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Thank God for the UK's National Health Service

Started by Paula1, December 20, 2014, 08:12:07 PM

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Paula1

On October 9th this year, I went into London's Chelsea & Westminster Hospital to have my forehead remodeled with one of the world's top craniofacial surgeons - Mr Simon Eccles.

He is a charming, gentle and caring human being. All the staff at the C & W respect and love him to bits.

One week later, the bruising has almost gone which is outstanding considering the three hours of work that had to be done on my forehead.

Eleven days after surgery, Mr Eccles's nurse assistant removed over 40 staples along the coronal incision and not one hair graft follicle was disturbed. She took over 30 minutes to remove them all.

Prior to the surgery, a 3D CT Scan was carried out in November 2013 which highlighted the painful bony deformity over the left sinus cavity and a 3D model was subsequently made.

This was also required so that Cavendish Implants in London ( http://cavendishimplants.com/ ) could manufacture the two PEEK implants that Mr Eccles placed over both supraorbital margins as they did not really exist at all.

Now my eyes have much better definition.

Mr Eccles is a founder member of the charity 'Facing the World'. http://facingtheworld.net/

Also see his excellent talk here:



He used the exisiting incision which is now behind my hairline as I have had hairgrafting since the original coronal incision was made when I had my original FFS in February 2004.

If it was not for the NHS, I would have had to live with the serious problem and I am indeed fortunate to live in a country where remedial/revision surgery is available.

I have had quite a few problems with various transition related operations since I began down this road in 1988, but that's the risk one takes sadly.

In 1991, I paid for a Brow Lift to be done. The surgeon Peter Jordan said that the resultant scars would be invisible (he lied) as he performed a Direct Brow Lift and I still have visible scars above each eyebrow. In those days there was no internet to seek advice and groups/forums like this did not exist either.

Next year, I am going to have some hairgrafts put in these browlift scars to hide them and as a result will have Brooke Shields eyebrows !! which is fine. Any damage to my scalp hairgrafts can be done at the same time and I will return to Paul Cotterill in Toronto who performed three sessions, in December 2004,  June 2005 & July 2006. His work is awesome. See: http://www.drcotterill.com/

Now nearly 10 weeks after surgery, everything has settled down and overall I am pleased with the result.

It does not seem that I have had much hairloss along the incision line because Mr Eccles used a bevelled type of incision which helps to prevent damage to the hair.

Mr Eccles has also put fat in the area above my eyebrows to diminish the indented scars that were left due to that awful direct brow lift.

He will top up this fat, if required.

So my advice to anyone having major surgery done in the private sector, make 100% sure that you seek written confirmation from your surgeon that any complications will be revised free of charge. And I mean any complications whether serious or relatively minor.

Frankly I don't know what I would have done without the NHS who really care for you post-operatively.

In February 2012, I had my 19 year old breast implants removed by the NHS at London's Charing Cross Hospital ( the right one was leaking) and also a breast lift was done at the same time, otherwise my breasts would have looked terrible. I still see the surgeon Miss Dex for regular check-ups and scar revision injections each 3 months and next year she is going to tattoo around the areolas to hide the orbital scars. So the aftercare has been wonderful.

I am seeing Mr Eccles again in March and I am so happy to know that I am being looked after post-operatively.

So I am very fortunate to be a UK citizen and have received wonderful care down the years for various transition and non-transition operations.

Mr Eccles performs quite a lot of revisions to other surgeons work and also performs primary FFS. He gets much of his FFS work through recommendation.

It's brilliant that we have one of the world's top craniofacial surgeons right here in the UK performing FFS.

In the not too distant future, I am going to get him to perform a neck lift on me to get rid of that " turkey neck " ...   :laugh: He has quoted me a price.

I am so glad that I have found him and that's purely down to my local GP (doctor) referring me to the Chelsea & Westminster Hospital in London where Mr Eccles operates on his NHS patients.

