Quote from: icy on February 10, 2017, 03:19:00 PMI actually like that nose in fact I can show another nose that I will say that is acceptable. I understand that previous picture is a bit too much but that would be my dream nose otherwise a nose like this.

Just to be clear, I have no complaints about the curvature you're looking for, which we see both here and with the other example you've posted.  With this new set of pictures, though, we only get a view from the side, and as such we aren't seeing the width of her nose as it appears head-on.  I think what's more feminine is a nose where the nose has this same kind of curvature in profile, while from the front reaches its narrowest width at the bridge, right between the eyes.  The other nose got wider at the bridge, which makes it look like it's been "worked on," and with a measure of crudeness at that, in my opinion.

QuoteI could consider Dr. Deschamps-Braly. In fact I think I have heard more positive than negative about him than any other surgeon. The only issue is, is that I am not able to see his kind of owrk to be able to make a judgement.

To see his results, you need to consult with him in person; he doesn't post results online.  I do think it's worth while to make a short list of 2-4 surgeons and have consultations in person before deciding who you'll go for.  That also gives you a deeper sense of what they're capable of and whether this is the person you want operating on your face.

QuoteMy question currently is would it make any difference if I broke down my FFS piece-by-piece so for example if I could do say my rhinoplasty first, then do my forehead with jaw/cheek recontouring. I know everyone says "No do it all at once" however it seems every surgeon has a specialty and skill for one thing. Obviously forehead/jaw/chin I'd need a craniofacial surgeon, and a nosejob i would need a plastic-surgeon. However this may sound terribly bad to say but would it make a difference to do all my FFS all at once in terms of seeking ultimate beauty outcomes? Or rather doing my surgery piece-by-piece will not have any delay in healing or harm my beauty outcomes?

It's fine to do your facial surgery in stages, like splitting the upper face and lower face into two different sessions, and this is not uncommon, actually. 

However, it's preferable and advised to do your nose and forehead at the same time, because the bridge of the nose connects to the glabella of the forehead; these structures are linked and contiguous.  The risk of doing rhinoplasty by itself ahead of time is that it may need to be revised anyways upon doing your forehead, which either adds a measure of risk to your nose -- the cartilage in your nose is much more delicate than your bones are -- or could otherwise result in an aesthetic that's not as unified and consistent as you'd like. 

Oh my god Sophi Sage,

I love you dearly. I wish I can do something for you in exchange. You have given me a lot of insight. I'm out now at a party but I will respond to my ideas here. So honestly it isn't a lot of information to digest.

I think I will follow as you said. I think doctor Deschamps-Braly will be perfect to do for my forehead and rhinoplasty. I will do bottom face else where after a year. Only reason due to money and it may be affordable to do my forehead type 3 and rhinoplasty and do my chin and jaw with someone else.

Since doctor Z isn't a craniofacial surgeon I think doctor Deschamps-Braly is my best bet. Do you have an idea of the cost for forehead type 3 and a nose job? Also do you think if I show him the pics he may be aggressive to give me such look?

Thank you

Quote from: Sophia Sage on February 10, 2017, 07:50:47 PM
Just to be clear, I have no complaints about the curvature you're looking for, which we see both here and with the other example you've posted.  With this new set of pictures, though, we only get a view from the side, and as such we aren't seeing the width of her nose as it appears head-on.  I think what's more feminine is a nose where the nose has this same kind of curvature in profile, while from the front reaches its narrowest width at the bridge, right between the eyes.  The other nose got wider at the bridge, which makes it look like it's been "worked on," and with a measure of crudeness at that, in my opinion.


To see his results, you need to consult with him in person; he doesn't post results online.  I do think it's worth while to make a short list of 2-4 surgeons and have consultations in person before deciding who you'll go for.  That also gives you a deeper sense of what they're capable of and whether this is the person you want operating on your face.

It's fine to do your facial surgery in stages, like splitting the upper face and lower face into two different sessions, and this is not uncommon, actually. 

However, it's preferable and advised to do your nose and forehead at the same time, because the bridge of the nose connects to the glabella of the forehead; these structures are linked and contiguous.  The risk of doing rhinoplasty by itself ahead of time is that it may need to be revised anyways upon doing your forehead, which either adds a measure of risk to your nose -- the cartilage in your nose is much more delicate than your bones are -- or could otherwise result in an aesthetic that's not as unified and consistent as you'd like.

Quote from: icy on February 10, 2017, 03:19:00 PM
would it make a difference to do all my FFS all at once in terms of seeking ultimate beauty outcomes? Or rather doing my surgery piece-by-piece will not have any delay in healing or harm my beauty outcomes?

It probably won't make any difference to your ultimate aesthetic outcome, but it will sure make a difference to your bank account.  OR/anesthesia fees were about $4000 when I had FFS with Dr. Z.  You will need to pay something like that every time you have another procedure, so keep that in mind.

