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Answer: in some indiduals it can be, yes, but not all, depends on the patient. Happy Independence Day! JG 7.3.09
Answer: yes, they will likley cut in the same location as the existing scars. The areola can also be made smaller. It will help greatly if you can get a copy of the operative report for the new surgeon so they know what previous technique was used to limit risks. Down time is about 2 weeks light duty and then full activity in one month, fees vary from surgeon to surgeon though so you need to decide on the surgeon and then get the quote. Best of luck and Happy Independence Day. JG 7.3.09
Answer: I think it is likley safe to do so. I think Dysport starts working faster and likely lasts longer. No agent like Dysport or Botox will correct lines seen at rest though, migth need a filler in addition to them. JG 7.3.09
Answer: in that area, not really. JG 7.3.09
Answer: Sculptra injections, or fat injections. JG 7.3.09
Answer: I personally do not think the lasers will do anything long term, while swollen it will look better as the swelling makes the veins harder to see is all. There is nothing permanent to remove those veins I am afraid, sorry. JG 7.2.09
Answer: well, if it worked on you I think it might be a good option, although I will say that lasers for large blue veins on the lower eyelids does not work in the majority of patients, but no need to argue with success on an individual basis. I would keep it up when you can do it. JG 7.2.09
Answer: no, tattoed skin will not keep all of the color and will likely not have even color either. I personally would keep as much of your own tissue as possible and not remove any more tissue or skin. JG 7.2.09
Answer: I have personally not had a permanent loss, and usually by 6 weeks things are epretty good, keeep massaging to help the swellling go down and that might help get the nerve functioning better faster, all the best. JG 7.2.09
Answer: they will look bigger, yes. JG 7.2.09
Answer: I think it is pushing it and on your frmae I think those will not look too real. JG 7.2.09
Answer: grafts will never look as good as the natural areola that survived. The color may not match but that is one of the limitations of the procedure that cannot be surmounted. Graft reconstruction of the areola, like any skin graft, typically is not a completely uniform color, there wil be light and dark areas depending on how well the graft heals. The ability of grafted skin to accept tattoo pigment is variable and unpredictable but in most cases the color takes, tattooing the potential skin graft will not help in any way. I think you need to come to the understanding that your areolas and nipples will never look totally natural in shape or color, no matter what you do to reconstruct them, sorry. JG 7.2.09
Answer: as to the electrolysis, what I have seen is that it leaves small darker spots. As to the Botox, I am afraid that any effect from that is shortlived and in time, as the Botox wears off, what was going to happen without the Botox still happens. As to the results from a scar excision and revision, it is all a matter of skin tension, if the skin is loose, it might leave a good degree of improvement. If it is tight upon closing the wound, then the result might look exactly the same as what you have at present. JG 7.1.09
Answer: no, becasue all of the tissues are above the access plane and none of that would be able to be seen. No way to correct a festoon endoscopically. JG 7.1.09
Answer: I do not think it will help the lumps if they have been there that long, they will likely need to be cut out. JG 7.1.09
Answer: it most likely is the accumulation of intra-abdominal fat from metabolism changes from aging. JG 7.1.09
Answer: I think the newer ways we are injecting Sculptra over the past 2 years has essentially removed the risks that were more common in the distant past. I use it frequently with no problems. In most cases the improvements last 1-2 years. Thank you also for the kind words. JG 7.1.09
Answer: I think a chemical peel alone will not correct all of that, and there are so many different types that I think you would need to be seen in person, sorry. JG 7.1.09
Answer: I feel tattoo is best. I think the other questions you are asking are impossible to answer without seeing you in person and examining the tissues, sorry. JG 7.1.09
Answer: for the orbital rim I prefer Restylane, for over the cheek bone or temple I prefer Sculptra. JG 6.30.09
Answer: I think the quality of the food in Mexico and its water are much improved, I drink the water and eat the food whenever I go there, if you are concerned, just drink botteld water and cooked food should be safe. JG 6.30.09
Answer: yes they do.I am unsure of the price though. JG 6.30.09
Answer: I have little faith in the hair regrowth lasers. Lasers will never destroy DHT as it travels in the blood and as soon as the laser is finished new blood goes to your scalp. JG 6.30.09
Answer: yes, or you can buy it there, I was just down there and they sell it OTC. JG 6.30.09
Answer: from my view, no, they cannot because they affect different parts and locations of the face. JG 6.30.09
Answer: catching the superbug is not from taking antibiotics, but the superbugs develop when people are given antibiotics for no reason and then it infects people down the road. JG 6.30.09
Answer: no, I feel that internal medicine doctors are not surgoens, are not trained as surgeons and I would not have it do it on me or my family. Would you have your plastic surgeon treat your diabetes after taking a weekend course? JG 6.30.09
Answer: Not really a a double bubble, it is a crease where the muscle ends and the breast tissue begins, it happens not infrequently with below the muscle augmentation and in most cases gets better on its own, if not, the muscle migt have to be cut a little to let it relax and not have the indentation when it flexes. It should not hurt your implant though. JG 6.30.09
Answer: in most cases, just the day before and 2-3 days afterwards. JG 6.29.09
Answer: you should only be on antibiotics for 2-3 days, so just start them after. JG 6.29.09
Answer: all that you mention will to some extent reverse some of the damage, but nothing will reverse it completly and nothing will stop it from aging in the future. JG 6.29.09
Answer: there is no effect on lumps from fillers with skin resurfacing, especially ones present for that long. JG 6.29.09
Answer: it will dissolve a small piece of your own hyaluronic acid and usually it reforms it within a few days. JG 6.29.09
Answer: I do not inject Juvederm there but I have had Restylane stay in place for longer than a year in a small percentage of patients. Now when a lump forms, it is very common for it to last long periods of time because the surface is smaller and usually encased in scar tissue making the dissolution of it by your own body`s enzymes slower and more difficult for it to work. JG 6.29.09
Answer: likely just the skin where the Juvederm was injected that has to slowly shrink back to its normal appearance. JG 6.29.09
Answer: I would not recommend it and I think the only thing it will do is make your wallet flatter. JG 6.29.09
Answer: hard to say wihtout seeing you in person, if it has been like that since the begining, then it is likely a pocket issue. If it was not there since the begining nad started later and slowly got worse, then it is a capsule issue. Either one can likely be remedied with a capsulotomy. JG 6.29.09
Answer: possibly, or that the tissues are too thin and no matter what size you had placed, it was going to happen. JG 6.29.09
Answer: I think Michael Jackson`s case is different due to the multiple prior surgeries performed, I do think in many cases the rib graft is successful but will make the nose potentially larger or thicker. Best of luck. JG 6.29.09
Answer: we will be able to use Dysport in July. As to chepaer, that is up to the doctor and not the manufactuer. I will persoanlly stop using Botox in most cases. JG 6.29.09
Answer: well the nerve stimualtion while the nerve is coming back will help prevent the muscle from atrophing and I think it is worthwhile, we use home units the patient can use a few times every day to make it more convenient. The casues of the scars widening are myriad and silicone sheeting migth help some at this point. The redness should improve over 6-8 weeks though. I will say that not seeing the surgeon for one month after the procedure is unusual, usually I see the patient the next day, at one week and then 2-3 other times during the first month and the pateitns are having ultrasound massage in the office twice a week during that time so if there is a concern I can see them more frequently. I think it will all get better but it will not be overnight, hang in there. JG 6.29.09
Answer: silicone or other material implants can erode into the bone, the number of Medpor implants used is much smaller so we really do not know if they have the same effect. I think if the size change she is going to go through is dramatic, there can be some space but in most cases it is not palpable or visible as there are tissues of adequate thickness over the area. I do agree that taking out large implants and not replacing anthing can leave depressions but in most cases if something new is placed that is not a problem, even if the new ones are smaller. The Medpor impalnts are more difficult to place and in most cases there is a fixation product used to avoid it rotating. I wish her the best. JG 6.29.09
Answer: almost all the hotels have purified water sources now. JG 7.1.09
Answer: if the skin is loose, yes, as to the Botox, it is a waste of time as the Botox will wear off and what was going to widen will widen. As to the electrolysis, it might leave dark spots where the hair was. JG 7.1.09
Answer: bruises are common and as to it being diluted it might have been but also, Botox does not always remove all the wrinkles, especiallly if there are wrinkles at rest. JG 7.1.09
Answer: it is from a tight muscle and is not really a double bubble, it might require the muscle to be surgically released if it does not get better with a little time. It will not damage the implant though and no need to freak out. JG 7.1.09
Answer: I suggest 12 months. JG 7.1.09
Answer: it will take about 6 months. JG 7.1.09
Answer: I would only do 2-4 sessions. JG 7.1.09
Answer: I personally would not offer it to patients nor have it done on myself. JG 6.29.09
Answer: very mild effect, but yes. JG 6.29.09
Answer: essentially the same thing, just marketing. JG 6.29.09
Answer: can be attempted with cartilage grafts but does not work in 100% of cases. JG 6.28.09
Answer: it is essentially the same but it is meant for deeper injections so when going more superficial, it should not be used. JG 6.28.09
Answer: there is always a white line as there is a scar and commonly scars can heal like a white line. When a graft is performed then that can leave the scar, if it is tatooed rather than grafted, then there is no white line. JG 6.28.09
Answer: it is called a repair of diastasis recti, usually done by plastic surgens while doing a tummuy tuck if needed, it is not something general surgeons or gynecologists typically do. JG 6.28.09
Answer: not, sorry, they do not. I do ultrasonic assisted and traditional liposuction but there are no mimimally invasive techniques that tighten thigh skin, if anything, it is major surgery. JG 6.25.09
Answer: I suggest using Sculptra at this point in time, all the best. JG 6.25.09
Answer: it is a diffferent company and is not the smae product. I feel Dysport is better then Botox, it works faster and lasts longer. I will be switching my patients to Dysport as they come in. Best of luck.