Merry Christmas everyone and have a wonderful 2015. I hope that all your dreams come true ...  :)

Paula 1
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Paula1

Here are fotos:

3D Model in September 2014

http://s375.photobucket.com/user/PaulaHam/media/Facial%20Surgery%20-%20October%202014/DSC02812B_zpsf41aacbe.jpg.html

http://s375.photobucket.com/user/PaulaHam/media/Facial%20Surgery%20-%20October%202014/DSC02813BR_zps055e9645.jpg.html

http://s375.photobucket.com/user/PaulaHam/media/Facial%20Surgery%20-%20October%202014/DSC02814BR_zps8692f8bc.jpg.html

Bony Deformity in Sept 2014

http://s375.photobucket.com/user/PaulaHam/media/Facial%20Surgery%20-%20October%202014/DSC03155R_zpsa7213a6e.jpg.html

A week after surgery in October 2014.

You can see the much better eye definition with the Peek Implants. My highish eyebrows were there before but in fact they have come down a bit, now that all the swelling has gone down.

http://s375.photobucket.com/user/PaulaHam/media/Facial%20Surgery%20-%20October%202014/DSC03182R_zpsd1bee8a2.jpg.html

During Surgery - WARNING THIS IS STILL GRAPHIC although I have cropped the original foto which shows the whole forehead opened up.

The picture shows the PEEK implants and the red hole is where the compound was inserted ( probably methylmethacrylate - http://en.wikipedia.org/wiki/Methyl_methacrylate ) during the original FFS and fell out as soon as the forehead was opened up. It was loose and floating. Also some of this material was found within the soft tissue.

http://s375.photobucket.com/user/PaulaHam/media/Facial%20Surgery%20-%20October%202014/PaulaDuringSurgery5-Revised-October9th2014_zpsdee2e113.jpg.html






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Paula1

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Paula1

Forgot to mention but my FFS revision surgery cost over £16,000.00 = circa US$25,000.00.

That's nearly twice as much as the original cost !!!   :o :o
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Paula1

#4
Hi everyone,

Happy New Year to you all.

I was reading on FFS Support about a girl who had problems with fillers as I have had.

Yahoo FFS Support members only can read the thread here: https://groups.yahoo.com/neo/groups/ffs-support/conversations/topics/66034

A member answered her thus:

It sounds like you have had polymethylmethacrylate injected. As far as I
know, it is not possible to remove it because it is distributed
throughout the tissues in a similar way to silicone injections.

It might be possible to remove some of it, if it is in large pockets but
that might cause asymmetries.

Removing bone might also cause problems. This is because the soft tissue
of the middle and upper forehead is fat with the methacryl, but the soft
tissue over the brow bossing is thin. If you remove the bossing, the
thin soft tissues that sit over it will move backwards along with the
bone but the soft tissue of the middle and upper forehead will still
bulge forwards. The effect would be that the area where the brow bossing
is would become indented. I hope I have managed to explain that ok.

I am no expert on removal of this kind of thing so do ask around
reputable surgeons. Ask Dr di Maggio or Facial Team perhaps. Other
options might include Dr Ousterhout or Dr Spiegel. I suspect they will
all tell you that the filler can't be removed and I suspect they will
therefore advise against removal of any bone.

My personal opinion is that it is probably safer to leave this area
alone.




As some of the FFS Support members may have read ( see my post https://groups.yahoo.com/neo/groups/ffs-support/conversations/topics/65876 ), Dr Zukowski breached my sinus cavity during my FFS in February 2004 and without seeing my operation notes, I am not 100% certain if he filled the hole at the time of surgery.

I know that he did a revision to the forehead about a year later but it's so long ago, I am not sure if he injected some filler then or it was inserted at the time of the surgery. maybe both times.

I am not going to contact him and ask for my notes ( although I am entitled to them ) as Mr Eccles has done as good a job as he can with my forehead ... It looks so much better now ...  :)

Also Dr Z overburred my supraorbital margins/rims such as they hardly existed at all, hence the need for the PEEK implants. When my forehead was opened up in October, the burr marks were visible in this area.

