Okay understand waht case you want to warn about, thank you. Even though I don't necessarily expect to have an extreme chiseled look etc. after djs, I was hoping to at least get rid of the bagginess under the chin and the nasobial folds. So more than minor improvements, which makes such a procedure somehow difficult to justify. Since this itself carries aesthetic and health risks. Also I then very likely need a rhinoplasty and possibly a genioplasty to eliminate the asymtery.
edit: in the attachment is a before/after what i approximatly expect/hopping for
VERBAL information has been hard to get through to you. Just look at the length of this 'back and forth' on this string. This could be from a language barrior and/or a mental block. Either way,
I think, at this point, you have enough VISUAL information to distinguish from what you want from what you don't want (and my fingers are getting worn to the bone typing back and forth with the verbal communication). Regarding the VISUAL you showed as what you approximately do want, although that person has a different start point than you do, both visuals could be used to at least convey to a doctor a basic request of 'This BUT NOT That'. However, you will probably need a doctor who will SHOW you on YOUR OWN FACE (via a morph/visual) what he has in mind as a surgical goal.
A visual on YOUR face as to what the doctor has in mind will tend to cut down on misinterpretation of verbal communication alone. For example being told that 'reverse face lifts' via DJS 'pick up excess skin better than face lifts' and from that, some MIND'S EYE interpretation on your part where your BRAIN starts CONNECTING to images of super chiseled models. So, the best way to TAME any unrealistic expectations you may have is for these doctors who are using only VERBAL communication with you is to SHOW you a VISUAL based on YOUR FACE of what they have in mind for it.
Here, you have shown an Alfaro patient. To the best of my knowledge, he has provided morph visuals of what he has in mind. You don't show any visual proposals of what the other doctors had in mind for your face (including Z), so I shall assume you have no visual reference as to what they had in mind when they conveyed what ever they conveyed to you verbally.
That said, I think I have provided sufficient information as how to go about basic communications with doctors and interpretations thereof.