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NOTICE: Ask Dr. Garcia is intended for educational and discussion purposes only. It does not constitute a formal medical evaluation nor consultation. No doctor-patient relationship has been formalized by this communication. If you desire such, please feel free to call and schedule an appointment. Otherwise, please be advised that all information that has been given here should be cleared with your primary care physician before changing or instituting any therapy. Explanation of off-label use of substances may be discussed here in but does not reflect an endorsement nor promotion of such off-label use.
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Answer: direct excison is the best option if you are willing to live with the small scars. JG 3.9.10
Answer: well, I see the patients in one week to remove sutures and then again after three weeks. I guess if all is well the day after surgery, one can leave and come back one week later. JG 3.9.10
Answer: yes to both, apply the Retin-A first and wait 10 minutes before the matrix cream. JG 3.9.10
Answer: I think they will have to undo the sutures from the Acculift to allow the tension being placed on the underlying tissue to relax and stop the bulging of the fat pad of Bichat at the corners of your mouth. I am not sure why he did the Acculift if all looked good. All the best. JG 3.9.10
Answer: I do not perform the hard palate grafts but it sounds like that is what you need along with a probable skin graft to the outer surface to avoid external skin contracture. That procedure is done by opthalmologists. All the best. JG 3.9.10
Answer: excision of the ice pick scars followed by a CO2 laser resurfacing once the incisions are healed. JG 3.9.10
Answer: excision of the ice pick scars and then a CO2 laser for resurfacing after the incisions have healed. JG 3.9.10
Answer: at the present time I am not accepting patients that have had surgery elsewhere as my schedule is busy, but it sounds like a release is in order, it might entail a complete removal of the implants for a period of time and then maybe replacing them later. JG 3.8.10
Answer: we have one on our shopping cart that hessp many but not all patients. JG 3.8.10
Answer: there is no free lunch, you can have something that heals shorter, such as a lighter chemical peel or a lighter laser but then there will not be as much of a difference.Sorry. A series of light ones does not equal one deep one. JG 3.8.10
Answer: well, typically you cannot equate one syringe of one product with one syringe of another, so to get the effect of filling one gets with vial Sculptra will usually take more than one or two syringes of Perlane.JG 3.8.10
Answer: I lived in Chicago for 27 years so I know a little about the cold, but not Canada cold.All the best. JG 3.7.10
Answer: OK to do, just that as the one filler dissolves the cheek will not look as full. JG 3.7.10
Answer: should not happen again and should not have happened the last time either. JG 3.7.10
Answer: nothing topcial sorry, I think a filler is worth a try though. JG 3.7.10
Answer: it has to be injected directly into the mass of the filler, so if they are close but no exactly into it, it will not be as effective. JG 3.7.10
Answer: I think ours are at least as good if not better. The company has alot of hype with nearly nothing to prove their claims besides testimonials. No scientific evidence aywhere. JG 3.7.10
Answer: my pleasure. JG 3.7.10
Answer: yes, I am sorry, it can be normal. JG 3.7.10
Answer: glycolic acids products and IPL lasers might help, best of luck. JG 3.6.10
Answer: yes, wait for the kids to be finished, best of luck. JG 3.6.10
Answer: might fade on its own but it is OK to use the hyrdoquinone at this point, and don`t forget the sunblock. JG 3.6.10
Answer: if it is due to scar tissue, and if the scar tissue can be released, it might ge better in terms of the distortion on animation. It can be difficult to remove the scar tisue and leave no residual though. As to the eyebrow, if it is swept up, there was likely too much skin removed and that will be quite difficult to improve and not leave new scars that are visible. JG 3.6.10
Answer: I perfrom them every 2 weeks if no kenalog is in the mixture.I administer enough to swell the scar itself. JG 3.6.10
Answer: you are good to go, no problems like that should occur, all the best. JG 3.6.10
Answer: hands can be burnt from a laser quite easily if one is trying to tighten the skin. For the brown spots you can use a YAG or VBEam, they are safe, but all other lasers for skin tightening have to be done mildly to avoid a burn, therefore you don`t get much in return. JG 3.5.10
Answer: best of luck. JG 3.5.10
Answer: the tone of your muscles is not high, what you have is some loss of tissue below the skin and that makes the muscle more visible and when the muscle flexes, it folds the skin and creates localized damage in the valley of the fold, so it is seen at rest. I don`t think induced muslce atrophy, as hard as it is to acheive, is worth it. JG 3.5.10
Answer: if there are no lines at rest when the muscles are not moving I would not use a filler, otherwise if you fill in the area that is depressed upon animation, it might look lumpy when you stop animating. JG 3.5.10
Answer: I have used the 5FU for years with very good results and less problems than with kenalog. It can in some cases still cause skin changes even if there is no fat, yes. It is injected like the kenalog is. JG 3.5.10
Answer: impossible for me to tell without seeing it I am afraid, sorry. JG 3.5.10
Answer: I have used it safely for years. JG 3.5.10
Answer: wait 4-6 weeks, it can be irritated by those products if applied too soon, yes. JG 3.5.10
Answer: 6 month should be OK to proceed. All the best. JG 3.5.10
Answer: I know of no studies where the two have been studied for that comparison, I do not think they would interact, but no way to tell 100%.Sorry. JG 3.4.10
Answer: well, just be sure they treat you with bleaching creams before and after to avoid post-inflammatory hyperpigmentation and understand that since they cannot go too deeply for safety reasosn, the results are not going to be super dramatic. JG 3.4.10
Answer: I am not a fan of the Levulan treatment as it erases the safety profile of the light source and makes it essentially no better than an older chemical peel, just sounds newer. I think dermaplaning, in experienced hands does quite well, or traditional chemcial peels or lighter lasers. All should improve your concerns. Best of luck. JG 3.4.10
Answer: I have seen it stay swollen for up to two weeks in some patients. Ice and a little massage should help. All the best. JG 3.4.10
Answer: do not think it will damage it but it likely will not make it any straighter this far out from the surgery, unless you broke the bones again, which I doubt you could do just by applying pressure. It will likely need more surgery to make it more straight. JG 3.3.10
Answer: the same swelling and bruising can occur, yes. JG 3.3.10
Answer: yes, it is a temporary effect as the products are absorbed, we use liposomal technolgy to push the products through the skin. It is a feeling off dryness but is actually not drying to the skin at all. I am afaid that the matrix cream does not help with the freckling or brow spots, for that you need another cream and we did not include that ingredient as it will, by its nature, irritate the skin and we were trying to avoid that. You can get some hydroquinone 4% cream from your local doctor for the spots. All the best. JG 3.3.10
Answer: as long as they are willing to accept the limtitions, in many cases but not in all cases I would, but if it is going to make them look strange in some way, I might decline. JG 3.3.10
Answer: they will help with the inherited dark circles too, although injections also can help, the main ingredient in the dark circle cream is haloxyl, but there are other chelating agents in it also. JG 3.2.10
Answer: profile view shows the chin to be further back than the lower lip, also making the nose look larger in relation to the chin. JG 3.2.10
Answer: well, I do think it might be worthwhile to see your primary care doctor and get some antibiotics to get it to settle down faster due to its location. It is actually common for the eyelid to get swollen as gravity pulls the swelling into that direction. A warm pack would be better at this point to get the infection to hopefully open and drain on its own. JG 3.2.10
Answer: it could be, but it also might be that the tissues of the breast on the right are not as supportive of the weight.It will be easier to lift the right rather than get the left to drop I am afraid. JG 3.2.10
Answer: it can happen, yes. As to the make up being removed, it absolutely needs to be removed before the treatment, she was incorrect. JG 3.2.10
Answer: it happens at times as the blood pressure is usually a little higher, especially if the local anesthesia has not worked in all the areas. JG 3.2.10
Answer: just wait a few minutes between if they are both serums. JG 3.2.10
Answer: I would use a YAG or a VBeam laser, a test spot is OK, but it will likely need a long series of treatments as they cannot go too strong for fear of burining your skin. All the best to you. JG 3.1.10
Answer: a couple of years maybe. The color match is never good though. JG 3.1.10
Answer: yes. You are welcome. JG 3.1.10
Answer: no, should not be any cancer risk there, all the best. JG 3.1.10
Answer: does not work much on older oens, it helps get them flatter and less red,but they have to have a little pressure applied over them. Usually anything over 6 months and it does not do much. JG 3.1.10
Answer: well, to be honest, if the Triluma is irritating you, there is nothing stronger I would suggest, if anything, you might need to weaken the Triluma with a moisturizer cream in equal parts as the irritation will not allow it to get better.The Epiquin might be worth a try amd I certainly would not recommend the IPL or chemical peel as they are more harsh and can cause hyperpigmentation on their own. JG 3.1.10
Answer: it is more the setting, and the lack of cooling, it happens frequently. JG 3.1.10
Answer: impossible to tell how many treatment sessions but I think they are similar in their effectiveness, all the best. JG 3.1.10
Answer: if it was true Evolence it should have dissolved long ago. JG 3.1.10
Answer: 3-6 months, depending on the chemical used. JG 3.1.10
Answer: the formula utilizes multiple sizes of highly reflective micronized particles of titanium dioxide, zinc oxide, and iron oxide. JG 3.1.10
Answer: you got me stumped! JG 2.28.10
Answer: I prefer ScarGuard. JG 2.28.10
Answer: we no longer inject collagen, it is no longer commonly available as the newer materials are better. The wavy effect is technique dependent, not material injected. JG 2.28.10
Answer: not sure what type of anestheisa they used, but I do not think it is permanent,might take a while though for it to resolve. Hang in there for a bit more. Some doctors mix the Sculptra with some local anesthesia and it can cause that effect, even in cases where the local anesthetic shoudl have worn off long ago.Hang in ther for a bit JG 2.28.10
Answer: it is the bacteria in the nose that caused the problem, not the filler, it can be used again if you desire. All the best. JG 2.28.10
Answer: well, possibly more risky but lots stronger and more effective. JG 2.28.10
Answer: I would need to see you in person first, sorry. JG 2.28.10
Answer: glad I can help. JG 2.28.10
Answer: in most cases, tightening the SMAS is agood idea to allow the tissues to hold up longer. The Y-lift is just an attempt to do a smaller procedure and make it sound new, but actually it is nothing new. It will likley lift the jawline but not the jowls as much, hard to say. JG 2.28.10
Answer: well, I think you need to find out what exactly he is going to do, there are many doctors out there that like to use fancy terms for the surgeries to make them sound unique, but they are essentially the same that others are doing.Best of luck. JG 2.28.10
Answer: You can use it on the eyelids or the entire face, I usually tell patients to use it at night. I think good antioxidants are a good idea too, but no need to take super high amounts. JG 2.28.10
Answer: hard to say, it might dissolve some of it. JG 2.28.10
Answer: they might, it is relatively easy to dissolve them or make a small puncture wound and squeeze the material out in many cases. It is not common to use fillers to the upper lids as the skin is very thin and lumps show easily. I do not think there is any risk of blindness from what you are describing. Dissolving the filler is less difficu.t than injecting the first time> Best of luck. JG 2.28.10
Answer: I am not a believer, sorry. JG 2.28.10
Answer: it might just have not been a long enough period of time for the antibiotics to irradicate the infection, not all infections can be cleared with the anitbiotics. The grafts, in some cases, can be infected and might need to be removed, but that is rare. All the best. JG 2.27.10
Answer: I do not see how a filler would cause a complication. I have never seen that occur, assuminhg one is using normal legal fillers. With the legal fillers the worst that could happen is you might see a small lump or collection of the filler and it will just dissolve on its own in a faster or shorter time span. JG 2.27.10
Answer: well, hard to say, it might have nto been prepared correctly or diluted too much, or they were sharing bottles, which should never be done, and what they injected you with the last time was not active anymore. I will say though that 10 units is very small, the units for Dysport and Botox are not interchangable. JG 2.27.10
Answer: Retin-A at night, the other two in the morning. JG 2.27.10
Answer: I think you can continue those as the irritation is minimal,and that is what I suggest taking a break from. JG 2.27.10
Answer: all are cetainly free to try it, especially in offices where no real permanent fat removal is performed via liposuction, but I would not perform it on my patients. Ask him this question, if it so wonderful and effective, why has the FDA not approved its use? On the marketing material given to doctors to evaluate the machine, it says, in bold letters, not FDA approved. JG 2.27.10
Answer: smoother texture, less fine lines, healthier glow,softer feel to the skin. JG 2.26.10
Answer: I like that product, otherwise look for SPF 50 or higher. JG 2.26.10
Answer: well, I am biased but I think mine is better. JG 2.26.10
Answer: it will do what it is going to do in 24 hours or so. No need to massage it, might need more than one session in some cases, all the best. JG 2.26.10
Answer: well, it will be weeks, 4-6 weeks before it looks presentable in most cases. It will be swollen and also red until it heals. I cannot say if a filler would be enough on its own without seeing you in person, sorry. All the best. JG 2.26.10
Answer: low risk. JG 2.26.10
Answer: I would start with the hydroquinone and use sunblock too. JG 2.26.10
Answer: reasonable choice. JG 2.26.10
Answer: it might be a good way to see if it can be improved prior to contemplating brow surgery too. I would need to see pictures of your eyes and forehead to say whether the higher or lower side would be best for the Botox. I will say that, in general, it is easier to drop the eyebrow than to lift it though. JG 2.25.10
Answer: I think it is a scam. I have seen no evidence in any peer reviewed medical journal that proves that those mlecules can be absorbed through the skin. Think of it this way, carrier or not, if hyaluronic acid can pass through into the skin, it could then pass out of the skin too, thereby losing your own hyaluronic acid. There are lots of people that are trying to capitalize on the hyaluronic acid filler craze by applying it to the surface to avoid injection, the non-sterile HA is cheap and can be put into a cream easily, but that does not mean that the hyaluronic aicd is ansorbed. JG 2.25.10
Answer: just the pores, otehrwise it has no benefit, just helps things go on smoothly. It is not an efficient moisturizer, it just allows the ingredients to be thinned out and easier to apply to the skin. JG 2.25.10
Answer: they might have hit a deep vein and the bruise has not come to the surface yet, I certainly would just ice and massage it for now and would not consider any dissolving for at least 10 days after the injection. The hyaluronidase does not caue swelling but since it is put in with a nededle, it can also cause a bruise like the initial injection. The dents are rare. Give it some more time though. JG 2.25.10
Answer: IPL, should not make it worse. JG 2.25.10
Answer: just use your sunblock and reapply every two hours.All the best. JG 2.25.10
Answer: in some people and in some areas yes, but not for ab all people. I think it lasts abou 10-15% longer than Restylane, but you need to understand that when used properly, they are not to be used interchangably. By that I mean that Restylane is used for more superficial injections and Perlane should not be used like that. If Perlane is injected superficially it can cause more lumps. Perlane is meant for deeper injections only. In short, if you get Restylane injected into superficial areas as intended and you want to have it last longer, using Perlane is not the answer. JG 2.25.10
Answer: I see no problem mixing it but I am not sure why that was done, I see no advantage to mixing them unless he needed to inject some very superficially and used Restylane there. JG 2.25.10
Answer: I recommend no LED system, I think the laser for varicose veins has to be an endo laser, inside of the vein, for it to work, there are a couple of companies that make it. I think Lumigan is fine. All the best. JG 2.25.10
Answer: the VBema will work faster. I would not use Levulan as it has a higher risk profile. I do not think a chemical peel is any better. I am sorry but there is no way to predict how long the spots will stay away and there is no way to guarantee that all the spots will go away with any treatment chosen. JG 2.25.10
Answer: in general bad as it can plug pores, but nothing is 100%. JG 2.24.10
Answer: a chin lift usually refers to a neck lift, the chin pad can be lifted too by placing stitches into the pad and attaching it to a higher position on the bone. A chin implant really does not create a lift. JG 2.24.10
Answer: harder than applying face cream, but not too much harder, maybe 3-4 times per day. JG 2.24.10
Answer: it will help some, but the distance moved is not great, it will flatten it more than move it laterally, which in your case is OK, all the best. JG 2.24.10
Answer: no, OK to alternate. JG 2.24.10
Answer: Due to potential legal issues, and some doctors wanting to know why I referred a patient to someone else and not them, I think you are best to go to this website and look for a plastic surgeon in the area you desire. I wish you all the best. JG 2.24.10 http://www.surgery.org/public/findasurgeon.php.
