Dr. Cardenas and Foreheads Type III? - My Post-Op Photos

[jgirl76]

UPDATE: 6/21/14: If there is anyone reading this who has had type III with Dr. Cardenas, I would love to hear from you about your experience and results.

Thanks,
J

UPDATE 6/11/14  I'm 4 weeks out from surgery with Dr. Cardenas and as noted below, you can still see my sinus, especially in the light. Noticeable shadow on the right side, which is my left side (See picture below)  Type III will be needed to resolve this so I will need a revision... 

I recently had full FFS with Dr. Cardenas, including forehead. We did a type I procedure and this was fine for removing the orbital rim brow bossing, but it was NOT sufficient for setting the frontal sinus area back behind the bridge of my nose. My forehead is now smooth and convex in shape BUT it is apparent that my frontal sinus still protrudes some over the bridge of my nose, which you rarely see in genetic females. Yes, Dr. Cardenas can grind down the bossing on the orbital rims, but he cannot set back the frontal sinus with type I or II. If you are going to Cardenas and you have any doubts, suggest type III. I wish I had just done that...  My forehead is good, but it's not "great"  Unsure at this time if I will attempt type III with Cardenas or with someone else, perhaps DiMaggio at a later date.

Overall I feel I received a good result, Dr. Lazaro Cardenas is a fine surgeon and the care I received was excellent.

2 weeks post op: http://s1282.photobucket.com/user/jgirlpacific/library/Cardenas%20Post%20Op?sort=3&page=1

Pre-op photos : http://s1282.photobucket.com/user/jgirlpacific/library/ 

1 month post op straight on (notice sinus shadow):



Pre-op profile:



Post op profile:

[Junebug]

Hello jgirl76,

I'm sorry to hear that you are not fully satisfied with your result,  I hear it does take a year for the FFS to fully heal and only then you can fully judge more on what the outcome is after the swelling etc. has gone down.  Hopefully things will be better later on for you.

[jgirl76]

Thanks, Junebug. Unfortunately there is no swelling over my frontal sinus, so the result is what it is    I just wanted to let others know that they should go type III if they don't want their sinus to overhang the bridge of their nose. Type II is sufficient for brow bossing, but not for setting the frontal sinus back. -J

[calicarly]

Thanks, Junebug. Unfortunately there is no swelling over my frontal sinus, so the result is what it is    I just wanted to let others know that they should go type III if they don't want their sinus to overhang the bridge of their nose. Type II is sufficient for brow bossing, but not for setting the frontal sinus back. -J

Oh no!!

I really do hope at least it was a big improvement tho, even if it's not perfect, but if you're already thinking of getting it done elsewhere it is worryin. Will u be posting some more before and afters Hun? I mean the afters u showed looked extremely good, so I'm not sure spy should mess around with it anymore if it's close enough to what should be, but then I don't think u showed us a profile after x

[Evolving Beauty]

omg so it's what all girls in the past were saying he's 'not invasive enough' with the foreheads.  So that newbie last time who created a brawl in the other locked thread was right after all or not. 

But did Cardenas PROPOSE you originally to do the Type III from the beginning or it's you who requested to do Type II by yourself? What about that scar in the forehead hairline as the newbie was saying? Is it visible?

Cos his biggest chef doeuvre that Venezuelian male supermodel who turned female I noticed ALWAYS wear a bang. This is alarming. However I've notice he does the lower hemisphere of the face PERFECTLY. I think I will do the lower hemisphere with him and the upper hemisphere with Chettawut, heard excellent stuffs about Di Maggio but Argentina as destination I'm not sure. How much Di Maggio charges for Type III by the way?

[crowcrow223]

I just wanted to say that the frontal sinus is very common amongst many caucasian women, I found one picture that shows that, but I've noticed that amongst many women in real life mainly.

[Celia0428]

jgirl76, I don't think you should blame yourself for not suggesting him which technique to use. If a surgeon offers both type II and type III techniques in his catalogue, it's his duty to pick the right one for each case. He saw your pre op x rays, he got your frontal bone peeled right before his eyes in the operating room, so he managed much more information about your sinus than you did. I think this shows why having a good aesthetic judgment is as important for a surgeon as having skilled hands.

[jgirl76]

The standard with foreheads really "should be" that the frontal sinus should not protrude over the bridge of the nose... and if you can't shave it down far enough to fix that, then type III is needed. Without further adieu here are some photos of me with no make up or anything. You can see the orbital rim bossing is gone, but that my frontal sinus protrudes over the bridge of my nose still.

Post op: http://s1282.photobucket.com/user/jgirlpacific/library/Cardenas%20Post%20Op?sort=3&page=1

Pre op: http://s1282.photobucket.com/user/jgirlpacific/library/ 

[Evolving Beauty]

The standard with foreheads really "should be" that the frontal sinus should not protrude over the bridge of the nose... and if you can't shave it down far enough to fix that, then type III is needed (seems elementary) -  Without further adieu here are some photos of me with no make up or anything. You can see the orbital rim bossing is gone, but that my frontal sinus protrudes over the bridge of my nose still.

http://s1282.photobucket.com/user/jgirlpacific/library/Cardenas%20Post%20Op?sort=3&page=1

As English is not my language I don't understand those technical terms you're talking about as 'frontal sinus' 'protrude' 'orbital rim' etc... BUT BRIEFLY I PERSONALLY SEE NOTHING THAT LOOKS LIKE A MAN WITH YOUR FOREHEAD, HONESTLY! Ok so I conclude I take the risk going with Cardenas to do my entire face no matter what cos of his reasonable and good price.