Answer: the ID is used just for access to prevent bots from entering, I never see the patietn`s name. I am glad I could help out, continued best of luck. JG 6.25.09
Answer: hyaluronic acid cannot be absorbed through the skin so it is not better than what they had before, except they are hoping you do not know that the material cannot be absorbed. JG 6.25.09
Answer: no, it varies from patient to patient. But in general, the larger the implant, the greater the chances, I do think they ones getting those large implants are gearing up for problems later, yes. JG 6.25.09
Answer: as to fillers, no, as it will not stop any naturally occuring process but using products like Botox or the newer, and I feel better, Dysport, that weaken the muscles so the skin cannot fold as much can. The reason thay can is because some of the wrinkles that form occur from the repeat folding of the skin and resultant skin damage, so if the skin does not fold as much, the development of the wrinkles will be less. Of course, if you just voluntarilly move the muscles less, that will also work, especially when trying to avoid squinting. JG 6.25.09
Answer: your previous question was in regards to the jowling I believe and in that case, a traditional facelift will do two things, lift sagging tissues and then redistribute the skin in a natural appearance, the limitation of a limited access procedure like a MACS is that while it works well in younger patietns with minimal to no skin excess and just sagging tissue, in an older individual, it can at times leave the skin redraped in an unnatural fashion leaving the stigmata of a facelift procedure. JG 6.25.09
Answer: let the vinegar wash dry completely then apply the peptide cream. JG 6.25.09
Answer: you can look for complaints only on the Nevada Board of Medical Examiners, but the public has no access to results of malpractice suits, sorry. JG 6.24.09
Answer: why wodul you have a palstic surgery procedure done by an internal medicine doctor who was trained to treat high blood presure and diabetes who is not a surgoen, doe snt oahve privleges to perfrom liposuction at any hospital or surgery center in town and failed his license exam 19 times? Any credentials he has to perform surery of that type were purchased.JG 6.24.09
Answer: an Alexandrite laser works the best I feel, it is made by many companies though, need to ask the spa what they have and use. JG 6.24.09
Answer: I think SmartLipo is a bad idea, yes. I think regular or ultrasonic assisted would be my choice. JG 6.24.09
Answer: in rare cases, especially in fair skinned people with dark hair it can be, alot of it depends on how much hair was there to begin with too. JG 6.24.09
Answer: no, just redness. JG 6.24.09
Answer: VBeam or YAG Lasers. JG 6.24.09
Answer: mild to no effect I feel. In your case I do not think it will help at all as the issue is laser related.Sorry. JG 6.24.09
Answer: it is just a lesser procedure with less actally perforemed,less draamtic efect as less is needed. We do it when patients only need a small improvement. Yes, we perform it although in most cases patients think they need something small when in reality, in order to make it look natura, something much larger is typically required. JG 6.24.09
Answer: might decrease wrinkles but can also make someone look bloated or too round, so no clear answer. JG 6.23.09
Answer: it has never been studied so I suggest not using it. JG 6.23.09
Answer: I would say yes to that. JG 6.23.09
Answer: they take at least 6-8 weeks to start to form, in most cases longer. If there is no granuloma by one year, the chances are small that it will form. JG 6.23.09
Answer: yes, apply the Renova first and then wait ten minutes, and our cream is a peptide, but has no copper in it, I only use copper peptides when there is an acute injury, like a laser. JG 6.23.09
Answer: All commercially available fillers can be used there, I usually use Restylane or Perlane. JG 6.23.09
Answer: because the skin can in some cases get looser. JG 6.23.09
Answer: Perlane or Sculptra. JG 6.23.09
Answer: got it.
Answer: I normally do not use them together. JG 6.23.09
Answer: I have not as the effectiveness and length of improvement make it not a good option. JG 6.23.09
Answer: save your money. JG 6.23.09
Answer: any hair loss from the not uncommon shock effect is short term and the hair grows back. I think cutting the circle is an option but will likely leave a long wide scar. JG 6.23.09
Answer: the number of layers one needs to go depends on how deep the freckles are, the longer you have had them the harder they are to remove. In time they almost all come back. It is no more permanent with lasers. Lasers and peels can aggravate the SK`s. JG 6.23.09
Answer: it is the same thing as an IPL. It can lghten darker freckles but likely will not totally remove them. In time and with sun exposure, they will all, light and dark, come back. Even flourescent lights can make them come back. JG 6.23.09
Answer: I think for cosmetic reasosn I would not recommend it, I would do it for patients after a burn or scar tissue. I am unsure whether they could remove the extra eyelash and include the hair bulb for it to work. JG 6.23.09
Answer: I think that after two years the hyaluronidase will not help, that is for the soon after time. You might have what is called a granuloma there and at the point might need to be cut out, sorry. JG 6.23.09
Answer: if you gain weight after the liposuction, the excess calories will find somewhere new to go, if you maintain a healthy weight, that does not happen. JG 6.23.09
Answer: should have no effect unless it has radio frequency waves which true lasers do not. IPL should also be safe. JG 6.23.09
Answer: it will not cause it to develop but can make cellulite that exists already worse. JG 6.23.09
Answer: the company closed, I stil have a few tips and am stil treating patients, we are awaiting a company to produce more tips in the future. I think the next best thing is a light CO2 laser. JG 6.23.09
Answer: you can continue those or switch to our peptide cream and sunblock of course, our peptide cream would take the place of all three. JG 6.23.09
Answer: hard to say, you might not have been a good candidate for the liposuction to begin with, you need to go back and see the surgeon and ask them what is going on. JG 6.23.09
Answer: in some cases, if the revision is small it can be done closed the second go round. I would not consider a revision for at least 12 months after the last surgery. Best of luck. JG 6.23.09
Answer: I believe ultrasonic assisted liposuction would be my choice. JG 6.23.09
Answer: transplants can stil be done but he might not have enough donor area to cover all that is involved, he might have to choose the area to be filled in. JG 6.23.09
Answer: I agree with the Retin-A and I feel radiofrequency is a waste of time and money, sorry. JG 6.23.09
Answer: the difference can be due to placement and also the amount of Botox injected. I think the effects on the chest would not be worthwhile, sorry. Might suggest light chemical peels or IPL for that area. JG 6.23.09
Answer: I suggest in cases of photofacial to treat the entire face for that reason. The color should come back slowly over time though. JG 6.23.09
Answer: not by that name, sorry. JG 6.23.09
Answer: between those two,a traditional facelift most likely, but hard to say without seeing you in person. JG 6.23.09
Answer: 10 hairs lost per day is about normal, and to make it grow back can at times take months, so I think getting the stress under control, and giving it little time it what I would suggest. JG 6.21.09
Answer: hard to say without seeing you in person, there might be something that can be done to improve things, I suggest seeing an occuloplastic surgeon for an evaluation. JG 6.21.09
Answer: when I perform that I typically use 70 units for that. JG 6.21.09
Answer: I would go to a plastic surgeon or a dermatologist, yes. JG 6.21.09
Answer: I think 30% glycolic peels more than every 2-3 weeks might give short term improvement but not long term, your skin will become irritated, as to other peels, nothing will last very long, there is no long term control of large pores, sorry. I like IPL or microdermabarasions for the pores. JG 6.21.09
Answer: yes, not uncommon for that to happen, even without the surgery, but an open rhinoplasty can make it more visible. JG 6.21.09
Answer: the amount of motion or movement is minimal, a millimeter would be alot, although it can flatten some. As to the effect you got, understand that it takes Botox on average 7-10 days to work so the change you saw was not the Botox, might have been the filler, but that you would have seen sooner after the injection. I see no way that the filler or Botox injected at the back of your jaw would have an effect on your chin, sorry. JG 6.21.09
Answer: save your money, do you wonder why their cast-iron medica proof is nowhere to be found except in their claims. JG 6.21.09
Answer: hard to say the cause, migth suggest some microdermabrasions or IPL sessions and see how it goes. JG 6.21.09
Answer: could be from you sleeping with that side down. I think the Restylane not working is likely injector effect, and using a dfferent filler by the smae injector will likely lead to a repeat disappointment. Sorry, best of luck. JG 6.21.09
Answer: it does not work, oxygen cannot be absorbed through the skin, if it could, it could also come out through the skin, and if it did that, you would die, the improvement was likely due to all else that was applied and a little wishful thinking, sorry. JG 6.21.09
Answer: Sorry for the delay in getting back but I was out of town, I think trying the Chella products is OK, just go slow to make sure they do not irritate your skin too much. Best of luck. JG 6.21.09
Answer: it is s doctor preferrence, I prefer Restylane for my injections. JG 6.21.09
Answer: more so the Restylane than the Juvederm, but they are gels and attract fluid that stays in the product, the swelling that occurs is not solely due to the the gel hydrating but from the inflamation from the injections themselves. The injector needs to be experienced to compensate for the fluid afterwards. The fluid comes from the surrounding tissues and the body replaces it. JG 6.21.09
Answer: likley would use injectables at your age. I think the implant has more risks. JG 6.21.09
Answer: likely the peptide would be better. The alpha lipoic is good but it is hard to tolerate around the eyes. JG 6.21.09
Answer: I wish you all th ebest and thank you for the kind words, sorry for the slowness in getting back as I was not available for a week. JG 6.21.09
Answer: the effects of Tazorac with that are implied as it is similar to Retin-A, but the long term effects of Tazoarac for wrinkles is not as well studied as for Retin-A. The gel and the cream would be equally effective if it is going to owrk for that. Best of luck. JG 6.21.09
Answer: find a new friend! JG 7.1.09
Answer: the even discoloration is more likely just from the filler and as it dissolves it will get better. In most cases the lumps should be gone by now. JG 7.1.09
Answer: Fraxel does not really cause break outs but it does injure the skin and then the skin needs to heal itself by generating new skin and the skin has to produce oil to do that, and that can cause new pimples or blocked pores to form. I think Levulan for acne is a reasonable option, and in experienced hands is safe, yes. I do think that in some cases, Accutane is the way to go to control the acne long term and prevent further scarring from recurrent cysts. Best of luck to her. JG 7.1.09
Answer: I do not think either will affect the Restylane but I think waiting a few days between is best, as to microcurrent application, it might help tone the muscle but that is not the problem in aging faces, and more muscle flexion causes more wrinkles, that is why people use Botox, to get the muslce to flex less, not more. JG 7.1.09
Answer: then, it might be an option, all the best. JG 7.1.09
Answer: might have slipped and is pulling the skin down, I suggest seeing the last surgeon and assessing if they can relocate it higher. Best of luck. JG 6.12.09
Answer: short term use is OK. JG 6.12.09
Answer: could be cutaneous porphyria or a type of hemachromoatosis, you need to see a blood specialist. JG 6.12.09
Answer: a CO2 laser will help with the texture, or for milder cases just Retin-A. For the pores, Retin-A will help along with microdermabrasions and IPL, but the results for the pores is short-lived, it needs to be kept up. JG 6.12.09