I will always be upset with Dr Z over this as I had a substandard result which is so sad because my other 'Z' girlfriends look very good overall.

After the reburring of the bony deformity in October 2010, then again in April 2012 and finally in April 2013, he said that he could not help me anymore. But I still hoped that if the deformity reappeared ( which it quickly did ), he would stand by his work and fix the problem once and for all.

I cannot believe that with all his expertise that he was unable to, as he has fixed other surgeon's work that were far worse than my problem.

He simply must have been having an off day when I had my surgery with him.

My other 'Z' friends have never really understood why he didn't carry out a major revision such as the one that Mr Eccles did.

They think it might be to do with:

a) The large cost.
b) Not willing to admit that he underperformed my surgery - Surgeons hate to admit to failures.
c) Possibly worried that I might sue. ( That's ridiculous, of course, as all I wanted was a first class revision )

Anyway it just goes to show that even the best surgeons can have a bad day.

So it looks as if my bony deformity problem could be associated with this filler.

I will ask Mr Eccles what he thinks when I see him in March.

We have not fully discussed all the possible causes but as he says " We have improved your forehead dramatically which is what really counts ".

Now it's time for me to move on and look forward to 2015.

Paula 1

PS. By the way, I have never had words with Dr Z and we have always been polite to one another.  In fact I even helped him run his London Presentations with another 'Z' girl when he was doing them right up to 2012. I am just mystified by it all and it's simply very sad.

Quote from: Paula1 on December 20, 2014, 08:52:24 PM
Here are fotos:

3D Model in September 2014

http://s375.photobucket.com/user/PaulaHam/media/Facial%20Surgery%20-%20October%202014/DSC02812B_zpsf41aacbe.jpg.html

http://s375.photobucket.com/user/PaulaHam/media/Facial%20Surgery%20-%20October%202014/DSC02813BR_zps055e9645.jpg.html

http://s375.photobucket.com/user/PaulaHam/media/Facial%20Surgery%20-%20October%202014/DSC02814BR_zps8692f8bc.jpg.html

Bony Deformity in Sept 2014

http://s375.photobucket.com/user/PaulaHam/media/Facial%20Surgery%20-%20October%202014/DSC03155R_zpsa7213a6e.jpg.html

A week after surgery in October 2014.

You can see the much better eye definition with the Peek Implants. My highish eyebrows were there before but in fact they have come down a bit, now that all the swelling has gone down.

http://s375.photobucket.com/user/PaulaHam/media/Facial%20Surgery%20-%20October%202014/DSC03182R_zpsd1bee8a2.jpg.html

During Surgery - WARNING THIS IS STILL GRAPHIC although I have cropped the original foto which shows the whole forehead opened up.

The picture shows the PEEK implants and the red hole is where the compound was inserted ( probably methylmethacrylate - http://en.wikipedia.org/wiki/Methyl_methacrylate ) during the original FFS and fell out as soon as the forehead was opened up. It was loose and floating. Also some of this material was found within the soft tissue.

http://s375.photobucket.com/user/PaulaHam/media/Facial%20Surgery%20-%20October%202014/PaulaDuringSurgery5-Revised-October9th2014_zpsdee2e113.jpg.html
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Paula1

When I had my FFS with Dr Z in Feb 2004, he also performed a secondary rhinoplasty and alarplasty to reduce my flared nostrils. I also had an upper lip lift done and fat grafting to the top lip area.

Unfortunately after the swelling went down, I was left with a raised vertical crease below the right alars. This is known, I believe, as a subdermal lesion.

When I had my forehead revision surgery last October, Mr Eccles put some fat around it ( as he has some spare after filling my indented old direct brow lift incisions ). But as he said, we will have to refill these areas again as the fat does reabsorb quickly - less than 5 weeks actually.

Failing that he will use fillers every 6 months or so. Not cheap at around £250.00 a time !!!  :(

Here are fotos below of my face (right side) taken in May 2013 ( before the October revision surgery ). You can clearly see the vertical raised crease.

