Hey everyone. : )

I posted a thread here a few months detailing the work I had done with Dr. Bart van de Ven. I had full FFS, but to be blunt, in getting me to passability, the surgery was a failure.

So I'm going up for round two. I can't afford as much as before so it's going to be soft tissue work only. I'd like more experienced opinions than mine on what option I should take. I have a choice betweem three: lower neck lift, lower face lift and buccal fat removal. I believe my main problem is the fat distribution in my face and the fact it's still quite masculinised (particularly in the jaw/cheek area) but with limited finances and a choice of only one, I'd very much be grateful for ideas.

Anyway, here are my pictures almost six months post-op.







Thoughts?

Hi Dash I have sent you a private message. 

Uhm.... have you taken care of downstairs yet? The reason I ask is that your face will change some after that happens. First, I think your profile is stunning. And I really can't say anything bad about the other shots either. You look very feminine and attractive to me. I would like to see what you look like when you smile.

Cindi

Hey!
I can't comment on soft tissue work, as I don't know enough about it. But it does seem to be the problem for you. I remember seeing other cases where people weren't completely satisfied with FFS result, and the issue was resolved by lower face lift or/and combination of other soft tissue work. It happens, because it isn't always possible to predict what will happen with soft tissue after more or less agressive bone work. But on the other hand, it is better to have two seperate surgeries (when needed), first bone work, second facelift and possibly other soft tissue work.
6 months is still very early. I suggest you don't rush into anything, save enough money for more than just one procedure, just in case if you will need more... And have everything you need to have for a result you will be completely happy with. What exactly to have done is more of a question for surgeons...
I agree with Cindi, side profile looks amazing, despite not the most flattering hairstyle 

I am totally in love with the results of your FFS. You look nothing but stunning. The only thing I would suggest to you do is a chin implant. That will also lift your neck and improve the facial harmony. I don't think you need any face lifts at all. Perhaps a cheek implant for further lifting effect. Avoid the buccal fat removal because it will contribute to skin sagging. With the chick implants you will get the effect of buccal fat removal without loss of volume. Who is your prospective doctor? I would suggest doing first the chick implants under local anesthesia, see the results and if needed adding chin implants or the other way around. But anyway I am totally in love with your actual results...

Hi Dash

did you ask advice to Dr Bart ?

Dash, to be completely honest, I don't think there is anything that could keep you from passability on your lower face. I can see the fat spots that you are talking about in your pictures and I agree that it would be nice to get them reduced, but I don't think they are a gender marker at all. If I saw someone with a face like yours down the street, I would never think she is anything but a pretty woman, unless she has a very masculine body from the neck down or moves and speak in a very manly way.

If I had to spot a part of your face that may look less feminine than the rest of the features... though it doesn't look very masculine I must say... I believe it could be the forehead with the consequent impact it has on your eyes. They have a somehow harsh looking, like there was some anger in them and I think it could be because they are still deep set and the forehead bone still protrudes above. If I saw you walking down the street in winter with your mouth and nose covered with a scarf and I could only see your eyes and forehead, in that case I wouldn't be so sure about your gender as if I could see your whole face.
Dr. Bart is very good at forehead surgery and for what I've seen so far I believe he has a very good management of the various techniques available so I guess he must have done all that was possible in your surgery and this is what your forehead was meant to look like, I mean beautifully round and smooth but prominent and a bit heavy looking at the same time. And the hairline is another factor that I would think about. If it were my forehead, I would consider lowering the hairline 2 or 3 centimeters. Have you thought about getting some hair transplants? They could be a better investment than removing the fatty spots from your jawline from my point of view.

As for your question on what the right procedure for these fatty spots is, I think you should ask Dr. Bart about it. Maybe a liposuction, maybe buccal fat pads removal... I don't know. Aren't you too young for facelifts?

Dash, you look great btw, but I know what you mean, After 10 months post FFS I still have some loose skin but every month I still see an improvement, so what I would say is give it some time before deciding on doing additionnal work.

I would wait a full year before you do anything else.  Also the facelift or fat removal could make your face too thin and it can look harsh and less passable.