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Summary of FG correction consults followed by Qs Options · View
Jie
Posted: Tuesday, June 15, 2010 12:25:46 AM
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garner wrote:

If your aesthetic situation would improve with facelifting techniques anyway, then I'd advocate for this approach first.


Thanks for your suggestions.

So far, skin has contracted nicely after each ML, nothing loose or sagging.

The only areas I feel might benefit from pulling are:

1. lateral brow to straighten eyebrows and reduced hooding at outer corner of eyes.
2. upper neck area to eliminate tiny amount of loose skin at chin/neck junction.

Its probably still premature to pull any other areas and most docs advised against any kind of lift.

Some even advised against lateral browlift because it might not look natural and even lengthen face. Others said necklift might damage proportions (balloon on a string effect).

So if I do any pulling, I wanna make sure its from a doc with great big picture sense (eg Guyuron) and/or mastery in the field (eg Marten).
Jie
Posted: Tuesday, June 15, 2010 12:31:02 AM
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MissJ wrote:
I don't think I would say Ramirez or Marten does 'better' neck work than Feldman. Feldman pioneered the techniques they both use for their GOOD neck work.


Yes, I shouldn't have phrased it that way. I've heard Feldman is also a great operating doctor who minimizes scars and hides them well. And I guess you are happy with his work too.
MissJ
Posted: Tuesday, June 15, 2010 12:40:33 AM
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Some of it.

Concord MA celebrating freedom from British rule .


mich
Posted: Monday, June 28, 2010 11:21:32 PM
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Did you see Dr.Coleman's latest way to "freeze fat to death" I wonder if this will work to reduce fat grafts?
http://wcbstv.com/local/freeze.your.fat.2.1747393.html[/url]
kosmeds
Posted: Monday, June 28, 2010 11:28:16 PM
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Seems a little scary to me, because different lipids would have different temperatures for freezing/destruction. Results might depend on what you've been eating!
Miranda
Posted: Thursday, July 29, 2010 12:18:37 PM
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Jie
Posted: Friday, July 30, 2010 11:55:38 AM
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Saw Hoenig again about 5 weeks ago. He did another round of 5fu and we scheduled a micro lipo (ML) session 3 weeks later for which he blocked-off over an hour and was gonna charge over 2K. But when I showed-up, he analyzed my face for awhile and felt last 5fu session had made enough subtle improvement so that ML session would not be worth doing. So, he still gave me the full time slot but ended-up just injecting more 5fu and charging $80.

I may do endo lateral BL with him in future during which he might be able to cut out a bit of fat from my right temple and flatten my cheeks a bit with the lateral pull which would be included. One of the girls in the office had an endo BL w/him recently and she looks pretty good.
Miranda
Posted: Friday, July 30, 2010 12:01:43 PM
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Strange you mention Hoenig canceling, he also did that with another person a few weeks ago that came in for microlipo.
Jie
Posted: Friday, July 30, 2010 12:26:58 PM
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Miranda wrote:
Strange you mention Hoenig canceling, he also did that with another person a few weeks ago that came in for microlipo.


He didn't cancel. If I had insisted, he was willing to go ahead. But he felt at my stage, it might not do any good. Perhaps he can take out a bit of fat if I do endo BL.
Miranda
Posted: Friday, July 30, 2010 1:59:08 PM
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(I meant that he decided not to go through with the surgery at this time) I respect Dr. H for this, he obviously cares about his patients.
mich
Posted: Friday, July 30, 2010 6:10:27 PM
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Dr.H is not a fat graft removal expert,he just got this title somehow.
Maybe becasue he always says" that is easy to fix a little microlip will do the trick"-welcome to a treadmill of procedures.
He is just out there learning like the rest of them through trial and error.
Maybe in the next 10-20 years he will be the expert we need him to be.
MissJ
Posted: Friday, July 30, 2010 6:33:02 PM
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Well fat removed during a surgery where it can be 'visualized' (as in seen via an open incision) is going to be more straight forward than micro lipoing it out.

In my experience with lateral brow lifts or temple brow lifts, they certainly 'flatten' the sides of the temples in. One of the reasons I don't want another one.


mich wrote:
Dr.H is not a fat graft removal expert,he just got this title somehow.
Maybe becasue he always says" that is easy to fix a little microlip will do the trick"-welcome to a treadmill of procedures.
He is just out there learning like the rest of them through trial and error.
Maybe in the next 10-20 years he will be the expert we need him to be.


Concord MA celebrating freedom from British rule .


Jie
Posted: Saturday, July 31, 2010 4:55:28 AM
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mich wrote:
Dr.H is not a fat graft removal expert,he just got this title somehow.
Maybe becasue he always says" that is easy to fix a little microlip will do the trick"-welcome to a treadmill of procedures.
He is just out there learning like the rest of them through trial and error.
Maybe in the next 10-20 years he will be the expert we need him to be.


