POSTED UNDER Facelift Reviews
I'm Keeping my End of the Bargain! Costa Rica, CR
UPDATED FROM Lmm3543
1 year post
I know...it's about time!!!
Lmm3543July 17, 2017
Hi everyone. I've been missing in action here on RS for a long time but decided it's time to write an update and post some pics.
It's been 15 months since my first surgeries in Costa Rica and almost 6 months since my revisions so I guess things have pretty much settled down so I can give a true assessment of what I had done.
First of all my chemical peel.....what a nightmare! The area at my lower anterior neck has scarred. It is rippled and looks like I've had a thyroidectomy. The area is still painful although certainly not like what it was. I've had one set of steroid injections into it and am scheduled for another in August. The redness has diminished considerably but the scar is raised and weblike. I have been seeing a dermatologist and Dr. Arguello is having me massage it multiple times daily with oil. I've been using castor oil in addition to a homeopathic cream I ordered on line that has many good essential oils and herbs in it for healing and scarring. My neck looks good as does my facelift. Very natural. My boobs are much improved with the different implants so no real issues there except they still get shooting pains occassionally. They still feel a bit heavy sometimes. Because I don't have adequate pectoral muscle thickness, my implants are subglandular so there is a bit of sagging but overall not too bad for 66! I'd look stupid having boobs under my clavicles at my age. I have great cleavage when I wear a push up bra! Yay!!.
The second recovery was much more of a challenge for some reason as it took much longer for me to heal.
My eyes look great although I have a tiny bit of webbing on the outer corner of one eye. Only I can notice it, I'm sure. The milia are mostly gone and one eye has no scar at all, the other has a little but I'm assured that will likely disappear in time. Everything takes time. Things are still changing. Some days I look puffy and some days I don't feel pretty...other days I look fabulous! Go figure!
I've gained and lost 10 lbs or so and that makes a huge difference in my overall looks. So was all of this worth it? Yes and no.......yes to the surgeries, no to the chemical peel. I'm hoping I will continue to not look my age for many years to come and have continued good health because if you don't have your health who cares how good you look! Right?
It's been 15 months since my first surgeries in Costa Rica and almost 6 months since my revisions so I guess things have pretty much settled down so I can give a true assessment of what I had done.
First of all my chemical peel.....what a nightmare! The area at my lower anterior neck has scarred. It is rippled and looks like I've had a thyroidectomy. The area is still painful although certainly not like what it was. I've had one set of steroid injections into it and am scheduled for another in August. The redness has diminished considerably but the scar is raised and weblike. I have been seeing a dermatologist and Dr. Arguello is having me massage it multiple times daily with oil. I've been using castor oil in addition to a homeopathic cream I ordered on line that has many good essential oils and herbs in it for healing and scarring. My neck looks good as does my facelift. Very natural. My boobs are much improved with the different implants so no real issues there except they still get shooting pains occassionally. They still feel a bit heavy sometimes. Because I don't have adequate pectoral muscle thickness, my implants are subglandular so there is a bit of sagging but overall not too bad for 66! I'd look stupid having boobs under my clavicles at my age. I have great cleavage when I wear a push up bra! Yay!!.
The second recovery was much more of a challenge for some reason as it took much longer for me to heal.
My eyes look great although I have a tiny bit of webbing on the outer corner of one eye. Only I can notice it, I'm sure. The milia are mostly gone and one eye has no scar at all, the other has a little but I'm assured that will likely disappear in time. Everything takes time. Things are still changing. Some days I look puffy and some days I don't feel pretty...other days I look fabulous! Go figure!
I've gained and lost 10 lbs or so and that makes a huge difference in my overall looks. So was all of this worth it? Yes and no.......yes to the surgeries, no to the chemical peel. I'm hoping I will continue to not look my age for many years to come and have continued good health because if you don't have your health who cares how good you look! Right?
Replies (1)