Answer: I cannot see how a topical hyaluronic acid will penetrate the skin and I am not a fan of the Thermage products, sorry. All the best. JG 2.24.10
Answer: it can be layered as you mention, all the best. JG 2.24.10
Answer: see above. JG 2.24.10
Answer: the chin pad can be lifted and attached to the bone in a higher location in cases where it has dropped. I have never seen the skin, and the skin alone, of the chin pad sag though. If it is just the skin, the procedure I mention is likely overkill. All the best. JG 2.24.10
Answer: should not be a conflict that I am aware of. Best of luck. JG 2.24.10
Answer: maybe 6 weeks. As to the chemical peel, maybe 4 weeks. JG 2.24.10
Answer: lasers become effective only when used in a narrow band, some machines offer multiple wavelengths, but when it comes to the use, it needs to be focused narrowly. JG JG 2.23.10o
Answer: safe to use there. JG 2.23.10
Answer: for your forehead, the filler sounds like the option to go with. JG 2.23.10
Answer: it is impossible to direct weight gain to a certain body part, I doubt the arms will go back to the way they were. Weights build muscle but do not tigthen skin. Protein shakes are certainly a good idea. JG 2.22.10
Answer: hard to answer as I am not able to find out the ingredients nor concentrations in the cream. As to using Tazorac and my cell matrix cream, apply the Tazorac first, wait ten minutes, then my cream. JG 2.22.10
Answer: pretty similar effects from them. Might last a year or so. JG 2.22.10
Answer: apply the peptide first, and then wait a bit before applying the others to let it absorb. It is unique due to the 5 peptides in it, rather than just one along with penetration enhancers. It will in essence do the same as the Retin-A without the irritation, but the pepetide cream will not help with brown spots where Retin-A will. Best of luck. JG 2.22.10
Answer: I am sorry but I have not had any patietns use the Derma Advance products. I cannot endorse it without knowing more about it, sorry. It is more effective if you wait ten minutes after the Tazorac and then apply the moisturizer as you need to allow the Tazorac to be absorbed first to avoid diluting it. JG 2.22.10
Answer: sunblock and give it some time, I would make sure the bleaching cream is at least 4% hydroquinone and you could consider adding Retin-A to the mix. JG 2/22/10
Answer: yes, it can be used as a stand alone or in combination with the tretinoin cream or Vitamin C serum. JG 2.21.10
Answer: 4%, and don`t forget the sunblock. JG 2.21.10
Answer: I always use general anesthesia. JG 2.21.10
Answer: removing the fat only removes fat, it will not make the face any tigther and will make it even more thin in my estimation. JG 2.21.10
Answer: Mederma would likely be better. JG 2.21.10
Answer: unfortunatley, no, I do not, it depends more on the person`s speed of aging, not all 40 year old have aged at the same speed due to genetics and lifestyle habits. Scarring should be minimal and recovery is 10-14 days before looking good enough to be seen in public and 4-5 weeks before full activity. JG 2.21.10
Answer: fillers and lasers can help that, along with Retin-a type creams. JG 2.21.10
Answer: age and skin thickness does not affect the hematoma or nerve injury risk. Males have a higher risk of hematomas and taking certain blood thinning medications also contribute as does elevated blood pressure. The risk of a hematoma is between 1-2%, most are able to be treated without furhter surgery. JG 2.21.10
Answer: recent studies show that there is no effect to fillers from lasers such as the VBeam. You can receive a VBeam prior to the injection, swelling can be present though as you say. It is my preference to do them a few days apart, not ideal for a person`s schedule, but it can lead to better overall results. If you want to limit the trips I suggest the filler to be done first and then immediately follow it with the VBeam. JG 2.20.10
Answer: no need to wait for that to be dissolved or worn out prior to the surgery.JG 2.20.10
Answer: I think photos are helpful, over time though, the number of photos being shown has decreased because patients see a result and then think they are guaranteed the same result, and that is not always possible. I do think a number of patient photos is a reasonable request though. I think you are also right, at times, peopel with a reputation can be snobby in some small number of cases. I personally feel some degree of being anxious is normal, but if I feel it is too much, I will postpone things until the patient is sure you want to proceed. Some patients are anxious because of the risk, but others are anxious because they are afraid what their friends and family will say and think, or maybe they are stretching their finances. Apprehension about the risk is normal and can be explained by the staff and those fears allayed, the others might not be able to be talked away I am afraid. All the best. JG 2.20.10
Answer: that is the implication, they are careful what they actually say so that they do not get sued or fined, but they give you the buzz words and then allow you to make an assumption that it works like a drug. All the best. JG 2.20.10
Answer: puckering is very common with a pursestring procedure because of the technique utilized. The suture can be removed and in most cases the scar and areola will sretch out to the previous size and possible wider. TThe burning sensation is likely scar tissue around a nerve and is nothing serious or anything you nee to worry about. JG 2.20.10
Answer: sounds like a nasty bruise but warm moist heat and Arnica will help. It is stil early enough the lump can be massaged and smoothed out. Likely no further injection needs to be done. JG 2.20.10
Answer: likely no effect. JG 2.20.10
Answer: if there is enough skin of the upper lid, that is tte preferred site as the color match is good. It is a relatively simple procedure. As to finding a good surgeon, asking your primary care physician or calling the local county medical board is a good place ot start. JG 2.20.10
Answer: glad I help and continued best wishes. JG 2.20.10
Answer: no, age does not mater, that is a matter of how tight the surgeon pulls and lifts, the natural or unnatural look is in his hands, not in yours. What your age does affect is how long it will look. In more aged skin, there might be a need for more skin to be removed, but the natural appearance can still be acheived. I have done facelifts on patients 20 years older than you, as long as they are in good health. JG 2.20.10
Answer: C8 peptide is a proprietary compound owned by Kinease and it is not in my cream. It claims, or implies, that it works on the SNAP receptors to reduce wrinkles by decreasing nerve function, one is led to believe it woudl therefore function as Botox or Dysport does, but that is a fine line as making a claim that it affects nerves in the skin is potetnially an FDA violation as anything that would affect the neves is no longer a cosmetic, it is a drug and would require a presription. They are using the words cleverly to lead the consumer to believe it is the same, but it is likely not truly accurate. I have not had any patients use the cream so I have no comments on it. JG 2.20.10
Answer: somewhat, the scar needs to be released with a needle or scalpel first, it is not just a case of the injection alone. JG 2.19.10
Answer: well, the track marks can be cut out but there will be a scar, without seeing them, it is hard to say whether the scar will be better than what is there now. JG 2.19.10
Answer: it would be Restylane and it would be injected where the fat loss occurred, yes. JG 2.19.10
Answer: the best is phenol but is not done too frequently anymore and Artefil was released again for use in the US this year. JG 2.19.10
Answer: impossible to tell as they do not tell you the gross amounts nor the concentration of the peptides, sorry. JG 2.18.10
Answer: the cell matrix helps with the texture and fine lines and the dark circle cream helps to reduce the dark circles around the eyes. The cell matrix is applied to th eentire face and eye area once at night and can be repeated around the eys in the morning if one is using only that. If one is using the dark circle cream, then that can be applied twice daily around the lower eye area. There is no need to use a moisturizer over it as it has those properties in the cream itself. JG 2.18.10
Answer: save your money. JG 2.18.10
Answer: moving the muscles before the injection does not affect how it works, it just sounds like they might have used a larger amount or injected it in different locations. Using the muscles does not influence the regeneration of the motor end plates where the Botox adhered to, it is just a matter of time. Hang in there. JG 2.28.10
Answer: yes I have heard of it and I would not spend a penny on it. JG 2.18.10
Answer: although thicker scarring can happen in darker skinned individuals, it is not a 100% that it will happen, so it might turn out fine if she has the holes closed. JG 2.18.10
Answer: the body breaks it down, the same way that it breaks down the normally occuring hyaluronic acid we have between our cells. It is degraded and excreted. JG 2.18.10
Answer: usually we have them here for 10-14 days after that, especiallly because of the laser to make sure ther is no problem with the skin healing. JG 2.18.10
Answer: I do not perform them for cosmetic reasons due to the high rate of problems related to them like extrusion, hardening and nerve damage. Sorry. JG 2.18.10
Answer: well, we like to keep an IV in until such time that the patient is doing well and taking oral liquids. A blood pressure of 200/80 is quite high, can lead to excessive bleeding and in most cases, if we had an IV still in place, we would have given you a medication to lower the blood pressure and not a pain pill like Vicodan nor an antihistamine like Benadryl, their effects on blood pressure would not be too strong and would take a longer time to take effect. JG 2.18.10
Answer: no, sorry, I have not. JG 2.18.10
Answer: that is correct, the aging process is pushed back but nto stopped, so once it is done building, it will break down like all collagen in the body. The maximum fill from the Sculptra would be at 4-6 months, and as time goes on, it will be lost, the speed at which that occurs and the length of time it takes to return to the previous state is dependent on genetics and age. The older one is, the faster they lose it after it is formed, and also the less robust the amount of collagen formed. It is very common to reinject patients at 12 months in order to maintain what they have achieved, correct. JG 2.18.10
Answer: I do not think the two are related. JG 2.18.10
Answer: It is used for acne, Retin-A was initially also used for acne and then the benefits of it for wrinkles were seen and it was approved for that also. I personally feel the diference between them is very small and Retin-A, since you can get generic now, is as good and lots cheaper for fine lines and skin issues. JG 2.17.10
Answer: I would not perform a CO2 laser on Asian skin. In view that you have already tried an erbium and had disappointing results, and because I think that is already more aggressive than anything I would suggest, I am afraid I really do not have anything effective and safe that I can recommend, I am sorry. JG 2.17.10
Answer: I usually start with Retin-A mixed with 4% Hydroquinone, but the latter can be mixed with the Tazorac too. Tazorac is not better, and it is more expensive too. Best of luck. JG 2.17.10
Answer: good options, there are a number of machines but they are all similar. All the best. JG 2.17.10
Answer: a jowl lift. JG 2.17.10
Answer: it can happen as part of normal helaing and at times from the skin getting wet below the tapes, it is not unsual for that to occur and once the drainage starts it is wise to keep antibiotics on it and keep a bandaid on it and change it at least daily. An infection can occur any time the skin is cut, that is a risk of any surgery, no matter how small. JG 2.17.10
Answer: no, no added protection due to age. JG 2.17.10
Answer: not much that can be done due to the motion,even from normal activities without exercising, after one year the scar will be at its maximum width. JG 2.17.10
Answer: the scar might show, yes, might need hair transplants to hide them. JG 2.17.10
Answer: never been tested and since the hormones during pregnancy can cause hyperpigmentation, I would avoid it. JG 2.17.10
Answer: I think the VelaShape or Endermologie will help while you are using them, as to the Thermage, Smart-lipo and subcision, I would not waste my money on them for cellulite reduction. JG 2.17.10
Answer: the doctor can change the dilution, it is more a matter of the active ingredient used into the particular area than the amount it is diluted with. JG 2.17.10
Answer: I would give it at least another 4 months and then maybe proceed with the skin graft. Any plastic surgeon should be able to perform that for you, otherwise see an opthalmologist. Best of luck. JG 2.16.10
Answer: with CO2 that is very normal yes. Patience is about all I suggest now, anything else can aggravate the skin at this point, but I think the next two weeks will surprise you as to the degree of fading.All the best and congrats on the Canadian Gold Medal at the Winter Games!JG 2.16.10
Answer: have never done it, would never do it either for fear of a burn and permanent scarring. I personally feel a CO2 laser, even a fractional one, can be risky on the chest, I would go with light chemical peels is about all. JG 2.16.10
Answer: fillers like Restylane for the lines. As to Zerona, save your money. JG 2.16.10
Answer: in small doses, it is likely OK, but it has never been studied. Safest to wait. JG 2.16.10
Answer: they must have used a filler like Radiesse as Botox would not have the effect of lifting the tip, in most cases, over time, the filler will go away, but it takes a long time. JG 2.16.10
Answer: all from the muscle flattening out. JG 2.16.10
Answer: the muscle over the area which added some bulk over the bone has relaxed and now it is less thick. It will wear off in time and the muscle will bunch up again, or you can use a short term filler into the area if desired. JG 2.16.10
Answer: you can have some injected into the frontalis muscle by the doctor and that should drop it down. JG 2.16.10
Answer: it will spread to the surrounding areas to a small degree, but since the body replenishes hyaluronic acid and since the amount of hyaluronic acid is less in normal tissue compared to a filler injection, the effect is minimal to none on normal tissue. The dilution method is well documented in the medical literature and your doctor can easily find it. Best of luck. JG 2.16.10
Answer: only if it is brown. JG 2.16.10
Answer: Bell`s Palsy is caused usually by a virus, and stressful things can cause it but it is highly unusual for it to be caused by injections such as you had, I wil say that it is almost unheard of getting a facial paralysis from a Botox injection unless large amount or fake Botox is used. In most cases Bell`s Palsy improves over time, but in rare cases it can leave a permanent weakness to some degree. Using an electrical muscle stimulator can help avoid muscle atrophy until the palsy wears off over time. Best of luck to you. JG 2.15.10
Answer: well, if you are still red, it is OK ot proceed, it should not be done for preventing red spots though. I have not heard of any issues of fat loss with a pulsed dye laser, correct. JG 2.15.10
Answer: it is OK to keep doing it and the effect varies on the energy setting used. If it is too low, the effect is not effective. Best of luck. JG 2.15.10
Answer: laser would help much more than a steroid cream. JG 2.15.10
Answer: I see no advantage for a woman to apply testosterone to the face or take orally with the hopes of improving skin. As to estrogen, if their levels of estrogens have dropped, it might help, but it is a better preventor of aging of the skin than a treatment. JG 2.15.10
Answer: well, it will depend on how much is taken off and how the skin is, if there are lots of stretch marks and a lot of fat to be removed, the skin can become loose. Having said that, hips and thighs are areas where skin tends to shrink better than the abdomen or arms due to the attachments of the skin to the underlying muscle. The less fat that is removed, the less risk there is of saggy skin, but the less fat that is removed, the less the degree of improvement. It will be balance. JG 2.15.10
Answer: no, it likely needs to be repaired surgically for it to be even, skin alone will likely not do help and more likely would make it worse. It can be due to normal aging or from the previous lower eyelid surgery. JG 2.14.10
Answer: the pseudobursa usually takes 4-6 weeks to form, repeat aspirations will assist in getting the tissues to readhere and close the space though. You also might want to ask him about using a compression garment or even placing a drain back in to help with resolving the fluid problem. We at times will also inject sclerosing medications into the pocket to cause irritation and get the pocket or bursa to close faster. All the best. JG 2.14.10
Answer: well, in some small number of cases, it can be very long lasting. I think I would suggest some YAG laser treatmetns to fade it, that is how we handle those cases. All the best and thnak you for the flattering words. JG 2.14.10
Answer: it can take up to 6 months at times, give it a little more time. JG 2.13.10
Answer: well, I have never heard of addditional treatments making it more refined. I will say that as the carrier, in which the long lasting granules are suspended, is absobed, the size will go down and likely show more definition, but that is without more injections. I, at times, use more than one injection, but it is not meant to get better refinement but more to add more to the area where the carrier has dissolved and the degree of enlargement is not as much as I or the patient desired.I suggest waiting 2-3 months for the carrier to dissolve so you can evaluate the nsoe better. Best of luck. JG 2.13.10
Answer: I think you are doing fine, stay with what you have, the differences between moisturizers is minimal, some just add things like retinol but you are already using tretinoin which is much stronger. There is confusion because there is little difference and the companies are trying to get you to buy theirs and not the other. JG 2.13.10
Answer: well diluting more weakens it but actually allows it to spread more becasue there is more fluid to spread out. There is no value in a skin test with Vitrase, best of luck. JG 2.13.10
Answer: it is more likely that there are small areas that are dissolving and other areas where there is more filler that are responding slower. You can certainly try more of the hyaluronidase or see if they can pierce the skin and squeeze some out. All the best. JG 2.14.10
Answer: well, it varies, the greater the swelling immediately after the surgery, the longer it takes, most patients should see changes starting at 6 weeks and they progressively see more for up to one year. Once the incisions on the inside have healed, it tends to fluctuate less and less, have to give it some more time. Hang in there. JG 2.12.10
Answer: maybe just a cheeklift is all, hard to say without seeing you, all the best. JG 2.12.10
Answer: the collagen will build up for 4-6 months, the older you are the less collagen forms. I think in your case the additional filling this far out is likely from them swelling that started in the temples migrating downward. All the best. JG 2.12.10
Answer: I think that is a good Idea, but I think if the first two do not work, Mederma will not either, and you might need a YAG laser to help it along. Sorry to hear about the problem. JG 2.12.10
Answer: yes, it is OK to proceed with the IPL at this point. The swelling from the IPL might happen again and add to the swelling you already have though. JG 2.12.10
Answer: no, if anything, since it thickens the dermis, it should improve the scar. JG 2.12.10
Answer: I would not buy it. JG 2.12.10
Answer: yes, it is, but you need a series of sessions. Any treatment can make it worse in rare cases if not used properly or too harshly. I think the doctor should be concerned about making the patient happy and maybe train his staff on how to properly use the IPL so the PIH from it is rare, as it should be. As for my face program, I use my cell matrix peptide and also Dysport. Thank you for the kind comments. JG 2.12.10
Answer: most times that is covered by insurance and is done mostly by an ear, nose and throat specialist. JG 2.12.10
Answer: yes it is true about the Botox and the lips, fillers are good options for many but not all patients though, hard for me to tell without seeing you in person. Sorry. JG 2.11.10
Answer: I do not think it is accurate as the human tissues of the nose cannot be predicted as to how they will shrink and heal. JG 2.11.10
Answer: should be OK by then, best of luck and keep the fires burning! JG 2.11.10
Answer: no, the new Sculptra injections will only increase collagen where it is injected. It might be some of the swelling moving down with gravity is all. JG 2.11.10
