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Submitted by sammamishAdmin in Injectable Fillers on April 27th

What are the benefits of using fillers to alter the appearance of the nose rather than undergoing rhinoplasty?

There are some benefits to using filler to shape the nose, as opposed to rhinoplasty surgery. The average downtime with having filler injected is 1 – 2 days of mild swelling and bruising versus approximately 10 days of downtime after a rhinoplasty. Another advantage of using filler, is this can help to show what results might be achieved with a rhinoplasty without undergoing the actual surgery. Filler is temporary, and generally lasts about a year, after which it would need to be repeated. If you decided to have a rhinoplasty after seeing the results of filler injections, you would need to wait about a year in order to give time for the filler to dissipate.

Submitted by sammamishAdmin in Injectable Fillers on April 26th

I would really like bigger and sexier lips. However, I'm apprehensive to get any kind of fat grafting or other surgical procedure. Could you please give me some non-surgical options for a lip enhancement?

The most common treatment option for lip enhancement is the use of fillers. Usually hyaluronic based fillers are used for this, such as Juvederm Ultra. One of the main reasons for using fillers is the minimal downtime, which is basically 1 – 2 days of mild swelling and possible bruising, as opposed to several days of downtime for surgical options.

Submitted by sammamishAdmin in Injectable Fillers on March 14th

I would like to get injectable fillers in my face. I would like to plump up both my lips and reduce my nasolabial folds which have gotten quite pronounced. I would like hyaluronic acid because the reports that I read indicate it is longer lasting than collagen. Is hyaluronic acid appropriate for both areas?

In fact we no longer use collagen for lip augmentation, or in the folds. We are now using products preferentially based on hyaluronic acid such as Juvederm, Restylane or Perlane. The other preferential filler being used is Radiesse, to augment the nasolabial folds, the cheeks and other parts of the face such as the temporal area, the cheeks, the mid-cheeks and the chin. We classify the fillers as thick fillers and thinner fillers. The thick fillers are basically Radiesse and Juvederm Ultra Plus, and are used for lifting tissue or increasing volume, especially in the cheeks, the cheekbones and the eye area. The thinner fillers, such as Restylane and Juvederm Ultra are used to augment the lips, and to plump up and help erase fine wrinkles around the eyes or in the cheeks. Thinner fillers can last between four to six months, while the thicker fillers can last up to one year.

Submitted by sammamishAdmin in Injectable Fillers on March 10th

I am interested in getting longer lasting injectable fillers to decrease my nasolabial folds. What type of fillers would work in this area and do you have experience with this filler? How many injections are needed?

For the nasolabial folds, I do prefer the thicker fillers such as Radiesse and Juvederm Ultra Plus over the thinner fillers. The reason is, with the thicker fillers we get a better lift and plumping up of the folds. Also, the Radiesse will last about 8 months before the first touch-up is needed, and about 6 months with the Juvederm Ultra Plus which is longer than with the thinner fillers. Everybody is different and everybody absorbs the product differently, but for the Radiesse touch-ups generally only about half the amount of filler used at the initial treatment is needed. Interestingly, after the first touch-up at 8 months or so, the next touch-up is not generally needed for about a year or so afterwards. For Juvederm Ultra Plus, the first touch-up is usually around 6 months after the initial treatment and the next touch up is about 10 months after that.

Submitted by sammamishAdmin in Botox on March 8th

I don’t believe upper and lower blepharoplasty will solve all of my eye problems. I would like the wrinkles on my forehead removed and perhaps have my eyebrows lifted a quarter of an inch or so. What procedures do you recommend to supplement the blepharoplasty surgery?

It is true that a blepharoplasty, which is surgery for the upper and lower eyelids, will not address the wrinkles of the forehead or even the wrinkles around the eyes, known as the crow’s feet. Usually, we tell patients that even after a blepharoplasty they will still need injections of Botox to get rid of the wrinkles in these 2 areas and also in between the eyes. Depending on the placement, we can get a lift of the brows with the Botox if it is place in between the eyes and a little bit over the eyebrow. With these injections, we can usually get about a quarter of an inch lift of the brows. Some patients do not need a brow or forehead lift, so we can use the Botox for what we call a chemical forehead lift or chemical brow lift. Around the eyes, however, no surgery, either blepharoplasty or even a facelift, will address those wrinkles and only Botox will help in getting rid of the crow’s feet.

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