July 17, 2017
Ok, you DO NOT look your age!!! I know you've gone to hell and back with your surgeries and peels, but in the end....... you look amazing. Your skin looks smooth and youthful. The last pic of you in a sports bra, omg, boobs and more boobs! Great looking HOT mama.
UPDATED FROM Lmm3543
11 months post
Time for more " what the hell was I thinking"
Lmm3543March 13, 2017
Well today is 5 and a half weeks following adventure #2 in Costa Rica and I just had a feeling at some point my luck would run out. My chest post 35%TCA peel is almost as painful as in the beginning. I don't know what's going on but I went to a dermatologist who put me on a steroid cream...so far it's doing NOTHING to alleviate the redness and hypertrophic scars forming at the anterior base of my neck. She is very concerned I might form a keloid. I'm also on an antibiotic cream for a couple of open wounds and silver sulfadiazine cream (burn therapy). I am keeping the area very moist with Aquaphor ointment but it's just not improving. The area feels like it's being scraped with a wire brush anytime anything touches it......imagine continuing dermabrasion.....24/7. I think what may have happened was some areas absorbed the TCA to a deeper level. I've read that TCA can sometimes be unpredictable.
I have been in contact with Dr. Arguello who is giving great advice but of course unable to provide treatment because I'm too far away! He did offer though. I will be seeing the derm again in 2 weeks. If it's no better she may opt for steroid injections. Yuck, yuck and more yuck! Not in the true yuck sense of being grossed out but in the sense I'm a chicken s**t when it comes to pain so submitting to that when my pain level is already mostly off the charts is not something I'm relishing. But...I've spent too much time and money on "improvements" not to follow through with whatever I need so I don't scar.
I do have a bit of advice to those who might be considering revisions...make sure you give enough time from initial surgery to revision. Things constantly change that first year post and to go back in and be cut on again has other consequences you may not have bargained for. For instance...I had a couple of small tweaks on my eyelids and some scar revisions. Because I'm not healing very fast this time those areas hurt more and the numbness that had almost entirely resolved is now much more pronounced. I'm hoping its swelling in my lower face, neck and chest although it really doesn't look swollen. I know I'm still early on in my recovery but I'm not any more patient this time around than I was the first time! It's so easy at first to think everything is wrong but trust me when I say... so much of your concerns today will resolve tomorrow. Remember that your skin is dynamic. It moves and stretches and is constantly being subjected to the forces of gravity...from what I can tell there's no way to mitigate that one permanently. We just take care of the sags and bags temporarily until we're too old to see them any longer! Gee aren't I just a fountain of optimism? That's what happens when you have too much pain for too long.
On a happier note....my neck and lower face are very tight and the skin is silky smooth. The skin is even toned although still a bit pink. I'll post some pics soon.
I have been in contact with Dr. Arguello who is giving great advice but of course unable to provide treatment because I'm too far away! He did offer though. I will be seeing the derm again in 2 weeks. If it's no better she may opt for steroid injections. Yuck, yuck and more yuck! Not in the true yuck sense of being grossed out but in the sense I'm a chicken s**t when it comes to pain so submitting to that when my pain level is already mostly off the charts is not something I'm relishing. But...I've spent too much time and money on "improvements" not to follow through with whatever I need so I don't scar.
I do have a bit of advice to those who might be considering revisions...make sure you give enough time from initial surgery to revision. Things constantly change that first year post and to go back in and be cut on again has other consequences you may not have bargained for. For instance...I had a couple of small tweaks on my eyelids and some scar revisions. Because I'm not healing very fast this time those areas hurt more and the numbness that had almost entirely resolved is now much more pronounced. I'm hoping its swelling in my lower face, neck and chest although it really doesn't look swollen. I know I'm still early on in my recovery but I'm not any more patient this time around than I was the first time! It's so easy at first to think everything is wrong but trust me when I say... so much of your concerns today will resolve tomorrow. Remember that your skin is dynamic. It moves and stretches and is constantly being subjected to the forces of gravity...from what I can tell there's no way to mitigate that one permanently. We just take care of the sags and bags temporarily until we're too old to see them any longer! Gee aren't I just a fountain of optimism? That's what happens when you have too much pain for too long.
On a happier note....my neck and lower face are very tight and the skin is silky smooth. The skin is even toned although still a bit pink. I'll post some pics soon.
Replies (5)
March 13, 2017
Thank you for sharing your experience with the community! Your comments highlight for the rest of us that this is an ongoing process. I love your comment about how our skin is dynamic. Some days I'm so excited about my results, and other days I wonder if I should have done this! Best wishes for better healing going forward !
March 14, 2017
See you get it! It takes so much more time than we expect to see the finished product. Then sometimes the finished product becomes so familiar we don't see any improvement at all! We should all take time lapse pics everyday for a year to truly appreciate the changes. It's definately an emotional rollercoaster. Thank you for your comments and well wishes.