Answer: might be able to dissolve it using hyaluronidase injections into the lumps. If you leave them alone it might take a year or more, if they do not develop granulomas which can last longer because it encases the product in scar tissue. JG 2.11.10
Answer: it can be a neck lift in many cases. JG 2.11.10
Answer: the lumps might be a blood clot or scar tissue, in most caes, with time, they go away on their own. JG 2.11.10
Answer: Mederma alone. JG 2.11.10
Answer: I think just neosporin for now, the others are not needed at this time. Once the scab heals the ScarGuard can be used, but not until the surface is healed for fear of infection and irritation. Stop picking and go see your dermatologist to make sure all is OK. JG 2.10.10
Answer: that is tto a lot of fat for the areas you had removed, but the results vary greatly on the perosn and what they had to begin with. Everyone can get liposuction done, but it takes experience to know what it will look like after the procedure is done. Many times, as it appears in your case, fat was removed and it left the skin loose and with more folds. I guess you now see that the hype about SmartLipo is not all that it is cracked up to be. You can certainly take a detoxifying body cleanse if you wish but I am afraid it will not help you remove any fat that you were told was lasered. You have to give it time and see how it all settles in, that might take a few months. Best of luck. JG 2.10.10
Answer: we do ship to Canada, might be FedEx, I apply the cream myself to my entire face at night and then on my lower lids alone in the morning, you use a very small amount as it spreads quite well, most people find the jar last 6-8 weeks or so. JG 2.10.10
Answer: nope, Dr Rod Hester in Atlanta. JG 2.10.10
Answer: I always use Restylane.It is a more difficult area to get a good correction but in experienced hands it does well. JG 2.10.10
Answer: I think as long as they knwo how to use the hyaluronidase, they are equal. Not sure why they used Juvederm Ultra in that location, it is meant for deeper injections and not suitable for that location. JG 2.10.10
Answer: Mederma. JG 2.10.10
Answer: they both lift tissues of the cheek but the cheeklift does it from on top of the muscles and the midfacelift seperates it off the bone and the suspension is harder to get to hold in a midfacelift.JG 2.10.10
Answer: 18 months. JG 2.10.10
Answer: there is no smas midfacelift, the smas is tightened during a cheeklift or a facelift without seperating the tissues from the bone.JG 2.10.10
Answer: in most cases the issue is the degree of traction placed around the eye and the degree of support needed as in most cases the tissues are lifted off of the bone and require a greater degree of support. Complication risks of a midfacelift in the surgeon`s hands that invented the procedure is up to 17%. Not sure who told you it is safer, but that is not true, easier is relative. JG 2.10.10
Answer: highly unusual for someone your age, if indeed you do have it happening, you likely will need it redone much more frequently than others, yes. The complications should not be any higher or worse. JG 2.10.10
Answer: longer, yes, wider, likely not. JG 2.10.10
Answer: it is the reaction of the skin due to an injury where it gets darker in order to protect itself from further damage, it usually can get lighter some on its own but in most cases needs medical treatments with creams. JG 2.10.10
Answer: all depends on how deep they went, the IPL can likely be done in 4 weeks and the sunblock in 3. JG 2.10.10
Answer: well, I have done it and I am not really impressed with the results to be honest, it is mild. There are not alot of options though. I hope I have helped on your visits. JG 2.9.10
Answer: I suggest a little break for a couple of motnhs once per year and then OK to restart, having said that, not all spots are totally removed with hydroquinone, so continued use past 12 months is likely not going to help any further. JG 2.9.10
Answer: there is some advantage, but the older you are, the less it does. JG 2.9.10
Answer: I suggest you see an e,ar nose and thoat specialist to see if any surgery could help your condition, all the best. JG 2.9.10
Answer: I see absolutely no reason to inject through the mouth, all it does is increase the risk of infection as you cannot wipe the surface with alcohol before piercing it with the needle. It is no way near normal. For filling of the cheeks, Restylane Sub Q is good but we cannot use it in the US. JG 2.9.10
Answer: the Retin-A and Hydroquinone first followed by the peptide cream. I do not think you will get much more from the estriol cream. I think you have maximized the effects with what you already have on board.JG 2.8.10
Answer: Retin-A and Hydroquinone for the corners of the mouth, maybe liposuction for the neck and not much for the legs I am afraid. JG 2.8.10
Answer: without seeing you in person it is difficult, it might be straight liposuction and it also might need a neck lift with skin removal in larger cases. JG 2.8.10
Answer: I am afraid that I have nothing that will work for that, sorry. JG 2.8.10
Answer: I think it has more control over causing excess bulking from the purse string suture used in a MACS lift. I perfer the smasectomy the vast majority of the time. JG 2.8.10
Answer: I personally like it better than the MACS lift. The names are complicated but at the end of the day, or I should say, end of the first year after the surgery, the differences are really hard to see between all the techniques, it is more marketing hype than anything. The MACS lift is actually based upon an operation that was described in 1908 by a Russian surgeon with minimal changes! JG 2.8.10
Answer: it should not increase the risk, no. JG 2.8.10
Answer: you can try Retin-A is about the only cream I might suggest. JG 2.8.10
Answer: you can try our cell matrix peptide cream on our shopping cart, it does not exfoliate (which your skin does not need for fear of worsening things) but should help your skin issues. JG 2.8.10
Answer: safe to use the IPL, yes, sorry we are not closer too, all the best. JG 2.8.10
Answer: no,they will go away in time it is just the skin is thin and the bruises are more easily see. Hang in there.JG 2.8.10
Answer: I personally use those products everytime I plan on any laser or chemical peel, yes. JG 2.8.10
Answer: I do not endorse Latisse due to its potential side efects and no eye lash extender helps 100% of patients, sorry. JG 2.8.10
Answer: yes, and then restart with alternating the creams to be sure it is OK. JG 2.8.10
Answer: not as good as one deep one. JG 2.8.10
Answer: I think once the swelling from the Harmony goes away, so does the skin tightening, but you are free to try it. I do not suggest Estriol as moisture will not tighten skin and is only of benefit in women who have low estrogen levels. I think with the limitations you have placed, you are doing what I would suggest, the Retin-A, sorry. JG 2.8.10
Answer: never seen weakness occur, maybe it is just a small nerve irriation, should all go away on its own. Hang in there. JG 2.8.10
Answer: The YAG laser for he entire face except the pale spots. JG 2.8.10
Answer: for red we use the 532, it is a Q-switched YAG so it has both frequencies. We have one in our office, yes. There is no spot that will cover the entire face, there has to be a overlap pattern at all times when using lasers, that is up to the person performing the treatmetn and their experience, missed spots can always happen to all people. There is not way to just incite the blood vessels and them alone to regenrate, sorry. I think th eeffects of ReLuem are short-lived in my opinion. JG 2.7.10
Answer: seems like a fair price compared to others out there. JG 2.7.10
Answer: we use Arnica 6X at 4 trouches sublingual 4 times per day and bromealin 200mg twice daily. As to he Lipo-Ex, sorry, no experience with it. JG 2.7.10
Answer: might be connected, migth suggest some Levulan and pulsed light therapy by a dermatologist, I wish you the best. JG 2.7.10
Answer: Alexandrite or a YAG is an option, it is a risk with any laser resurfacing and it why we use sunblock both inside and out until totally healed. It more likely did not expose damage that was already there, more likely it is something called post-inflammatory hyperpigmentation. We alwyas pretreat with hydroquinone before any resurfacing to limit the potential of it happening. JG 2.7.10
Answer: see above answer.JG 2.7.10
Answer: I would use it for about 10-14 days or until the skin has healed its surface, essentially when the spot stops buring. JG 2.7.10
Answer: we do offer a company that helps with financing but we do not perform pro bon cosmetic surgery, sorry. JG 2.7.10
Answer: it is a laser that is performed to reduce redness and attempt to stimulate a small amount of collagen lost with aging, it is a focused energy source that clots small blood vessels in the skin seen with aging. It is lighter than a VBeam and safer and more specific than a chemical peel. Very safe. JG 2.7.10
Answer: it will eventually fade, you can use something like a buff puff on it while in the shower but do not do it so much that you scratch the skin. JG 2.6.10
Answer: well, it will not work as well as the CO2 did for you in the past, but I guess something is better than nothing. I think in general it is safe, yes.JG 2.6.10
Answer: might try a YAG laser peel on the surrounding area to at least lessen the redness in that skin so the difference is not as visible, wish I had more to offer. JG 2.6.10
Answer: I like aquaphor better and I leave them open, all the best. JG 2.6.10
Answer: I have seen it squezezed out, not easy to do though, as to the Wydase, it does spread but I have nto seen it cause a problem becasue of that.JG 2.6.10
Answer: might be another 3-7 days, warm moist heat, arnica and bromelain from the health food store. Hang in there. JG 2.6.10
Answer: of those, the only one I would say yes to, is the Pixel, but its not an enthusiastic yes.Sorry. JG 2.6.10
Answer: I do not think that will be a problem to use. All the best. JG 2.6.10
Answer: pleats are where the skin has folded due to an incision being kept shorter, and the skin bunches up, extending the incision to remove the skin can be done but then the scar is longer and potentially more visible. Think of a pleated pair of trousers for men where there are pleats on the waist in front or a pleated skirt, just folded skin. JG 2.5.10
Answer: well, I have heard of it happening from both, at the begining only unipolar was out there and the reports started for fat loss, the bipolar people then promoted theirs as much safer, but as time went on, there have been reports of fat loss with those also I am afraid. I think for the degree of tightening you see, I cannot recommend either one. JG 2.5.10
Answer: well, it is cheap and likely will do no harm, but I do not think that it will stop hair from falling out in the majority of cases. In most cases in females your age it is a matter of testosterone dominance over the low progesterone you have. JG 2.5.10
Answer: it would be red and itchy, like a case of the hives.The pain on the lateral area may be from a stitch that was placed to close the pocket, a stitch placed there can commonly irritate nerves on the ribcage and cause the pain. I doubt that is the cause for all of the issues you have described though. JG 2.5.10
Answer: swelling and creases should all get better with a bit more time. Not sure why the eyelid is blinking slower though if no eye surgery was done, I suggest seeing your surgeon to ascertain what is the cause for the eyelid discrepency. JG 2.5.10
Answer: it will irritate the skin too, I trust you have been using sunblock over it all the time. You cna also add Retin-A to it to see if that helps tha fading. Hard to say 100% without seeing what is going on, but it should have started fading by 6 weeks, I suggest seeing the doctor who prescribed it to you before making any changes. Best of luck. JG 2.5.10
Answer: should be OK, yes. JG 2.5.10
Answer: might suggest using some nasal decongestant sprays until it heals a bit more. Best of luck. JG 2.5.10
Answer: if there is no exposed cartilage and no septal perforation, I have not seen it last longer than two years to get better. JG 2.5.10
Answer: It is possible to be allergic to Alloderm, but what you are describing does not sound like an allergic reaction, it sounds like the tissues just are not strong and healthy enough to heal and that is what is happening, allowing bacteria from the skin to become a problem. Fluid comes from the normal swelling process after surgery and normally is absorbed by the body, but if there is a weak point in the skin, it likes to go the path of least resistance. There is a chance that it could happen again, but not high, although once you have had a problem such as that, risks of problems are certainly higher than the first time. I doubt the Alloderm caused the problem, it was there before the Alloderm was used. I wish you all the best. JG 2.5.10
Answer: well, in very small doses for people that wrinkle their chin pad, it can work, but if it is too much, the lower lip can become weak and then your lower teeth can show, and that`s a sign of aging. Since it will only affect the dimpling seen when you contract that muscle, you need to decide if it is worth it.I think I have doen it 5-6 times in my Botox career. Most of the time it is fine, but if you get unlucky, you look weird for a few months. All the best. JG 2.4.10
Answer: thank you for expressing your confidence. I would wait at least three months after, that should be enough. All the best. JG 2.4.10
Answer: they can,but they also increase the potential scarring if they do, I do nto think it is a reasonable alternative to lasers due to the increased scarring problem. If the person does not have a laser but can do TCA, they will try to talk you into it though. JG 2.4.10
Answer: well, I guess it depends on what you call firming, if you mean relieving fine lines, then yes, if you mean puffing the skin, no, if you mean lifting the skin, no. JG 2.4.10
Answer: I use Restylane to fill in the rim of the orbit, it works well, there are reports of lumps but most with a little massage and time dissipate. I have heard about the vein treatment and thanks for the personal follow up, unfortunately, result vary widely from what I have heard and read . Glad yours went well. JG 2.4.10
Answer: well, I do not think it will be a mess, I think he is being careful and preparing you for a potential slow helaing and lots of bruising. I think if you can get off the Plavix for a few days, it would decrease the risk, but there is always a risk of a hematoma, even without the Plavix. In cases like yours I think a minimal undermining of the skin will be less risky,the proposed amount of skin can many times be pre-marked and then no further lifting of the skin past that is done to limit the potential severity or size of the hematoma. It might decrease the degree of improvement but there will be a comensurate decrease in the risk. Will likely have to compromise a little is all, I wish you the best and glad the ticker is stil ticking well. JG 2.3.10
Answer: not a fan of the new and improved oen either. Funny how they promoted all of the earlier versions as the best, yet they seem to always have a need to make it better, ever wonder why they need to do that if the one before was so great. JG 2.3.10
Answer: what I mean is that the speed and degree of the thickening of the skin on the tip of your nose is variable and conrolled by genetics, so there is no way to predict how fast and to what degree it will happen. As to losing the detail, imagine placing a thin cotton sheet over a chair versus a goose down comforter, the sheet would allow most people to see that it is a chair where the comforter would only reveal a lump, that is how the thichkenss hides the detail of the tip. It is impossible to say how much of a change a person will see without feeling the tissues, and even then, it is an approximation. JG 2.3.10
Answer: no. JG 2.2.10
Answer: stay warm and get some rest! JG 2.2.10
Answer: not uncommon due to scar tissue and poor circulation on the mucosa covering the cartilage, warm normal saline sprays help, and using a humifier in your home too, it will get better, but very slowly, nothing to worry about though.JG 2.2.10
Answer: they would be similar to any other time you get an infection, redness, a pimple or a bleb that has pus like material.The vinegar is used to dislodge the dead skin off the healthy healing skin below it, prolonged and extended use would cause skin dryness, yes, but you will only be using it for a few days JG 2.2.10
Answer: I have never seen nor heard of that happening to be honest. JG 2.2.10
Answer: I concur. JG 2.2.10
Answer: Well, there is no way to really tell, it all depends on where and how it is injected. I would suggest starting with one syringe and then adding more only if needed and if no problems have arisen previously, sorry, wish I could give you a flat answer but it does not exist. JG 2.2.10
Answer: for 1-2 minutes and 3-4 times per day. Over the entire face. JG 2.2.10
Answer: it is warm and no, it is not too late. Best of lcuk and get some sleep. JG 2.2.10
Answer: impossible for me to say as it has not been tested and there is no guarantee. You woudl need to ask your dermaologist as to which medications you can use while pregnant. JG 2.2.10
Answer: no one knows 100% but it should be as it is not absorbed systemically so it should not touch or reach the baby. JG 2.3.10
Answer: I am not sure that skin care line for acne has even been tested for safety on pregnant females, sorry. JG 2.2.10
Answer: I do not at present due to the unpredicatablity of how much of the fat will survive and it is also much more expensive than using implants that are quite easy to guarantee a certain size change. JG 2.1.10
Answer: no, it should not scar, you can take a little water and put a teaspoon of vinegar in about 16 oz and then use that to soak a wash cloth, lay it on the area, and that will help loosesn the crusts over the areas so they fall off easier on their own. You need to always wipe the ointment off totally before applying more over the area. I think the medications are appropriate, just hang in there, it wil heal in time. JG 2.1.10
Answer: I use the Hall-Findlay technique, the length of the scar is dictated by the amount of skin that has to be removed, one can market a short scar, but if you need a long scar and all you get is a short one, there might be some extra skin where you do not want it. All lifts are intended to lift the nipple, unless it is a secondary procedure being performed for bottoming out of the breast mound where the nipple is in good position but the inferior aspect of the breast skin has stretched out. I think every surgeon believes the technique they use lasts longer than the others, that is why they do it, but in all honesty, they are all pretty similar when you look at them after 5 years in women of equal parity and equal residual breat size. I cannot say that any technique is appreciably less expensive than the others. JG 2.1.10
Answer: sorry, yes, if it is just due to the fluid from the injection and the swelling for any shot, it should go away in about 7 days. A little ice and head elevation and avoiding salt might help some too. All the best. JG 2.1.10
Answer: I am doing great, thanks. As to the filler on top of an implant, yes, it is OK to do that. I think most off the shelf fillers like Restylane always continue to work, it is more of how much is needed to hide what age has done is the issue. As long as you like what you are getting and the price is not a barrier, I think you can proceed. all the best. JG 2.1.10
Answer: you can use them both if you desire, there is more evidence on the effects of the tretinoin over many years though. JG 2.1.10
Answer: you are very welcome. JG 2.1.10
Answer: there is always a small amount of your own hyaluronic acid that is dissolved but your body replenishes it fairly quickly. Might just need some more in the the areas that were not treated with the dissolving agent is all. Best of luck. JG 2.1.10
Answer: I cannot say 100%, sorry. Once you test pregnant though, there is blood to blood communication to the baby. JG 2.1.10
Answer: yes, and it can also cause weakness of the eyelid muscle so you will see too much of the white portion, can lead to temporary dry eye, can lead to the fat pockets behind the musvle looking puffier too. JG 2.1.10
Answer: well, it usually does not work out that way as the concentration more so correlates to how long it will last and not as much as to the volume it will replace. Not a silly question at all. JG 2.1.10
Answer: the indentation would only occur if only part of the angioma closed off, the angioma occupies space and unless it is cut out, it will either return or leave a potential depression. JG 2.1.10
Answer: correct. JG 2.1.10