Answer: it is most likely spinal surgery and I am not sure the risks would be worth it. I do not think insurance will cover it, sorry. JG 7.1.09
Answer: the study you mention does document lipid peroxide elevation, but that is how all ablation works, you cannot remove something without oxidatie damage so it should not be a suprise, it should be expected. Also, no thymine dimer elevation is good. Any method, including surgery, causes oxidative damage for a period of time, but that damage related here shows no correlation to potential fat loss in IPL done in isolation. I would feel comfortable with IPL treatments. JG 6.12.09
Answer: complications are rare, less than 1-2%, the issues might be too much skin being removed and the eyelids not closing well, or an alteration in the shape of the eye. In experienced hands, the risks are low. As to fillers versus lasers, they are both relatively effective, but fillers have less downtime. All the best. JG 6.12.09
Answer: just me, sorry there is a confusion, maybe you can post your question and how I might have caused the confusion. Please remember, when I answer the questions here, I do not see the person`s identifying name so it can abe hard for me to continue to flow of a particular posting. JG 6.12.09
Answer: should be OK to do so. JG 6.10.09
Answer: hard to say how to treat it without seeing you in person and knowing what it is or what is the cause, sorry. JG 6.10.09
Answer: pretty similar for sun spots, for wrinkles, equally ineffective. JG 6.11.09
Answer: can be placed on the wound after the sutures are removed but its effects are not seen in all patients. JG 6.11.09
Answer: I think the risks of grnaulomas in the hand is high and I would not do it. JG 6.10.09
Answer: not approved for that, the amount needed to be injected would be very large, I think in general, buttocks enlargement with injections is not worthwhile with fat and with other fillers is risky.JG 6.10.09
Answer: I used Artefil for nasolabial folds for a short period of time, but the company closed so I do not use it any longer, I would not use it anywhere else. JG 6.10.09
Answer: I typically use Restylane for that area. The depth of injection varies form patient to patient depending on their needs.JG 6.10.09
Answer: usually the volume injected into the buttocks is large enought that it will not dissolve. JG 6.10.09
Answer: the ability for Juvederm to attract fluid is only a matter of days so I do not think that is the issue, maybe send me some pictures of your face and I can tell you a little more, send them to drgarcia@lvcosmeticsurgery.com JG 6.10.09
Answer: IPL an microdermabrasions. JG 7.1.09
Answer: appply the Retin-A first, wait ten minutes, then the other creams on top of it. As long as you wait about ten minutes after the peptide cream to apply the sunblock, it is OK. JG 6.10.09
Answer: well, although I am not a fan, maybe an erbium laser. JG 6.10.09
Answer: it is a peel performed by doctors, it should never be done on one`s self. JG 6.10.09
Answer: if you eliminate phenol, then I woudl say croton oil. JG 6.9.09
Answer: I think the peel will do nothing for the fine lines and might aggravate the capillaries that were improved with the IPL. I would likely do the IPL alone. JG 6.9.09
Answer: cannot say about Kendra Wilkinson, and I would need to know at least the diameter of your breast tissue to tell. JG 6.9.09
Answer: I avoid doing surgery on them if I think the tissues are not soft enougth to get the desired result. JG 6.9.09
Answer: 6-12 months or so I would say. Once the tissues have softened, then it is OK to proceed, doing surgery when the tissues are stiff can lead to less than good results. JG 6.9.09
Answer: because the tissues are virgin, not scarred, have normal blood supply and are not tethered nor limited by any previuos scar tissue. The anatomy is more predictable and not distorted. JG 6.9.09
Answer: the first surgery is the easiest one. JG 6.9.09
Answer: sorry, but no, there is no peel that will do all of that. JG 6.8.09
Answer: it is the same, the cell matrix is the new one with the penetrator for added absorption. JG 6.8.09
Answer: I do not think it is due to the Juvederm after this amount of time, it is likely due to what was done now, either the injection itself or the procedure that was done after the injection. The ability for Juvederm to absorb fluid is long passed. At this point I would suggest massage and alternating hot and cold packs. Best of luck. JG 6.8.09
Answer: microdermabrasion, OK, microcurrent no. JG 6.8.09
Answer: about the same, not much difference, but the TCA peel can be done strongly and then there is more downtime. JG 6.8.09
Answer: 3-6 months, maybe. JG 6.8.09
Answer: depends on the strength of the TCA peel. JG 6.8.09
Answer: typically it is done every 3-4 weeks and then needs to be kept up once you are at the point where it is better, maintainence is about 4 times per year. JG 6.8.09
Answer: no, erbium is for resurfacing and YAG is for discolorations. JG 6.8.09
Answer: no, YAG is stronger. It will need to be repeated but no way to tell how many times. JG 6.8.09
Answer: few months, depending on how deep they perform it to.
Answer: at your age you likely just need sunblock and a moisturizer. JG 6.8.09
Answer: I think the 13.2 is already at the limit. JG 6.9.09
Answer: at your age I think you should use Retin-A and avoid all of the things that break collagen down, like sun, excess alcohol and smoking. JG 6.9.09
Answer: you can likely repeat it every 12 months or so. JG 6.9.09
Answer: that is a personal choice, I do not think saline will make it look any better, though. JG 6.9.09
Answer: I think it is overkill for someone your age, and Tazorac is likely also overkill but can be used in acne prone skin. JG 6.8.09
Answer: Retin-A. JG 6.8.09
Answer: it is very mild so it might be enough for your case. JG 6.8.09
Answer: try an IPL and use sunblock is where I think you should start. JG 6.8.09
Answer: CO2 laser is what I would recommend. Best of luck. JG 6.8.09
Answer: no, it does not damage the skin nor accelerate the aging process. It is good only for sun spots though, nothing else. JG 6.8.09
Answer: could try a copper peptide cream too but as you have not used it, there is a very small risk of you not tolerating it. JG 6.8.09
Answer: it will correct but using a good moisturizer that you know you are not allergic to will certainly help. JG 6.8.09
Answer: there is no one treatment that will take care of all of those issues, in fact some therapies that will help some will aggravate others. JG 6.8.09
Answer: sun spots likey good, pores, good but very temporary for fine lines only good while swollen and for capillaries, nothing. JG 6.8.09
Answer: the weakness of te muslces in msot cases is due ot the nerves going ot the muscle being stretched and in 6 weeks in the vast majority of cases goes away. As to the pain that gets worse as they day goes on, it can be due to swelling that increase throughout the day or due to muscle spasms, so a muscle relaxant might help, along with massage or ultrasound therapy. The puckeing in most cases is due to an attempt to keep the scar shorter and trying to sew a longer side to a shorter side, that also in time will smooth out, but that takes months, not weeks. I know you are frustrated but the things I suggest here at this time are what I would do at this point in time if you were in my office. All the best. JG 6.8.09
Answer: some people do become refractory to some creams and switching around is not a bad idea in those cases. I suggest taking a break whenever you see the improvements have leveled off, in the case of Retin-A I suggest three months per year off due to the irritation, but no need to wait that long with the peptide cream as there is no irritation. JG 6.7.09
Answer: in most cases with massage and time it does dissolve. I think if it bothers you after a couple of weeks then hyaluronidase can be used. I think the lump will go down in most cases on its own. JG 6.7.09
Answer: I think from what you have described, in your case I would not fill it, I have on some occasions on other patietns. JG 6.7.09
Answer: I would leave it alone. JG 6.7.09
Answer: they are not the same thing, if you have tissues that have fallen and need to be lifted, then the facelift is the best choice, if you have lost fat in your face and that is what makes the skin sag, then fat injections might be the better choice. Fat injections into a face where there is plenty of tissue but it has sagged will look just like a fatter face. JG 6.7.09
Answer: no, it will not, sorry, if anything it could lift the tissues up and make the readherence less. JG 6.7.09
Answer: I am sorry, but only time. JG 6.7.09
Answer: save your money. JG 6.6.09
Answer: the scar will need to reflect the size of the graft needed. The groin is not equal to any other skin, it is taken from that area as it is an easy site to hide a scar in. The color will nto match breast skin. JG 6.6.09
Answer: you only need to use the Retin-A if you have some brown spots, otherwise you do not need it, glad it is working well for you. JG 6.6.09
Answer: yes, it would move up, but if you use the skin between the old crease scar and where the crease is now for the skin graft, you might be able to pull the scar that rose up onto the breast down and keep it in the crease. JG 6.6.09
Answer: there will be a small scar and can be relatively easy to do that way, all depends on your pain tolerance. JG 6.6.09
Answer: very mild therapy, nothing dramatic, needs continued treaments. JG 6.6.09
Answer: while removing it it can be sutured down to the periosteum, or in difficult cases a small screw can be placed into the bone and the tissue sewn to the small screw. If the implant has been in there for more than a coupe of weeks a capsule so scar tissue around the implant that if not taken out, will not allow the tissues to readhere to the bone. JG 6.6.09
Answer: my peptide cream on my shopping cart. JG 6.6.09
Answer: no, it is just what has to happen to correct what was done before, it is not a matter of being symmetrical to the otehr side, it is that a canthopexy has to close the aperture for it to support the lower lid. JG 6.5.09
Answer: 2-3 weeks or so. All the best. JG 6.5.09
Answer: no, sorry. JG 6.5.09
Answer: just ask exactly what you just wrote, I will say that likely the eye with the canthopexy will have a slightly smaller opening. Best of luck. JG 6.5.09
Answer: a doctor that sees you in person should be able to tell. JG 6.5.09
Answer: yes, twice daily is better. JG 6.5.09
Answer: that is too broad a question as there can be many causes, having said that, if you do not have excess skin then there is no need to remove skin. The natural results can be achieved through many different techniques, there is no one that is better than any other. A midfacelift shoudl not interfere with any intra-orbital nerves. JG 6.5.09
Answer: no, what I said was that if your tissues did not reattach on their own or were not reattached by the surgeon at the time of the cheek removal it can cause sagging. I also said that if you needed cheek implants at your age due to tissue loss, then yes your tissues are not good. There are no special diets or supplements besides a normal healthy one that will influence it, in most cases it is a genetic thing that you cannnot change. A cheek lift for what you have told me will not fix the problem as you needed cheek implants due to loss of tissue or due to poor bone structure and neither one of those is improved with a cheeklift. JG 6.5.09
Answer: a split between the muscles of the eyelid and cheek where fluid accumulates to make it look swollen or like a baggy pocket. JG 6.5.09
Answer: thanks. JG 6.5.09
Answer: a facelift can,if special attention is given to the muscles in that area, be improved.If the muslces are not tended to, then the festoon will remin. A skin only facelift will leave you with likely a more obvious festoon as the surrounding area will be smoother but not the festoon. JG 6.5.09
Answer: they have been absorbed and whatever their effects might be they will stil be working as by then they have been absorbed inside the cell. JG 6.5.09
Answer: the peri-oral region can be done alone, in some people with lots of sun damage on the entire face we like to do the whole face so there is more even healing, but since the dot laser is so weak, doing the area around the mouth alone is certainly commonly done. Gald you took my advice about the Botox too. Best of luck. JG 6.5.09
