kind, the straightforward chinstrap kind. I have the kind you have but by Marena and in a taupe color. What I have found is that it has stretched. Even if I tighten it by overlapping the Velcro to the very edge, the same compression is not there that once was. That could be due to the stretching but maybe also due to the reduction in swelling. If that is the same case for you, maybe you're not getting consistent amount of compression across the area? The other type of chin strap that I wear is the one the doc gave me. It, too, has stretched, but I handwashed and machine dried it and that helped. Still, I am thinking about buying a replacement of this one because it seems to offer more compression in the area of my primary concern. The brand name is Isavela and they have their own website. It looks to be about $20. Maybe the other poster's suggestion is a valid one, and hey, even my doc said I don't have to wear my compression garment anymore, but based on what I've read as the protocol from the numerous other docs on here and online, they suggest longer wearing of it--at night at least. At the same time, I have often read by some docs here that there is no proof that it helps to wear it longer. I guess it is up to us to see about that. In my case, I'm wanting the best result possible, and it just seems logical that this could help. Have you tried taking bromelain supplements to help with the inflammation?

If it had not been for your post, I would have already gotten pretty upset. I just keep remembering how you say some days look better than others. I'm hoping that's just the way it is until it totally heals. Also, I don't know about you, but I told my doc that it's difficult for me to tell what is still swollen and what is just me because I've looked this way for so long. He says it's still swollen (even though I don't feel hardly any tenderness). Oh well. Not much to do except wait, wear the garment, eat low sodium, elevate, and take bromelain. I guess if in 6 mos. I'm still not excited about the results, I will seek a revision or an alternate physician to try this again or something else. Like you, my profile angle shows more of a result than straight on. So let's be grateful for that ----for now, and hope that better results are on the way. Thank you for your posts!
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July 4, 2015
Thank you so much for your help and kind words! I am so glad that we can help each other through this time of healing. I am so grateful that someone else out there knows what I'm going through. What you said about my compression band stretching out is 100% correct! It was like you read my mind. The compression band the dr's office gave me is actually the brand you suggested- it's the Islavela one. It might be this one:
http://www.isavela.com/facial-wear/chin-strap-support-compression-garment-w-medium-neck-support-fa02.html
But it is totally stretched out. I feel like I might get another one but in one size down. I was given the L which was perfect back when I was so crazy swollen but through constant wear the velcro hardly closes tight enough. After some thought I am going to pick up this one:
http://www.isavela.com/facial-wear/chin-strap-support-compression-garment-ch02.html

Thank you again for all your help! I will keep you updated through everything. I think we just have to keep our chins up (hahahhaha). Through time we will start to see some great results, I think. Good luck to you through your healing process :)
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July 4, 2015
I think you will see the results your surgeon stated. It will take some time, but any amount of trauma, force to any area of our body just requires time. I remember after my tummy tuck being so frustrated with the swelling...up and down....for months and months. But then, one day, it all pretty much subsided. Take heart, I think what you wanted will happen....just need more time :)
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July 4, 2015
Thank you sooooo much- you have no idea how much I needed to read this. I think I am just being impatient and I need to learn to just relax and let my body heal from this. Thank you again
October 21, 2015
Did he charge you for the revision??? I'm not happy with my results either
UPDATED FROM MissB0923
19 days post

Monday, June 22: Update

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MissB0923
It's been a rough week! I'm almost at three weeks post-op and I really feel like my results were better last week! But then again- like I mentioned in my last update- every day is up and down so far. Some days I feel so sexy and confident and other days I feel like I still have this huge swollen double chin. I am still totally numb under my chin but the rest of my neck has pretty much regained feeling. I still have a lump under my chin and a lump at the base of my neck on the right side right above my collar bone. I have still been massaging- but not as frequently so maybe that is the issue. It's my goal to massage my neck twice a day like I was last week. I'm still wearing my compression garment every night.
I got home from work tonight, took a shower, and massaged my neck for a little while and decided to take photos because I really look swollen again. I still feel like I look better than my before photos, but the Doctor told me that my double chin would be gone after the surgery and I am getting worried that it won't go away. I know I am only 3 weeks post-op but that seems like a good enough time to heal. I am still hopeful that once the swelling goes down I will not have a double chin anymore. I will post again at 4 weeks. Hoping to see some great results before my trip to Florida in August.

Replies (4)

June 22, 2015
Im with you sister! I never knew there would be so many yo-yo's. I thought it was bad the first week, then a gradual increase of things getting better from there. I think it needs to be made more clear to some people looking into this that there are a TON of up's and downs. I am sure that's what the 4-6mo part meant. That final results can be seen then, but no real mention of yo-yo swelling. I know we'll get better!!!! We have great doctors and just need to keep our heads up and not lose confidence. We'll have our movie star chins soon!
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June 22, 2015
Thanks for the encouragement!! You have no idea how much I appreciate you telling your story at the same time I am telling mine! I am with you- I know things will get better. It's just sooo helpful and reassuring to be reminded that things take time and that it will get better by someone who is going through the exact same thing! Thank you!!
June 22, 2015

It is so normal for your results to look different each day- your body will swell more one day to the next.  Hang in there- it is an emotional rollercoaster for a while!

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June 22, 2015
Thank you for the helpful insight :) It's so comforting to know that people have been through the same thing!
June 22, 2015

It can feel like such a lonely process since for the most part people do these surgeries on the down low- that is why RealSelf is here, you have a safe place to talk to other people who are going through the same types of experiences and you don't have to worry about being judged for choosing cosmetic surgery.  

June 27, 2015
Thank you so much for all of your photos and posts! I found it all very helpful in my research into getting neck lipo. I look forward to seeing your final result, and I also hope you have the results you want for your trip!
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June 30, 2015
You are honestly so gorgeous before and after. Thank you for sharing your review!