Do you think any docs are fat graft removal experts yet? Perhaps Carraway? Just curious.

I do think 5fu has been very helpful in managing the stubborn internal scarring which is often a byproduct of fat grafting, at least for some of us. And wasn't Hoenig the first one to gain traction using it on unhappy FG patients?
Miranda
Posted: Saturday, July 31, 2010 11:07:09 AM
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The reason he has gotten this title is because he is one of the very few that uses 5fu, 5fu has helped a lot of people.
MissJ
Posted: Saturday, July 31, 2010 11:14:01 AM
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Carraway predates Hoenig with regard to microlipo for fat removal. As to 'traction', well I guess that's just a matter of someone on boards going to Hoenig and being vocal about it.

As for 'traction' for removing 'STUFF', Hoenig gained traction for removing Bio-Alcamid. However, one patient wanting that from him, reports he's no longer doing it.




Jie wrote:


Do you think any docs are fat graft removal experts yet? Perhaps Carraway? Just curious.

I do think 5fu has been very helpful in managing the stubborn internal scarring which is often a byproduct of fat grafting, at least for some of us. And wasn't Hoenig the first one to gain traction using it on unhappy FG patients?


Concord MA celebrating freedom from British rule .


Robin
Posted: Saturday, July 31, 2010 11:32:20 AM
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Jie wrote:
Saw Hoenig again about 5 weeks ago. He did another round of 5fu and we scheduled a micro lipo (ML) session 3 weeks later for which he blocked-off over an hour and was gonna charge over 2K. But when I showed-up, he analyzed my face for awhile and felt last 5fu session had made enough subtle improvement so that ML session would not be worth doing. So, he still gave me the full time slot but ended-up just injecting more 5fu and charging $80.

I may do endo lateral BL with him in future during which he might be able to cut out a bit of fat from my right temple and flatten my cheeks a bit with the lateral pull which would be included. One of the girls in the office had an endo BL w/him recently and she looks pretty good.


Always better to be safe and conservative... do you mind answering a couple of Qs about your treatmentw with hoenig? could you describe how/where he injects the 5fu and what you are trying to accomplish with it? I am familiar with him injecting it into a specific area with a lump to bring it down but it sounds like you are having it injected across a broader area?

Also the quote for microlipo - is that all-in and what was planned to be done in that session?

Thanks in advance.
mich
Posted: Saturday, July 31, 2010 10:36:55 PM
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5fu does not kill the problematic fat parcel,so you will still have to deal with that eventually. He also mixes steroid in his 5fu.
Miranda
Posted: Sunday, August 01, 2010 1:31:53 AM
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The 5fu mixture could very well get rid of the problem completely depending on the severity of the problem.
Jie
Posted: Sunday, August 01, 2010 2:17:14 AM
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Robin wrote:


Always better to be safe and conservative... do you mind answering a couple of Qs about your treatmentw with hoenig? could you describe how/where he injects the 5fu and what you are trying to accomplish with it? I am familiar with him injecting it into a specific area with a lump to bring it down but it sounds like you are having it injected across a broader area?

Also the quote for microlipo - is that all-in and what was planned to be done in that session?

Thanks in advance.


Remember, vitually all my face and neck area was FGed including nose via 3 sessions and I've already been through 2 ML sessions. So I had a lot of fat and presumably much internal scarring compounded by the ML.

By now, I've had several 5fu sessions too, some before I started the ML. The goal of those 5fu sessions was to eliminate as much internal scar tissue as possible for easier and more effective ML.

I did have 5fu injected broadly. Dr. Hoenig would grab my cheeks and under eye areas, squeeze around with his fingers, then inject at areas where he felt there were localized lumps. This last time, he also put some in my right temple. He avoided the jawline, chin, and neck area which is fine because this seems to bave corrected best from the lipodissolve and ML alone. He was concerned about potential beard loss in some of these areas from 5fu.

Now the only area where I could ever feel a scar lump was the one I mentioned before -area about half an inch to the left of my left lip corner. Hoenig injected this aggressively with 5fu and Carraway sucked at it during second ML session. It seems to have virtually disappeared by now. Very happy about that.

Quote was mid 2,000s. But for patients who have also have fat removed from eye area (not me) where he goes through eyelid (a riskier procedure), it is separate and a bit more than the standard ML. If you do both, I believe he charges 100% for most expensive one and 50% for second and any additional procedures.

Hoenig has a lot of good B/As around his office and in his computer which are not on his website. But I believe his wife is currently designing a new and more current one (I think the one online now is over 10 years old). Hope they put it up.

mich
Posted: Monday, August 02, 2010 10:04:49 PM
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" microliposuction for a discrete bulge is very unsuccessful but theoretically possible."
This is from Dr.Lam's message board on a recent post about removing fat graft lumps. I agree with this especially if the fat graft lumps are big.

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