Answer: muscles do heal and nerves if they were cut do not, some of the loss of sensation is likely permanent, but some of the issues sound like possible levator muscle disruption of the upper lid and also some excess skin removal. I think the best is to get a new consultation by a different surgeon, in person, to see what they think is going on. At times, a fresh view brings new treatment options to light. I think you should avoid the brow lift until more of the problems improve. I will also say that the lasik alone can cause some of the vision problems, I am sorry to hear about your problems but I think an in person evaluation by a new opthamologist is very important. Best of luck. JG 1.31.10
Answer: I am sorry but no, I do not. JG 1.31.10
Answer: should not affect your rhinoplasty results. I think avoiding any skin irritants on the skin like glycoic acid products is the best way to allow the skin to heal, it will not take too long. Best of luck. JG 1.31.10
Answer: it might be just a little lake of the Restylane SubQ that is in one area and it is soft so it can feel like that. Nothing to worry about, your doctor coudl try to remove a little by using a needle to suck a little out. JG 1.31.10
Answer: I think fat injections or Sculptra are an option. I think promises are difficult to fulfill in surgery, so just be conservative. Best of luck. JG 1.31.10
Answer: I always suggest removing the small one and replacing it for fear that the new one would not sit properly or move after the surgery. JG 1.31.10
Answer: well, there are no studies to show its safety, I cannto say 100% that an abortion is indicated. I think you should speak about the issue with your obstetrician, but it is not as severe a problem as Accutane, in that cases, the chances for severe child deformities is very high,not so in Tazoarac. JG 1.31.10
Answer: I would not spend my money. JG 1.31.10
Answer: yes, all still normal. JG 1.31.10
Answer: no, let it heal and it will get better on its own. I would suggest trying not to force it off. Just follow up with Dr Mon, all sounds normal, best of luck. JG 1.31.10
Answer: having money to burn is not an excuse. I think you have taken the first step and realized that you might be starting to obsess about things, overall that is a good thing, the realization I mean. I defintely think that doing things before they are needed with fillers or Botox are not something I would suggest, it will not help you look better, might make you look fake, and will feed the obsession. I honestly do not see it alot, maybe because once I see iT starting to happen to a patienT I back off and refrain from feeding their obsession. They probabaly just go find someone else at that point. The hardest part for a platic surgeon is saying enough is enough. JG 2.3.10
Answer: no, you should be using at least spf 50 or higher. Use a sunblock and not a sunscreen and the sunblock should have enough moisturizer in it. JG 1.31.10
Answer: mild. JG 1.30.10
Answer: I think there are a number of very good older surgeons that do a great job, plastic surgery is more like playing the piano than lifting heavy, so as long as he is in good helath, I think it is fine to proceed. All the best.JG 1.30.10
Answer: I seriously doubt it. JG 2.3.10
Answer: no one single laser will correct all of the problems, the lasers that help reduce the wrinkles and remove spots will aggravate the spider veins, and there is nothing that will help the pores for more than a few weeks. It will be a combination of a resurfacing laser followed by a pigment laser, like a CO2 first and a YAG laser second, after that it would be microdermabrasions or IPL for the ppores. I still have a few heads for my Rhytec and there is a company that is getting ready to start sellling new heads, not sure about new machines though. All the best. JG 1.30.10
Answer: it will not help the moles but will help the spots, I think the Tazorac and hydroquinone at night and then sunblck right before the makeup in the morning.JG 1.30.10
Answer: not much. JG 1.29.10
Answer: for the right candidate, someone who does not have alot of loose skin, it is a good option, but it is not for everyone. JG 1.29.10
Answer: usually that occurs to some hormone imbalance with too much testosterone and therefore too much DHT. The predisposition to acne is genetic, if the pores get plugged with the oil and they harbor bacteria to a certain level on their skin, they are more prone to the acne. JG 1.29.10
Answer: well, you can certainly try it, please give us feed back on how long it corrected for after the shot. JG 1.29.10
Answer: I am sorry but we use regular Restylane, not the thinner Vital Light due to its very quick disappearance. JG 1.29.10
Answer: in some cases, it is a matter of years, until the hormone issues balance out. Might want to ask your dermatologist about other options, like Accutane. JG 1.29.10
Answer: it can do that, yes. JG 1.29.10
Answer: yes, it is better than the old eye booster cream. Good for fine lines and texture. JG 1.29.10
Answer: I really do not have anything for the hollowness, I will look into the website, we have an eye cream for puffyness and also one for dark circles and the pateints now are using the cell matrix for the eyelid skin itself along with the face, no special eye cream for wrinkles like we did before as the new cell matrix is stronger. JG 1.29.10
Answer: well I use Restylane for the orbital rim but not for the eyelid itself as it can get lumpy. A filler will do something different that a skin excision though. In some cases, if the problem is puffyness only of the lower lid, then the fillers can buy you some time before surgery is done. JG 1.29.10
Answer: I think you will disappointed once the swelling goes down, sorry. JG 1.29.10
Answer: it can also help, it is more of an anti-inflammatory though. None of the three will affect your nose, they are for joint cartilage. JG 1.29.10
Answer: hard to say without examining you, I suggest you see your surgeon for them to help you. JG 1.29.10
Answer: I think the biggest hollywood secret is professional makeup artists that do their makeup along with photoshop alterations on magazine pictures. Not to endorse magazines like the National Enquirer, but they frequently show pictures of stars without make up and they look pretty average. I cannot say whether those women have had anything done to their faces but if one has the time and money, frequent small things like laser peels and fillers and Botox type things always help. JG 1.29.10
Answer: sorry,but I have not had any patients that have used it. JG 1.29.10
Answer: it is best if used when the lower lid is not in its proper position due to aging or injury.Having it done to change the shape of the eye, I feel, is unreliable and difficult at times to get them even and will make the aperture of the eye smaller. It will make them shorter if anything.Best of luck. JG 1.28.10
Answer: it might, yes. I would seek a YAG laser. JG 1.28.10
Answer: no I do not believe so. JG 1.28.10
Answer: 1)yes. 2) impossible to say, maybe 2-5 years. 3) yes. 4) induction of scarring into the dermis. 5) good, maybe 2 years. 6)no. 7) you are incorrect as you are saying it was permanent but now it is less, it lasted because you were younger and as you age the length of time of correction will be less. 8) safe and it thickens the derms. 9)not at the present time. JG 1.28.10
Answer: it should have no long term effects. JG 1.28.10
Answer: the aperture being smaller is what a canthopexy does and the spasms are from the muscles being irritated from the sutures or scar tissue, the spasms should get better with time though. The appearance will likely need a reversal of the canthopexy.JG 1.28.10
Answer: it can but it will not return to the previous appearance. There does not need to be any fat removed at any time. JG 1.28.10
Answer: reported aid is with glucosamine sulfate and chondroiton sulfate supplements. JG 1.28.10
Answer: well, glycolic or alpha hydroxy peels well help some when done in a series, but nothing dramtic or long lasting. JG 1.27.10
Answer: well, what grows is the thickness of the skin, not the cartilage, so in your case, if yoru skin is thin, it should not occur to any significant amount. As you get older the thicker skin, if it develops, would only make you lose some detail in the tip is about all I can think would happen in your case. Best of luck. JG 1.27.10
Answer: actually a common potential complication and pretreatment should be done even in people with no history of cold sores due to the Zoster virus being so broadly in the environment. Safe repeat treatments can be done as long as there is pretreatment and then continued treatment afterwards until the skin has totally healed. JG 1.27.10
Answer: Retin-A first. JG 1.27.10
Answer: it is aproprietary mixture of 5 peptides in a liposomal delivery along with haloxyl, we stopped selling our DMAR as the patients started buying the cell matrix instead and the sales of the DMAE decreased. The cream is applied at least once per day, no more than twice. JG 1.27.10
Answer: it should not affect it but that might dissolve sooner than the new filler and then you might need a touch up down the road. I think injection too superficially can leave the blue color so it needs to be done deeper, at times under the muscle. JG 1.27.10
Answer: I am afraid nothing will last any longer than that and the older you get the less time it will last, sorry. JG 1.27.10
Answer: the products you are using should not cause that, might be happening from excessive Vitamin A intake, whether in vitamin pill form or food products though. It can also be an early sign of hepatitis, might need to get some blood work done to figure it out. JG 1.26.10
Answer: an EMG can be done to see if there is any electrical activity in the nerve. If there is, then the nerve was not cut and it should get better. Also, in some small percentage of patients, removing the implant might help if the probelem is persistent pressure on the nerve from the implant. If the nerve was cut and the ends of the nerve could be found, it could be repaired and in some cases it will grow back. The EMG test could likely give you alot of informtion. I wish you the best. JG 1.26.10
Answer: we offer financing through a credit company for our interested patients, and then they pay the comapny over time. JG 1.26.10
Answer: no problems with repeating the procedure after time has passed. I am not a fan of Thermage, I had a machine and had to contend with so may dissatisfied patients and my disappointment with what it did not do that I sold it. JG 1.26.10
Answer: it can leave you with the same problem, the strongest peel I would suggest would be a beta-hydroxy peel, otherwise Retin-A and hydroquinone. All the ebst. JG 1.26.10
Answer: Welcome back! The only laser I would try is a YAG laser, but the effect will likely be small and you might need a series of them, best of luck. JG 1.26.10
Answer: I do not think the Retin-A will do much as the skin is thicker and less likely to respond compared to facial skin. As to fillers in the hands, it will last only a fraction of the time they do in the face due to the constant motion, sorry. JG 1.25.10
Answer: well, it might be able to be undone if the area is dissected again, any sutures that were placed are cut and the scar tissue released and the forehead pushed back down. If there was no skin or scalp removed, it can work. It is just reversing all the maneuevers that were done the first time. Sorry to hear about the problems. JG 1.25.10
Answer: most of the improvement will be there by 6 months, the last 20-25% will be a year. Massage will not help the depressed area, sorry. JG 1.25.10
Answer: not really, more a matter of time I am afraid. JG 1.25.10
Answer: I would say so, yes. All the best to you too. JG 1.25.10
Answer: well, I feel tha fat injections around the eyes are very iffy and would not suggest it, I think lasers are a better option, a light CO2 laser to help tighten the skin, I am not a believer in chemical peels helping tighten skin though. All the best and thanks for visiting.JG 1.25.10
Answer: might suggest a YAG laser to help them fade some. It will likely fade but any sun exposure will make it come back in time, and don`t forget the sunblock all the time, best of luck. JG 1.25.10
Answer: yes to both. JG 1.25.10
Answer: well, this will get into a matter of religion, because if I assume what he is saying is correct, then Feather Touch will give you 100%, but I believe since I think the Active Fx will likely give you at most 20-30% after 6 months I think the Feeather Touch will give you about 50% after 6 months. JG 1.25.10
Answer: it varies, usually not, but of there is a lot of bleeding at the time of surgery, they are sometiems used. The pain is not bad, easily controlled with pills. JG 1.24.10
Answer: all depends on how much fat there is and if there is loose skin to start off with, the more fat that is removed, potentially the greater the chance for loose skin afterwards. In many cases it is a good option, but not in all, no way for me to tell without seeing you in person though. JG 1.24.10
Answer: it is possible in some cases where the degree of deformity is minimal. Minimal deformities can benefit from minimal procedures, but, if you have more than a minimal problem and you have a minimal procedure, then it might not fix it as much as you need. JG 1.24.10
Answer: I do think in time it will get better, but slowly. Most scar creams will help the raised scars but not the depressed ones, just have to give it time. JG 1.24.10
Answer: red splothces can turn into hyperpigmentation, but it likely is just a deep burn, the brown should have occured by now if it were to happen. I suggest you see a doctor in order to prevent permanent scarring as things should be healed by now with that technology, and report the person to the local medical board or practicing medicine without a license. JG 1.24.10
Answer: that is something called poikiloderma and can be controlled with the use of glycolic acid cleansers and glycolic acid creams, many are over the counter, otherwise you can have her see a dermatologist. JG 1.24.10
Answer: unfortunatley, yes, the lumps from polyacramid will not go away on their with time, they will need surgery. They do not come and go, they stay. Some of the material might have seeped out through the small hole the docotr made and released some of the swelling and pressure. What came out is the material surrounding the filler, the carrier which the granules are floated in so it can be injected, and your body`s white blood cells trying to protect you agianst the material which is foreign to your body. I do not think it has anything to do with yoru teeth. In early phases before the granuloma is too well formed the small punctures and pushing material out might help, but eventually that will no longer work and they will need to be cut out. All the best and sorry you are having all the problems. JG 1.23.10
Answer: between those two, the V-Peel. JG 1.23.10
Answer: I have inejcted Sculptra in those very areas without anything negative happening, blogs are wonderful, but remember, happy patients rarely are on websites posting good things so we get a slanted view of complications and their rate of occurrance, although some do. In most cases, if a granuloma were going to form, it usually does it in the first few months. If it did happen with Sculptra, they do react in a more positive way compared to polyacramid as that permanent material will never go away whereas the polylactic acid in Sculptra does dissolve in time.I think you are out of the woods. I appreciate your post and your visiting and thank you for the kind words. JG 1.22.10
Answer: I am sorry but I have not had any patients use Rapid Lsh so I cannot say. JG 1.22.10
Answer: in time the small clumps congeal into larger ones making them easier to grab and remove surgically, at times there is a small amount of tissue that is removed at the same time that is wrapped around the nodule.What you are having is not an infection, it is the activity of the circular muscles around the lips pushing the nodules together into larger clumps. The MRI will only tell you that there are lumps but not tell you what they are, what they are is the polyacramide granules that he injected and they are surrounded or encased in scar tissue, they are called granulomas. I seriously doubt they would be able to remove it from the nasal cavity, it usually takes an incision directly over the lump, trying to go from the inside might avoid an external scar but will damage more muscle on the way to remove it if they are superficial. I have removed them on many people I am sorry to say, but one thing you need to know is that there is likely polyacramide in areas of your lips that has not congealed yet and even if I remove all that you have in place at present, there could be more lumps that develop over time I am afraid. Wish I had better news for you. JG 1.22.10
Answer: hard for me to say without seeing you, but if the capsule was scored and not removed, there can be weak areas like that where the implant will bulge through. In time they can tighten and become smaller, but that does not always occur. If it does not, Alloderm is certainly an option in that weak area too. Hope all gets better soon, and best of luck. JG 1.22.10
Answer: correct, not a fan. JG 1.22.10
Answer: not sure where you live but that product should not be injected into the area around the mouth or lips and is illegal in the US. I am afraid that you will likely need surgery to remove all of the material, or at least most of it. I am sorry for your troubles. JG 1.22.10
Answer: well, although not normal, it can happen, I think staying in close contact with your dermatologist is very important, they may want to try a Medrol pack to see if they can help the resolution of the swelling. If he is unwillig to see you I suggest you request your records and go see a different dermatologist to get answers to your questions as in this case it is important for someone to see you in person. Best of luck. JG 1.22.10
Answer: probably safe and probably a waste of time and money too. JG 1.21.10
Answer: I have never heard of that happening with the above stated regimen. JG 1.21.10
Answer: reasonable one to use, best of luck. JG 1.21.10
Answer: I really do not have any advice besides just being honest, these issues are much easier to deal with and decide before surgery and explain that not all that one wishes is possible.JG 1.21.10
Answer: yes, in a small percentage of patients, that is all that is required. I doubt it would fix a turkey neck though, it would only fix the bands one can see upon muscle contraction is all, once the turkey is there the skin usually needs to be cut out. JG 1.21.10
Answer: would not impact the size too greatly, I do not use textured implatns under the muscle myself. JG 1.21.10
Answer: hard for me to advise in your scenario, most women, even those with very little breast tissue should have a fairly average size with a 410 cc implant, I will also say that not all people can have breasts as large as they wish due to anatomical limitations that thwir body controls. I think the risks of more surgey are higher capsular contractue rates, displacement of the large impalnt, visible and palpable ripples, but it is your decision to proceed, I cannot help you there. JG 1.21.10
Answer: well I would suggest antibiotics and Retin-A first. JG 1.21.10
Answer: well, terminiology sometimes is confusing and some surgeons like it that way. A platysmaplasty is a procedure where the main intent is to tighten the loose muscles of the neck and in many cases there is also some skin removed. A cevicoplasty is a procedure intended to improve the neck in general, that can include removoing fat and or skin along with tightening neck muscles if required. So, a cervicoplasty can at times include a platysmaplasty, but not the other way around. As to the MACS lift, that is more the for cheek pad elevation, so although the incisions are similar, what is done under the skin is quite different. All the best. JG 1.21.10
Answer: no evidence that it will affect them in any negative way. I suggest the fillers first usually as the slight swelling that can occur with any laser can make the evaluation of the filler placement slightly more difficult. JG 1.21.10
Answer: well, the face will be more red but more but more importantly, if you sweat, the sweat can plug the pores that are still healing. JG 1.21.10
Answer: well, safety is dependent on the energy setting that is used, but it is likely safe. Best of luck. JG 1.21.10
Answer: I am sorry but I have not had any patients that have used it so I cannot comment on it. JG 1.20.10
Answer: I prefer Sculptra. JG 1.20.10
Answer: I think that is different, the degree of skin contamination is small and those areas are normally cleansed with at least alcohol, whereas the other procedures are unable to be cleaned,so go ahead and have the fillers without any antibiotics. I understand what he is saying but there is actually lots of medical evidence that even when having a normal bowel movement, there is intestinal bacteria that get into the blood stream on a small basis. We are exposed to bacteria at all times, what he is referring to is to high risk things where the bacterial load is high. Best of luck with the hip replacement!
