WantBetterLooks wrote:Here's what the flaws on your face are: large space between nose and upper lip, bulbous nose, very weak jawline, weak cheekbones, lip size, lower lids, and fat underneath the chin. I would recommend you to get all of these fixed (with the exception of the space between nose and upper lip) and grow a goatee/beard of some sort to hide that space between your upper lip and nose. I know this is harsh, but it had to be said by someone or else you wouldn't know what to do next. I believe Dr. Lam performs most of the surgeries that I mentioned can help you. DO not get your upper lip reduced(only lower) because that would just increase the space between your nose and upper lip. Also, get your hair fixed by a hair stylist.
dr. lam wrote:hi,
first, i should not have allowed another person to post their opinions on here. this web site is intended for me to respond to someone else's questions and only me. second, i can only improve someone's looks one or two notches. i cannot make someone into a supermodel. third, fat grafting is much safer in someone mid-30s and beyond who has stable weight. if you are early 20s, then fat is not a great option for you in general because i want it to age well for you. obviously, everything is a case by case analysis.
dr. lam wrote:I am 32 years old. Can you do fat grafting for cheek, jaw, nabial fold and tear trough? Will I need lower lid surgery if you fill the tear trough? Do I need a facelift? IF YOUR WEIGHT IS STABLE AND REMAINS STABLE THEN FAT GRAFTING CAN BE AN OPTION. TYPICALLY IT IS NOT THAT EFFECTIVE FOR THE NASOLABIAL FOLD AREA. FILLERS ARE STILL BETTER. TYPICALLY IF I FILL IT YOU WILL MOST LIKELY NOT NEED LOWER EYELID SURGERY. FACELIFT IN A 32 YEAR OLD? ALMOST NEVER. DOES NOT MAKE SENSE.
Do you do smart lipo for the chin? Can you fix the nose withough a complete rhinoplasty? NO, I DO NOT DO SMART LIPO. I PREFER TO DO A DIRECT LIPECTOMY IN WHICH I REMOVE THE FAT UNDER DIRECT VISUALIZATION. I FIND LIPO IN GENERAL INDISCRIMINATE WHEN REMOVING FAT UNLESS SOME KIND OF LIFTING PROCEDURE IS PERFORMED THE SAME TIME TO SUPPORT ANY MUSCLE EXPOSURE THAT CAN OCCUR WITH OVER LIPOSUCTION. THE MUSCLES I AM TALKING ABOUT ARE THE PLATYSMAL BANDS THAT CAN SHOW UP AFTER A LIPO WITHOUT PROPER SUPPORT TO THE NECK. DIRECT LIPECTOMY ALMOST ENTIRELY AVOIDS THIS RISK. NOSES ARE ALL DIFFERENT. SOME NOSES ARE EASIER TO ACCOMPLISH EXCELLENT RESULTS (THINNER SKIN AND THICKER CARTILAGE). SOME ARE HARDER TO IMPROVE IF YOU HAVE VERY THICK SKIN AND FLIMSY CARTILAGES UNLESS YOU HAVE AN UNDERPROJECTED NOSE THAT NEEDS TO BE AUGMENTED THEN THE CARTILAGE CAN BE AUGMENTED (INCREASED WITH GRAFTS) TO PUSH OUT THROUGH THE THICK SKIN TO MAKE A DIFFERENCE. IN OTHER WORDS, THESE GENERAL QUESTIONS ARE IMPOSSIBLE TO ANSWER BECAUSE EVERYTHING IS DEPENDENT ON YOUR ANATOMY.
I weigh 162 pounds now and still have bit of double chin. Do you think my jawline will be great if lose more weight and lose the double chin completely?
dr. lam wrote:1. I got a 11 in middle of my brows. Can fat transfer fix that?
NO, THAT IS A BOTOX ISSUE. IF BOTOX CAN BREAK YOUR HABIT, THEN YOU WILL OVER TIME LOSE YOUR 11.
2. My eyebrows are asymetric. Anyway to fix it?
I ALWAYS SAY THE TWO SIDES OF THE BODY ARE NOT THE SAME AND CAN NEVER BE MADE THE SAME. ASYMMETRY IS AN ELUSIVE GOAL.
3. I like to do the fat transfer in your office in Dallas. How does it work? I assume that I cannot fly back after the procedure and need some to stay in Dallas. Do you recommend a hotel near by so I can stay? How long do you think I need to stay in Dallas? Do I need to bring a friend or I can come alone?
YES, WE WILL HELP YOU COORDINATE YOUR TRAVELS INCLUDING VERY REASONABLE HOTELS THAT HAVE FREE SHUTTLE SERVICE TO AND FROM MY OFFICE. IF YOU ARE NOT FLYING IN FROM OVERSEAS I WOULD SAY YOU COULD JUST STAY A COUPLE OF DAYS SINCE WITH FAT GRAFTING THERE ARE NO INCISIONS OR BANDAGES TO WORRY ABOUT. FOR OVERSEAS PATIENTS, SOMETIMES IT IS EASIER TO STAY A FEW DAYS JUST BECAUSE IT CAN BE TAXING TO MAKE SUCH A LONG RETURN FLIGHT BACK SO SOON. YES, YOU SHOULD BRING A FRIEND IF POSSIBLE. O/W YOU WOULD HAVE TO PAY FOR A NURSE TO STAY WITH YOU IMMEDIATELY AFTER THE PROCEDURE. JUST HAVE TO FOLLOW THE RULES OF MY SURGERY CENTER. IF YOU ARE INTERESTED, JUST CALL MY OFFICE FOR THE FASTEST SERVICE 972-312-8188 DURING BUSINESS HOURS 9-5 M-F CDT.
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