Answer: the results from the series of Plasma Sessions you are receiving are never meant to see a difference after this period of time, the three sesssions done 2-3 weeks apart, which is the usual procedure will nto yield its maximum improvement for 4 months or so. If they went deeper the second time the healing will be a little slower, yes. The redness will in some cases take a full month to go away. JG 6.4.09
Answer: yes I have, it is different only in that it is a new form of collagen, no difference in its filling efects or longevity, we do not use it as the difference is none compared to what we already use. JG 6.4.09
Answer: sorry, but Botox will not help that. Sounds like an upper eyelid surgery thing. JG 6.4.09
Answer: lasers will not help and I think in time the skin should readhere, if it does not and you are not happy with it, it can be filled in with the same fillers we use for nasolabial folds or lips to elevate the skin. JG 6.4.09
Answer: well, you might have something called a festoon that is a seperation between the muscles of the cheek and eyelid and it looks like a sac of fluid, it is not truly swelling and the correction is not easy, in severe cases it needs to be cut out directly and that leaves a curved scar in its place. If a needle had penetrated a vein and caused bleeding, by now the bruising and blood should have gone, so that is not a likely case. All the best. JG 6.4.09
Answer: it is because they are under the muscles and them move around and will change location to some extent within the pocket, not much that can be doen about it, what you are seeing will likely continue. JG 6.4.09
Answer: sorry, but it would not help and I advise against it. JG 6.4.09
Answer: yes, it hurts. As to the percentage, that depends on the location of the hair and the skill of the technician, no way to tell. JG 6.4.09
Answer: it involves making a cut over the lump and that will leave a tiny permanent scar. Stitiches are removed in one weeek and it is done under local anesthesia. I have removed probabaly 25-30 lumps from fillers. It costs $500. The side effects are the permanent scar. Hope that helps. JG 6.4.09
Answer: I think his comments are accurate, but not for all, there is no 100% correct solution for everybody as people all age differently. If you are pulled too tight with a facelift and there is not enough tissue to lift, you can look unnatural. If you have fat injections when all you have is loose skin and no tissue loss you will look sagging and full. So each has its advantages and detractors. What a person needs has to be individualized, and some people benefit from having both. Sorry but I likley did not give you the answer you were looking for. JG 6.3.09
Answer: as to the Sculptra and swelling, they might have pierced the skin fewer times with the needle, they might have injected it a little deeper or they migth hav emixed it into less solution so there were fewer shots, lots of variables that can contribute to that. All you need is one puncture into one vein and the swelling increase, same goes for the Juvederm. As to the second question, they need to look at your thyroid and progesterone level both to see if they are deficient. Best of luck. JG 6.3.09
Answer: I am sorry to hear about your trials and tribulations, I think you are in a difficult spot. I think the TriLuma cream would help with dark discoloration but not with redenees and due to its irritating factor, will make the redness worse. I think a VBeam laser or a YAG would help fade the redness with low risk of developing post-inflammatory hyperpigmentation. As the redness abates the darkenss should also get better too. I wish you the best. JG 6.3.09
Answer: I do not see how that would be possible. Vitrase injections will not cause that and the Vitrase is absorbed and gone in a few hours. Must be some other cause. JG 6.3.09
Answer: potentially the same. JG 6.3.09
Answer: I think the results from the comb will be minimal to none and will not replace hair transplants, as your loss is likely due to the follicles being pulled out from the braids, the combs, if they work, will assist in hair follicles that have lost some of their blood supply. There are no lasers that reliably grow hair. JG 6.3.09
Answer: well, first, the removal of implants can make you look more saggy if they are taken out if the tissues do not readhere to the bones. In your case, although it is hard to say without seeing you in person, and unless you had some boney issue where your facial bones were underdeveloped, I cannot really see where a person your age would require the degree of intervention that you describe. In cases where someone does need that series of interventions to begin with, as in yours, you need to understnad that for whatever reason, your tissues are not good, will age at a significnatly faster rate than other people and you will likely be saddled with a lifetime of short term resutls. People with bad genetics do not get the results from interventions that others do. The resutls from all interventions certainly depends greatly on what and how it is done, but it also depends greatly on who your are performing it on, the same procedure on two different people can yield dramatically different results. JG 6.3.09
Answer: micrografting is 1-3 hairs, what they are describing is micrografts at the front where they are easily seen and then regular grafts further back where they are less easily seen. I do think price can make a diference, but in this economy, prices for many things have gone down, the usual low price is $4 though. JG 6.3.09
Answer: stairmaster, eliptical trainer, swimming are other optiosn where there is little impact to cause the faster decent of facial tissues. As to exercise keeping you young, that refers only to heart and lungs, nothing else. JG 6.3.09
Answer: yes, they can be improved with fillers, our choice is Restylane or Perlane. JG 6.3.09
Answer: I think it is difficult to get all of the hair to die off so many treatments will likely need to be done, and even then, occasionally some hair will grow.JG 6.3.09
Answer: I would sugest a plastic surgeon and in most but not all cases, it should be able to be improved. JG 6.3.09
Answer: the length of time varies from person to person and area to area. As to why people still do it, because they do not research it enough to know the truth. Electrolysis works if the hair follicle is killed but that is not easily done and can hurt more than laser and is painstakingly slow to perform. JG 6.2.09
Answer: in most cases but not all. As to the laser, it means that the growth will slow down but none of the follicles are likely ever injured to the point that they will never work again. So thay all still grow, just slower. JG 6.2.09
Answer: no personal experience with it, but none are permanent, and work best on light skin with dark hair. JG 6.2.09
Answer: I would wait 3-4 weeks or so. JG 6.2.09
Answer: I am sorry but I do no have any good solutions. Sorry. JG 6.2.09
Answer: no, if anything it will make it worse as it loosens muscles, and you`rs are already loose. All facial fillers have about the same risk of bruising because it is not the filler, it is the needle and they all need the needle. JG 6.1.09
Answer: yes, second opinion time. Locoid is used for allergic reactions or dermatitis and you do not have that. JG 6.1.09
Answer: no, it will grow in time. JG 6.1.09
Answer: have him give you some antibiotics, stop the injections and stop the cream, they will cause more harm than good, like broken blood vessels in the skin and tissue atrophy that can lead to dents in the skin. Best of luck. JG 6.1.09
Answer: I do not think massage will push the filler down at this point as it has set into place, it might be sweling although that is usually gone after 10 days or so. I think filling in the area above it will be more reliable than trying to dissolve the Juvederm. JG 6.1.09
Answer: Retin-A will help,and Boox can also in small doses. JG 6.1.09
Answer: no laser will do that, it might cause some temporary redness is all. JG 5.31.09
Answer: the only way will be to get sun exposure on your facial skin which will likey replace the color and but then progress with accelerating the aging process of your skin. JG 5.31.09
Answer: the face is numb from the pressure exerted on the nerve in order to position the implant, in the vast majority of cases that gets better but can take up to 6 weeks in some patietns. I think many of the issues you now have will get better over the next few weeks. JG 5.31.09
Answer: the ones between the brows we call wrinkles and the ones between the nose and mouth are folds. My usual filler for those areas is Restylane. JG 5.31.09
Answer: stress, low progesterone, skin fungal infections and low thyroid are common causes for female hair thinning. JG 5.31.09
Answer: if it causes scarring, the scarring can damage nerves in very rare cases. They would be sensory nerves though and not ones that would cause spasms. JG 5.31.09
Answer: never had any patient use it, cannot say, sorry. JG 5.31.09
Answer: floaters that are visible, macular edema, changes in occular pressure like glaucoma and permanent discoloration of the iris. JG 5.31.09
Answer: not in my opinion. JG 5.31.09
Answer: none that are reliable. JG 5.31.09
Answer: YAG and VBeam. JG 5.31.09
Answer: with Restylane it will swell about 30% more after the injection so what you see after 5-7 days should last a few months. JG 5.31.09
Answer: should be OK to use both. JG 5.31.09
Answer: I think all sounds reasoanble to try, but do not forget the sunblock. Best of luck. JG 5.31.09
Answer: hard for me to say why there is asymmetry this far out, I think the filler by now has likely dissolved. I do not think more hyaluronidase will help. The asymmetry might be due to scar tissue or atrophy of the normal tissues from small hematomas resolving. JG 5.31.09
Answer: all normal, yes. As to why the longer scars than anticipated, that is because after elevating the tissues below the skin the skin that was in excess was more than anticipated and if the incisions were made shorter, they would lead to more sever puckering. It is all normal for the procedure you had done, and will get better in time I feel. JG 5.31.09
Answer: I would suggest you use a different prodcut duer to the side effects of Latisse.JG 5.30.9
Answer: I think the hair transpalnts are likely the best option for you. JG 5.30.9
Answer: hard to fix unless the location is changed to above the muscle because the tissues now are stretched out and will likely not heal into a smaller pocket. JG 5.31.09
Answer: I think it might improve the texture to a mild degree and also the sun damage if it is light and recent but will do ntohing for the pores past a few weeks. Neither will the CO2 laser. JG 5.30.9
Answer: likley none, I would suggest Retin-A. JG 5.30.9
Answer: in some women it is just implants, in others it might need both. JG 5.30.9
Answer: propecia or make sure your progesterone level is normal in females. JG 5.28.09
Answer: Fallene Total Block. JG 5.28.09
Answer: it is due to a male hormone called DHT, but women have it too just in lower amounts, it is growing due to a genetic predisposition, it can still grow when the levels are low if you are suceptible to having it grow. JG 5.28.09
Answer: likely due to tight skin and maybe a larger size implant, if they are soft, then it is not a capsular contracture, it migth also be that way if they are textured implants as textured implants do not feel as soft as they kind of velcro into place. JG 5.28.09
Answer: it will have no positive effect on bent cartilage whatsoever. JG 5.27.09
Answer: might want to get your thyroid checked out as bulging eyes can be a sign of an overactive thyroid that needs to be controlled. JG 5.27.09
Answer: I do not think you have a bacterial infection that a different antibiotic will help with, most likely just normal feelings after the surgery, you have to give it time. JG 5.28.09
Answer: Retin-A for the collagen, I do not think those products should hurt your eyelashes. JG 5.27.09
Answer: I do not think there is one that is better than the rest, all pretty similar. JG 5.27.09
Answer: most likely some irritation of the nerve and should all go away in time. JG 5.27.09