Answer: well, in the three muscles where Botox or Dysport are commonly used, the crows feet, the forehead and the glabella, the degree of volume loss, even if there were complete atrophy of the muscle, would be quite small and likely not visible as the muscle are very small, flat, fan-shaped and not bulky. Even if it would, as soon as the paralytic agent wears off when you cease getting the injections, the muscles regain their stimulation and regain their strength too. Those muscles are small enough that they do not need heavy lifting to regain size and strength. JG 1.19.10
Answer: it all depends on what has changed, in many cases it is a smaller procedure than the first, but in some people, a repeat full facelift is needed, no way to tell without seeing you and feeling the tissues. A full facelift should not look unnatural if proper tension and positioning is employed. JG 1.19.10
Answer: it is considered cosmetic and the breast tissue itself usually is cut into to allow the tissue to splay out and then the lift can shape it more effectively. The pressure from the implant also helps push on the tissues to allow them to stretch out and correct the tuberous issue. I wish you the best. JG 1.19.10
Answer: it all depends on how big it is and how deep. In your case it can take a couple of weeks at times. JG 1.19.10
Answer: always possible, also look tt see what other ingredients are in it, like retinols, or hydroxy acids that can also irritate the skin too. I suggest stopping them until you can figure it out. JG 1.19.10
Answer: I think it would be difficult for the filler to shift a piece of cartilage. I think I would give it time for the filler to absorb and then re-evaluate things. I would wait a full year to let things heal and soften before contemplating another surgery. Best of luck. JG 1.19.10
Answer: it would likely be a midfacelift or a cheek lift. JG 1.19.10
Answer: it is common for the scarring to look worse and it does get better and is not permanent, but the VBeam will not help the scarring, just the redness. I am unsure why you developed the discoloration in just one area, but yes, it can happen again if it happened once before. The pale areas should also slowly regain their color too. Hang in there. JG 1.19.10
Answer: on a rare occasion it can clear it all up, but in most cases it will reduce but not totally eliminate it. It is much more effective than IPL though so it might be a good option for you.It is also known to come back in many people with time and aging. JG 1.18.10
Answer: close but Kinerase is better I think. JG 1.18.10
Answer: I will be honest, that technology has been around for a number of years and the claims made and the photos of the cell disruption have been shown to not be accurate. Also, the patient photos they show have, from what I have been told, patients that were placed on diet and exercise programs too along with the Zerona, I would not spend my money on the machine or a treatment either. JG 1.18.10
Answer: yes, any antibiotics or skin cream for acne can do that but not always, it is called purging and what it does is not form new break outs, but actually takes break out pimples that were deep to come to the surface and break through sooner than they would have the other way. JG 1.18.10
Answer: you might break out whne you stop, yes, the reason to take it is to control the acne break outs in the hope that what is causing it will decrease or resolve itself along with the fact that break outs cause scars, so if you reduce the break outs, you reduce potential scarring. JG 1.18.10
Answer: I am not a believer in swinging for the fences with lasers for such issues as it is rarely a one tiem thing, I suggest a middle of the road setting to see how things go and then decide from there. If you cannot do a series of more than two I would tell you that then the decision to go deep is understandable but no promises on how you will look after one deep session with sensitive skin.JG 1.18.10
Answer: no, different antibiotics have different effects on different people. Might want to add some Retin-A too. JG 1.18.10
Answer: birth control pills will help, but nothing will totally control it. Accutane might but has serious side effects. Maybe using some Retina-A and some topical antibiotics from your dermatologist should help. JG 1.18.10
Answer: sorry, but I have not had any personal experience in its use. JG 1.18.10
Answer: I would do a light CO2 laser,lots of different companies make them though. JG 1.18.10
Answer: well, I would say that more lasers can be used but the energy needs to be turned down, and that will affect how effective it is I am afraid. Chemical peels have some risks too, so you need to start lightly. There is always a chance of a burn, yes. Best of luck. JG 1.18.10
Answer: those indentations usually go away as the selling gets better, have to hang in there for a bit more. JG 1.18.10
Answer: No, it likely will stil go away, all people respond differently in terms of swelling though, no way to predict. JG 1.18.10
Answer: It can stil be used for maintenece even after one year, as if you stop it, some of the improvement will return due to the progressive aging process. There ae no long term studies of its long term use though. Any cream used will reach a level of maximum improvement and then the best it will do is to maintain things. Aging is progresive, sorry. JG 1.18.10
Answer: it can be a direct injury, or even an infection, such as a tooth abcess or a urinary tract infection that can seed the capsule formation. I know Singulair has been reported in the medical literature, but to be honest, the results are only so-so and you need to get blood tests as there are some toxic effects from that medication. Best of luck. JG 1.18.10
Answer: I would start with a Retin-A and hydroquinone regimen and then possible a light laser peel, but the lines will progress with aging. JG 1.18.10
Answer: yes, but understand that the degree of improvement levels off, after 12 months, it will only maintian, not reduce the fine lines. JG 1.17.10
Answer: if they are superfical lines, then a filler such as Restylane will work, but not if they are deep folds. JG 1.17.10
Answer: it is OK to use them both as long as you wait some time inbetween the applications. JG 1.17.10
Answer: I have, and although it requires different injections for all the trigger points, in most patients, once you figure out where the triggers are, it works quite well. JG 1.16.10
Answer: I do not think thay are linked together. JG 1.16.10
Answer: not always, I think it is an ineffective remedy for acne and has more side efects than antibiotics and Retin-A. JG 1.16.10
Answer: if you can get that, use it, I wish we had it here in the US. JG 1.16.10
Answer: the slant comes from the position of the outer canthus being higher than the medial canthius, so I am afraid there is nothing non-invasive that will accomplish that, it will require surgery and in almost all cases, a canthoplasty.Sorry. JG 1.16.10
Answer: if there is a pleat of skin in front of your ear as you do that, you will need the incision in front also. JG 1.15.10
Answer: difficult as it most likely would leave a pleat of skin in front of the ear that would look funnny. The pulled appearance on the lip is all a matter of how hard and in what direction you pull, that should not persist past a couple of days as the swelling goes down. The jowl needs a vertical lift more than a straight back lift anyway. JG 1.15.10
Answer: that would be an extremely rare problem, only if too large a graft were placed under very thin skin. JG 1.15.10
Answer: that likely will need a graft from what you have told me, hopefully a small one. Best of luck. JG 1.15.10
Answer: I am afriad there is not much that can be done for the stretch marks that remain and as to the tummy tuck incision healing slowly, that happens frequently and does close on its own over time. You might want to ask your plastic surgeon if it is OK to cover it with plastic and tape before getting into the shower to avoid it getting too wet, that might help. I wish you the best and not to worry, all of that will get better soon. JG 1.15.10
Answer: probabaly just use what is in your medicine cabinet, hyaluronic acid topically is not absorbed by the skin and when they do nor say how it is being absorbed except to claim something in quotes that is new, I begin to doubt things. JG 1.15.10
Answer: it might, all depends on if it develops scar tissue, no way to tell except to wait it out. JG 1.15.10
Answer: minimal amount I feel after 2-3 months afterwards with an erbim laser. JG 1.15.10
Answer: a graft at times is placed in order to get better projection and give the tip more definition by stretching the skin, but by doing that, the tip will be larger. JG 1.15.10
Answer: Radiesse to both questions. JG 1.15.10
Answer: not a big deal, if you want it, get the cheaper one. JG 1.15.10
Answer: it should not be, usually an l-shaped caudal septum remnant can be left to avoid the tip from plunging, it can likely be repaired by adding some cartilage support to the tip. If the septal cartilage was removed, then ear cartilage can be used for the grafting procedure. JG 1.14.10
Answer: neither will tighten loose skin but will help with fine lines, the difference is small, but I think the Kinerase is good enough. JG 1.14.10
Answer: I think external ultrasonic tools do not offer much over other methods like microdermabrasions. As to our sunblock, it is sunblock that is non-comedogenic and it allows make up to be applied over it. I am sorry about the problems, if you call the office the ladies will fix the problem with your order and I will speak to my webmaster about the problem. Thanks for alerting me to the problem, and again, we are sorry for any inconvenience.JG 1.14.10
Answer: that happens only if so much is injected into one spot that the nasal angular artery is closed off by the pressure, it should never be injected in a bulk fashion like that, like a bolus, it is meant to be injected in a thin layer over a wide surface in multple layers and crosshatched. JG 1.14.10
Answer: it should not cause facial hair, what was causing the acne is what is causing the facial hair. You cannot do laser hair removal while on Accutane for fear of scarring though. I do not think the spironolactone will help prevent the initial breakouts from Accutane though not much will help that. Sorry. JG 1.14.10
Answer: the look is no different, but Sculptra is the only one of the ones you mention that builds up anything. As to the hyaluronic acid fillers appearing translucent, that occurs only if you inject them too superficially and then you get a Tydall effect. The deeper you inject the less chance of tranlusence and the more opaque. JG 1.13.10
Answer: alternating warm and cold for the next 48 hours, 2-3 times per day will help, all the best. JG 1.13.10
Answer: with a CO2 laser it is not anything to worry about. Best of luck. JG 1.13.10
Answer: I do not think there can be any structural changes that could occur that would influence the ability to hold a filler, although your injector is experienced, a deeper injection can always occur and is the much more likely culprit for it not lasting. It is meant to be injected into the deep layer of the skin, not below and the skin is a very thin piece of tissue, especially as we age, so going a little too deep is actually easy to do, even in experienced hands. I think, if you wanted to, you could go ahead with more injections at any time. JG 1.13.10
Answer: I woudl use a regular CO2 laser, not a dot CO2 with the understanding that, even with that, the effects on the eyes will go away in likely 18 montsh and around the lips in about 24-36 months, sorry. Thanks for the kind words too. JG 1.13.10
Answer: I think all of those will give relatively nice results for the sun damage, but less for the wrinkles, especialy on the upper lip. The upper lids will look better for a bit but will not last too long either, I do think that healing is quick and downtime is minimal, but there is always a trade off or those things. JG 1.13.10
Answer: it can be normal, yes. The palapable edges should get better and as to the air feeling dry or too much, you can use saline nasal spray until it settles down some. JG 1.13.10
Answer: if diluted properly and injected in the correct fashion, negative outcomes should be quite small, there are areas, like the temples where the tissues are very thin and side effects are higher. I also think, that being slow and methodical helps, trying to inject too much at one sitting, for example, more than one or two vials, increases the problems. More vials is OK if injected over larger areas, but since it works as a biological filler and the body has to respond to it, it has to be done slowly. I think, at times, a physician might inject more than needed in order to give the patient a faster response, but that does not always work out in a positive way. I like Sculptra and am pleased with what it does. JG 1.13.10
Answer: most likley it is because not enough of the permanent part of filler is put in, might just need more to compensate for the carrier that dissolves. All the best. JG 1.13.10
Answer: sorry but I do not have that information. JG 1.13.10
Answer: I think I would wait, although there are stem cells reportedly in the newer techniques, it is stil a fat injection that is being done with the hope that the stem cells might enhance the survivability of the injected fat. It is pricey and the end size prediction is not as accurate as an implant. JG 1.13.10
Answer: it can but a mild session will likley not give anyting signficant, maybe just a more even skin color. JG 1.13.10
Answer: it is already being sold again in the U,irritable should not make you more susceptible to lumps though. There are no true allergic reactions to Artefill so injecting it in one place to see is probably not worth it. JG 1.13.10
Answer: I am sorry but any of the remedies pronoted are very short lived at best, things like VelaSmooth or endermologie. Cellulite is not dependent on fat though, best of luck. JG 1.12.10
Answer: could be lots of things, from intestinal slow motility to food allergies,I think he needs to see his doctor soon to establish the cause. JG 1.12.10
Answer: might need to control the acne first and then possibly treat the area with a CO2 laser. JG 1.12.10
Answer: some but not much. JG 1.12.10
Answer: I think it is because they want an immediate response mostly. JG 1.12.10
Answer: there are differences, yes, especially in terms of sterility and since a microdermabrasion can cause skin abrasions and some slight bleeding if they go deep, I think it best in a physician supervised location. JG 1.12.10
Answer: bruising goes away faster than the pinkness, bruising is black and blue and goes away faster. The redness can take time to go away as the blood vessles are irritated and the process involves inflamamtion and a certian degree of heat and that causes the burning, it is not like turning the color setting off on a computer screen, it does not work that way. JG 1.12.10
Answer: I cannot say about the percentage improvement but I will say that the stronger setting has more bruising, but is much more effective, the price one has to pay. I cannot comment on the $700 as that is up to the individual physician. JG 1.12.10
Answer: Vitmain E at this point can make the potential bleeding worse, so no to that. I suggest ice for 48 hours, then switch to warm heating pads, limit acitivity with that ar and see what happens. In most cases the amount of bleeding is quite small and should not cause any problems if indeed you had any bleeding. Best of luck. JG 1.12.10
Answer: I would wait 2-3 weeks fot the Botox and 6 weeks for a filler.JG 1.12.10
Answer: yes, it could be filled in. JG 1.12.10
Answer: Retin-A will not work for deep wrinkles or nasolabial folds, no matter what age, sorry. JG 1.11.10
Answer: I guess it could be, yes. JG 1.11.10
Answer: it should not do that if properly done. JG 1.11.10
Answer: well, certaily there are negatives, since he has taken care of more patients, there are likely more issues, the less experienced one has not treated as many people so the numbers are smaller, but if you are concerned, the younger might be fine, there is no way to tell l00%. I will say taht a younger doctor likely has a different subset of patients, maybe more that are willing to post things in readable places. We were all younge surgeons once, hopefully we will all also be older experienced surgeons too. JG 1.11.10
Answer: well, experience does help I believe. JG 1.11.10
Answer: the Smartlift is just a mini facelift, so it is a smaller procedure than a regular facelift, healing is shorter, as less is done. In many cases, if one has had a facelift before, they only need a mini facelift the next time. I think the only smart thing is what he is charging you, as it is much smaller than a facelift and the price difference is not larger. JG 1.11.10
Answer: they should be blending in by now, make sure you are avoiding sun and also any creams that have any acid compounds that can irritate the skin and aggravate the redness, also, of course, see your doctor to make sure there is nothing else going on that I cannot see. Retin-A can aggravate the redness so I would hold off until that has all faded. It sounds like it was more of a technical issue with a different scanner, compared ot the older procedure. Experience can help though. Best of luck. JG 1.11.10
Answer: yes, it is. Max effect is after 12 months, most people see some improvement after 2 months and then it continues to what you see at 12 months. JG 1.11.10
Answer: if it was deep we ask them to wait three weeks. JG 1.11.10
Answer: difficult to fix, might be scar tissue around a nerve, can try some kenalog injections if they can feel the hard knot of scar tissue. JG 1.11.10
Answer: might need to have a filler put in to allow it to look better until it heals in on its own. JG 1.11.10
Answer: sorry, but no, it only helps really fine lines. JG 1.11.10
Answer: do not think it will do much ot be honest.JG 1.11.10
Answer: well, the amount of fat that it would take to fill in a hollow is quite a bit and fat injection in that area do not hold and survive well. Glad I can help. JG 1.11.10
Answer: Retin-A might help a small amountt but you cannot use it while on Accutnae. Otherwise it is lasers and you need to be off the Accutane for at least 6 months. JG 1.11.10
Answer: in most cases, due to blood flow, arteries restablish their flow over time. No supplements will help though, just time. JG 1.10.10
Answer: can take months, no sun expsoure in the meantime, might need some bleaching cream or a YAG laser too, best of luck. JG 1.10.10
Answer: I stil have some heads that I have been able to but from other doctors, a light CO2 is pretty close to the effect, maybe a little more down time though. JG 1.10.10
Answer: no better or worse than other toners on the market. JG 1.10.10
Answer: well, it can be done, the twitching will likely not change, no better nor worse. JG 1.10.10
Answer: musces do not get loose as we age, the tissues above the muscles sag and the skin sags, but eating, talking and chewing keep the muscles toned, those machines are alot of hype and have littel good effect.They might make you look tighter becasue of the short term swelling is all, but not longer lasting than that. JG 1.10.10
Answer: I might suggest some microdermabrasion or light glycoic acid peels to take the cover off the pores and allow the blackheads to be pushed out, an aethetician can also do extractions for them. Best of luck. JG 1.10.10