With kindness,

Terri

Quote from: icy on February 10, 2017, 10:21:41 PMI think I will follow as you said. I think doctor Deschamps-Braly will be perfect to do for my forehead and rhinoplasty. I will do bottom face else where after a year. Only reason due to money and it may be affordable to do my forehead type 3 and rhinoplasty and do my chin and jaw with someone else.

Since doctor Z isn't a craniofacial surgeon I think doctor Deschamps-Braly is my best bet.

Well, you don't know if you've got a Type I or Type III forehead until you get your x-rays/CT scans; you can't tell by looking in the mirror or at photographs.  If you have a Type I forehead, Z might well be your best bet.

Before jumping to conclusions about Deschamps-Braly, or anyone else, do some more research.  There are plenty of other surgeons in the U.S., and there are very good options in Spain (Facial Team) and Asia that might suit your pocketbook better, despite the extra travel.  What's important is that you actually understand what's available, why procedures are done the way they're done, and who can best serve your needs given your own preferences and what you've got to work with and what you can actually afford.

Your process has just begun. 

Terri,

Thank you for your response. I understand it is better to do it all at once. I just did not know why people recommended to do it all at once. I assumed for the benefit of the results.

If I am not mistaken you went with Doctor Z, you look amazing! I just have to figure out what kind of forehead work I need before I can make any conclusions.

Quote from: Maybebaby56 on February 10, 2017, 10:42:25 PM
It probably won't make any difference to your ultimate aesthetic outcome, but it will sure make a difference to your bank account.  OR/anesthesia fees were about $4000 when I had FFS with Dr. Z.  You will need to pay something like that every time you have another procedure, so keep that in mind.

With kindness,

Terri

You are absolutely right about that. To be honest my forehead does not look too masculine thats the good thing. So once I get my CT/X-rays do I send them over to surgeons and then they would be able to tell me?

You are right about jumping to conclusions I just want to get it done and get it over with, at least my forehead/nose. Deschamps-Braly is great but it seems the cost for forehead is about $8-9K + $7500 for a nose job and OR/Fees will be maybe another $4000. $20,500 for just forehead and nose wow.

I am forever thankful for you and everyone here. I hope I am not annoying anyone.

Quote from: Sophia Sage on February 11, 2017, 12:13:59 AM
Well, you don't know if you've got a Type I or Type III forehead until you get your x-rays/CT scans; you can't tell by looking in the mirror or at photographs.  If you have a Type I forehead, Z might well be your best bet.

Before jumping to conclusions about Deschamps-Braly, or anyone else, do some more research.  There are plenty of other surgeons in the U.S., and there are very good options in Spain (Facial Team) and Asia that might suit your pocketbook better, despite the extra travel.  What's important is that you actually understand what's available, why procedures are done the way they're done, and who can best serve your needs given your own preferences and what you've got to work with and what you can actually afford.

Your process has just begun.

Hi.

I think one of the "general wisdoms" about rhinoplasty and FFS is, that it is best donwtogether - or if it has to be separated, first do the forehead and later "fit" the nose to that. Otherwise the transition from nose to forehead will not be right and a rhinoplasty surgeon can not always "guess" how the forehead will be  after a forehead surgery, especially if it is a type 3. I am a bit unlucky with the forehead as well - I only need slight changes there, but apparently that still needs a type 3 surgery as my bones are not very thick - which probably is the reason in the first place why I do not have that much of a prominent forehead...

Which surgeons did you compare for forehead and nose work? Only US surgeons or did you also look at the international ones like Suporn, PAI, Facialteam, Bart, or the ones in South America?

I recently have started to consider doing forehead and nose separately as well as I hear a lot of negative comments about Rhinoplasty done by FFS surgeons. I was thinking of Facialteam for the forehead, but I read a few times that people were unhappy with the nose. Sadly doing the nose separately means more time, an additional surgery with additional downtime and additional costs.

Quote from: anjaq on February 11, 2017, 07:39:15 AMI am a bit unlucky with the forehead as well - I only need slight changes there, but apparently that still needs a type 3 surgery as my bones are not very thick - which probably is the reason in the first place why I do not have that much of a prominent forehead...

The prominence of a forehead has nothing to do with the thickness of the bone.  Very thin bone can still bow outwards to a great degree. 

QuoteI read a few times that people were unhappy with the nose. Sadly doing the nose separately means more time, an additional surgery with additional downtime and additional costs.

It's a very good reason to actually consult with doctors in person and see a number of results; they always have more in the office than are published online.  More importantly, they can serve as a reference point for explaining what we want, because doctors tend to use technical language that we haven't mastered.