March 13, 2017
Linda, I was thinking about you this morning when I was wishing I could find the time and nerve to go get my neck tweaked. After reading this latest update, I may decide to be happy with my results and not test fate. I hate this is happening to you, and just pray you don't end up with scarring! I had to look up the meaning of keloid. I hope you won't stress too much about what might happen and can find some relief from this terrible burning you have going on. Would ice packs give you some relief? I know there are no words that can help you feel better about this journey you are on now, but please know I am earnestly supporting you emotionally and feel so badly that you are going through this difficult time!! Lots of love and hugs to you, sweetie.
March 14, 2017
Jan, if you are really unhappy and things can be improved go for it! I was really afraid this time around...just a premonition. Dr. Arguello was so concerned he actually gave me a pep talk and asked if I wanted to cancel until I was in a better frame of mind. I think my greatest fear was being alone with no help but that didn't turn out to be the case as Laura was there and Dr. A came to our room for a visit to see how my progress was. Plus both doctors called me several times a day.
Yes I am very concerned about scarring. It now looks like Freddie Krueger from nightmare on Elm St. The area is very red and with raised rippling scars. I've started massaging but the pain prohibits too much pressure on it. The scars are contracting and pulling my head forward so I'm fighting that all the time. Ice packs do help in the short term. I just don't understand why there is so much inflammation. It's some kind of reaction, for sure. He removed a bit of skin behind my ear to revise a scar but now it really shows...kinda like your neck incisions. I've been growing my hair long so it's ok now but come summer when I want to pull my hair up I won't be able to unless the scar really fades . Thank you so much for your support. It means so much to me. You are such a sweetheart. XOXO to you , my friend
Yes I am very concerned about scarring. It now looks like Freddie Krueger from nightmare on Elm St. The area is very red and with raised rippling scars. I've started massaging but the pain prohibits too much pressure on it. The scars are contracting and pulling my head forward so I'm fighting that all the time. Ice packs do help in the short term. I just don't understand why there is so much inflammation. It's some kind of reaction, for sure. He removed a bit of skin behind my ear to revise a scar but now it really shows...kinda like your neck incisions. I've been growing my hair long so it's ok now but come summer when I want to pull my hair up I won't be able to unless the scar really fades . Thank you so much for your support. It means so much to me. You are such a sweetheart. XOXO to you , my friend

March 16, 2017
Scars on back of my neck are blending in very well, but I looked at them with a magnifying mirror a few weeks, and I saw the dreaded white line! It's NOT at all the complete length of the scar, but I was surprised to see a white line at all. I cannot see scars anywhere else, thankfully. My hair stylist said no one would notice, but maybe she's just being nice. My hair will always be short, but even being relatively short, the hair covers it all. Dr H said he would do a scar revision there to make the skin on my neck look tighter as he would pull the skin both directions through those incisions - that's close to how it explained it - but with my crepe-textured skin going on, it wouldn't be perfect. I don't see how I'm going to get back there for a revision. Too many hurdles and hoops making it look too difficult to really even consider. I'm trying to focus on the results I got on my face and eyes and hope I do not age as quickly as I previously did! Keep us posted on your healing process. Sure pray it heals well!!!

March 14, 2017
Hi =)) ... long time no see/type.. lol... glad to hear you're well although it's a shame you're having such a rough go of it with the skin issues. Hopefully that will finally heal without scarring.
You're looking fantastic by the way!! Take care Xoxo
You're looking fantastic by the way!! Take care Xoxo
March 14, 2017
Thanks and hi, yourself. Yes it's been along time. I've been thru quite an ordeal...still going thru it but it gives me something interesting to discuss with people! Except I haven't told many people...go figure. I appreciate your support. I hope you are doing well too.

March 14, 2017
=) ... I'm doing alright, thanks. I finally posted an update . Lol.. long story short... I need a revision. I'm glad I saw your post and was able to say hello... take care and keep in touch.=)
March 14, 2017
I commented on your site. You'll get everything fixed to your liking. It's just too bad many of us have to undergo more treatment and surgery to get desired results. But hey anything worth doing is worth doing THE WAY I WANT IT, right? Lol