Answer: yes, it can be all done at the same, time, you will need help at home for a few days and you will be down for about two weeks afterwards. I think you need to decide on your surgeon to get a fee quote as it varies from surgeon to surgeon quite a bit. JG 1.10.10
Answer: it could be cream and it could be swelling, but I think using corneal shields with that type of laser is important. JG 1.10.10
Answer: nothing that is significantly any better than what has been out there for years. JG 1.10.10
Answer: snake do do, save your duckets. Wish it did though, I would buy one! JG 1.9.10
Answer: I am sorry, but it is hard to say, sounds like burns that are not healing, injecting steroids directly into the streak might help but run the risk of tissue atrophy below the skin. JG 1.9.10
Answer: it can be reshaped to some degree but it is hard to say whether you will see enough of a change to the point you desire. JG 1.9.10
Answer: it is normal and gets better over time as the skin heals and the pores close up. Do not think you will need more resurfacing. JG 1.9.10
Answer: well the hollow can be from losing fat as you age or from the previous eye surgery if they were aggressive in the fat removal, difficult issue to improve. As to the skin, it migth require more skin removal or a laser to improve, sounds more like surgery in your case though. As long as no more fat is removed there should not be any increased hollowness. Best of luck and thanks for the kind wishes. JG 1.9.10
Answer: no, Sculptra is injected deep to fill in lost fat, not directly into the layers of kin like Juvederm.They are used for different things. JG 1.9.10
Answer: depends on whether your skin peeld, if it did not, you can repeat it sooner. JG 1.9.10
Answer: hyaluronic acid. JG 1.9.10
Answer: Artefill for the nasolabial fold is OK but will not be a good choice for filling in the area where the fat was lost on the lower medial cheek. Best of luck. JG 1.9.10
Answer: yes, it is into that area more superficial to the canine fossa where the Sculptra would be inejcted into, in order the blend the upper cheek fat into the depressed area,when I said not into the fold, I meant it needs to be injected above the crease itself, into the area where the tissue has dissolved, Sculptra cannot be used directly into a fold like Restylane would be. Sculptra can be injected into the upper cheek, or into the submalar area too. I still think Sculptra would be my choice for what ails you. JG 1.8.10
Answer: well, seromas can happen, even without prior liposuction,I will say that liposuction does cause some scarring, whether it was an aggressive liposuction or not. If you do have another fluid collection with a pseudobursa, it will not go away on its own. The most definitive method is to have it removed, including the entire bursal sac, to avoid recurrance, if the bursa capsule is left, it will reform. In some cases when they are small, injecting the bursa after suctioning the fluid out is possible at the tiem of the ultrasound. The injection of the sclerosing material is meant to scar it down, but is not as definitive as an excision of the bursal sac. All the best. JG 1.8.10
Answer: maybe a YAG laser. JG 1.8.10
Answer: yes for the brown, no for the pink ones.I usually use a combination of Retin-A 0.1% mixed in an equal amount of 4% hydroquinone so they are reduced by half of the concentration, effectivley then 0.05% and 2%.It can reduce skin sun damage in the surrounding areas so I like to have it applied over larger areas. JG 1.8.10
Answer: you are not having Sculptra into the nasolabil fold, you would be getting injections above it to lift the deflated part up, but it can be and has been FDA approved for nasolabial folds. I do agree that fat is not the most reliable filler, it is more expensive, has more down time too. For what you need I think Perlane and Radiesse are poor choices and are not meant for tissue loss. JG 1.8.10
Answer: copper peptides are a specific type of peptide cream and we use it only after an acute injury, like a laser,otherwise peeptide creams are usually used to slow the aging process of the skin. JG 1.8.10
Answer: sorry, we do not use those in our practice so I cannot recommend one. JG 1.8.10
Answer: if it is going to fade on its own it will do so in about 6 weeks or so, might need some bleaching cream to help it along. No sun exposure at all until it has faded. Welcome to Las Vegas. JG 1.8.10
Answer: when you purse your lips, the skin folds and that is due to thining of the skin and loss of elastic fibers, repetitive pursing will make the wrinkles stay present even at rest. As one ages and the fat below the skin thins out, they are more easily seen. Yes, still fillers I am afraid. JG 1.7.10
Answer: likely very similar, yes, at leat in terms of active ingredients. JG 1.7.10
Answer: you are very welcome. JG 1.7.10
Answer: well, the least expensive option might be to have the other impalnt deflated so they will be even until you can get them fixed with your credit application. Sounds weird but you will be even. JG 1.7.10
Answer: that is correct, the reports are sketchy as to if it was the filler or a blood clot that went to her lungs and caused her death. If a filler was injected into a vein, and in a large quantity, it could happen, but the amount typcially injected into lips for example, would not be large enough to casue death. As to knowing if it is in a blood vessel, the doctor can withdraw on the plunger and see if blood comes into the syringe, if it does, then you are in a blood vessel and should stop. I think the case of the death likely would result in a malpractice issue, if it had been in this country. A blood clot could have been the problem due to the positioning of the patient, the amount of time she was in that position, and especially if she was on oral contraceptives as they increase the blood clot risk. JG 1.7.10
Answer: more likley from the progressive aging, fillers would not increase the vertical wrinkels. Might need to get those injected also. Sorry. JG 1.7.10
Answer: well, the CO2 laser wil leave you red for about three weeks and pink for about 2 months, the eyes are a little bruised for a week or so but look pretty good in a couple of weeks, fees for both the eyes and CO2 laser of the face is going ot be about $9000, I think an in person consultation would be best too see what you would benefit most from. Looking forward to seeing you again. JG 1.7.10
Answer: it can be done, but I would never just treat the wrinkles alone, the surrounding areas also need to be treated to get the wrinkles to soften, lasers do not work like fillers. I suggest doing the entire face. Best of luck. JG 1.7.10
Answer: correct, the amount of fill reduced due to the lidocaine being aborbed.It is not a common practice at all. I am not a fan of Sciton or Thermage, sorry. All the best. JG 1.7.10
Answer: sorry, but I do not think any of those will help.I prefer a light CO2 for the fine wrinkles. JG 1.7.10
Answer: I understood what you meant.JG 1.7.10
Answer: those types of injections will augment bone size and since it is so far away from the fold,and since the fold is not due to a bone issues, I do not think it will correct things any better than before, the fold comes from the pull of the muscles and loss of fat above the muscles, that is why malar fullness needs to be addressed. I will say that most calcium hydroxy injections are done by oral surgeons or plastic surgeons that do cranfacial surgery. All the best. JG 1.7.10
Answer: it is hard to replace what was removed without a trade off I am afraid, you might have to choose one or the other, sorry. JG 1.6.10
Answer: I would start with Retin-a and hydroquinone creams as TCA peels are not as safe on the body as they are on the face, and no sun exposure to the area either. JG 1.6.10
Answer: yes to the ear nose and throat, I agree, a blepharoplasty does not make sense, wish I could tell you what is causing it, might be a small leak through the cheek bone from the sinus causing fluid to come and go between the tissues and the sinus.Best of luck. JG 1.6.10
Answer: likely best to have it cut out, your surgeon can do that easily. JG 1.6.10
Answer: it is up to the surgeon in some sense, but there are many variables that are out of the surgeon`s hands too, like if the fat cells were damaged when harvested, whether the injected fat is injected in small enough parcels to develop new blood supply, whether small enough aliquots of the fat were inejcted to allow it to survive, what plane the fat is injected into, what size cannula is used to harvest and inject the fat. JG 1.6.10
Answer: can take 1-6 weeks, steroid drops in many cases will help too. Best of luck. JG 1.6.10
Answer: sorry, but no, there is not. JG 1.6.10
Answer: fat loss that involves loss of facial fat will make the sagging worse as the cheeks become deflated, like letting the air out of a balloon. I think you should get to the weight you desire and then I would be happy to see you in consultation. Depending on what has happened, it might be surgery but it might be a filler such as Sculptra to regain the fullness, all depends. I am not a fan of ribbon lifts as if the ribbon cracks, one side will sag differently than the other. Best of luck with the weight loss. JG 1.5.10
Answer: the bad rays will still get through, the UVB especially, which are the bad ones for cancer. The UVA rays will not penetrate into the house though. JG 1.5.10
Answer: I feel it will do so only while still swollen unless you use a deep peel like phenol. JG 1.5.10
Answer: crease of the chin for less risk of infection from the saliva and intraoral bacteria. JG 1.5.10
Answer: my choice for what you are describing is Sculptra, injected in the standard fashion over the area of fat loss, not above it. JG 1.5.10
Answer: without seeing you in person it is hard for me to say, but maybe a laser to tighten the skin in that area might help. I must say, although I have had patients post here about similar problems, I have never seen it in person happen. Not sure why or for what reason it occurred. JG 1.5.10
Answer: I prefer Sculptra for that. JG 1.5.10
Answer: until the brown spots are better, can likely be repeated every 6 weeks or so. JG 1.5.10
Answer: call your surgeon and see them, in the meantime get started on some oral antibiotics. JG 1.4.10
Answer: while you are swollen, I think the TCA will help, and as the swelling goes away, the wrinkles come back. In most cases the wrinkles start to return after about 6 weeks if you do a peel deep enough for it to take 14 days to heal. I think a 15% TCA would be an absolute waste of time for swelling and wrinkles though.Repeated chemical peels could put you at risk to develop brown spots as part of post-inflammatory hyperpigmentation. Thanks for the kind words and best of luck. JG 1.4.10
Answer: well, if you felt your prior experience was worth it, I certainly would not try to dissuade you from what you want to do. I guess it is a matter of expectation, I might expect more from the treatments is all. I have used erbium lasers and I was disappointed with what I saw and the patients I treated were likewise disappointed. Having said that, I believe that patient expectations also come into play, for example I think when people see a plastic surgeon they expect dramatic results whereas when they see a dermatologist they are content wiht less dramatic changes, just my opinion. JG 1.4.10
Answer: you are very welcome. JG 1.4.10
Answer: as much as I like Suzanne Sommers and her beliefs about hormones, I disagree with her about FaceMaster, save your money, the muslces in your face get plenty of activity to maintian tone from talking, chewing and all other facial moveemnts. Sorry. JG 1.4.10
Answer: I do no feel chemcial peels stimulate much collagen at all and would not have a chemical peel for that purpose. sorry. JG 1.4.10
Answer: don`t think too much of it and it likely will not do too much either, no matter what age. Sorry. JG 1.4.10
Answer: personally I think you will be disappointed with how long the improvements last after a pixelated laser, keep the other creams going though. JG 1.4.10
Answer: might suggest fat injections to build the area up, or Sculptra. Best of luck. JG 1.4.10
Answer: it just got re-released and for narrow indications like nasolabial folds or depressed scars I think it is good, not much godd though for locations where Restyalne or Juvederm are used though. JG 1.3.10
Answer: if it sounds too good to be true, run away. JG 1.3.10
Answer: less effective. JG 1.3.10
Answer: the purple usually fades in 2-6 weeks, pinkness can take a couple of months in some people, should not be permanent. JG 1.3.10
Answer: as long as you wait a couple of days it should be fine. JG 1.3.10
Answer: no, it will get better still, have to give it time, use warm moist heat and massage. JG 1.3.10
Answer: maybe 2-6 weeks. JG 1.3.10
Answer: yup. JG 1.3.10
Answer: do not think you should be alarmed, and I guess you can see if a cosmetic surgeon here will see you, but many will not as you had surgery elsewhere. Best of luck. JG 1.3.10
Answer: Omega 3 fish oils, alpha lipoic acid, N-Acetyl cysteine, and Co-enzyme Q 10 to start, all oral, topically I suggest my cell peptide matrix cream on my shopping cart or Retin-A. JG 1.3.10
Answer: I use Restylane in the tear trough all the time, best of luck. JG 1.3.10
Answer: wait ten minutes. Might suggest a microdermabrasion a few days before for a helathy glow. All the best to you. JG 1.2.10
Answer: I think repositioning the fat lower will be difficult and the submalar implants will likely be a better choice. They could both be done at the same time. Sutures hold them in the new position until they scar into place. JG 1.2.10
Answer: the paranasal is on the side of the nose and the premaxillary is below the nose. Sounds like you desire a premaxiallary one. The smile will look different as the muscles of the upper lip will be repositioned. Fees vary from surgeon to surgeon though. JG 1.2.10
Answer: might be reasonable if it is a mild issue. JG 1.2.10
Answer: it can take 4-6 months for the final results from that to be evident. Not much to do except wait. All the best for the New Year. Glad I have been of assistance. JG 1.2.10
Answer: Topical therapy is not always effective, and may be worth a try. These include Nizoral or Selsun shampoos, applied for about 10 minutes and washed off in the shower. This is repeated once a week. Other topical treatments include 50% propylene glycol in water applied twice daily with a gauze pad for 3 weeks, then twice a week or Lamisil solution, sprayed on the skin surface, for 14 days then weekly or for just a few spots apply Loprox or Nizoral cream twice a day.Oral treatments are the most effective. The two used are Nizoral and Sporonox. One will need to wait a week or two for clearing, and recurrences are to be expected. A last resort is Accutane pills. These are general guidelines and a dermatologist can help decide the best treatment. JG 1.2.10
Answer: Retin-A. JG 1.2.10
Answer: I think oral arnica, 4 pellets 4 times per day is what we use. It can also be used as a gel topically, can also use bromelain to help reduce the bruising. JG 1.2.10
Answer: thin skin is a relative term, it is decriptive only, Retin-A thins the epidermis, which is good, but helps build the dermis,which is also good. JG 1.2.10
Answer: it is a good cleasner, good make up removal, not much else though.The smoothness is the even removal of the already dead skin that would fall off on its own in time. Certainly clean skin allows better penetration of any cream though. JG 1.2.10
Answer: I would NEVER inject Botox into the lids as if it works to weaken the muscle, the whites of your eyes will show and your appearance will change and your eyes mugh feel dry. JG 1.2.10
Answer: they usually do not grow but if the short period of time has transpired as you say, they can possibly be broken down with some saline injections. The temples are areas where they happen a little more often than others as the tissues there are very thin. There are no personal issues that make one person more prone to granules, no. Best of luck and thanks for the kind words. JG 1.2.10
Answer: as long as the injections are done right on the bone, the risks are small and the results, when done by an experienced injector, are quite good. No nerve damage should occur. I think the granules are a good option. Best of luck. JG 1.2.10
Answer: Life Extension foundation products are good. JG 1.2.10
Answer: if there are flourescent lights, yes. JG 1.2.10
Answer: could try a YAG laser with eyeshields in place, but they are hard to remove. JG 1.2.10
Answer: you would need cartilage grafts placed in order to possibly achieve that and it would remove the elevation of th tip, the nostril got bigger likely because of the degree of tip elevation. JG 1.2.10
Answer: yes, you can as to the Retin-A and Vitamin C, the moisturizer will nor help but can be applied over the others if you wait a few monutes first. JG 1.2.10
Answer: although frequenlty used in the cheeks, I wil say that nether product is appoved or recommended for use there as it is well known they do not last long as they were not developed and desigend for that use. As to it moving, it is highly unlikely the product has moved that much, but the swelling the filler causes can move. Movement of the product is not affected by skin laxity. As to lumps, any filler, including the ones you have used carry risks of lumps. I think trying to fill in empty cheeks with hyaluronic fillers that we at present have in the US is a poor choice and waste of money, sorry. JG 1.2.10
Answer: it can be normal, some people have veins that are more easily seen in areas of thin skin like the back of the kness, not much that can be done for them though. JG 1.2.10
Answer: that can happen from the temporary swelling that can occur, it usually goes down in a few days. Keeping your head elevated, minimizing salt intake and ice all help. Best of luck. JG 12.31.09
Answer: I will loook into it, thank you for letting me know. If the problems persist and you would like to order something,please feel free to call us and the ladies in the office can help you with all of that. Happy New Year. JG 12.31.09
Answer: I suggest trying to use squalene as amoisturizer, sold at health food stores, the milia risk should be small. Best of luck. Happy New Year. JG 12.31.09
Answer: If it was going to get worse it would have bene doing so, if it has been getting better, I would expect it to improve further. If you had scabbing after the laser, the chances of scarrring are higher, if there was no scabbing, then the chances of scarring are much less. At this point you can use some copper peptide creams to assist in the healing, or aloe and give it some more time, luckily the skin is very resilient. Hang in there. JG 12.30.09
Answer: scarring would not involve a color change alone in most cases, especially to the purple color. If a burn occurred, it could be pink or red but would also have the appearance of a texture change. Pupura, in and of itself, is just a red purplish discoloration of the skin and involves color and some swelling, but I have never seen it persist for much past one month, especially with a YAG laser, I have seen it last a bit longer when using a VBeam laser though. All the best. JG 12.30.09
Answer: it will, but it will take at least 2 vials in most patients, and in some more than that. JG 12.30.09
Answer: neither one of those products will cause new scars to form, but I do suggest a 3 month break every year to avoid the constant irritation. JG 12.30.09
Answer: I would wait a bit to see if it really works. JG 12.30.09
Answer: do not know about any of them, sorry. Happy New Year. JG 12.30.09