Answer: the new one has a penetrator that helps it absorb quicker, otherwise all the same. The tacky feeling is part of the penetrator but should go away in time so you can apply make up easily and not rub the active ingredients off. JG 5.27.09
Answer: fillers can be used on some patients to make the bags look less visible by filling in the area right below the bag. JG 5.27.09
Answer: not sure why you would get kenalog injections if you are doing the fillers as the kenalog can likely create more indentations that will need more fillers. JG 5.27.09
Answer: YGA laser or VBeam laser. JG 5.27.09
Answer: you got me, have never seen that used and cannot imagine what they can accomplish with that except pad their wallet. JG 5.27.09
Answer: CO2 is much stronger and for more sever wrinkling correction. JG 5.27.09
Answer: into the subcutaneous area, yes, to some unpredictable degree, but not to the bucal fat pad. JG 5.27.09
Answer: no, once it is removed you cannot regain the fat there. You might have put on fat in an adjacent area but not in the buccal fat pad, so weight loss will make it go back down. JG 5.27.09
Answer: same issues can occur with the body implants except they cannot rupture as they are solid. JG 5.27.09
Answer: you need to worry about the medical issue first and foremost. If I remember correctly, you said you were in your early 20`s and I cannot see why you would consider a CO2 laser at this point in your life. JG 5.27.09
Answer: I think you should correct the eye issue first and leave an elective procedure off the table for now, medically necessary issues should take precedence over cosmetic procedures. JG 5.27.09
Answer: lumps and nodules are highest risk wise with fat compared to other off the shelf fillers and if there is a problem the fat is hard to correct. It is safer for nasolabial folds and cheeks but still not predictable. JG 5.27.09
Answer: depends on the depth used, the lighter you go the safer it is to just do smaller segments. JG 5.27.09
Answer: 10 days or so should be enough but it might make them stay red longer. JG 5.26.09
Answer: sounds good. JG 5.26.09
Answer: I do not thin you need to do anything now but removal of facial fat will in time speed the visble changes seen with aging. JG 5.26.09
Answer: might be the skin just not draping over the implants properly, hard to say. JG 5.26.09
Answer: would likley be able to weer most of your bras still. JG 5.26.09
Answer: they are getting fuller due to the cells in the breast lobules enlarging in case you get pregnant. JG 5.26.09
Answer: much weaker than the traditional totally ablative CO2, I am not a fan, except maybe for recent sun spots. JG 5.26.09
Answer: Retin-A is your best and least expensive option. JG 5.25.09
Answer: should be OK. JG 5.25.09
Answer: might need liposuction and possibly skin removal, the scars from the skin removal can be quite long, extending from the armpit to the elbow on the inner part of the arm. JG 5.25.09
Answer: impossible for me to tell without seeing you to detemine what your skin is like and what it would need, sorry. JG 5.25.09
Answer: both those things contribute to the elevation of the skin over the breastbone in between the breasts, it is not able to be predicted as it should not happen. JG 5.25.09
Answer: 20-24%.JG 5.25.09
Answer: need to give it 6 weeks at least. JG 5.25.09
Answer: as long as they are done lightly they can be safe. The problem is that light ones might not be enough to correct the melasma. That is an extremely difficult problem to correct in hispanic skin. JG 5.24.09
Answer: I am sorry but I do not know the answer to that one. JG 5.24.09
Answer: yes, it can. JG 5.24.09
Answer: to some degree that is true, but it is more due to the amount of natural tissue is the cause, if an implant is larger than the natural tissue covers then chances of long term complications is higher. JG 5.24.09
Answer: I think the side effect profile from Latisse with the potential of affecting eye pressure and causing eye color change are high enough that I prefer Revitalash. JG 5.24.09
Answer: fillers will not fill in stretched ear lobes, they need surgery. JG 5.24.09
Answer: I have to say that I find it unlikley that you would need a full CO2 laser. Maybe something lighter. I think it would be best to do it seperately too to avoid the strip surgery being pulled down from the swelling. JG 5.24.09
Answer: yes, it is much more effective than IPL.JG 5.24.09
Answer: I always have patiens massage for the 3-5 days after the injection to help smooth things out.JG 5.24.09
Answer: tan is sun damage, yes, you need sunblock, not sunscreen. JG 5.24.09
Answer: It is hard for me to say what would be best without at least seeing pictures. Feel free to send them to drgarcia@lvcosmeticsurgery and I wil get back to you. JG 5.24.09
Answer: toners do not have any antiaging effects, sorry. JG 5.24.09
Answer: please repeat your question.JG 5.23.09
Answer: as small an amount to cover the face is all. JG 5.23.09
Answer: sorry, I am not a fan of Latisse, we use RevitaLash. JG 5.23.09
Answer: nothing bad would happen. JG 5.23.09
Answer: it is a very light Rhytec Portrait session. Hard to say what would be best without seeing you, medium CO2 migth be best though. JG 5.23.09
Answer: might get some improvement from a laser, likely no more surgery can be done. JG 5.23.09
Answer: CO2 laser. JG 5.23.09
Answer: a demand letter is usually written by an attorney and is essentially demanding that a refund of money for services rendered is what it contains, wording will vary. Not sure where you would find one to look at. JG 5.23.09
Answer: that is very unsual, the cheek pad would not grow from the implants, All I an surmise is that either scar tissue formed there or you have a fluid collection in the area where the implant was that cannot be absorbed. If they are still big at this point then maybe a conservative cheeklift is what is needed. I do plan on going to Austrailia in the future but not to work, just to play! JG 5.23.09
Answer: if too much is injected in one area the body can at times cause scar tissue to form around the filler and create the lump. In most cases the lump will go away but in rare cases they need to be cut out. JG 5.23.09
Answer: no,but they can develop lumps where the silicone goes. JG 5.23.09
Answer: no reliable way to permanently remove the contracture, if it gets to painful it would need to be removed. JG 5.23.09
Answer: not sure why it would still be there to be honest. JG 5.23.09
Answer: I prefer Retin-A. JG 5.23.09
Answer: it helps in many cases. JG 5.23.09
Answer: they are very successful but they do not replace facelifts, they are used in people with loss of cheek fat at times but since they are placed on the bone and under the muscle, which is not where the fat was lost from, you can have a well done cheek implant and look not like yoruself. They are truly intended for people who have small cheek bones, not really for loss of facial fat. JG 5.22.09
Answer: well, if they take a full thickness skin graft, which is the usual method, there wil be some slow and mild hair growth no matter what you do before. JG 5.22.09
Answer: yes. JG 5.22.09
Answer: it can be taken from either place. JG 5.22.09
Answer: not safe, there is not enough loose skin to accomplish what you desire and could make your face look funny in terms of proportion. JG 5.22.09
Answer: sounds like you need at least modification of the pockets to allow them to settle in a more symmetrical location, that means more surgery, at this point that is about all that can be done. As to being too big, that is difficult for me to say without seeing you in person. Best of luck. JG 5.22.09
Answer: 4-6 weeks. JG 5.22.09
Answer: I think it best not to sit for two weeks after buttocks implants. JG 5.22.09
Answer: I am sorry but I do not think that is an are that is able to be treated effectively in terms of tightening. JG 5.22.09
Answer: any filler can leave a nodule. I normally use Restylane for the tear trough area. If a nodule forms there is some scar tissue also and that is why it does not resorb totally. What you desire does not exist though. JG 5.22.09
Answer: it can be used, yes how long it lasts is unpredictable. JG 5.22.09
Answer: if it is silicone it would need to be removed and if it is saline filled your body absorbs the saline as it is the same solution in the IV you got with surgery. I believe the smallest implant non-custom implant is 120cc. JG 5.22.09
Answer: all sounds normal,just let it settle and I think all will be fine. JG 5.22.09
Answer: I think Retin-A will likely aggravate Rosacea and Rhinophyma in many cases, but not in all. Under no circumstances will Retin-A ever improve broken spider veins. JG 5.22.09
Answer: 14 days if possible. JG 5.20.09
Answer: sorry, have not had anyone I know use them. JG 5.20.09
Answer: sunblock and not sunscreen, and the sunsblock always goes on last, over the peptide cream and you should wait ten minutes in between the peptide and the sunblock. Most sunblocks and sunscreen have enough of a moisturizer that an additional moisturizer is not needed on top. JG 5.20.09
Answer: 20-24% that you will need another surgery, sorry. JG 5.20.09
Answer: just a diffferent laser company that makes a laser that tries to injure the fat to make it easier to remove with liposuction, lots of hype with little to no improvement over older tried and true techniques. JG 5.20.09
Answer: you have on average a 20-24% chance or need for a second surgery. JG 5.20.09
Answer: I have patients email the photos all the time and fees vary from surgeon to surgeon so its best to decide on a surgeon and then ask the price, or you can see a couple and decide that you like more than one and then ask them their prices. Prices in Las Vegas are between $7500-$9000 all inclusive. Best of luck. JG 5.21.09
Answer: usually the cut is done at the bottom to avoid the potential of the scar being more easilly seen. JG 5.21.09
Answer: the fat injections there can lead to lumps and the fat can be difficult to remove if it is too much. Fat graftiong and fat injections are essentially the same thing. If fat injections were so good and so reliable then the other fillers would not exist. JG 5.21.09
Answer: sorry, have not had any patients use them. JG 5.21.09
Answer: 2-3. JG 5.20.09
Answer: might suggest calling Northwestern Medical School department of Plastic Surgery or Dematology, tell them you need treatment for a lump of hyaluronic acid filler. JG 5.20.09
Answer: well, it depends on the age of the patient and their level of activity, for example smoking, excess sun, weight fluctuations and running will shorten the length of time it lasts, in general we tell patients 5-10 years before it is worth repeating, but if you have it done you will always look better than if you had never done it at all. JG 5.20.09
Answer: it will be very temporary at best. JG 5.20.09
Answer: we usualy had patients take two weeks off. JG 5.20.09
Answer: seems that when you smile the tissues that were tightened move closer together and to make the crease less visible, therefore the easier fix woudl be a filler into the crease, otherwise you would need more surgery to pull the tissues smoothly together as they seem to not be in as good approximation as desired. JG 5.20.09
Answer: Well, as it sounds like Botox made it bettr, it appears to be a muscle issue at least partialy. If you do not want to continue the Botox then surgery is likely going to be needed to smooth the muscle out. I think fat injections around the eyes can lead to big trouble so if anything, try something shorter term. I do not think lasers will yield long term resutls, so it might come down to more surgery. I am sure the surgeons you have seen are being cautious though for fear of taking something and performing surgery and ending up with something worse. Best of luck. JG 5.20.09
Answer: in that case it might be some atrophy of the fat due to pressure that was not appreciated sooner due to swelling, might consider a filler to smooth the surface out, fat or Sculptra. Does the crease move or flex when you animate the face? JG 5.19.09
Answer: yes, it normally will go down in 3-6 weeks. I usually advise patients to wait 6 weeks before exfoliating creams like Retin-A are re-started. Glad I could be of service and thanks for visiting. JG 5.19.09
Answer: sorry but no surgery for that. JG 5.19.09
Answer: might be either the suspension sutures used or a crease in the tissue from the tension placed on them to lift them, it might all get better in time, no way to tell at this point though and without seeing you in person. JG 5.19.09