When I consulted with Meltzer, I explained this very aspect of the nose, how I thought it should be, and he said that would be no problem -- and looking at results, it was very easy to point to a nose and say, "like this, not like that."  Dr O, on the other hand, was kind of firm in his own sense of aesthethics, and said that's just how it had to be; I never really got a technical explanation from him as to why. 

I ended up going with Meltzer, and was very happy with my nose. 

Quote from: anjaq on February 11, 2017, 07:39:15 AM
Hi.

I think one of the "general wisdoms" about rhinoplasty and FFS is, that it is best donwtogether - or if it has to be separated, first do the forehead and later "fit" the nose to that. Otherwise the transition from nose to forehead will not be right and a rhinoplasty surgeon can not always "guess" how the forehead will be  after a forehead surgery, especially if it is a type 3. I am a bit unlucky with the forehead as well - I only need slight changes there, but apparently that still needs a type 3 surgery as my bones are not very thick - which probably is the reason in the first place why I do not have that much of a prominent forehead...

Which surgeons did you compare for forehead and nose work? Only US surgeons or did you also look at the international ones like Suporn, PAI, Facialteam, Bart, or the ones in South America?

I recently have started to consider doing forehead and nose separately as well as I hear a lot of negative comments about Rhinoplasty done by FFS surgeons. I was thinking of Facialteam for the forehead, but I read a few times that people were unhappy with the nose. Sadly doing the nose separately means more time, an additional surgery with additional downtime and additional costs.

Have u considered anyone in the us? I have a consult with Dr Lee. I'm astounded by how many ladies opt to go out of
The country rather than the us. I would think staying in the us would be cheaper even if the PS is higher. Thanks!

Quote from: icy on February 11, 2017, 01:09:32 AM
Terri,

Thank you for your response. I understand it is better to do it all at once. I just did not know why people recommended to do it all at once. I assumed for the benefit of the results.

If I am not mistaken you went with Doctor Z, you look amazing! I just have to figure out what kind of forehead work I need before I can make any conclusions.

Icy if that's your pic in the avatar, I dream of a forehead like yours!!

Quote from: TigerLilyNYC on February 11, 2017, 12:42:03 PM
Icy if that's your pic in the avatar, I dream of a forehead like yours!!

If that is Icy's picture in her avatar, she doesn't need FFS at all.

PS, What's Up Tiger Lily?  (I have been waiting to say that for a while - I crack myself up) You look pretty good yourself.  What's this I hear about people clocking you?  You look fine.

~Terri

Quote from: Maybebaby56 on February 11, 2017, 01:27:27 PM
If that is Icy's picture in her avatar, she doesn't need FFS at all.

PS, What's Up Tiger Lily?  (I have been waiting to say that for a while - I crack myself up) You look pretty good yourself.  What's this I hear about people clocking you?  You look fine.

~Terri

Thanks, Maybebaby! My profile reveals my heavy bossing🙁 Soon I hope to have it smoothed out!

Quote from: TigerLilyNYC on February 11, 2017, 12:40:30 PM
Have u considered anyone in the us? I have a consult with Dr Lee. I'm astounded by how many ladies opt to go out of
The country rather than the us. I would think staying in the us would be cheaper even if the PS is higher. Thanks!

If that was directed at ICY, I think she has so far mostly or only considered US surgeons. Me, I consider international surgeons, since I am not from the US and the US seems to be pretty expensive when it comes to medical services. I would not hold back spending another $5k or a bit more if a surgeon definitely is better than what I can get internationally but so far I have the impression that all of the well known surgeons, US or international seem to sometimes do good work and sometimes they do something I would not want. I have not the impression that there really can be said some of them are generally better or worse... so it is hard for me to decide and if all things are equal, I would rather stay local in Europe and/or spend less money. Again, if I would get the impression that a particular surgeon would do a much better job - or be much better in retaining nerves and minimizing other permanent damages - I would not shy back from travelling again, as I did for the VFS.

Thank you very much,

If I had $30K to fork I would easily do doctor Deschamps. However I don't. That's the problem. I don't even know how my forehead is i mean it makes absolutely no sense as people say if you need minimal work you need a good surgeon and if your forehead is thick and boney then you are good. How's that possible. You're right about doing them together or just forehead first. I may do my forehead first as it may be cheaper. Let's see the quotes from doctor Deschamps.

My only fear is that I read someone here had bone paste on their forehead and it decayed after time is this true? I was thinking of doing forehead first and do my nose in turkey. I know Iran is the best for nose jobs. Most American surgeons lack the realization of the beauty for noses. I think the nose really defines the beauty of FFS. The Nose has to be very thin, narrow and especially the nose tip nostrils has to be small and refined.

Does anyone know Deschamps price on forehead work? I assume $12-14K

I'll upload a pic here of the noses I find beautiful.

Quote from: anjaq on February 11, 2017, 07:39:15 AM
Hi.