March 14, 2017
ABSOLUTELY!!! My thoughts exactly! .... patience is key... although sometimes it seems almost impossible, doesn't it? ..lol.... xoxo .. hopefully before summer we're both healed and enjoying life!!!!
March 15, 2017
When I had a chemical peel 2 years ago I also had areas of "overactive healing"- yes that's what they called potential scarring. The dr prescribed a tape (I think it was a steroid and I took an oral steroid for 10 days after the procedure) which I had to apply twice daily cut out to the exact size of the overactive skin with no overlap on the normally healing skin for 3-4 months. It was a nuisance but it worked. I have been very pleased with the results tho the area is still sensitive and prone to redness 2 years later. Copious sunscreen is a given always and no-fragrance gentle skincare products. It is a long recovery- hope this works out for you preferably sooner than later and that the problem areas will heal normally. You have a great attitude and you look lovely!
March 16, 2017
Thank you for your insight. It's good to know there is a potential for resolution of this overactive healing problem. Two weeks ago the area was just pink although it hurt like hell. Now it's as if a rubber tube has been imbedded under my skin at my lower neck. It's so painful all the time. Feels like stinging pins and needles and is extremely painful to touch, red and irregular. I'm using steroid ointment, a burn cream and silicone sheeting. Also massaging a lot. You give me hope that this will resolve. Thanks for your sweet words.
April 2, 2017
i am flipping out that you and Laura returned to Coasta rica for follow ups! How lucky can you get. Did Laura make a posting or follo up. Please advise...I would love to read it.
April 2, 2017
i have never heard of milia. Can you please explain to me what that is. I never heard of this thanks and be blessed. I would like to have some facial work done but would like to limit my costs. any suggestions? you were lucky...you had an adjustment in the breast yet there was Laura. I must say very smart. Verdeza last year was 150.00 per day. What do you think they are charging now? Did you ever hear of Mel Ortega in Miami? He is a little bit older yet the RH gets 80.00 per night and the ladies said it is nice? Awaiting your reply. :)
April 2, 2017
Hi jeffriend. I do know how lucky I was to get to travel to CR twice but I have to say the second time wasn't any fun. I stayed close to my hotel and only ventured out a few times. The pain was much worse this time so I really didn't feel like doing much.
Milia are small white cysts that sometimes form under the skin. They are made of keratin . They are quite common following eyelid surgeries. They look like little whiteheads but you can't squeeze them out. The skin above them has to be punctured with a needle or scalpel blade then the contents removed with an extractor or otherwise squeezed. Sometimes the contents are cheesy and sometimes solid like a seed or grain of sand. They mostly just look bad.
Verdeza is still the same price as last year. Although by US standards it is a bargain considering what you get, this trip I had to economize so I stayed in an apartment/hotel. I've never heard of Mel Ortega. What surgery do you want to undertake? It's definately an emotional road to have cosmetic surgery. Make sure it's something you really want as there are negative trade offs. Good luck to you. If you have any other questions feel free to ask. I'm happy to help.
Milia are small white cysts that sometimes form under the skin. They are made of keratin . They are quite common following eyelid surgeries. They look like little whiteheads but you can't squeeze them out. The skin above them has to be punctured with a needle or scalpel blade then the contents removed with an extractor or otherwise squeezed. Sometimes the contents are cheesy and sometimes solid like a seed or grain of sand. They mostly just look bad.
Verdeza is still the same price as last year. Although by US standards it is a bargain considering what you get, this trip I had to economize so I stayed in an apartment/hotel. I've never heard of Mel Ortega. What surgery do you want to undertake? It's definately an emotional road to have cosmetic surgery. Make sure it's something you really want as there are negative trade offs. Good luck to you. If you have any other questions feel free to ask. I'm happy to help.

Replies (5)
Thanks for updating!
I see here in Realself that some doctors trolls that claim to be some patients sometimes try to put other doctors down. It's not ethical way of doing business and it shows how they are. They also put online reviews where they claim how this certain doctor fixed someone else's poor work. These trashers usually never provide any picture evidence. What I've learned throughout my experience is that never choose a plastic surgeon who has online people praising about his great work without picture evidence and who also trash other plastic surgeons in a way or another. A huge warning sign.
Your pictures tell how good this doctor is. Great looking ears, no need to hide them. Great looking face, no any signs of pulling or being too tight. Face looks beautifully feminine and not flattened in any way. Neck is great too. 1 year post op starts to be the stage when people can evaluate if the doctor did a good job or not.
Thank you for your review. This is very useful. Hopefully you leave this here that people can look at it later too, since unfortunately many times people decide to take the pictures down later. There is always a way to anonymize pictures later too. This sort of reviews are needed here and also brutally honest reviews about the bad outcomes in order for people to do very informed choices.
Plastic surgery is a huge choice that needs great fact base that help to prevent the regret it can bring if the information that was used to make the big decision is based on fake reviews that the doctor and his team has astroturfed online.
Thanks again and wish you a great summer and future!