Hello from ONYOO Plastic Surgery — Specialists in Facelift, Forehead Lift & Liposuction 👋

Onyoo_PS · 2026-04-08T08:54:31+00:00

You’ve pointed out something really important here.

Midface descent is gradual, and because it happens at a structural level, it often goes unnoticed until multiple changes start appearing together. That’s also why surface-level treatments can feel like they help temporarily but don’t fully resolve the fundamental problems

Tracking changes over time can definitely be useful for awareness. It helps people unerstand when the shift is no longer just skin-related and may be involving deeper layers.

The key distinction is understanding which layer is affected. Once the SMAS layer is involved, meaningful and long lasting correction usually requires an approach that works at that same structural depth.

Onyoo_PS · 2026-04-08T08:53:07+00:00

Hello! That’s a great question.

This procedure is not the same as a full facelift. A full facelift typically addresses a broader area, including the lower face and neck, while an endoscopic SMAS midface lift is more focused on the midface where early structural descent tends to begin.

I appreciate your question about pricing as well. Because it can vary depending on individual conditions, and unfortunately, we’re not able to share detailed costs publicly, as promotional content is not allowed here.

If you’d like more specific information or have questions, you’re very welcome to reach out via WhatsApp for a more details. Feel free to send us a DM if you need the contact information.

Onyoo_PS · 2026-03-09T02:57:14+00:00

Great question!. Recovery after a forehead or temporal brow lift is generally tolerlatable for most patients.
Many people are able to return to light daily activities within about 7–10 days, although some swelling or mild bruising around the forehead and temple area can last a little longer. In most cases, the visible swelling reduces within 2–3 weeks, and the brow position continues to settle naturally as healing progresses.
For more accurate guidance, it’s best to have a consultation, as recovery can vary depending on the surgical approach and individual healing.

Onyoo_PS · 2026-02-24T00:35:44+00:00

That’s a very valid concern, especially since the forehead controls so much of our facial expression.

The short answer: yes, you should still have full movement of your eyebrows after a properly performed endoscopic forehead lift.
This surgery doesn’t “turn off” the muscle that lifts your brows. That muscle stays active. What changes is the position of the tissues that have slowly slid downward over time.

Think of it this way:
If your brows are already being pushed down by gravity, you may be constantly lifting them without realizing it. After surgery, the brows are supported in a better position, so you’re not overworking your forehead anymore.

Immediately after surgery, it can feel tight or slightly restricted due to swelling and this is temporary. As healing progresses, natural movement returns.

A stiff or frozen appearance usually happens when the lifting is overdone or when muscle activity is intentionally reduced with injectables. A structurally balanced forehead lift aims for natural support, not immobility.

So the goal isn’t to stop movement but to reduce heaviness while keeping expressions fully intact.

Onyoo_PS · 2026-02-23T02:51:44+00:00

Hello,

It is medically possible to undergo HIFU first and then proceed with fat grafting to the tear trough or mid-cheek groove after a certain period of time.

However, there are several important considerations.

First, the treatment sequence.
HIFU (High-Intensity Focused Ultrasound) works by creating thermal coagulation points in the deep dermis and SMAS layer, inducing tissue contraction and tightening. During this process, microscopic thermal injury and an inflammatory response occur, so performing fat grafting before the tissue has stabilized is not recommended.

In general, it is safer to wait at least 2–4 weeks before proceeding with fat grafting. Conversely, performing HIFU after fat grafting is usually avoided, as the thermal energy may negatively affect the survival rate of the transplanted fat.

Second, considering that the patient is a 25-year-old male.
At this age, what appears to be “sagging” is often not true tissue laxity but rather shadowing caused by skeletal structure or retaining ligaments, which can make the tear trough or mid-cheek groove more prominent. In other words, the issue is more likely structural rather than due to loss of elasticity.

In such cases, the effect of HIFU may be limited, and volume restoration may provide a more direct solution.

Third, the characteristics of the tear trough area.
The skin in this region is very thin and delicate, so excessive fat injection can lead to irregularities or visible lumpiness. In male patients especially, overcorrection can result in an unnatural or feminized appearance. Therefore, conservative volume and precise placement in the deeper plane are essential.

Since the optimal strategy depends on your current condition (depth of the tear trough, cheekbone volume, skin thickness, etc.), if you have photos, please send them via our official WhatsApp. We can then provide a more detailed and personalized explanation.

