Well, I do not doubt that they do good work. Looks good to me, but I am always someone who likes to know what they are doing to you. I am not someone who likes to go there and just submit to their judgement on what the aesthetics can be. I know one needs a certain amount of trust in a FFS surgeon to do something that is aesthetically pleasing, but I felt a bit left out in their assessment when I asked about details of the procedures - for example if they do type 1 or 2 or 3 forehead. "If doing the same type 1,2 or 3. The result will be the same block like other. Cosmetic surgery is about art of aesthetic." is in my perception not really an answer that satisfies me as all I can to is interpret it as "we will do whatever we think is good".
So my conclusion about PAI is, basically one can check before and after pictures, see if the aesthetics they do is a match to ones own desires and then go there and say "do whatever is needed" and then they do what they see fit. I have not experienced this with other surgeons so far, who always were able to at least make an estimate about what parts have to be changed in what way (eg.g. type 1 or 3 forehead, orbital shave, sliding genioplasty or just burring - which parts would be burred etc). I was comfortable with Yeson even though they have not perfect english, but it was enough - with PAI I feel a bit of a langage barrier or maybe it is a cultural barrier which consists of me wanting to know details on what is done, while maybe most other patients of them just want it to get done...?
I understand it that you did mostly a facelift with them, not a full FFS, though? From the initial post it reads like you did face lift, hairline lowering and some minor change to the nose. So in that case, I guess it makes more sense. They did not shave any bones or did any reconstructive work then?
