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POSTED UNDER SMAS Facelift REVIEWS

Finally, I Have a Neck!!! – San Miguel de Allende, MX

ORIGINAL POST

I am 53 years old and it's been about 10 years...

Guajira
WORTH IT$7,300

I am 53 years old and it's been about 10 years since I've had a neck. No amount of working out on the treadmill, bicycle and weight machines improved the appearance of my flabby gullet. My age never bothered me, crows feet never caused concern but my droopy neck and jowls made me cringe. I always had a delayed reaction when looking at photos of family get-togethers. "Could that woman be me?" So I decided to take action.

Against the input of my husband and a few others, I flew alone into Queretaro, Mexico to meet with Dr. Guillermo Koelliker M.D. on July17, 2013. Arrangements pre-lab work and deposits were made in advance through Pat Marino at faceliftmexico.

Preplanned transportation was provided from airport to hospital to Casa Marino to return flight. I speak Spanish and have visited Mexico many times but was extremely nervous upon meeting Dr. Koelliker. He must have sensed my angst and began to itemize (very kindly) areas that needed attention. I was open to a more aggressive approach but Dr. Koelliker emphasized that he wanted me to leave with a natural, more rested appearance... not an exaggerated expression of artificial means.

No brow lift, slight tweaks on lower and upper blepharoplasty, fat replacement in lips, SMAS repositioning and a whole lot of time fixing my droopy neck. Dr. Koelliker was concerned that I seem to have serious problems with nausea and anesthesia so we opted for extremely light sedation with local numbing.

Even with these precautions, I felt nauseous but it was manageable with extra attention from Dr. Koelliker. He must have checked on me at least 8 times a day to see how I was faring. One night very late, I told the nurse in Spanish not to bother the doctor but I wasn't feeling well. Within 30 minutes, Dr. Koelliker was in my room asking questions.

He is a caring, compassionate doctor that truly is concerned for your well being. I had an opportunity to compare notes with other patients and we found that Dr. Koelliker does not have the same approach for each patient. He looked at each of us, made completely different recommendations based on our needs and listened to our concerns individually.

It has been 4 1/2 weeks since my surgery. I still have some swelling, some bruising and some numbness. Another patient that I've stayed in contact with had more invasive procedures, yet she has no bruising and very little swelling.

Facelift/Necklift $6500
Lips $600
Botox $200
Casa Marino (2 weeks) $2400

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Replies (8)

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August 17, 2013

Thank you for sharing your experience on RealSelf. You look lovely!

December 12, 2014
You look so good !! I dont know how your family cant see a difference , you look younger and fresher in the face . Enjoy the new you , you look fantastic !
December 12, 2014
That is so nice. Thank you. It's been over a year and even though I still have a neck, the rest of my results / adjustments in mid-face area and eyes have resumed sagging. Tightening of the cheek and revision of scarring behind ears will probably be in my not too distant future. I do absolutely love Mexico but probably would not return for surgery. Thank you so much for all the compliments.
December 12, 2014
Unfortunately .... our age dictates sagging lol You did have a great result though and you should be happy with that :)
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February 24, 2015
You look beautiful! Sometimes the men in our lives (son's included) don't notice. I'm sure the "frisking" is a tribute to your beauty. Great job!
March 23, 2015
You don't look done - just refreshed. Could your friends pin point that you had work done or did they only think you had a wonderful and peaceful vacation or have lost weight?
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May 4, 2015
You look so beautiful and little girlish like... love it. So natural.
UPDATED FROM Guajira
30 days post

Photos of Casa Marino

Guajira

Replies (12)