Answer: should be able to fix the asymmetry, yes. The recovery before being out in public is 10-14 days, all the best. Happy New Year. JG 12.30.09
Answer: might want to see an aesthetician or dermatologist, the reason for the pore is there is still some oil stuck down deep in the pore and the pore cannot close. Microdermabrasion might help too. JG 12.29.09
Answer: nothing permanent, but microdermabrasion and IPL lasers help, along with Retin-A. JG 12.29.09
Answer: using tape at night is helpful in some cases, massage can help right after surgery, but massaging too hard can keep the skin mobile and that allows swelling to persist, so massage at this point, if done, has to be very mild and not aggressive. JG 12.29.09
Answer: should be OK to do. Happy New Year to you too. JG 12.29.09
Answer: I would save your money. JG 12.29.09
Answer: we also at times use a copper peptide cream during the epithelialization phase. Not much you can do for the redness, it will fade with time and for the dryness we use squalene oil. JG 12.29.09
Answer: although they claim they do, I have been unimpressed with the photos of results of both issues you mention. I also fail to find any scientifice evidence that SmartLipo causes any more skin shrinkage over other forms of liposuction.Sorry. JG 12.29.09
Answer: I would never use it, it will likely thin the skin and make the skin look more red. I do not think it will do much good or bad to the dryness. Happy New Year. JG 12.28.09
Answer: granulomas take at least 6 weeks to form and are hard, essentially scar tissue, not soft and squishy, yours sounds more like a collection of fluid or blood. I think at this point I would continue the massage and maybe apply some warm mpoist heat to draw more blood supply to the area to assist in its absorbing. I personally would not be concerned at this point and would just keep up with what we have discussed. All the best to you too and Happy New Year. JG 12.28.09
Answer: nope. JG 12.28.09
Answer: I do mine in that location for the reason you describe, the incisions there can be incised in a manner to make them look very good. In the tragus, I do it post tragus also to avoid a visible scar there as the skin is then and the color of the scar can show. All the best for the New Year. JG 12.28.09
Answer: we use Reviatlash here in our office with nice results. JG 12.28.09
Answer: No, I do not mean it does not work but I feel that the patient must be chosen carefully becasue Sculptra is not a typical filler, it will fill in the area below the skin and in some cases can make the mouth area look fuller, even too full when using it around the nasolabial fold and especially the marionette lines. I do use it, in selected cases, for the nasolabial folds but not for the marionette lines. Best of luck. JG 12.28.09
Answer: I do not see how it would last that long to be honest, the bruising from a YAG is minimal, although that skin is quite thin. It does not sound like scarring though, I might suggest giving it some more time and see how it does, I would not worry about it at this point. JG 12.28.09
Answer: in most cases 2-3 weeks. JG 12.28.09
Answer: it will yes, that type of swelling is not uncommon but if it comes and goes, as in your case, eventually it will stay away. The more times an incision is opened, the longer it takes to fade, I suggest using a little Mederma or ScarGuard, both OTC, to help it fade. All the best. JG 12.28.09
Answer: could be just you have healthy skin that has not sagged, also having them under the muscle helps keep them from sagging in most people. JG 12.28.09
Answer: normal, nothing to worry about. JG 12.28.09
Answer: I think you need to give it a good 10-12 months I am afraid. Best of luck. JG 12.28.09
Answer: at this point the only thing I suggest is a microdermabrasion, best of luck. JG 12.28.09
Answer: no, it is because they went to different depths depending on what you needed, that is not unusual. JG 12.28.09
Answer: well, hard to say without seeing you but it might be a CO2 totally ablative laser that you ae looking for, best of luck. JG 12.28.09
Answer: usually the whole thing. JG 12.28.09
Answer: no way to tell what is causing it, it can happen, might need to be cut out to avoid it coming back. JG 12.28.09
Answer: the doctor can inject hyaluronidase to get the filler to dissolve, but it will not last much time in that area anyway. JG 12.28.09
Answer: I do not think it is due to the Botox in your case so I cannot say, if it were from the Botox it will last a few months, until the Botox starts to wear off. JG 12.28.09
Answer: after four hours it will not shift. JG 12.28.09
Answer: no, it will not. JG 12.28.09
Answer: minimal effect I fear. Best to you also. JG 12.28.09
Answer: A weekend facelift is a made up name for a mini facilft or cheek lift and some neck liposuction, it is a much smaller procedure than a regular facelift and will not last as long. Prices vary from surgeon to surgeon so no way for me to tell. JG 12.28.09
Answer: should not if there are screws in place. JG 12.28.09
Answer: could be a small hematoma or a lymph node. I think seeing your surgeon is a good idea when you can. JG 12.28.09
Answer: I always suggest a 2-3 month break yearly to avoid the constant irritation which is not good. JG 12.28.09
Answer: I have not seen that occur in my patients. The product in hair conditioners would not stay on the skin long enough for that to occur, sorry. I think it was coincidental in your case. JG 12.28.09
Answer: Vitamin C and Retin-A maybe.JG 12.28.09
Answer: I thank you for the kind words and hope all the best for the New Year to you and yours. JG 12.28.09
Answer: in most cases I would place it under the muslce, but you might need a breast lift along with the enlargement, possibly using different sizes to get them more balanced. JG 12.28.09
Answer: liklyl because of the collapsed nasal valve potentially getting worse with the kenalog. JG 12.28.09
Answer: it is normal and there really is not much you can do, it is a matter of the tissues healing, some doctors try kenalog but it helps only for short periods of time. It will end eventually though. It comes and gose because the tissues have not totally reattached so when there is motion on the tip, new swelling appears, just like when you sprain an ankle and then start moving too soon. Hang in there. Merry Christmas and a Properous New Year. JG 12.24.09
Answer: likely not, it will have to dissolve for it to get better.Sorry. Merry Christmas and a Properous New Year. JG 12.24.09
Answer: if the skin is prepared at the time before the chemical peel with a degreasing and cleanser, which is the usual case, it is quite rare. Additionally, as one is doing the peel, one thing we look for is a color change while the chemical is being applied so if in fact the acid did not penetrate. You should see it not penetrate while you are doing it. Merry Christmas and a Prosperous New Year. JG 12.23.09
Answer: well, if it is just a percutaneous suture technique it is worse, if it is part of the traditional neck lift, it migth last a little longer. Thre is no evidence that human growth hormone injections enhance fat transfer survival. Stem cells with fat injection do not replace a facelift, they do different things, the facelift lifts the tissue that are there and the injection enlarge the fullness and only by secondary effect lift the skin. There are new machines sold that claim to have stem cells in the supernatant but although it is used in other countries around the globe, it is legally not able to be claimed here in the US. The survival should be better if there are truly stem cells present though, but that is a big if as it depends on the tehcnology used to harvest and process the fat. Merry Christmas and a Prosperous New Year. JG 12.22.09
Answer: well, repeat excision and then following about 6 weeks later doing some 5FU and kenalog injections is possible. Best of luck. Merry Christmas and a Prosperous New Year. JG 12.22.09
Answer: I usually use Restylane in that area to liftteeh skin and allow the light to reflect better and reduce the dark circles. Merry Christmas and a Prosperous New Year. JG 12.22.09
Answer: stop the Rogaine and see what happens over the next couple of months. Merry Christmas and a Prosperous New Year. JG 12.22.09
Answer: lasers, chemical peels and Retin-A can be used. Merry Christmas and a Prosperous New Year. JG 12.22.09
Answer: tough area to improve, I normally use Retin-A and in some cases, for a relatively short term improvement will do a TCA peel. Merry Christmas and a Prosperous New Year. JG 12.22.09
Answer: I think it is not likely in females, unless you already had facial hair to begin with. JG 12.21.0
Answer: I would strongly advise against using it. If there are problems, which is likely not a rare issue, it would take surgery to remove the material. Sorry. Thank you for the kind words too. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.21.09
Answer: I honestly have neve seen beard growing when Rogaine 2% was applied to the scalp, I guess it could happen if the minoxidil was absorbed at a higher rate than normal and it should go away in a few weeks after stopping the Rogaine. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.21.09
Answer: it is part of the normal healing and the ointments needed will make it worse for a little, but will get better.Crepey skin is just fine lines with less elasticity, like cigarette paper. As the skin heals all of that will get better. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.21.09
Answer: no, that would not show up for weeks, it is just the skin that will flake off that is still attached, all normal. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.21.09
Answer: it is called a surgical excision scar revision. Merry Christmas, Happy Channukah and a Propserous New Year. JG 12.21.09
Answer: Eucerin is fine and the only thing that helps the redness is time I am afriad. Hang in there. Merry Christmas, Happy Channukah,and a Prosperous New Year. JG 12.21.09
Answer: It has been approved for injections in the face, the injection into the hands is what is considered an off-label use and it can lead to lumps, so to avoid that it needs to be injected in a very dilute concentration and over a large dispersion area to reduce but not eliminate the risk. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.21.09
Answer: I like CO2 laser, just not a fan of the fractional ones as I feel the degree of improvement is not great. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.21.09
Answer: I like Sculptra but it takes a few months for it to build up so some patients get impatient. Sculptra is usually injected deeply so lumps should be a rare problem. The pattern from the laser will fade in time, got to hang in there. Thank you for the kind words too. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.21.09
Answer: could try a YAG laser. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.21.09
Answer: it certainly could have aggravated what was likely going to happen anyway. Might use an IPL or a YAG laser to get rid of them.Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.21.09
Answer: that should get better in time. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.21.09
Answer: I think the tightening is done and the spots will likely require Retin-A and hydroquinone to fade. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.21.09
Answer: I use Sculptra for the cheek filling and I prefer an open forehead lift in order to have multiple points of fixation to give a longer lasting effect. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.21.09
Answer: no need to change if all is going well. I think adding a good sunblock is essential too. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.21.09
Answer: they will work less well as it is more difficult to get new blood flow into the tissues inplanted rather than injected. Merry Christmas, Happy Channukah and a Properous New Year. JG 12.20.09
Answer: on rare occasiosn only one can be done. Merry Christmas, Happy Channukah and a Properous New Year. JG 12.20.09
Answer: I think it can help the pigmentation, but no matter what you do to make it less, it will always come back in time. In sensitive skin the treatments cannot be as strong so they are less effective too. I never do glycolic acid peels over 30% becasue the safety factor goes away and the risks are too high. I think verly low concentrations of fading creams like hydroquinone or kojic acid are about all you will likely be able to tolerate I would say. Merry Christmas, Happy Channukah and a Properous New Year. JG 12.20.09
Answer: they can touch each other, not a problem. Merry Christmas, Happy Channukah and a Properous New Year. JG 12.20.09
Answer: the surgery causes the infection risk, otherwise they can touch. Merry Christmas, Happy Channukah and a Properous New Year. JG 12.20.09
Answer: should be OK. Merry Christmas, Happy Channukah and a Properous New Year. JG 12.20.09
Answer: you can have both placed, the infection risks come from the cutting and not the implant, inert means they are not alive so they will not cause the infection or rejection themselves. Merry Christmas, Happy Channukah and a Properous New Year. JG 12.20.09
Answer: to the best of my knowledge it should be OK, but I am not sure there are any studies to document their compatability. Merry Christmas, Happy Channukah and a Properous New Year. JG 12.20.09
Answer: 6-8 months. Merry Christmas, Happy Channukah and a Properous New Year. JG 12.20.09
Answer: thanks for the personal response of success. Merry Christmas, Happy Channukah and a Properous New Year. JG 12.20.09
Answer: no studies to show make up would cause lung cancer at this time. Merry Christmas, Happy Channukah and a Properous New Year. JG 12.20.09
Answer: 6-8 weeks is about the average. It is common for it to take more than one shot though. I usually repeat them after 6 weeks. As to filling in, that relates to normal surrounding tissue fillig in and not the keloid scar. All the best and thanks for the kind words. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.19.09
Answer: well, the stronger the laser the greater the collagen formation, but it will still be less compared to when you were younger, the older you are the less the ability of your skin to create new collagen, no matter what technique is used. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.19.09
Answer: they are working on it but there are some obstacles that still need to be worked out, at present it is unreliable. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.19.09
Answer: get it checked ot make sure but it is likely nothing to worry about. You might want to contact the local univeristy hospital and ask for the plastic surgery department to have it removed. Best of luck. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.19.09
Answer: I would imagine it might help the brows too, I have not had anyone try it though. The manufacturer of Revitalash does not include dry eye in its list. Merry Christmas, Happy Channukah and Prosperous New Year. JG 12.18.09
Answer: might be, I suggest using an open rhinoplasty technique so all the cartilage components can be seen and made sure to make the correction you desire. All the best. Merry Christmas, Happy Channukah and Prosperous New Year. JG 12.18.09
Answer: most likely you will have to repeat it. I do not perform fat injections to that goove of the eye area due to the unreliable results. Sorry. Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.18.09
Answer: normal and might be swollen for a week to 10 days. Merry Christmas, Happy Channukah and a Properous New Year. JG 12.18.09
Answer: a canthopexy or plasty is more invasive and difficult than a blepahroplasty and getting the two eyes to be perfectly symmetrical can be difficult. I would imagine the price range would be about $4000. Merry Christmas, Happpy Channukah and a Properous New Year. JG 12.18.09
Answer: I am sorry but there is no implant that will eliminate that problem. That issue is much higher in breast cancer people due to less normal tisue between the skin and the implant, you might need to get an autologous breast reconstruction with your own tissues. All the best. Merry Christmas, Happy Channukah and Happy New Year. JG 12.18.09
Answer: I still have two tips left! You are very kind to come back so often and I appreciate your compliments, I hope I have given you good information these years. I wish you a Merry Christmas, Happy Channukah and a Prosperous New Year. JG 12.17.09
Answer: might fade some brown spots but not much to improve the scars besides the fading of the brown. JG 12.17.09
Answer: most likely a spasm of the muscle or the implant folded and then unfolded and the knot or crease smoothed out, it happens, especially in the crease area where the implant has no muscle covering it. JG 12.17.09
Answer: I would not do a filler at this point. I think you need to give things time to settle down, and by that I mean months and not weeks. JG 12.17.09
Answer: 1 syringe in most cases is 1cc, correct, and it would take that, at least for both cheeks, and maybe more. Best of luck. Merry Christmas, Happy Channukah and Happy New Year. JG 12.17.09
Answer: might need more Botox is all. If it is nerve irritation it should get better slowly over time. As to my skin, I use my Cell Matrix peptide cream, but I have oily skin and that helps.Merry Christmas, Happy Channukah and Happy New Year. JG 12.17.09
Answer: hard to say as it depends on how much loss of fat you have in the cheeks but in most cases for someone who has lost tissue it will be 3-5 syringes.Merry Christmas, Happy Channukah and Happy New Year. JG 12.17.09
Answer: no, they are inert and cannot interact. Merry Christmas, Happy Channukah and Happy New Year. JG 12.17.09
Answer: likely no improvement for the railroad tracks with topcial agents, it might be a matter of a plastic surgeon cutting the scars out entirely and closing them with sutures below the skin to avoid the recurrence of the problem. After ten years the topcial things to blend the discoloration will probably not work, might get some improvement though from an IPL or a YAg laser though. Best of luck. Merry Christmas, Happy Channukah and Happy New Year. JG 12.17.09
Answer: it is always proper to express your desires and to be honest, the amount injected is OK for the tear trough but it would not be anywhere near enough to fill a cheek area for roundedness. I think assuming that there is good communication is never good, take an eyeliner pencil and draw the area of yor cheek you want filled when you go in. Best of luck. Merry Christmas, Happy Channukah and Happy New Year. JG 12.17.09
Answer: with the use of sunblock, Retin-A and Hydroquinone it might take 6-12 weeks, all depends on how high the energy was on the laser. I guess you are now seeing that the risks those docs did not like for the full CO2 are still there for the one they felt was safer. I would also never have done a laser resurfacing on your neck or chest due to what you are seeing and the high potential of scarring. I have never seen any correlation between PIH and effectivenss I am afraid. Just do the above thinsg and in the vast majority of the time it will get better, gotta hang in there for a bit though. Thank you for the kind words too. Merry Christmas, Happy Channukah and Happy New Year. JG 12.17.09
Answer: none to my knowledge. IPL works best on dark hair in light skinned people. Merry Christmas, Happy Channukah and Happy New Year. JG 12.17.09
Answer: it is safe and most likely will not affect the filler in any way. Merry Christmas, Happy Channukah and Happy New Year. JG 12.17.09
