Sharing this because sometimes we see amazing outcomes and sometimes we see botched outcomes. Please be aware that sometimes you can just end up with 'oh, I shouldn't have bothered'.

I had lower bleph 12 months ago and the result was barely noticeable. My consultant said he had been conservative with how much skin he removed so at the 6 month mark I had a revision where more skin was removed. 6 months after that (so 12 months in total) I still see a visible bag, although I can see that the skin is less wrinkly. In some lights it looks ok, in other lights it still looks awful.

I have been advised that the issue is that I actually needed a fat graft rather than just a revision where more skin removed, so it wasn't an effective revision.

It wasn't an easy 12 months - feelings of being disappointed and embarrassed, and the stress of having a second operation. More time off work. More time out of gym. And overall when I take into account the costs and energy involved, I just don't think it was worth it.

So, manage your expectations! I am grateful it isn't botched, but overall it's just very disappointing.

The imaged attached is:

Top - day before 1st op

Middle - day before revision

Bottom - today

I am sharing my personal experience with Ukrainian plastic surgeon Volodymyr Sazhiyenko, full name Volodymyr Viacheslavovych Sazhiyenko. His name is also written as Володимир В’ячеславович Сажієнко in Ukrainian and Владимир Вячеславович Сажиенко in Russian.

My plastic surgery was scheduled for 3 September 2026 with Dr. Sazhiyenko at Face Up Clinic in Ukraine.

I paid UAH 2,500 for the consultation. I was then asked to transfer 30% of the surgery price to reserve the date. I transferred UAH 105,000 using the payment details provided to me.

I was not given or asked to sign a written agreement explaining the cancellation policy, refund conditions, or stating that the entire payment was a non-refundable fee for reserving the surgeon’s time.
Approximately one week before the procedure, I repeatedly requested the list of required pre-operative tests. I received it shortly before the weekend, although I was due to fly on Monday.

An ECG result led me to consult a cardiologist. Following that consultation, I was advised not to proceed with general anaesthesia or surgery until further cardiac investigations had been completed.

I informed Dr. Volodymyr Sazhiyenko and requested the return of my UAH 105,000 payment. He replied:
“No one took a deposit from you. You paid for services related to reserving my time. Please send the cardiologist’s report.”

I sent the medical report immediately and repeated my refund request. I received no further response from the surgeon.
After I contacted Face Up Clinic, I received the following message:
“Dr. Sazhiyenko’s lawyer will contact you.”

As of 1 September 2026, the UAH 105,000 has not been returned. I have retained the payment confirmation, correspondence, medical report, and the clinic’s response. If the money is returned or the situation otherwise changes, I will update this post publicly.

I am describing only what happened to me and am not making claims about other patients or Dr. Sazhiyenko’s surgical abilities.

Has anyone had a similar experience with Volodymyr Sazhiyenko / Vladimir Sazhiyenko / Sazhienko, Face Up Clinic, or a non-refundable surgery booking payment in Ukraine?

Edit: removed personal info

Do you think it looks like an improvement? Does it look natural and balanced? Anything you particularly like or think could have been done differently?
Please be honest — I can take it 😅

**I AM NOT DOING ANYMORE INJECTIONS!!**

I believe I overdid it with sculptra my last round and am deeply regretting it. My main issues are my cheek bones that are giving jigsaw/ cement cheeks. I know I can’t do anything about it since it’s sculptra so I’m pretty depressed about it. I just want to know how bad it is so I don’t have ‘blindness’ to it anymore than I already have.

All of these photos are from within the last month. They are of various angles etc and devices (phones, camera, etc) to give a better cohesive advice. Half of them are screenshots from videos so that’s why I’m not really smiling in some of them. Please be honest and tell me how bad it is. I don’t know if I can do anything to offset it, but if anyone has any advice, let me know.

Can someone recommend a surgeon who specialises in breasts? I'd need: breast lift with a fat graft and a mesh bra. Thanks a lot ♥️

I don't care about the price or where it would be, just the results

Seeking advice on what to tackle first. Always been self-conscious about my lips and more recently my jowls. Any advice on how to better balance my profile?