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August 18, 2013
Looking fabulous gorgeous! Seven months later I am still getting WOW you look amazing compliments - - today it was attributed to all the yoga that i am currently doing (out little secret - - it's all Dr Koellicker) I just smile, and accept the complement :)
August 18, 2013
Good Bye 50 Hello 30, you are very kind. Thank you. Actually I've been inspired to try yoga because of you and Melinda, the duena de Casa Marino.
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August 18, 2013
Yoga is an amazing compliment to the facelift - - not only do I look younger, I now have the waistline that I had when I was 30! If you are planning on coming to San Miguel de Allende for your transformation via the talented Dr. Koelliker ... be sure to arrive early to take in a few yoga classes at Esencia Yoga Spa (sort of like test driving Yoga for a couple of days). Combining the two will be like a complete body do-over! Love to hear more about your progress :)
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August 18, 2013
Thank you for sharing your experience - lots of swelling and bruising but your looking great. Looking forward to seeing how it all progress. How have you coped with the scarring?
August 18, 2013
Thank you. I'm using Mederma cream on pinpoint scar under chin and suture lines surrounding my ears. Also, Mederma is applied where a minimal amount of hair was removed on each side of vertical hairline to suture and tighten neck. Lastly, Mederma is applied to small vertical suture lines located above sideburns within hairline. Dr. Koelliker gave me a choice of sutures visible at hairline or within hairline. I chose the latter. All neck, chin and eye bruises have healed. Two remaining bruises, one high on each cheek were being treated with Arnica gel but I'm very allergic to Sunflowers so have switched to Donnell Skin Vit K cream. I have been wearing my hair up constantly and no one, not even my husband, can see any scarring at ears, chin, neck or sideburns. The only place I wear cover stick now is on my high cheek area to cover remaining bruising. Please keep in mind I bruise easily and always swell up like a balloon. I am also still taking Dolo-Neurobion (vitamin combo) prescribed by Dr. Koelliker to help reduce swelling. Hope this info helps and thanks for asking.
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August 18, 2013
Thanks so much for taking the time to reply. I have followed posts about Dr Koelliker with great interest. He seems amazing. If only travel insurance would cover me I would be there in a heartbeat, I am from Australia and fear to travel so far from home without insurance would be foolish. My only concern for facelift surgery is the scaring, I'm really pleased for you that your is so amazing. I'm planning on surgery early next year but I will pay at least double your total package price. Thanks again and hope all the bruising is gone soon!!
August 18, 2013
Having the same concerns about emergencies, I purchased an additional insurance policy through Allianz Global Assistance for my trip to Mexico and a separate additional policy for my son traveling to Seoul, South Korea. One was purchased through American Airlines at time of payment, the second was arranged directly through Allianz website. I would imagine there are other companies offering similar services ; however, you are smart to be cautious as Australia is very far away. Good luck to you.
January 11, 2014
Hi Guajira, Love your honest posts. Particularly interested in your thoughts about how it has changed your looks but also how others haven't noticed much. I am in the process of booking with Dr k for early march for a full facelift and fat transfer to cheeks and lips. Also looking at a lip lift. I live in a very close knit village in England where I have many friends and acquaintances. I have been open to everyone about what I intend to have done and the reasons for doing so. I worry that only I will notice the difference and people will wonder what I've spent my money on. I think people think that a facelift will either make you look 100% beautiful or very, very different. I do have a worry that it might not make much of a difference. I had my breasts enlarged last year and feel I could have gone larger. The surgeon I felt was far too conservative and looking at breast augmentation forums, most posts post op are to do with not being happy with the chosen size[ going too small] Do you have any advice when it comes to to the consultation with Dr K. Would you also be able to post some recent photos of you. thanks once again for all your posts they have been a real help
January 11, 2014
Dear missmaus: There are so many psychological and physiological factors that come into play when considering a facelift. If I were to offer any advice, it would be to dig deep and take a step back. First, really think long and hard about your actual goal. Take me for example, I really wanted a facelift but was afraid of a drastic change. My face was ready for something drastic but my mind wasn't ready to make explanations to the masses. Trust me. The masses can be brutal at times. Secondly, try to take a step back and look at yourself realistically. Again, use my example. I was over 50, healthy, didn't smoke but loose skin and no elasticity added at least 10 hard years to my face. Age, genetics, health, recovery and attitude can trump the most skilled surgeon. Since that was my first rodeo, taking a conservative approach with Dr. Koelliker was the right decision for me. Now? I have a neck but wish it was a little tighter so perhaps I'll visit him again sometime. Actually, there are other specifics you might consider: 1. suture lines (at hairline or inside of hairline) 2. salt (give it up 2 weeks before & after) helps with swelling 3. recuperation time (I took 2 full weeks knowing that I swell & bruise easily and easily could have used another week… others were running around in 3 days) 4. lips (fat injections) just do it. You will lose 60% but go big or go home. 5. numbness (it's been 5 1/2 months & I still am numb in front of ears) 6. look 30? (if you really want to look 30, then have a very frank discussion with Dr. Koelliker to see if this is realistic) 7. scars (not everyone heals the same) Dr. K and I discussed my tendency to scar so he was prepared. Not sure if my scars would be obvious to anyone else but they are there & they are not symmetrical. But, I have scars from every surgery.. gall bladder, hysterectomy & derm procedures. #8. Lip lift? Paresthesia can happen with a smile so tread softly. #9 Spanish (It's not necessary. Dr. K did not find out that I spoke Spanish till they gave me the good drugs on the OR table. Apparently, I'm still quite fluent and mildly humorous when sedated. And Finally if you're still awake #10 Obvious? (I was only joking about the go big or go home.) After 3 weeks of healing, strangers & acquaintances thought I look rested, refreshed or just nice but they were only guessing. So I hope my ramblings help in some small way & I wish you the very best trip to a beautiful country. Please give Dr. K my "felicidades" when you see him.
February 17, 2014
hey
August 20, 2013
You are looking great! I too, had an amazing experience with Dr. K in Mexico. I don't understand why these posts cannot be put on the regular review page, but I am glad I found yours. Thanks for sharing.
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August 20, 2013
Dr K was at Casa Marino yesterday doing follow-ups and I saw Elizabeth. Of course she looked amazing an was asking about you as she did not get to see you before you left. 10, 9 , 8, 7, .... more days until I am officially a Yoga Teacher!
UPDATED FROM Guajira
1 month post