Answer: yes, all in due time, glad all is getting better. JG 5.19.09
Answer: I would not have put the 500`s in for you as I think those are too big for the long term on your frame. JG 5.19.09
Answer: 7-10 days. JG 5.19.09
Answer: OK to use that way. JG 5.19.09
Answer: I think you should use SPF of 50 at least. JG 5.19.09
Answer: well, if the muscles in that area are lifted or tightened the tic might get worse or might cause a different type of muscle contraction. JG 5.19.09
Answer: maybe to remove some recent sun spots is about all. JG 5.19.09
Answer: neuropeptide cream. JG 5.19.09
Answer: the scars will take up to one year to fade to their maximum amount, just keep them out of the sun. As to the waviness, some of it can be normal at this point, but by 6 months it should be totally gone. The waviness can be due to uneven fat removal or poor elasticity of the skin allowing the skin not to shrink tight after the fat is removed. More surgery is a possibility, sorry. JG 5.19.09
Answer: the incision inside the mouth is made in the lining above the gum line and teeth and then the anchoring device is placed in the temple area through an incison and then a drill hole into your skull is made to set the anchor into place. JG 5.19.09
Answer: I prefer to do a single deep one, it is more effective. JG 5.18.09
Answer: Run away as fast as you can. JG 5.18.09
Answer: it is technique related. JG 5.18.09
Answer: OK for you to use it, I think in general it helps maintain your skin and stabilizes cell membranes along with enhancing your skin`s ability to replenish itself, no harm in using it a younger age, still need your sunblock though. JG 5.16.09
Answer: highly unsual, especially with a filler that can last as long as Artefil, the company that used to make it has closed down so I think any issues are between you and the doctor. I am sorry to hear this has happened to you. JG 5.16.09
Answer: this far out, hard for me to say, blood suppply should not be changing anymore. Might suugest seeing a different plastic surgeon for an opinion. JG 5.16.09
Answer: I am sorry to hear about your problems, might suggest to have them hyfercated but understand that eventually, no matter what you do, they will come back, there is nothing permanent, sorry. JG 5.18.09
Answer: well, it might do that if an extra large implant is used. JG 5.17.09
Answer: no, that depends on your underlying bone and the size and shape of implant placed. Best of luck. JG 5.17.09
Answer: the risks of that are quite small in experienced hands.Relax and trust in your surgeon. JG 5.17.09
Answer: by Sciton, an Erbium laser used to peel skin, I am not a fan. JG 5.17.09
Answer: I am not a believer in Thermage but it leaves the skin intact and tries to rely on deep heat being delivered beneath the skin to cause tightening. The CO2 is the gold standard but does remove the skin in order to create new collagen. JG 5.17.09
Answer: The plasma laser or Rhytec I think is a good option for milder skin ablation, less down time than the CO2. The Derma-K combines CO2 with Erbium and I think adding the Erbium adds little positive in terms of results or healing times. I also want you to understand since none of the techniques mentioned stop the aging process, in time, the appearance will return to its previous state. JG 5.17.09
Answer: well, it wil tell us if the melanocytes are stil workigng and if it helps, you might have to intermittently use a little sun. JG 5.17.09
Answer: we prescribe low dose pain pills, although most people do not need it, we also give antibiotics and antivirls to avoid infections, and we use copper peptide creams after the first 24-48 hours. JG 5.17.09
Answer: silicone struts or Gortex. JG 5.17.09
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 5.17.09 www.surgery.org/public/findasurgeon
Answer: I would just say that you did not get the degree of improvement and you are going to require more surgery due to the results and see what they say, all the best. JG 5.17.09
Answer: what he says could be true, and also the tinge could be due to some Restylane that was injected too superficially and is giving you a Tyndal effect, hard to say without me seeing you in person. The Vitrase injections work almost immediately so it might be worth trying it again. Best of luck. JG 5.17.09
Answer: damage to the melaoncytes of the skin which give the skin its color can take time to show. Some sun exposure might help, but you would need to keep the other areas covered with sunblock and expose only the upper lip to the sun to see if it could get better. JG 5.17.09
Answer: no creams trhat will help,only surgery.Sorry. JG 5.17.09
Answer: more surgery is the only thing, the skin needs to be redraped and likley some type of canthoplasty on the eyelid too. JG 5.17.09
Answer: no, it will twist, not resorb like fat. As to ear cartilage, it depends on how big of a piece you need for the nose, but that cna also warp. Tissue from the rib is last as it is very stiff and the nose is normally not as stiff as a rib. JG 5.17.09
Answer: for me to inject it is $635 and for my nurse it is $535. JG 5.17.09
Answer: 7 days or so. JG 5.16.09
Answer: brown and red spots, yes, all else, not too much. JG 5.16.09
Answer: rare to be neded, can warp with time too. JG 5.16.09
Answer: for the redenss I use a YAG laser. Similar laser used for the hyperpigmentation of burns or freckles, for the broken blood vessels can use a YAG or an IPL or VBeam laser. I do not recommend any laser for leg veins. JG 5.16.09
Answer: it depends on what the paeeint needs, in the vast majority of the cases some skin is removed, and the location is usually around the ears. Tightening the muslces alone will only do it in very young patients. The incision in most cases needs to be carried a short distance in front of the ear to avoid a pleating of the skin at the earlobe. JG 5.16.09
Answer: works to flatten moles but if used to remove the entire mole will leave a scar like all others. JG 5.16.09
Answer: no, it will not counteract the absorption but does give the skin a very temporary feeling of smoothness which helps the sales. JG 5.16.09
Answer: I prefer Retin-A. JG 5.16.09
Answer: refund policy varies from doctor to doctor, no way for me to tell what they will do,you need to ask them, sorry. JG 5.15.09
Answer: research shows that the laser should not afffect the fillers. A Pearl laser might aggravate the Rosacea, at least temporarily. JG 5.15.09
Answer: it is in the crows feet and a little under the lashes, the length will vary, maybe a 1/4 inch, at times a little more. JG 5.15.09
Answer: might suggest my peptide cream, sold on my shopping cart, it casues no irritation. JG 5.15.09
Answer: leave it alone. JG 5.15.09
Answer: 2 weeks or so. JG 5.15.09
Answer: it will likely take 6 months for it to get to its final results, got to hang in there. JG 5.15.09
Answer: I am sorry but I am not aware of any surgoens doing pro bono work for that problem, sorry. JG 5.15.09
Answer: I would wait at least 10 days to let the swelling go down and be better able to estimate where it needs to be placed. JG 5.15.09
Answer: will not help fade a brown spot, sorry, you need something like hydroquinone or Retin-A. JG 5.15.09
Answer: in some cases making that request is reasonable, but in some institutions like universities, it is a requirement for you to be able to access the supervising surgeon,only way to tell is to ask. All you have to do is say what your wishes are and then see what happens. JG 5.14.09
Answer: very possible. The Sculptra takes 4 months to build up so the swelling goes down in between the sesssions but not the new tissue that the Sculptra is causing to be formed. JG 5.14.09
Answer: might want to contact the local county medical society for a list of plastic surgeons or dermatologists, I personally do not know anyone there who could do it for you. JG 5.14.09
Answer: might take a few days for the rash to go away, you can use benadryl cream too. JG 5.14.09
Answer: no way to tell visually besides in experienced hands, but in general skin thins as it ages, males have thicker skin than females, the oilier your skin is in general, the thicker it is too. JG 5.14.09
Answer: I would wait 3 months but do not expect much from the Ellipse as fractioanl lasers in general show little improvement and only for a short period of time. JG 5.14.09
Answer: yes. JG 5.14.09
Answer: either Retin-A or my peptide cream.
Answer: yes, that is true, the numbing agent can distort the tissues in some cases. JG 5.13.09
Answer: anywhere form 48-55 is the most common age for those procedures. JG 5.13.09
Answer: 4-10 days. Thanks for visiting. JG 5.13.09
Answer: I think it is a lot of hype with very little to back up the claims. JG 5.13.09
Answer: sometimes more filler will only make it look unatural. You just might need it injected more often is all. JG 5.13.09
Answer: I think that was OK to do. JG 5.13.09
Answer: yes, true.JG 5.17.09
Answer: yes, lasers might be needed but they also might come back with sun exposure in the future. JG 5.13.09
Answer: the CO2 is only for fine lines so it will not help, you likely need surgery to remove the fat pocket. JG 5.13.09
Answer: any filler since it is placed with needles can cause bruising, it is not the filler but the needle that causes the bruise. I usually use Perlane or Restylane for those areas. As to the hand wrinkles, nothing safe and effective at present sorry. JG 5.13.09
Answer: can be due to either a pocket issue or the shape of your own breast tissue and muscle to start off with. JG 5.13.09
Answer: I am not a fan, sorry. JG 5.13.09
Answer: I might suggest seeing Rollin Daniel in Newport Beack, Ca., he is an expert in revision rhinoplasties.JG 5.12.09
Answer: it would require surgery to lift the skin and scrape it out, you cannot see it from outside. JG 5.12.09
Answer: the only thing would be to try to remove the Radiesse on the rare chance it is what is causing the edema, otherwise there is not much I have to offer. Sorry.JG 5.12.09
Answer: well, here is the thing, if he could not put them under the muscle the first time and they were riding high and he kept them under the second time, how can that be. If you cannot place them under the muscle the first time the second time is not magic. If the tissue had softened enough to allow him to place it still below the muscle it would nnot be riding to ohigh. He likely made the pocket bigger, and the only way to make the pocket bigger is going down and to the side where there is no muscle, and when you do that the muscle pushes on the implant and pushes it out from below the muscle. It is hard if you are not experienced to tell the difference. JG 5.12.09
Answer: that all depends on what is done on the second opeation, more bleeding can lead to higher capsular contracture rate, but that can happen in some second surgeries more than the first. I would be willing to bet he put them on top of the muscle the second surgery. JG 5.12.09
Answer: if you can feel the edge of the implant one either the inner, outer or lower edge of your breast, then it is too wide. JG 5.12.09
Answer: to some degree it might help. JG 5.12.09
Answer: only you can decide if it is worth it, that is less than one cup size. JG 5.12.09
Answer: no problem with the IPL but my condolences are your loss. JG 5.12.09
Answer: that will be hard because the pores are due to plugged oil deposits deep inside and the things that help, like microdermabrasions and Retin-A will irritate your skin. JG 5.12.09
Answer: most times it is used within one year if stored under sterile methods. JG 5.12.09
Answer: it is mostly a repositioning of the malar mound. JG 5.12.09
Answer: all normal at this time, yes. JG 5.12.09
Answer: They are not interchangeable, the Perlane is for deeper injection, deeper folds, Restylane is for more superficial use. I would not use Perlane in the lips. I understand the desire to have things last longer but using the wrong product can lead to lumps and problems. Perlane is a good choice for nasolabial folds though. JG 5.12.09
Answer: I do not recommend fat for that area, and I personally only use Restylane for that aea. As to filling out your cheeks, my preference there is Sculptra. JG 5.12.09
Answer: 6X. JG 5.11.09
Answer: should not cause any damage. JG 5.11.09