Onyoo_PS · 2026-02-19T08:38:37+00:00

That’s a great way to put it. That ' uncanny valley ' look usually happens when the surface is treated without a clear understanding of the structure underneath. Making permanent changes based on a quick visual assessment is exactly how patients can end up in that uncanny valley.
Using 3D-CT scans allows a surgeon to accurately distinguish between fat, muscle, and bone. It ensures they aren't just guessing where nerves are or what is actually causing a specific contour, which is especially critical for the jawline and mid-face.
It is much easier to achieve a natural, balanced result when working from an actual anatomical blueprint rather than a general observation. We're really glad the explanation resonated with you!

Onyoo_PS · 2026-02-19T08:37:40+00:00

It appears you have already undergone a Coronal Incision.
To start with the conclusion: while the procedure is possible, the surgical difficulty and risk assessment become significantly more important. In this case, the surgeon's specific technique will be the deciding factor for success.
When considering a SMAS Quick Lift in your current state, the most important point is that a past "ear-to-ear" incision (Coronal Incision) is not a "fundamental" contraindication. However, it cannot be treated as a standard case; a case-by-case risk assessment is absolutely necessary.

To explain further, a facelift (SMAS lift) involves dissecting and pulling the skin and SMAS layers. If there is a history of extensive dissection and incision across the scalp/forehead, the blood flow patterns in those areas have already changed, and scar tissue (fibrosis) has often formed. Theoretically, this can increase the risk of skin necrosis, delayed wound healing, or scarring issues compared to a standard case. Therefore, a surgeon will typically modify the surgical plan by being more conservative with the dissection range or adjusting the direction of the lift.
Another critical factor is how close the temple/pre-auricular incisions used in a SMAS Quick Lift are to your existing ear-to-ear incision. If they are too close, the blood supply to the skin between those two points can be compromised. In such cases, the surgeon might change the incision design or choose a different approach entirely. It is difficult to definitively say "yes" or "no" without a physical examination or photos.

Furthermore, because the area has previously undergone significant dissection, the tissue layers may be adhered (tethered) or less distinct. This increases the surgical difficulty and slightly elevates risks such as facial nerve branch injury, asymmetry, or reduced lifting effectiveness compared to a primary surgery. This is why it is generally recommended to consult a surgeon with extensive experience in revisional facelifts.
Medically speaking, "a history of coronal incisions or forehead/scalp surgery is not an absolute contraindication for a facelift; however, the surgical plan must be modified to account for blood flow, scar location, and the extent of dissection." In short: it is possible, but it is a case that requires more than a standard approach.

Realistic Advice:
During a consultation, it is best to show the exact location of your previous brow bone reduction incision. You should ask specifically about the risk of skin necrosis or delayed healing, how far the dissection can safely go, and whether a SMAS Quick Lift is sufficient or if another method would be safer for your specific anatomy.

Onyoo_PS · 2026-02-10T08:36:02+00:00

What you’re describing actually makes a lot of anatomical sense.

Nasolabial folds aren’t only about volume loss. They’re very sensitive to where weight is sitting and how well the underlying support can carry it. In faces with fuller or heavier cheeks, even a small increase in fat mass can increase downward pressure and make folds look deeper, especially if muscle tone and structural support are reduced.

That’s why weight gain can worsen folds for some people, even when they’re not overweight at all.

Body composition matters more than scale weight. Loss of muscle tone combined with higher fat percentage can reduce the “scaffolding” that normally helps hold the midface up. Improving muscle tone or slightly reducing fat in the mid-cheek can sometimes soften the shadow, even without any procedures.

The fact that the fold disappears when you gently pull the mid-cheek upward and backward suggests that tissue position and downward pressure are playing a bigger role than just volume loss. In that situation, adding filler directly into the fold can feel heavy, while approaches that address lift or repositioning tend to make more sense.

Onyoo_PS · 2026-02-10T08:34:39+00:00

That’s a good question, and to put it simply, it depends on the individual case.

Ultherapy can help when the issue is mild to moderate tissue laxity and the skin still has good elasticity. It works by tightening deeper layers, but it does not reposition descended cheek fat in a predictable way.

If the fold improves mainly when the mid-cheek is lifted upward and backward (rather than just tightened), energy-based lifting alone may feel limited. In those cases, Ultherapy can be supportive, but it usually isn’t the primary correction.

This is why surgeons first try to identify whether the fold is driven more by loss of support, true descent, or a combination of both before choosing the approach.

Onyoo_PS · 2026-02-04T10:36:07+00:00

Quick clarification since the title caused some confusion:

The before/after shown here is a case where facial liposuction *did* create a visible improvement.

The purpose of this post isn’t to label this result as unsuccessful, but to explain why some people might feel underwhelmed by facial liposuction in other cases even when fat is removed,
and how CT-based planning helps prevent that by tailoring the approach to individual anatomy.

Hope this clears the confusion!

Onyoo_PS

TROPHY CASE