Does anyone realize I've had a facelift/necklift?

Guajira
I keep checking to see if anything has fallen but the neck I'm seeing in the mirror is a constant surprise. I'm not exactly complaining but... does anyone realize I've had work done or are they just not talking. In healthy relationships, you are supposed to tell your spouse everything. I know they say confession is good for the soul. Hopefully I won't burn in hell for telling my husband I only had a neck tweak and the bruises were from an allergic reaction (actually I WAS allergic to the Arnica.) Anyway the point of my 6 week update is to tell you that no one has used the "f" word (facelift) since I've returned from Mexico. I'm not sure anyone knows.

My good friend and work-out partner didn't mention anything except she thought I was frisked 3 times at the Dallas airport and 1 time in Mexico because I was blonde. My youngest son just returned from a month in Korea and didn't say a word about my face, neck or nice cheekbones. My oldest son simply said, "Are you OK?"

A friend, I had not seen in years, surprised me at DFW airport at week 2 post surgery and simply said, "You're dressing very chic these days." I finally asked my unusually quiet husband, "Can you even tell a difference in my neck?" Sure, your neck looks nice. (I thought he would be chasing this neck around the house.)

Yes, I said I wasn't trying to look 30 and apparently I don't. Darn it.

Slight bruising on each cheek being treated with Donnell Skin Vitamin K cream. Scars behind ears, at vertical neck/hairline and above ear/hairline are healing slowly but nicely with daily Mederma SPF 30. Initially I swelled like a balloon and bruising was substantial for me. Most has resolved. Still have some numbness at ears and odd feeling at eyelash line; however, this improves every day. Love my lips and neck... they look so normal. Dr. Koelliker said the conservative fat replacement in lip area should last 7 years. I've never been a fan of fat lips but this looks so natural that I may be tempted to return next year to San Miguel for a very slight lip tweak and a few more lymphatic massages from Fabiola. The dollars aren't worrying me, only what do I tell my husband?

Replies (24)