Answer: a 2mm cut should be enough if you can easily feel it and there should not be a pit after it is given time to heal. It should not cause a keloid as no skin is being removed. The cost varies depending on the surgeon and it is usually done in the office under local anesthesia. JG 5.11.09
Answer: it should as a new wound will be formed and that should scar down and heal in time. JG 5.11.09
Answer: yes, OK to alternate. I cannot comment on why your skin got thinner, at the begining as it exfoliates the skin will flake off, and certain areas like eyelids are very sensitive, but the long term effect is dermal thickening. As to the percent absorbed by the skin, it depends on the product, commonly it can be quite higher and the amount absorbed also depends on where on the body it is applied. I suggest Retin-A be used for 9 months and then take a three month break. JG 5.11.09
Answer: It is OK to mix them. JG 5.11.09
Answer: might be able to be removed with surgery to scrape the material out, best done by a surgeon who does rhinoplasties. JG 5.11.09
Answer: the commonly called lower facelift is essentially a cheeklift and a neck lift together, that is really what is called a facelifft, t it does not include the forehead lift which in common parlance is not part of a facelift. A cheek lift is commonly less than a facelift, yes. JG 5.10.09
Answer: the ingredients are 5 different pepetides that are proprietary. They will not counteract with sunlight although if you have no intestinal absorption problems it is likey safer to take oral Vitamin D and get it through a supplement. Vitamin D might and might not have food effects for the skin but sunlight will do nothing good for your ski, only bad. JG 5.10.09
Answer: well, removing fat can at your age lead to loose skin because the ability of the skin to shrink is less now than when you were much younger. I do not think the fillers would work as you would need so much placed that it woud likely make your face look unnatural. Certainly the more fat that is removed the more the likely the skin will sag but there is no way to 100% predict that. Best of luck. JG 5.10.09
Answer: yes, that is OK to do. It should correct the corner of your mouth.All the best. JG 5.10.09
Answer: you can take more fat out with traditional liposuction than with external ultrasound, the external machine is made for smaller amounts of fat. JG 5.9.09
Answer: in the US there is still no available external ultrasound that dissolves fat, there are two companies getting ready for potential FDA approval, of the two that claim to dissolve fat without suctioning the fat out I prefer UltraSahpe.JG 5.9.09
Answer: please tell me which of the ultrasonic liposuction machines you are referring to as there are a number of them, some good, some not as good. JG 5.9.09
Answer: yes, but the effect on your own hyaluroic acid only lasts 24-48 hours and your body makes it back. JG 5.9.09
Answer: 2-4 months or so, depends on how much motion there is in the area, the more motion the less time it lasts. JG 5.9.09
Answer: should close on its own and fill in with time, I would not consider doing anything for it except keeping it clean and applying neosporin for now. JG 5.8.09
Answer: it usually will take a series of treatments so I would not expect much at this point. Need to have more of them done. JG 5.8.09
Answer: would need the skin lifted surgically for that to improve. JG 5.8.09
Answer: no, that muscle, although cut, will heal and can function at a later time once healed in many but not all cases. JG 5.8.09
Answer: I do not think there is any need for you to remove the Restylane, the problem was the Botox used inappropriately, not the Restylane. Not much to do now until the Botox wears off, sorry. JG 5.8.09
Answer: Botox will not make the Restylane move but weakening the muscle with Botox can alter the appearance, not sure what they were thinking because that will not work. All the best. JG 5.8.09
Answer: gaining weight cannot be directed to your chest so the appearance you have might be the way it is going to look due to your anatomical limitations. JG 5.8.09
Answer: almost all baby creams have no irritants. JG 5.8.09
Answer: might not have taken effect equally, the only way to make it symmetrical now is more Botox. JG 5.8.09
Answer: they will likely need to repeat the whole endoscopic lift on that side to obtain symmetry. I think placing the incisions for the lower facelift at the front of the hairline leaves less stigma of having had a facelift. Best of luck. JG 5.8.09
Answer: would not recommend it, expensive for a so-so product, lots of hype though. JG 5.7.09
Answer: there is some small change, about 2 oz or less. JG 5.7.09
Answer: should be OK to do, yes. JG 5.7.09
Answer: it should not look weird after the injections. JG 5.7.09
Answer: no, that cannot be told by looking at pictures alone, sorry. JG 5.7.09
Answer: well, the average plastic surgeon in the counrty does between 25-50 facelifts per year according to the national data. As to their attitude, my personal advice is if they have that attitude, you should go somewhere else. JG 5.7.09
Answer: eventually, yes. I believe if there is a granulona it might need to be cut out, the long term lumps are more common with things like Radiesse or Artefill though. JG 5.7.09
Answer: call the office and ask for the new one,we still have some of the old ones and will sell those at 50% off, but you need to call to get the old ones at half off. JG 5.7.09
Answer: the lumps come from the injection technique. We also recommend massage ater the injections. I use Restylane in that area. JG 5.7.09
Answer: yes, I think her credentials are purchased, not earned. I think repeating a treatment that did not work the first time is likely not going to work any better the second or third time. Seek professional help from a dermatologist next time. JG 5.6.09
Answer: do not think it is worth it. JG 5.6.09
Answer: most likely scar tissue, might want to see your surgeon to make sure though, nothing dangerous. JG 5.6.09
Answer: I ses no way that it is any better than other more established more studied suspension techniques, the recovery is certainly no less because the same operation has to be performed, the only difference is in the support placement. And Hello Canada! JG 5.6.09
Answer: pretty normal, it can last 2-5 days in some cases, apply some ice and that should help some. JG 5.6.09
Answer: yes, the damaging rays go right through the clouds I am afraid. JG 5.6.09
Answer: I have seen that when the Restylane was not injected into the proper place. JG 5.6.09
Answer: will likely need to be cut out. JG 5.6.09
Answer: Restylane is a hyaluronic acid while Radiesse is a sugar matrix into which synthetic coral particles are floated into it. The Radiesse claims longer results but that has not been proven out and the Radiesse should not be used around the lips or eyes. I use much more Restylane than Radiesse. JG 5.6.09
Answer: should be OK to take the ones you mention. JG 5.6.09
Answer: same name. JG 5.6.09
Answer: I think CO2 will offer the most, next would be the Rhytec Portrait, I do not think the Titan or Thermage will do much, and remember the results will be temporary, a few years likely no more. JG 5.6.09
Answer: think it is worth a try and as long as you use your sunblock all the time I think worsening of the melasma should be controlled. JG 5.6.09
Answer: I do nto think it is a good choice for that, the amount needed to lift the cheeks by filling the cheeks makes the price very high and to fill in the jawline to hide a jowl will by definition make the jaw more broad as how it is done is by filling in the normal area to the level of the saggy area. Best of luck. JG 5.6.09
Answer: you can use my peptide cream either instead of the Retin-A or use the Retin-A first and then apply the peptide over it if desired. The peptide cream can be used under your foundation also. JG 5.5.09
Answer: it does not always work in one session, you got lucky. JG 5.5.09
Answer: may not work in one session. JG 5.5.09
Answer: the ability for it to work in one session is not for all patients and for all red spots, I have to say you likely got lucky to have it gone in one session. JG 5.5.09
Answer: the capsule is just a layer of scar tissue that forms around a foreign material, it that looks like the wall of a cyst. Should not come back if there is no foreign body left in there. JG 5.5.09
Answer: more likely than a surgical error is that yours are no longer under the muscle, have slipped down lower or elss the muscle was released properly and the size of your implant allowed the muscle to window shade upward after it was released and the muscle is not covering the implant any longer. If the implant is below the muscle there is almost always some animation upon muscle flexion,at least to some degree. JG 5.5.09
Answer: look at them in the mirror in the relaxed position and then stand the same way and flex your muscles and see where they move. JG 5.5.09
Answer: yes, it can be performed on them. JG 5.5.09
Answer: your native breast measurements are difficult to obtain now, but if you can feel the edge of the implant now you likely cannot go any larger. By what you are telling me I think you are about at the limit. JG 5.5.09
Answer: different people age differently, so everyone shows the aging process in different locations of the face. JG 5.5.09
Answer: I am sorry but I am not familiar with those products and I think sunblock and a moisturizer would be nice, or take a break from the Retin-A and try our peptide cream instead. JG 5.5.09
Answer: as long as you wear sunblock you should be OK. JG 5.5.09
Answer: more likely the brand, they probably have some irritants or exfoliants in it. I would suggest using squalene oil from the health food store until the skin hels. As to peptides, everyone responds differently depending on their skin so there is no one single one better than others. JG 5.5.09
Answer: I recommend my peptide cream on my shopping cart and if desired the Retin-A can be applied first and the peptide over it. JG 5.5.09
Answer: yes, it is a tightening of the skin belwo the belly button, I do not perform it under local anesthesia though. JG 5.5.09
Answer: It is called New Fil all over the world and Sculptra here in the US. Now I will say that the prodcut has been changed as the particles are smaller now due to larger dilution so the risks of having lumps is less. Sounds like you got some lumps or granulomas and when that happens it will last longer than normal. It is more likely due to the technique used at that time for the injections, we inject smaller amounts now over larger areas. JG 5.5.09
Answer: no, becasue the body`s ability to create new collagen and elastin starts to peter out and the skin degenerates even if you avoid the sun, doing those things will slow the progression down but not stop it. You would always be better than if you never had it done, but the wrinkles would not stay away forever. JG 5.5.09
Answer: no, but the purpose of the sutures is to be in place until scar tissue forms to hold the tissues, so likely the sutures are gone and it is the scar tissue causing the tethering. Warm packs now and stretching. All the best. JG 5.4.09
Answer: should not affect the filler. JG 5.4.09
Answer: I cannot say whether she will do it again free of charge, that is up to the doctor. Unless the moles are cut out and you trade them for a scar there is always the possibility that in time they will grow back, no way to predict how long that would take though. It is unusual for them to grow back worse than what they were. JG 5.4.09
Answer: there are no fillers that I feel will safely and reliably correct the hollow of the eyelid itself and I do not inject that area. JG 5.3.09
Answer: well, I would never expect Sculptra to show much change for 4 months so it is way too early, but I think that is not a great place to use Sculptra in, it is intended for deeper injections. JG 5.3.09
Answer: it should not affect the fillers or the Botox, all the best. JG 5.3.09
Answer: well, it probably more accurately thickens the tissues below that support the skin, but it does help lessen the ability of ths skin to fold upon animation. Sounds like Sculptra would fit your needs. JG 5.3.09
Answer: would never use Botox there, the only way is to surgically lift the cheek pads. JG 5.3.09
Answer: I use Restylane for the rim. JG 5.3.09
Answer: it should completely disappear, yes. JG 5.3.09
Answer: that is correct, in time just bigger and they will sag again, the round appearance will not last more than 1-2 years in most cases. Best of luck. JG 5.3.09