[jgirl76]

The orbital rims are the bones over the eyes, the frontal sinus is the forehead area between the eyes. I didn't say that my forehead looks like a man's forehead, I was however pointing out that the frontal sinus still overhangs the bridge of my nose, which you typically don't see in genetic women. I received a good result with the type I, but I would have received an "optimal" or "better" result with type III.  If you want to be aggressive with forehead, I would suggest type III.

[jgirl76]

Also I'm not trying to dissuade anyone from going to Dr. Cardenas, just that if you want him to be aggressive with your forehead and you don't want your frontal sinus to overhang anymore, then insist on type III.  Type I and II have limitations...  Dr. Cardenas will tell you that 90% of patients don't need type III, but it's the other way around, 90% do need it, it's the lucky few 10% who don't need it. I'm not sure the reason for his aversion to performing type III. Maybe he doesn't perform enough of them and doesn't feel comfortable? I'm not sure...  I will be going back to Guadalajara for pics once everything is fully settled and will discuss it further with him.

[Roni]

Thanks for this! My main concern was my forehead. I wanted it as flat and feminine as possible, with barely any orbital rim bones or sinus bones showing. I guess I will have to go with the type III procedure, considering my forehead is identical to yours pre-op, if not worse.

Someone already asked but did he offer to do type III at all? Or was he generally hesitant about doing it and led you to do type II instead?

How do you feel about other parts of your face? I'm also doing my nose.

Edit: Nevermind. Just reread the posts on here. I guess he WAS hesitant to perform type III? :/

[jgirl76]

I asked him to do type III if we needed to and he said he would if that's what was necessary. He said after surgery we didn't need to...  Well the definition of needing to or not needing to, needs to be defined first and foremost. In my personal opinion if type I or II won't set the sinus flush with the bridge of the nose, type III is needed. If your forehead was like mine, insist on type III and he will do it. 

If you do go with type III with him, please let me know how it goes! I will be looking at your experience to determine if he is worth going back to, to re-do my forehead type III. When are you scheduled?

J

[Roni]

I asked him to do type III if we needed to and he said he would if that's what was necessary. He said after surgery we didn't need to...  Well the definition of needing to or not needing to, needs to be defined first and foremost. In my opinion if type II won't set the sinus flush with the bridge of the nose, type III is needed. If your forehead was like mine, insist on type III and he will do it. 

If you do go with type III with him, please let me know how it goes! I will be looking at your experience to determine if he is worth going back to, to re-do my forehead type III. When are you scheduled?

J

I think at this point I'm more than convinced that I will need type III, and I won't take no from him as an answer haha. I'm scheduled for June 21, so three weeks away. And yeah, I most definitely will post result pics here.

[Roni]

Tristan had type III model reconstruction with Dr Cardenas and the result looks good to me, a little more of what you and I are looking for. What do you think Jgirl? This is her vid.

[Melissa_fox]

Even 12 days out you look really amazing with a totally feminine face.

I recently had full FFS with Dr. Cardenas, including forehead. We did a type II procedure and this was fine for removing the orbital rim brow bossing, but it was NOT sufficient for setting the frontal sinus area back behind the bridge of my nose. My forehead is now smooth and convex in shape BUT it is apparent that my frontal sinus still protrudes some over the bridge of my nose, which you rarely see in genetic females. Yes, Dr. Cardenas can grind down the bossing on the orbital rims, but he cannot set back the frontal sinus with type II. If you are going to Cardenas and you have any doubts, suggest type III. I wish I had just done that...  My forehead is good, but it's not "great"  Unsure at this time if I will attempt type III with Cardenas or with someone else, perhaps DiMaggio at a later date.... Oofda!

12 days post-op: http://s1282.photobucket.com/user/jgirlpacific/library/Cardenas%20Post%20Op?sort=3&page=1

Pre-op : http://s1282.photobucket.com/user/jgirlpacific/library/

[crowcrow223]

Thanks for posting the video Romi, didn't know Tristan had a youtube channel! Love me some Tristan,  x

[jgirl76]

How do you know Tristan had type III? I may have missed that she mentioned it?  -J

[Roni]

How do you know Tristan had type III? I may have missed that she mentioned it?  -J

She states in her video that she had "forehead remodeling," rather than bossing reduction done. It is my understanding that type III involves taking out the forehead bone, remodeling it, and then placing it back in? I could be wrong though. Either way Tristan's forehead looks really good and if forehead remodeling indeed equals type III procedure then I know which procedure I will be getting!

Edit: clarification. She mentions forehead remodeling around the 0:35 mark.

[Roni]

Here's another video from Tristan with her face more healed. I am loving her forehead.