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September 1, 2013
You hit the nail on the head. I can see a noticeable difference between my pre and post surgery but it seems that nobody notices. I am left wondering if I am seeing what I want to see or if people just do not pay much attention to women after a certain age.
September 2, 2013
Yep, I've had a real problem with invisibility and my family only notices what's cooking on the stove. But on my 2 wk post surgery trip, TSA had their hands all over me. They actually checked my belly button for weapons. My advice. If you want anyone to really notice the new you, wear a scarf and make a plane connection through DFW airport.
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September 2, 2013
You look fantastic but if you wanted everyone to notice you would have had to look a lot worse in the beginning. Your neck would have bothered me but your jowls aren't very large. So,,,although you do look very youthful..could pass for in your thirties, it wasn't drastic and people probably do notice you look better but cannot pinpoint what it is.
September 2, 2013
Thanks. You are very sweet. My saggy neck really screamed for drastic measures.
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September 2, 2013
I have a question,,I am only 26? days post op. I still have some swelling and tightness. Just wondering if when the tightness and swelling goes away does the skin sag again?
September 2, 2013
Honestly, I'm not the best person to ask. I'm a slow healer and still have some swelling and bruising after 6 1/2 weeks. Dr. Koelliker said SMAS lift and fat replacement could last for 7-10 years, depending on your procedure, health, DNA , etc. For me, my jaw line and neck still look good as swelling resolves. My lips were more "poofy" right after surgery. Regretfully, they are a little less plump now. Blame that on me though. I told Dr. Koelliker, "no poofy fake lips please." You should talk to your doctor w/ follow-up visit for a much more informed response. Wish I could be more help.
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September 9, 2013
You look fantastic! I was very close to going to Dr. Koelliker for my face and neck but the time frame was too far out for me. I had my face/neck done last week in Dallas and I am thrilled so far with my recovery. You said that nobody is "talking" about how you look and I thought to comment on what my Dr. told me about my face. He said that it would make a huge difference to me but not so much to other people. He said that other people were not focused on what I saw in the mirror and they wouldn't see much of a difference after. I have to say, already I am THRILLED at my neck and jawline and I have swelling and some bruising. I know it's going to look amazing when I heal. I am lucky; I chose a really good surgeon here and I can tell that he did great work. I just want to tell you that I think the difference in your pictures is pretty great. You really look stunning...no matter what they DON'T SAY! I
September 9, 2013
Hey lvb2013, Thank you for saying all those nice things. I'm originally from Dallas and considered having surgery there, then recovery w/ friend or family. Mexico turned out to be the best choice for me w/ 2 weeks in spa ... mainly due to my conflicted conscience concerning "do I tell them or no?" I'm really happy everything turned out so well for you w/ surgery in Big D. Thanks again for all the lovely compliments.
October 4, 2014
Who is your doctor in Dallas since am considering my options
September 9, 2013
You look great. and you do look younger. I had a facelift with dr. K almost four weeks ago and didn't tell anyone, except one close girlfriend who lives far. No one, none of my close friends commented on a difference in my looks which I found at first a little disappointing but people are too polite usually, even close friends, to comment on your appearance, also I didn't look too bad for my age before. I still have slight yellow bruising and of course numbness at the incisions line in my cheeks. The only thing I am a bit disappointed are the two vertical incisions lines on my neck near my hairline. They are a bit ropey and red and visible (at least one) when I put my hair up. I hope they will soften and whiten with time. I wish they were more hidden in my hairline. Are you just using Mederma on your scars? How long it takes for the scabs to fall, they're driving me nuts.
September 9, 2013
kittyworld, Thanks so much. I really do feel better without so much neck and am hoping my turtleneck sweaters will fit this winter. Now you know I'm no expert and was probably one of the worst "bruisers/healers?" in the history of plastic surgery. Having awful bruising on cheeks and neck and even ears, I purchased and began to lightly massage Donnell Skin Vitamin K cream over redness and bruises (it contains higher vitamin K content than typical over the counter creams.) First, I would apply Mederma SPF30, allow to soak into skin, then apply Vitamin K cream to deep bruising at cheeks, on scars and redness along tragus line at ear. Everyone recovers at different rate but I, too, had red ropey suture lines at neck. At 7 weeks, they have flattened out. I can still feel a slightly raised area; however, apparently my hair was shaved and is now growing past scar line at neck. I do not have scars on cheeks but do still have a few specks of redness remaining. One ear is still a little red at tragus line. The last bit of scabbing behind ears resolved last week. I have one perfectly healed thin red vertical line above my left sideburn area. Left upper area was shaved a little more directly above ear but once hair grows in surrounding area, I think it will be fine. I have been wearing my hair loosely up w/ fat clip since week 2 and don't think any work is noticeable. It was about week 4 when the vertical scars at my neck began driving me crazy. That's when I really began to note healing improvements. Redness and swelling began to dissipate and nerves began to reattach. Give yourself time to heal and you might want to try a strong Vitamin K cream (for capillaries) along with Mederma w/ SPF. I really do appreciate your support and will try to post pics at 8 weeks of scars and my new neck.