LAM FACIAL PLASTICS

Is it possible to send you pictures from myself, before the facelift, pictures from a few years ago and some from after the facelift so that you can see if fat grafting is a real possibility for me.

Also could you provide the cost of this facial fat grafting.

I s it nessasary to have much fat on the body for fat grafting.
I am very small, kylie minoque type, 152 cms. and 40 kilograms weight.
It seems i have a fat percentage of around 18.

Please let me know,
Thanks

you can send photos to me via a link to my PM account. however, a personal phone consultation will require a fee ($100 and would be applied to a procedure). fat transfer costs about 9K. i almost always do full face fat transfers because people who think they need only a small amount for a certain area ARE WRONG. They truly need my expertise to show them the areas that they need. However, I do occasionally price break someone who is very young who only needs something around the eyes but that is again pretty unusual. You do not need to be fat do this procedure. In fact, I do not want anyone really overweight, as they are not good candidates for it since if they lose a lot of weight or gain a lot of weight that would be bad since fat is a live graft.

Dear Dr. Lam,

I have send you my pictures to info@lamfacialplastics.com

If you can look into them and let me know what you think, if I am a good candidate for fat grating.
Most doctors think so but they tell me that they can not do it because I should not have enough fat.
As you stated it is not nessasary to have a lot of fat maybe you are the only one capable of doing this.
However since i live in Europe i would like your opinion first before I should see you as it is a long distance and I dont like to come there for nothing.

Thanks for your opinion.
Martine.

i need to look at your thighs and belly from a frontal, oblique, and side view please. keep your underwear on.

Hi Martine,
You are a drop dead gorgeous woman!!! That makes me excited because the prettier you are, the easier for me to get a fantastic result for you. I think, in short, you are a great candidate for fat transfer. I would highly recommend thinking about plasma skin resurfacing to help with your skin too. You need to stay out of the sun!!! Also, it would be good just to see your thighs and belly with underwear (where the inner thigh is exposed) so that I can see your donor fat. You would have to stay the week if I did plasma and it would cost another $3500 plus facility charges. But it is not critical. Just a thought.
Best,
SML

Hi dr. Lam,
I have send you pictures to info@lamfacialplastics.com
I will wait your respons.
Thanks,
Martine.

Without sounding indiscreet, you are a good candidate for this as far as I see. I am over 90% confident. The thighs are where I would go. The abdomen (belly) looks so so. One more question: have you had any liposuction of the thighs? If so, when, and what part of the thighs. Even if you have, I am confident I can do this. Just want to know if that is the case.
best,
sml

Hi Dr. Lam,

Good to know it would be possible. How many cc would be nessasary to remove and inject in the face.

No I never had liposuction in any part of my body.

What about possible MORE laxity of the skin when removing fat from the tighs ?
As my skin has lost almost all elasticity.

Thanks,
Martine.

no, should not be any problem with laxity. i do not take that much fat out to see a difference (sorry). hard to predict cc's until i am in there. basically, i would predict 40 to 55 cc in your case. but that might be different depending on the time that i am working on my masterpiece!

Hi Dr. Lam,

Thanks for your respons.

Regarding plasma laser resurfacing, not any doctor that have senn untill now, would be prepared to do laser surfacing on my skin, because I have issues with hyper and hypopigmentation (after ipl treatments) , and my skin is very sensitive.
Thats there explanation.

Are you sure the plasma skin resufacingis possible without complications for my type of skin. Can the neck also be done with this treatment?

Another question, how long in advance should one make reservation for your treatments.

What can be done for crepy skin on arms, legs and neck?

Thanks,
Martine.

To be honest, I answer so many blogs I had forgotten you brought up the pigmentation issue. I really see a need (at some point) for skin treatments but perhaps it would be wiser for someone in your home area to do it considering that I can follow up with you to help you. O/w if you are willing to accept prolonged pigmentation issues and using bleaching creams and sunscreen afterward, that would be reasonable. it is up to you.

unfortunately, the neck can be done but it requires a series of mini treatments which would not be feasible for you.

Crepey skin on the body can be done with Accent XL tightening. Again 6 treatments ove several weeks to months is not feasible for you. You should find someone more local to help you.

I typically book out 2 to 3 months during slow periods like now and summer, and 3 to 5 months for busy times like fall and winter.
best,
sml

Hi Dr. Lam,
I have just read the above post about your 3 cases where the fat did not take.

I forgot to mention you that I have one lump just under the cheeckbone on one side which is probably scar tissue due to the fact that my PS cleaned my face very brutally before a skin treatment, just three days after the facelift.
It was very painfull and the next day the lump was there and it never went away completely, it feels now harder then normal skin and is slightly elevated.
Should that be a problem when doing fat grafts.

Thanks again for answer,
martine.

I don't think so. Don't know what that is all about. Sometimes a little 5-FU can bring scar tissue down. I could do that before or after the surgery for you at no additional cost. It might help. In general, as I said, people that have had prior cosmetic work should not have an issue.

Hi dr. Lam,

I am writing you again after 2.5 years, that was the time that my S-lift, MACS lift was done-
I was so depressed about the outcome, that i was chronically stressed (people commenting on my appearance etc) lost my husband, had to move out of my home....
I waited this long to have the lift settle down, and the result is now an aging face with a rectangle square look, hollowed and too high cheeckbones. Sagging distorted mouth, my mouth looks completely different from before due to the overstreching in vertical and horizontal direction, i have a heavy face now, with the volume on the sides of the mouth and the chin.
Because of the facelift, the corners of the mouth are pulled up and rest of the mouth is comming down, weird look. Can not wear lipstick any more.
Lost the right trangle in the face, replaced by the aging triangle.
Due to the sagging mouth, i have often wet mouth corners.
As I have lived for a few years in Spain I went to dr. Amar to ask for advice, he said try to correct temporary with fillers which i did with his assistant, she gave me an more squared and longer face then before and by filling up the sides and hollows, my mouth is even more distorted. I really need some advice, i asked already several PS about it, they do not have any suggestion, If i should inject more in the cheecks or hollows my face would even become more heavy due to the squared form and volume gone down, my eyes are crepy from crying and now they say do correct my upper eyelids which would give me more hollows, nobody here wants to do fillers or fat transfer on the upper eyelids.
I would like your advice on how to correct this problem, i look 60 years old now and i am only 48.
Thanks for reply, martine

hi,
good to hear from you again. sorry to hear of your ongoing mental battle. it is always better fora surgeon to operate on a patient who has already achieved peace in his or her life. my trying to fix it before you get a semblance of comfort with your position in your life may cloud our relationship afterward. watch these videos if you have not already:
http://lamfacialplastics.com/gallery2/v ... s.flv.html

http://lamfacialplastics.com/gallery2/v ... _.flv.html

http://lamfacialplastics.com/gallery2/v ... Video.html

http://lamfacialplastics.com/gallery2/v ... Video.html


fat transfer can make a face look very soft, pretty and youthful. but i cannot fix distorted mouths, etc. sometimes in life we can only accomplish so much for someone. how we see the world will either liberate us or imprison us. i hope that you can free yourself from your own prison. only then, can i be there to partner with you toward a complete freedom from your past.
best,
sml