Hmm ok. I heard some people say that the VFFS simulation was not as good as the reality later on. I think VFFS understates the changes a bit - makes a conservative estimate so no one is going to be disappointed after getting things done but rather plesantly surprised if it is better.
I worry a bit about Facialteam thinking it is accurate though and not, as probably many other surgeons would do, say that it probably will be better. Either they share the same thinking - better not promise too much - or they really are also more conservative in their approach? Certainly they would be more onservative than Dr O. Two 11 hours surgeries? What on earth... That sounds like you had about every single procedure done that is possible and with that surgeon must have cost you a fortune.
For me, VFFS listed basically the "big five" - hair,forehead,nose,chin and jaw and also lip lift. This was also very consistent so far with surgeons suggestions, although its a bit hard because some of these changes are not as dramatic, so PAI skipped half of them in their suggestions - one surgeon however added a ton of procedures on it that I never thought of plus soft tissue work, also suggesting two surgery dates. But since he so far was the only one to do that - and he did suggest only the things VFFS suggested in the first quote , two years ago, I am a bit suspicious about that.