I think one of the "general wisdoms" about rhinoplasty and FFS is, that it is best donwtogether - or if it has to be separated, first do the forehead and later "fit" the nose to that. Otherwise the transition from nose to forehead will not be right and a rhinoplasty surgeon can not always "guess" how the forehead will be  after a forehead surgery, especially if it is a type 3. I am a bit unlucky with the forehead as well - I only need slight changes there, but apparently that still needs a type 3 surgery as my bones are not very thick - which probably is the reason in the first place why I do not have that much of a prominent forehead...

Which surgeons did you compare for forehead and nose work? Only US surgeons or did you also look at the international ones like Suporn, PAI, Facialteam, Bart, or the ones in South America?

I recently have started to consider doing forehead and nose separately as well as I hear a lot of negative comments about Rhinoplasty done by FFS surgeons. I was thinking of Facialteam for the forehead, but I read a few times that people were unhappy with the nose. Sadly doing the nose separately means more time, an additional surgery with additional downtime and additional costs.

Sophia Sage,

You're awesome. I'm glad your experience with doctor Meltzer did well for you. Do you think there is orther surgeons who are very good with forehead reconstructions besides doctor Deschamps. I am not sure even why people call him the king of foreheads maybe because doctor O taught him everything.

In this case should I seek someone a bit affordable if I'm going to do forehead first and nose after. If so how much time should I wait until I do my nose, if I do my forehead work.

Maybe I can see doctor spiegel or someone else who is good at foreheads as well.

Thank you

Quote from: Sophia Sage on February 11, 2017, 12:14:44 PM
The prominence of a forehead has nothing to do with the thickness of the bone.  Very thin bone can still bow outwards to a great degree. 

It's a very good reason to actually consult with doctors in person and see a number of results; they always have more in the office than are published online.  More importantly, they can serve as a reference point for explaining what we want, because doctors tend to use technical language that we haven't mastered.

When I consulted with Meltzer, I explained this very aspect of the nose, how I thought it should be, and he said that would be no problem -- and looking at results, it was very easy to point to a nose and say, "like this, not like that."  Dr O, on the other hand, was kind of firm in his own sense of aesthethics, and said that's just how it had to be; I never really got a technical explanation from him as to why. 

I ended up going with Meltzer, and was very happy with my nose.

Lily,

You're gorgeous what work have you got done and where?

No that's not me. I wish!! That's Yasmine Petty. I think she went to doctor O

Quote from: TigerLilyNYC on February 11, 2017, 12:42:03 PM
Icy if that's your pic in the avatar, I dream of a forehead like yours!!

Quote from: icy on February 11, 2017, 10:23:12 PM
Lily,

You're gorgeous what work have you got done and where?

No that's not me. I wish!! That's Yasmine Petty. I think she went to doctor O

Thanks for your kind words, Icy! I haven't gotten any work done yet. It's not that noticeable in my pic, but I have extreme bossing that I'm desperately trying to find the right PS to correct. And also I'm wearing a wig which I think serves to do some feminizing. I have almost no real hair due to alopecia. Ugh!

I have learned from here that it is wise to be patient and I think we should.

If I was to fly out I would see DiMaggio or Facial Team. They are consistent with their reviews.

Locally I am sure there are a lot but I would imagine Lee, Spiegel and Deschamps will be completely over priced. I wish I could afford Deschamps for a Forehead contouring and nose job but $24-28K? C'mon!

Quote from: TigerLilyNYC on February 12, 2017, 10:35:57 AM
Thanks for your kind words, Icy! I haven't gotten any work done yet. It's not that noticeable in my pic, but I have extreme bossing that I'm desperately trying to find the right PS to correct. And also I'm wearing a wig which I think serves to do some feminizing. I have almost no real hair due to alopecia. Ugh!

This seems like the proper place to put this sine its a questiob
N regarding a statement made in this thread.  Forgive me if it appears a hijack as thats not my intention.

      I have a consult with Dr. Z in April. If he doesn't do an x-ray or scan when I am there, as Sophia suggested, then how will he possibly be able to assess what needs to be done? It has me a bit concerned as I just assumed he'd take an X ray at the consult.  Was I not given sufficient info when the appt. was made?

You should take your time. If not personal to ask what work do you want done with doctor Z?

I think you should get X-rays and CT scan and ask your local physician to request it do you can show the doctors.

Quote from: jentay1367 on February 12, 2017, 08:24:10 PM
This seems like the proper place to put this sine its a questiob
N regarding a statement made in this thread.  Forgive me if it appears a hijack as thats not my intention.

      I have a consult with Dr. Z in April. If he doesn't do an x-ray or scan when I am there, as Sophia suggested, then how will he possibly be able to assess what needs to be done? It has me a bit concerned as I just assumed he'd take an X ray at the consult.  Was I not given sufficient info when the appt. was made?