Although my forehead was burred by Dr Z, it definitely is not dolphin shaped and is nice and flat (except for the bony deformity). Also I have inherited my late mother's deep set eyes which I love. They look even better now with the PEEK implants giving the supraorbital rims better definition.

Excuse my tatty hair but it's not a glamour shot ... ;)

http://s375.photobucket.com/user/PaulaHam/media/Facial%20Surgery%20-%20October%202014/DSC02162-Mynose-May14th2013_zps1ea70562.jpg.html

http://s375.photobucket.com/user/PaulaHam/media/Facial%20Surgery%20-%20October%202014/DSC02167-Mynose-May14th2013_zps3a9d675d.jpg.html







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Paula1

Sorry everyone,

I have removed my Photobucket fotos and unless I can copy and paste them on here, you will have to pm me in order to see them.
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Paula1

Good morning group.

I have now sorted out my fotos and here they are:

3D Model in September 2014

This was produced from the 3D CT Scan done prior to surgery and also as a base for the manufacture of the PEEK implants.








Bony Deformity prior to surgery in Sept 2014



A week after surgery in October 2014.

You can see the much better eye definition with the Peek Implants. My highish eyebrows were there before but in fact they have come down a bit, now that all the swelling has gone down.




During Surgery - WARNING THIS IS STILL GRAPHIC although I have cropped the original foto which shows the whole forehead opened up.

The picture shows the PEEK implants and the red hole is where the compound was inserted ( probably methylmethacrylate - http://en.wikipedia.org/wiki/Methyl_methacrylate ) during the original FFS and fell out as soon as the forehead was opened up. It was loose and floating. Also some of this material was found within the soft tissue.







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Paula1

and finally:


When I had my FFS with Dr Z in Feb 2004, he also performed a secondary rhinoplasty and alarplasty to reduce my flared nostrils. I also had an upper lip lift done and fat grafting to the top lip area.

Unfortunately after the swelling went down, I was left with a raised vertical crease below the right alars. This is known, I believe, as a subdermal lesion.

When I had my forehead revision surgery last October, Mr Eccles put some fat around it ( as he has some spare after filling my indented old direct brow lift incisions ). But as he said, we will have to refill these areas again as the fat does reabsorb quickly - less than 5 weeks actually.

Failing that he will use fillers every 6 months or so. Not cheap at around £250.00 a time !!!  :(

Also because Dr Z raised the tip of my nose too much, it negated the effect of his upper lip lift and the fat also has the effect of making the area below the nose longer again. In fact Mr Eccles said that I really need another upper lip lift.

Here are fotos below of my face (right side) taken in May 2013 ( before the October revision surgery ). You can clearly see the vertical raised crease.

Although my forehead was burred by Dr Z, it definitely is not dolphin shaped and is nice and flat (except for the bony deformity). Also I have inherited my late mother's deep set eyes which I love. They look even better now with the PEEK implants giving the supraorbital rims better definition.

Excuse my tatty hair but it's not a glamour shot ... ;)





Here is a foto of my late mother when she was in her 20's circa 1920, this was the nose that I asked for but Dr Z did not give me despite my giving him a copy of my virtual FFS done by Alexandra Hamer. Dr Z gave me his standard nose so I look a lot like some of his other girls. In 2010, I was with another 'Z' friend of mine and people thought that she was my daughter because our noses are the same. And in the USA, I was with another 'Z' girl and people thought that she was my sister !!!!

http://www.virtualffs.co.uk/



Anyway I will be needing a neck and mid face lift ( I am nearly 70 now ) plus a secondary tracheal shave ( the original was done in 1989 ).

I have always said that I will be having surgery on my death bed .. LOL  ;D


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Paula1

Hi everyone,

Just by chance I was looking at Dr Zukowski's website today and under his FFS Gallery he has a sub-heading named Intraoperative Gallery and another heading that says " Complications with other surgeons open techniques. It goes on to say open techniques have the complication built in regardless of the surgeon that performs them. "

See: http://www.mlzukowski.co.uk/index.php/ffs-gallery/intra-operative-gallery-2

There is a foto of a post-op patient from an open procedure performed by an Argentinian surgeon ( I assume Dr Di Maggio). It says there is still a lot of heaviness to the orbital rim. Note the unicorn comes free.