I had cryolipolysis (fat freezing) on my abdomen twice, but the results were not what I expected.
The company that performed the treatment offered to pay for liposuction to correct the area, and the procedure would be at no cost to me.
Before going through with surgery, I’d like some outside opinions. Based on the photos, does this look like something that actually needs liposuction, or could it improve with weight loss and exercise?
The area feels soft and I can pinch/fold it. I’m also wondering whether this could be residual fat, loose skin, or possibly paradoxical adipose hyperplasia (PAH) after cryolipolysis.
Would you personally consider liposuction for this, or does surgery seem unnecessary based on the appearance?

I am a 25 year old female (5’9, 155 pounds) who has a breast reduction scheduled on September 17. I’ve been zyning for about 3 years. I quit cold turkey on August 17 in preparation for surgery, but messed up this weekend and had 5 3mg zyns.

Am I screwed?

Hi. Those of you that work from home how long did you need before you could sit at your desk and work? I’m having a tummy tuck breast lift and augmentation.

I’ve had a rhinoplasty and I know I signed away on a lot of side effects (and there are serious side effects like infection). But how serious are the side effects of occlusion and necrosis with lip filler? If I go to a NP in Los Angeles or NYC that trained with a surgeon, are these risks kind of laughable at that point? I just get worried when I have to sign away on occlusions and necrosis type of warnings.

One plastic surgeon recommend full face fat grafting and that I should wait for surgery the other a brow lift and mini smas lift. Now I’m not sure what to do. I’m very self conscious about it he folds especially on my right side and would like to treat myself as I’m turning 40 in a couple months! 😬

What do y’all think? Also are there good questions to ask to make sure I’m going to the right doctor? And ignore my pimple I’m stressed lol

i get sunken eyes instead

This is my only concern so far and i think that fat repositioning might help?? but im not so sure yet about what exactly i want to do.

the only thing that scares me is that ive see countless results where people get hollow and veiny under eyes , and i feel like i might be a victim of this effect because of my facial structure and the way that my eyebags look.

last slide is an example of what im talking about. this is not a result i would want. is there anything specific i should ask for or look into? is this an appropriate concern? any tips? thoughts?

From UK - really want to get breast enlargement surgery and planning on spending 3 months in Thailand for travels -- anyone had any experiences with surgeons there? It is much more affordable compared to the UK but obviously very keen to do a lot a lot of research before as really don't want to end up getting botched :/ Looking at Turkey too (clineca looks good) but some mixed reviews... I could just save up and fork out for London surgery but £7000+ is so much money cry

I have this scar on my face from a childhood injury (almost 30 years ago).

I’ve been carrying these 2 scars all this while, but for some reason felt like looking into it last few months.

I consulted a plastic surgeon who said because of my skin tone (dark South Indian), laser can lead to discoloration issues. And a surgery would leave a line in place of the existing scar, so both treatments have a cost.

I have scheduled an appointment with another plastic surgeon for a second opinion, but just wanted to see if Reddit has any opinions on this.

Can anyone share their expertise or experiences with this kind of a scar?

Feel like my lower face is heavy and dragged down, open to any advice

This patient had excess and loose skin, a mild amount of excess fat, and looseness of her neck muscles. I performed a submental neck lift. This involves a small incision under the chin and two tiny incisions behind each earlobe. The muscles of the neck are directly tightened and pulled up, and liposuction is performed to remove excess fat and sculpt the jawline. This allows the loose skin to redrape and creates a much more defined neck and jawline. She is about 3 months post op. Let me know if you have any questions!

Hi there! I'm wanting to get a breast augmentation within the next year. Now after having 3 sons, my breasts have been through it. Going from barely B cup to a D while pregnant, then engorgement I got up to a DD if not bigger, they've deflated, sagged and have stretch marks. I took a picture recently after our third was born when I was my most engorged because I wouldn't mind being similar in size. Can I show this to the doctor? Is there a tip or trick to help the stretch marks after surgery? Anything to look out for or things to ask about and look into that no one tells you?

Anything is helpful thank you🩵

looking for a doctor who specializes or does really excellent work in facial fat transfer in new york. preferably nyc or long island specifically. would love to hear your experience on who or who not to go to, and pricing you’ve received. willing to travel outside of new york to nj or CT if you had a really great experience there.

p.s. i would be doing a small fat transfer to the cheek area