Posted in Juvederm on March, 03/17/2010 - 00:00 AM
Question:
I am interested in getting Radiesse injections but I heard that they can cause lumps under the skin injected. Is this true of all fillers, why does this happen and how can you avoid it?
Answer:
It is true that if a filler is not put in smoothly and massaged and put into the right level of the skin, you can get bumps. But again, it is a matter of technique and if a surgeon has good experience with Radiesse, Juvederm or any of the other fillers and places it in the proper area and the patient does some massage to these areas, lumps are extremely rare and the fillers get excellent results.
I am in my mid 30s and would like to improve my forehead and frown lines. Botox sounds good but how common are complications and what can occur?
Answer:
The best time to use Botox is actually in your 30s before you have developed permanent etched lines in the forehead. Botox used in the forehead has very little problems with complications. The biggest complication is the possibility of what is called a brow ptosis or an inability to lift the eyelid and brow secondary to the medication moving down to the nerve working these areas. If you apply the Botox high enough in the forehead, a brow ptosis or hanging of the eyelid is extremely rare. Otherwise there are almost no complications that are involved with the use of Botox.
I am a 42-year-old woman with some fine lines around my eyes that I would like to improve. Are there any fillers that are good for treating these around the eyes and how long do the results last?
Answer:
The best treatment for fine lines around the eyes is to do a laser treatment, usually a Fraxel laser or an Erbium laser. Filling in lines around the eyes with fillers can be difficult because as the eyes move, the filler material does not necessarily sit in its proper position. Again, my recommendation for fine lines around the eyes is to do either a Co2 Fraxel Laser or a very fine Erbium laser to the area.
I have heard that a facelift only treats the lower face and neck. What then treats the mid-face region?
Answer:
A standard facelift treats not only the lower face and neck but also the mid-face region. What a standard facelift does not treat is the brow, but a good facelift can also work on the SMAS tissue underneath the skin and can get elevation in the area of the nasolabial folds and also the jowls.
I have a hook nose with a sort of droopy tip. I would like to get a nose job and was wondering how this would be fixed?
Answer:
A hook nose with droopy tip can be a difficult problem to fix but if you are an experienced rhinoplasty surgeon it can be accomplished quite nicely. The procedure would usually be done under general anesthesia or IV sedation, whichever the patient chooses. The most important thing in this case would be not only to get rid of the hook and fix the bones but to support the tip with a cartilage graft, which will help keep it from drooping.
I read in a magazine that Madonna got a facelift called a ribbon lift. She looks good for her age. Is this why? What is this procedure and how effective is it?
Answer:
I cannot speak exactly for what Madonna had, however a ribbon lift sounds like a procedure where a piece of material is used to go from the ear to ear area underneath the neck and elevate the neck tissues and also one may go down from the temporal area forward into the tissues and elevate them. Again I do not have much experience with this and would not be an advocate of doing this procedure.
I am interested in getting a brow lift but I am only 34. This seems pretty young for surgery so I was wondering if there is such a thing as a mini-brow lift and what would it treat?
Answer:
Yes, there is a "mini-brow lift" which involves a temporal brow lift in the temporal hair which is an easy procedure to do and can elevate the lateral aspect of the eyebrows and certainly for a female would look excellent. You can even make a small incision centrally and go down and help elevate the tissue in this area. All these procedures are done under local anesthesia, take about an hour to do and can make a noticeable change very easily in an individual who has some significant brow ptosis.
I am 42 years old and looking to get an eyelid lift on both my upper and lower lids. The most time I can take off from work is two weeks. Is this reasonable? Would I be returning to work with black, swollen eyes or other signs of surgery? Are there any other options that involve a shorter recovery?
Answer:
If you truly have excess skin and/or fat in the upper and lower eyelids, by far an upper and lower eye blepharoplasty is the procedure of choice. This can be done under local anesthesia. It takes anywhere from one to three hours. You will have black, swollen eyes for a short period of time. If you have two weeks off from work, that should be an excellent amount of time for recovery. While you may still have some minor swelling and black and blue at the end of two weeks, most likely you should not have any other limitations and should be able to go back to work.
I had cheek implant surgery years ago. I am not really happy with them anymore, maybe it is just getting older and becoming more comfortable with yourself. Is it possible to have them removed? What would this entail and would the appearance afterward be acceptable?
Answer:
Cheek implants can usually easily be removed from a sublabial approach. However, if they were fixed in with some sort of screw or some other procedure, it may involve a little more difficulty and can be more problematic. You need to find out from your original surgeon exactly which implants they are and how they were placed in, but if they were just placed in without any permanent fixation removing them is usually very easy and should not show any significant deformity afterward.
I have heard of ear surgery to fix large ears or ears that stick out. My ears do not stick out and are not excessively large overall but I do have very large earlobes. Can this be fixed with surgery?
Answer:
Yes. There are a number of different procedures that can be done under local anesthesia to make the earlobes smaller in size. The specific procedure would be tailored to the particular shape of your earlobe. It is a procedure that is usually done in under 45 minutes under local anesthesia for reshaping the earlobe.
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