Yes Dr Z does do remedial surgery on other surgeon's patients and I have seen some excellent results by him.

Pity that he felt unable to sort out my similar forehead bony deformity.

Paula 1

Quote from: Paula1 on December 31, 2014, 02:31:58 PM

After the reburring of the bony deformity in October 2010, then again in April 2012 and finally in April 2013, he said that he could not help me anymore. But I still hoped that if the deformity reappeared ( which it quickly did ), he would stand by his work and fix the problem once and for all.

I cannot believe that with all his expertise that he was unable to, as he has fixed other surgeon's work that were far worse than my problem.

He simply must have been having an off day when I had my surgery with him.

My other 'Z' friends have never really understood why he didn't carry out a major revision such as the one that Mr Eccles did.

They think it might be to do with:

a) The large cost.
b) Not willing to admit that he underperformed my surgery - Surgeons hate to admit to failures.
c) Possibly worried that I might sue. ( That's ridiculous, of course, as all I wanted was a first class revision )

Anyway it just goes to show that even the best surgeons can have a bad day.




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mmmmm

Funny he doesn't mention "Complications that other surgeons had to fix because of my amazingly superior forehead technique"... I'm shure you've seen at least 5-10 cases over the past years as you follow FFS happening. Do you maybe know any links to that? I cant remember where I found some, or what to write in google to find them. Doctor from Argentina knows a thing or two about fixing dr. Z's "collapses". I bet dr. Spiegel also, but he's a little more quiet about it.     
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Paula1

Sure Dr Z has had his problems but messing around with one's face is a massive risk.

I do know of other 'Z' girls who have not been entirely happy with their result in one way or another and these are genuine gripes.

Yet there are others who are 100% pleased and I wish that I was one of them.

Quote from: mmmmm on February 09, 2015, 01:32:15 PM
Funny he doesn't mention "Complications that other surgeons had to fix because of my amazingly superior forehead technique"... I'm shure you've seen at least 5-10 cases over the past years as you follow FFS happening. Do you maybe know any links to that? I cant remember where I found some, or what to write in google to find them. Doctor from Argentina knows a thing or two about fixing dr. Z's "collapses". I bet dr. Spiegel also, but he's a little more quiet about it.   
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Paula1

Hi everyone,

Unfortunately the surgery that I had done in October 2014 has not been a total success.

So next Spring, I am having Facial Team in Spain sort out my forehead as well as performing another upper lip lift.

Details to follow in due course.

Paula 1
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Danielle11746

Paula I met you in the waiting room at Dr. Zukowski's back in 2004, glad to see you are doing well.   
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Paula1

Hi Danielle,

Great to hear from you.

How's things?

PM me if you want ...  :)

I am pretty fit but still needing more corrective forehead surgery, but that's the way it goes.

I always said that I will be having some kind of surgery right up to the day I depart this earth ... LOL  :laugh:

In this game, you need a sense of humour.

So 2004 was not a particularly good year for either of us 'Z' wise sadly ... :( 

Take care honey.

Hugs

Paula 1

Quote from: Danielle11746 on November 18, 2015, 01:11:01 AM
Paula I met you in the waiting room at Dr. Zukowski's back in 2004, glad to see you are doing well.
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Paula1

Hi everyone,

Yesterday (Friday) I left home early to go up to London to see Facial Team who were seeing prospective and existing patients.

This was my third meeting this year with Dr Bellinga & Dr Capitan in London and I also went to see them in Spain last May.

They were incredibly busy throughout the day and I eventually left the hotel after 8.00pm.

The good doctors and their team were on the go for over 12 hours so they must have been exhausted.

It was great to see some of their patients that I have met before and also meet new people.

The atmosphere was relaxing and chatting to each other was very informative.