Answer: I am not a fan of high profile implants for augmentations as I feel they look too projected, I would go with the size you mention and use a Moderate Plus projection implant. Best of luck. Merry Christmas, Happy Channukah and Happy New Year. JG 12.17.09
Answer: numbness is an indirect measure of swelling but I would estimate there will likely be small degrees of swelling there for up to one year. As to open rhinoplasties and swelling, it is common for them to stay swollen for longer than closed procedures and the more rhinoplasties you have doen the longer the swelling takes to resolve due to scar tissue. Cartilage is certainly one of the components of the size of the tip but the thickness of the skin is also involved, you migth just have so much scar tissue that even if they removed all of the cartilage, your tip might not have the size and definition you desire. Give it some more time. All the best. Merry Christmas, Happy Channukah and Happy New Year. JG 12.17.09
Answer: well, fillers are commonly done after a facelift, I think they might think your degree of improvement may not be as dramtic and they might not want to undertake it for you. The area in front of your ear is the preauricular not buccal area. Fillers over the chin will likely not impact the lips at all. I think the degree of new collagen you will get with the APL is likely not worth your money. All the best, thanks for the kind words too. JG 12.17.09
Answer: well, desiring less down time is understandable but realize that means lesser results, especially in view of the fact that the older we get, the less the degree of improvement gets as the amount of new collagen the body can make form the laser or chemcial peel is less robust. I think it is fine to do, might get some brown spot reduction and maybe a texture improvement but I would not expect much wrinkle reduction with that or the Obagi Blue Peel. Best of luck. JG 12.16.09
Answer: it is usually best to do the subcision first, but I think 6 weeks after the laser is OK. JG 12.16.09
Answer: sorry about that, I have a call in to our webmaster to correct it as it was there a week ago, in the meantime you can call the office and they can help you out over the phone,again I apologize. JG 12.16.09
Answer: 6 weeks should be enough. JG 12.16.09
Answer: we added some more to it and now it is called Cell Matrix peptide.Sorry. JG 12.16.09
Answer: I think the thought process is correct. The implant might be saved if there is no infection and if it does not pop through the skin. I think having it repaired as soon is possible is the best idea. All the best. JG 12.16.09
Answer: depends on the cause but in many cases it can be improved, although total symmetry is difficult. It is one of help the one that protrudes more in most cases. JG 12.12.09
Answer: no experience with Restylane Vital here in the US, but I like Restylane. As to mesotherapy, I do not believe in it. JG 12.12.09
Answer: next day. JG 12.12.09
Answer: I would not try anything for at least another 3 months. Retin-A would never cause that to occur. Give it time and do not do anything for a while. JG 12.12.09
Answer: always have and always will have negative views of any silcone injections. Vitalize and TNS are OK though. JG 12.12.09
Answer: do not see how it would really work, JG 12.12.09
Answer: pretty safe in experienced hands, not as easy to use as hyaluronic acids. Nothing,even the HA`s are totally risk free. JG 12.12.09
Answer: maybe 6-24 months. JG 12.12.09
Answer: we use titanium dioxide and sunscreen lets a little sun in while the block totally blocks. We like Total Block by Fallene. JG 12.12.09
Answer: not alot of either usually. Not too painful at all. JG 12.12.09
Answer: no benefit from massaging with lasers, best of luck. JG 12.10.09
Answer: we use it at times when injected around the lips, otherwise we do not use it. JG 12.10.09
Answer: some doctors will store in under sterile conditions for a bit and others will destroy it. JG 12.10.09
Answer: the pressure is only from the swelling and excessive bleeding, not from the skin removal itself. I think the scenario the consultant is discussing is highly unusual and I would not pose my decision on her anecdotal story or sales pitch. JG 12.10.09
Answer: I have never heard of people dying from blood presure elevation after an eyelid lift but it can certainly cause bleeding and pressure on the eye.The risk of blod presure elevation is the same after any surgery, the greater the pain, the greater the chance for blood pressure elevation. JG 12.10.09
Answer: lasers are the easiest and least scarring potential. JG 12.10.09
Answer: hard to say what you need without seeing your lids in motion, weakening the muscles can help at times, but you will see lots of changes for the fisrt 6 weeks when you have that much done at once, give it some more time. JG 12.10.09
Answer: The Alexandrite laser systems include: GentleLASE, Apogee, and EpiTouch Plus. JG 12.10.09
Answer: possible but rare, there might be some area of the septum that has lost its mucosal covering allowing the underlying cartilage to be exposed and to dry out, so saline spray every hour while awake might help, even some vaseline applied to the septum with a Q-tip can help too. Not much more I can offer, sorry. JG 12.10.09
Answer: I think if you are having no visible stabilization of the aging appearace of the skin, I would stop the Retin-A. The effects of Retin-A improvement tops out at 12 months, and continued use is only maintaining that, at best. I will say that no cream works on 100% of people and I am a believer in taking a 2-3 month break from all retinoids once per year. In your case I might suggest some DMAE cream, there are certainly other options besides Retin-A, most are non-prescription, I have some on my shopping cart. Thank you for the kind words and I wish you all the best. JG 12.10.09
Answer: some type of filler, like Restylane would be my first suggestion. JG 12.10.09
Answer: I am not a believer, I think it is more likley going to create scar tissue than new normal collagen. I have never seen any evidence in any medial journal to its documentable effectiveness, sorry. JG 12.10.09
Answer: I personally do not feel it is worth it because the skin is not loose due to muscle weakness, it is from excess skin and loss of facial fat, not loss of muscle mass. JG 12.10.09
Answer: the scar can be seen when your eyes are cloased, and if there is a large amount of skin removed that extends into the crows feet area, that scar might be seen but typically, when your eyes are open, there is no scar able to be seen on the eyelid itself. In most cases after two weeks, the make up applied will cover the scars on the eyelid and in the crows feet area. It is not a painful surgery and most patients require pain medication only at night to help them sleep for a few days.JG 12.9.09
Answer: stop the Clobetasol for fear of thinning the skin and see a dermatologist or a plastic surgeon to make sure all is going well. They heal from the deep surface up. I wish you the best. JG 12.9.09
Answer: it might, yes, but I have no laser that will reliably dissolve the filler any faster than waiting, sorry. JG 12.9.09
Answer: I would wait a full two weeks before entertaining that concern. JG 12.9.09
Answer: there are heated eyelash curlers that might work better. JG 12.9.09
Answer: well, I have to say that in the time I have injected hyaluronidase, I have never seen it cause a depression. Now, if the filler was injected and the hyaluronidase was not injected into the filler but into the surrounding area, that would appear like a depression as the filler has not been dissolved. As to building the area up I might suggest injecting Sculptra which works slowly to build up your own collagen and is used for fat loss in the face. JG 12.9.09
Answer: works pretty well for the red and there can be some slight skin lightening if you are sun damaged. JG 12.9.09
Answer: well, since some fat has also dissolved over the years and that is not replaced with the surgery, they will likely look a little different. The skin sags from sun damage, gentics and fat loss. JG 12.9.09
Answer: sorry, but I have none, sorry. JG 12.9.09
Answer: I think it is possible to reepat the CO2 laser there, all the best. JG 12.9.09
Answer: excellent surgeon, and I have known him a very long time. You are in good hands. Please give him my regards when you go. JG 12.9.09
Answer: Nodules where only hyaluronic acid fillers were used should go away in time, but Radiesse lumops can be much more difficult and in rare cases need to be cut out. During a facelift the nodules might be seen but if they are truly in the skin and not below it that might not. I seriously doubt you have had enough fillers placed that your face would deflate when they dissolve. Pictures of you when you were younger are always helpful and as to the fat of the upper lid, it is removed during the surgery,the eyes will look differently after the surgery but usually look better. JG 12.9.09
Answer: squalene oil or emu oil. JG 12.8.09
Answer: possibly kenalog injections and maybe a YAG laser to settle the redness down is about all. JG 12.8.09
Answer: I do not think either one will help scars on the arms. JG 12.7.09
Answer: I will be honest, I have never seen that happen after a CO2 laser and do not see how the skin resurfacing would cause that. It can certainly happen when the air is dry though. JG 12.7.09
Answer: sorry, but I did not see the question, if it is still numb after one year the loss of sensation might be permanent, there are always small nerves cut during surgery and spots of numbness are not unusual, but they usually shrink over time in size. At this point in time there is likely little that can be done to correct the issue I am afraid. JG 12.7.09
Answer: it is mostly used after acute injuries such as burns, it is not something I suggest long term because it can plug pores, if you have not had that problem though, there is no reason to think it would strat plugging pores now if it has not done so in the past. The absorption of Aquaphor is minimal, it is not meant to be used as a daily moisturizer. JG 12.7.09
Answer: yes, still working, your skin gets used it it and stops peeling though. JG 12.7.09
Answer: no way to know for sure, none has been reported. JG 12.7.09
Answer: can try Cetaphil also, a little lighter. JG 12.7.09
Answer: It can be swollen and bruised for a number of days, I would suggest some warm moist heat and some massage to get it to go down some. Final results are suually seen after a couple of weeks or so. JG 12.7.09
Answer: I would not spend my money on it. Sorry. JG 12.7.09
Answer: an Obagi blue peel is a 20% TCA peel, I do not condone any TCA peels done at home, no matter what the concentration for fear of causing skin burns. JG 12.7.09
Answer: essentially the same and that is how the medication works to improve texture, by exfoliating your skin, typically it gets less over 4-6 weeks, if it does not then a lower concentration is needed. JG 12.7.09
Answer: well, not normal and although numbness can happen, the eyelid closing problem is not normal, sounds like there was some type of muscular nerve damage or too much skin being removed. The purpose of injecting the areas with Botox before the surgery is to get the muscle to be weaker so it tends to stay where you put it after lifting and the muscle do not work to pull the brow back down until it has healed. I do not routinely do it, but some surgeons feel it is a good idea. The drooping of the eyelid after Botox can happen and will wear off though, although if the eyelid sagging is due to the surgery or skin removal, that will not wear off and might need something totally different. JG 12.7.09
Answer: I think it is a waste of money. JG 12.7.09
Answer: yes, normal and it might take another 3-5 days to go away. JG 12.6.09
Answer: not to any visible amount that it will look the way it did before the hair loss. JG 12.6.09
Answer: the hair removal laser will work the best on dark hair in light skinned people. I prefer Alexandrite lasers for hair removal, there are a few different manufacturers of them. JG 12.6.09
Answer: it is essentially the same, not sold in the US, just Europe and there are no teas or vitamins that will plump your face, sorry. JG 12.6.09
Answer: the massage will help both lumps that are felt and then also the small amounts of the injected material, no injection is ever 100% smooth as it depends on the pressure applied to the plunger. Swelling, that you might not perceive either, will also be helped by massage just like it would anywehre else on the body. JG 12/6/09
Answer: no reason to think the implant is ruptured but the treatment with the oral antibiotic probably controlled it but did not eradicate it. It might be a matter of longer term antibiotics or finding a suture that can be removed that has caused the infection to recur. Your surgeon needs to see you to determine what is the cause. If the infection cannot be controlled with simple measures, then yes, the implant might need to be removed for a period of time. Usually after 6 months of infection free treatment, the implant can be reintroduced. It might require a short period of time with a tissue expander if the skin tried to shrink up, but in most cases it should be able to go just about to the previous appearance if all goes well. I wish you the best. JG 12.5.09
Answer: I would massage it and not consider the hyaluronidase for at least 10-14 days after the injection. I think it should go down some within that amount of time. Massaging it now is not too late to be effective. Perlane will take longer to dissolve but the massage is just as effective in smoothing small lumps out. It might take a bit more hyaluronidase to dissolve it though. Best of luck. JG 12.5.09
Answer: Might suggest Dr Glenn Jelks in New Yor City or Dr McCord in Atlanta.All the best and sorry to hear about the troubles. JG 12.5.09
Answer: it can be,especailly if they get a chin implant placed to enhace their jawline more. Thanks for the kind words too. JG 12.5.09
Answer: possible, yes, but very very rare. There ae many precautions that can be taken to prevent a blood clot and that dimishes the risk sizable, not sure if they were used for Miss Argentina.JG 12.5.09
Answer: sounds prety cheap. One more thing about Botox. It has come out that the education that injectors were given since the beginning of Botox release was incorrect. The bottle is to be used for a single patient. That means that a bottle should not be shared between multiple patients. The company that makes Botox has known about this but has never issued an alert to doctors or patients. The risk is that of the bottle becoming contaminated and passing a communicable disease like HIV or hepatitis from one patient to another. There are no known reports of disease transmission in the use of Botox, but it has not been looked at yet in order to determine that issue. For that reason I strongly urge you to demand that a new bottle be used when you are treated and then observe the injector destroy the remainder of the bottle. If that is not done I urge you to contact the local board of health for the violation. Ask to look at the box it comes in and you will see the single patient, single use wording. JG 12.5.09
Answer: I would avoid the Retin-A if possible for fear of aggravating the broken blood vessels. JG 12.4.09
Answer: a phenol chemical peel. JG 12.4.09
Answer: deep aggressive laser treatments can at times. The strongest would be a totally ablative CO2 laser. JG 12.4.09
Answer: might need to increase the Retin-A to 0.1%. If that does not work, then an IPL or a YAG laser or chemical peel might help and then continue with the crease afterwards, best of luck. JG 12.4.09
Answer: not dangerous, no. Without seeing you it is difficult to say whether the minimal incison technique is possible in your case,pictures might help though, but I wil say that it is a small fraction of the population that can get away with it. If it is done in people that need to whole brachioplasty done, it will leave the arm looking deformed. Please feel free to send the pictures directly to me at drgarcia@lvcosmeticsurgery.com. Please have the pictures taken front and back, arms out at 90 degrees from your torso,parralel to the floor, with the foreams bent up toward the ceiling, kind of like an Amrican Indian saying HOW. I wil get back to you after I review the photos for you. JG 12.4.09
Answer: either a CO2 laser, or surgery. JG 12.4.09
Answer: I think you will see a sizeable change for at elast another 4 weeks and then it will continue for an additional 4 months, albeit slower. The broken caplliaries usually also go away, they have always been there, but after surgery they get dilated to absorb the fluid and swelling and as that resolves, they shrink back down. Usually we allow our patients to wear contacts after 2-3 weeks,but give it all some more time, it will get better. JG 12.4.09
Answer: it wil take almsot a week for the swelling to go down. JG 12.4.09
Answer: OK to do for the first few days. JG 12.4.09
Answer: I would not suggest it, no. JG 12.4.09
Answer: in most case, eventually they do go away. It is rare that they need to be cut out. JG 12.4.09
Answer: save your money. JG 12.3.09
Answer: all normal and the red bumps are where the needle went in, yes. Hang in there and it will get better. JG 12.3.09
Answer: it can take 10-14 days to work, have to be patient. JG 12.3.09
Answer: thee exact mechanism of action of azelaic acid is not known. The following in vitro data are available, but their clinical significance is unknown. Azelaic acid has been shown to possess antimicrobial activity against Propionibacterium acnes and Staphylococcus epidermidis. The antimicrobial action may be attributable to inhibition of microbial cellular protein synthesis. A normalization of keratinization leading to an anticomedonal effect of azelaic acid may also contribute to its clinical activity. Electron microscopic and immunohistochemical evaluation of skin biopsies from human subjects treated with Azelex® Cream demonstrated a reduction in the thickness of the stratum corneum, a reduction in number and size of keratohyalin granules, and a reduction in the amount and distribution of filaggrin (a protein component of keratohyalin) in epidermal layers. This is suggestive of the ability to decrease microcomedo formation. JG 12.3.09
Answer: in the short term it can cause more oil as it tends to dry the skin and the skin will revolt and try to moisten itself, but eventually that all gets better. Any cream can potentially plug pores so they almost all say that as a risk issue. Having said that, without knowing what you were prescribed the cream for, there can be other factors involved,like mild Rosacea for instance. JG 12.3.09
Answer: as it dissolves it tends to get softer and smaller. I agree that sticking with the firm areas in using the Vitrase is wise. Best of luck. JG 12.3.09
Answer: I am sory bvut it is nearly impossible to tell as it all depends on the individual`s skin. I would guesstimate that it would be about 10 days or so. JG 12.3.09
Answer: I normally suggest every 4-6 weeks in the summer and a little less in the winter. All the best. JG 12.3.09
Answer: if the same amount of fat is removed with the same size cannulas, yes. That is part of the unfair claims, they show patients that have a lot less fat remved so the results are different when compared to aggressive liposuction cases done with other techniques. Best of luck. JG 12.3.09
Answer: I think it can wait for after the repositioning of the muscle if you have not worked them out before. Best of luck. JG 12.3.09