LAM FACIAL PLASTICS

if i flew in from the UK ,how long would i need to stay.?
i was thinking along the lines of 2 weeks plus.?
am contemplating a more refined jawline/slimmer lower face.....a dimple.....and maybe my eyes to look more wide open.!

not much really.

If you are contemplating fat transfer and a dimple at the same time. that is not advisable. the swelling in the face will make the dimple sutures pop. they should be separated with the dimple being done possibly 6 months later. o/w for any procedure, just a few days should be fine to stay. if you stay 5 to 7 days and have a bruise, i can laser the bruise down at that point.
best,
sml

i dont think i need fat transfer ,except for my hands,so how are dimples made.

watch my virtual consultation on dimples. that will explain it.

i cannot find your virtual consultation on dimples.
i must be looking in the wrong place.

go under resources, then find virtual consultation, then dimple. sorry. this site is pretty massive.
sml

by jove, i,ve got it.
gosh thats interesting ,i want one.

thankyou

ok!

charlie,
i have reviewed your photos and would like to make the following commentary:
1. as far as your upper and midface are concerned, did you have a browlift and/or eyelid surgery? i can't remember if you told me that. the eyes look a bit feminized from that or at least a bit sculpted. (don't worry not too bad). if you go back and look at the photo you sent me from when you were much younger you will see how much lower your brow was and fuller. that is why i am opposed to traditional eyelid surgery done in isolation, especially for men. you also have a slight degree of ptosis meaning the eyelid muscle looks weaker and that i do not fix. you need to find a skilled oculoplastic surgeon to shorten your muscle. ptosis can occur as you age. just want to be upfront so that i don't have a disappointed patient, especially one traveling so far. i think some fat transfer to the upper and midface will balance your face out but i do not want to sell that to you as a miracle. it will also balance your lower face out by strengthening back your jawline as you had when you were younger.
2. you have a heavy jowl and a short neck. it does not appear that you had too much of that when you were young so there is one of three reasons you have that: 1: weight gain (which we can only help so much with liposuction and a facelift), 2: gravity (if that is the case, it should improve, but in the photo you sent me it still shows that your neck is down even though you are pulling up on it with your fingers so that means it will be harder to get a result there. 3: that is the way you were born and i just can't see it in the photo you took, which means i can't correct it at all. bottom line is that i am always concerned when i see a shorter bone structure to the lower face and heavier soft tissue. so a facelift will provide benefit to the jawline (not perfect but improvement) and will probably not do as much for your neck per se.
3. as far as a dimple is concerned, i would say not to do it because i can't do it at the same time as the rejuvenation. it will screw up the facelift and/or fat grafting. and to be honest, i think facial rejuvenation should take a priority for you but you have to tell me that.

bottom line despite limitations, i think a fat transfer plus or minus neck work via a facelift would be my preliminary estimation. You can set up a phone consultation if you like or just sit back a bit and think about it. for phone consultation, just email marcy@lamfacialplastics.com. There is a $100 charge for that, which would be applied to a surgical procedure or service if you proceed.
best,
sml

many thanks Dr Lam.
food for thought.
i will send further photo,s .
i did have my eyes done,much against my will and personally i think they are a bit of a mess ,with the vertical cuts instead of horozontal,and i did have the coragator muscle cut.

and i have put on about 16lbs would that make a difference.?
i have a very high forehead and i wondered about hair transplant as my hair is,and always has been very fine.

1. as far as the weight, you do appear heavier than your older photo. it is always important to be careful when we do fat transfer on someone who could lose or gain weight. how much? difficult to tell but i would say 20 some pounds either way could make one appear different than what you paid for. i don't like people to try to lose the weight first because then they risk looking really bloated if they gain a lot of weight back so there is no perfect answer for this. 16 pounds is not a lot in comparison to someone 40 pounds or more overweight. they are not great candidates.
2. for hair transplant, emina handles a lot of the initial queries. you can send a photo with your hair pulled back in frontal, 3/4, side, facing down, and back. you can send them to her at emina@hairtx.com. after initial review, she will forward that info to me. we do people from out of country too. in fact, we are doing someone from germany tomorrow.
best,
sml

yes i am aware that weight does make a difference , weight gain has become a serious issue both here and in the US.

agreed. that is why i have a lap band center upstairs, a Vaser liposelection center upstairs, an anti-Aging center upstairs for hormone balancing, and spa and laser services downstairs like Accent XL for body tightening and sudatonic body slimming as seen on Oprah (don't ask me what that is exactly) but we spent a fortune for it.
best,
sml

oh not much going on then.

not at all!