Anyway time for me to close this current chapter in my FFS journey and start a new one because on Monday, I am sending FT my deposit as I have corrective forehead surgery and two other procedures scheduled for Wednesday April 6th 2016.

Cannot wait ....  :)

New thread to start soon.


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Paula1

Hi everyone,

I have removed all my Photobucket images due to privacy reasons and have replaced them with Imgur ones.

This is Reply 7 dated Jan 12th 2015:

Quote from: Paula1 on January 12, 2015, 03:47:47 AM
Good morning group.

I have now sorted out my fotos and here they are:

3D Model in September 2014

This was produced from the 3D CT Scan done prior to surgery and also as a base for the manufacture of the PEEK implants.

http://i.imgur.com/eIKVz0E.jpg

http://i.imgur.com/yUrDAWl.jpg

http://i.imgur.com/NcIQQX7.jpg


Bony Deformity prior to surgery in Sept 2014

http://i.imgur.com/KHLJvXJ.jpg

A week after surgery in October 2014.

http://i.imgur.com/bAny55T.jpg

You can see the much better eye definition with the Peek Implants. My highish eyebrows were there before but in fact they have come down a bit, now that all the swelling has gone down.

During Surgery - WARNING THIS IS STILL GRAPHIC although I have cropped the original foto which shows the whole forehead opened up.

The picture shows the PEEK implants and the red hole is where the compound was inserted ( probably methylmethacrylate - http://en.wikipedia.org/wiki/Methyl_methacrylate ) during the original FFS and fell out as soon as the forehead was opened up. It was loose and floating. Also some of this material was found within the soft tissue.

I am not going to publish this foto now, it's too graphic

  •  

Paula1

Reply 8 dated Jan 12th 2015:

With new Imgur images

Quote from: Paula1 on January 12, 2015, 03:51:46 AM
and finally:


When I had my FFS with Dr Z in Feb 2004, he also performed a secondary rhinoplasty and alarplasty to reduce my flared nostrils. I also had an upper lip lift done and fat grafting to the top lip area.

Unfortunately after the swelling went down, I was left with a raised vertical crease below the right alars. This is known, I believe, as a subdermal lesion.

When I had my forehead revision surgery last October, Mr Eccles put some fat around it ( as he has some spare after filling my indented old direct brow lift incisions ). But as he said, we will have to refill these areas again as the fat does reabsorb quickly - less than 5 weeks actually.

Failing that he will use fillers every 6 months or so. Not cheap at around £250.00 a time !!!  :(

Also because Dr Z raised the tip of my nose too much, it negated the effect of his upper lip lift and the fat also has the effect of making the area below the nose longer again. In fact Mr Eccles said that I really need another upper lip lift.

Here are fotos below of my face (right side) taken in May 2013 ( before the October revision surgery ). You can clearly see the vertical raised crease.

Although my forehead was burred by Dr Z, it definitely is not dolphin shaped and is nice and flat (except for the bony deformity). Also I have inherited my late mother's deep set eyes which I love. They look even better now with the PEEK implants giving the supraorbital rims better definition.

Excuse my tatty hair but it's not a glamour shot ... ;)

http://i.imgur.com/EzJJtfO.jpg

http://i.imgur.com/VvpWzRx.jpg

Here is a foto of my late mother when she was in her 20's circa 1920, this was the nose that I asked for but Dr Z did not give me despite my giving him a copy of my virtual FFS done by Alexandra Hamer. Dr Z gave me his standard nose so I look a lot like some of his other girls. In 2010, I was with another 'Z' friend of mine and people thought that she was my daughter because our noses are the same. And in the USA, I was with another 'Z' girl and people thought that she was my sister !!!!

http://www.virtualffs.co.uk/

http://i.imgur.com/pGnllAA.jpg   

Anyway I will be needing a neck and mid face lift ( I am nearly 70 now ) plus a secondary tracheal shave ( the original was done in 1989 ).

I have always said that I will be having surgery on my death bed .. LOL  ;D
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