Answer: OK to do, yes. JG 5.3.09
Answer: they dissolve by a low grade inflammatory response in the body. It is about 50% dissolved in 4-6 weeks. Thanks for visiting. JG 5.3.09
Answer: yes, it is due to the muscles causing the skin to fold, not much I would suggest be done. JG 5.3.09
Answer: no, not done on purpose, at times the tissue soften more on one side than another and at times some scar tissue can form that will reduce the size of the pocket, that is what capsular contracture is. If it is noticeable the likely best solution would require more surgery to enlarge the smaller pocket. JG 5.1.09
Answer: yes, we still have some of the older one here. I am going to be making some container size changes for the new one though after further negotiating with the manufacturing company so we will be offering the new peptide cream in the same 1 oz container at the same price as the old one, I just had to do some arm twisting. JG 5.1.09
Answer: could be a difference in the size of the pocket that the implant is sitting in, the fuller one likely has a smaller pocket so it pushes the implant up higher. JG 5.1.09
Answer: caused by the cheek skin getting loose and falling foward, I normally use Restylane or Perlane there. JG 5.1.09
Answer: in most cases, 18-36 months, depends on the quality of the skin and how deep the laser is performed to. JG 4.30.09
Answer: it will help, yes. I think the improvement under the eyes might be 3-5 years, depends on your skin and the amount of damage, but phenol peels have risks, like loss of pigmentation. JG 4.30.09
Answer: it will help some, yes but it tends to be a little irritating as that skin is quite thin, thanks for the kind words too. JG 4.30.09
Answer: it is not usual to remove and reposition at the same time, no, and i usually use Restylane for the rim but that will not correct overresected fat, just the rim. JG 5.1.09
Answer: you will likely get less with the Titan. JG 4.30.09
Answer: in general they are very pleased, we now have the newer formulation with liposomes to increase delivery, thye feel the skin feels and looks smoother without the irritation and sun sensitivity experienced with Retin-A. I have some people that use both, applying the Retin-A first and then the peptide cream in an attempt to get better penetration of the peptide cream but it is for the most part not necessary to do that. JG 4.30.09
Answer: not likely to work well, but if you were going to try it, it is called hydroquinone, it is a prescription. JG 4.30.09
Answer: 5%, 1 ounce.JG 4.30.09
Answer: maybe another 4 months or so to settle into position. Once the muscles have relaxed we stop the massages. JG 4.30.09
Answer: I would never do that. That is why there is a single identifier strip on the syringe that goes in the treated patient`s cahrt. JG 4.30.09
Answer: it is due to the skin being thin and the effects of Retin-A come from skin irritation, that is normal and will get better with time and continued use, You can use a moisturizer over if if you wait 10-15 minutes first. JG 4.30.09
Answer: well, understand that removing skin with surgery will remove excess skin but not inprove the quality of the skin so there will likely still be fine lines. I think a canthopexy at minimum would be required in order to avoid worsening of the ectropion you already have too,and that can be done during the blepharoplasty. Best of luck. JG 4.30.09
Answer: no there is not, sorry. Once your skin has aged to the degree that the wrinkles are seen, it shows that the reparative properties of the skin are reduced, there is no technology at present that will yield a 4-5 year length of improvement.
Answer: in cases of tubular breasts, there usually needs to be something done to splay the tissues open, this even more so if the implant is placeed below the muscle rather than above it. Going larger without incising into the breast tissue will likely not help, sorry. JG 4.30.09
Answer: I think that would be fine to wait. The same techniques of reattaching the tissues will need to be done even then. JG 4.30.09
Answer: I think she has chosen a good option for what her concerns are, the risks are of loss of sensation and visible scars. As to how long the results last, it is more dependent on the amount of skin removed and the quality of the skin rather than the technique used. Best of luck. JG 4.30.09
Answer: well, in Nevada, where I practice, silicone is illegal to inject so I think that should tell you something, regardless of what he promotes. JG 4.30.09
Answer: they are used to minimize fine lines and smooth the skin. JG 4.30.09
Answer: yes, the are absorbed in about 15 minutes or so. JG 4.30.09
Answer: on the tummy maybe a tummy tuck,not much on the legs. JG 4.30.09
Answer: well as there is no breast tissue removed during a breast lift, you will not be smaller in the absolute sense but your breast diameter will be narrower. Placing an implant will make them bigger, will also make them sag faster and that appearance you desire of a round implant look is likely something that you will never have, at least long term. As to implants needing to be traded out, that is not true unless they have had a problem. I cannot speak to as why he changed his mind though. As to the hospital room, I am assuming you mean the operating room, and he needs to agree to place the implant before anything. If he does not want to do it then the time is the time. JG 4.30.09
Answer: well, statements that 200cc will give certain cup size are never accurate and are at best approximations, and going under the muscle tends to flatten the implant so, so that can contribute to it also. I doubt seriously that much of your implant will remain under the muscle and going larger will make them slip from below out even faster, the muscle will not be large enough to accomodate a larger implant. JG 4.30.09
Answer: I would say no. JG 4.30.09
Answer: the one sold on my shopping cart. JG 4.30.09
Answer: we use Restylane or Perlane there. The filler does not make the lines get deeper, but while using it the aging process proceeds and people forget that their lines without the fillers were going to get worse anyway. All the best. JG 4.30.09
Answer: well, the thing is if it does work, it will be a drug so it will be years, there are lots of OTC creams out there that make those claims but the science behind it is scarce and if it were true it would be classified as an unapproved drug and taken off the market. JG 4.29.09
Answer: I think you will likely be disappointed with both after a few months once the swelling goes down. JG 4.29.09
Answer: removing the epidermis will only give you an improvement for a few days and there are less expensive and safer ways to remove the epidermis alone, microdermabrasion, glycolic acids peels for example. For there to be anything lasting you need to stimulate the dermis and the basal layers to create new collagen. I think going into the papillary dermis is needed to smooth fine lines but lasers really do not effectively tighten skin like a facelift would, it is a fine line treatment. JG 4.29.09
Answer: actually the opposite, it is more common to feel folds in cases where the pocket is too small for the implant. JG 4.29.09
Answer: in general they have been very happy, and an even better response from the new formulation. JG 4.29.09
Answer: those peptides, but there are so many new peptides that are being developed that the amount of research and the years of experience with them is short. The peptides I have placed have some research, yes, it is short lived, but we have been having good response with our cream, I am constantly tweaking the formula is the issue, so what we sell now is I feel differnt yet likely better than the older one, the product is in constant evolution. JG 4.29.09
Answer: hard to say, they might be assuming a capsulectomy needs to be done on your friend which is more involved than a straight forward initial breast augmentation, and also you were likely given a discount by your surgeon on the second procedue he was performing for you. JG 4.29.09
Answer: it might, might also need a bleaching cream like hydroquinone to help fade it and you also should be using sunblock too. Should not be permanent though. It is reactive hyperpigmentation from the irritation, it does not have to burn to cause that. JG 4.29.09
Answer: it might not be possible to go to the larger size without having some degree of malposition. JG 4.29.09
Answer: no, that is due to the oil trapped deeper in the pores, Retin-A helps that along with IPL treatments, but all is very temporary. JG 4.29.09
Answer: there is no definitive answer for that question I am afraid, they are both heavily promoted and ther is a small amount of study of each, but I cannot say one is any better than the other, sorry. Glad you like my little cream too. JG 4.29.09
Answer: the peptide cream helps by assisting the body to make new collagen and also stabilize cell walls so degeneration is slower, most people feel a difference within 4 weeks and many see the difference after 4-6 weeks. One washes their face first and then applies it, ideally twice per day but once at night in younger patients is likely OK. There is no need to apply a moisturizer over it but if you skip the peptide in the morning, the use a moisturizer in the AM. JG 4.29.09
Answer: it is permanent only in rare cases of scarring, it goes away as soon as the skin has healed enough that it does not need to overproduce oil to help the healing process. JG 4.29.09
Answer: it is liklely the implant, a fold caused by the nature of the material,he is correct, there is likely not much that can be done to permanently eliminate it, sorry. JG 4.29.09
Answer: the answer is easy, especially in times like this. MONEY. Very sad... JG 4.28.09
Answer: TNS skin care is a long standing skin care company that has a new made-up name of Nouri-cell MD that is claimed to be a group of growth factors, but they have no studies on it and do not disclose the ingredients. Kinerase has growth factors and it is a good cream, but it is hard to say about Nouri-cell at present. JG 4.28.09
Answer: no, in some people that have deep lines that is about right. The surgery to correct it is a cheek lift or a facelift. JG 4.28.09
Answer: we have our patients wear it 24/7 for the first two weks and then 8 hours per day weeks 3-4. JG 4.28.09
Answer: normal for this time out from the procedure, should see more smoothing over the next three weeks, we also strongly encourage massage to smooth and soften the areas after the liposuction. Daily changes in activity can cause swelling to come and go also, got to hang in there. JG 4.28.09
Answer: in some difficult and swollen tips, yes, it can take that long. JG 4.28.09
Answer: could take up to one year. We do perform YAG laser treatments. JG 4.28.09
Answer: less so when under the muscle but can still occur. Any motion of the muscle can cause them to shift more, yes. I have no data as to how many patients wanted the implant adjusted, sorry. JG 4.28.09
Answer: yes, OK to do so. JG 4.28.09
Answer: common, especially if placed below the skin on top of the muscle. JG 4.28.09
Answer: in general very satisfied and it will last typically 8-10 months in most but not all cases. JG 4.28.09
Answer: everyone responds differently, you can try it and see. JG 4.28.09
Answer: do not think so. JG 4.28.09
Answer: all normal, yes. JG 4.28.09
Answer: the new stronger peptide cream has 7ml and should last at least one month, it is put on very lightly, small spot on forehead and one on each cheek is more than enough, the older peptide was a larger amount but this is stronger and more concentrated and you need much less, it smooths out more easily than the older cream and has a new penetrator that make is absorb faster and better. JG 4.27.09
Answer: I think Juvederm is fine, I usually use Restylane or Perlane. JG 4.27.09
Answer: should go away on its own, can use some topical steroid like Cortaid 10 and use a T-Shirt underenath the garment too. Best of luck. JG 4.27.09
Answer: yes, all topicals that will help lighten it will require a prescription, anything less than that will likely not work at all. JG 4.27.09
Answer: probabaly TriLuma which is a retinol and hydroquinone mixed together, but topical lightening creams do not have a dramatic effect on birthmarks, YAG laser might be more effective. JG 4.27.09
Answer: a punch excision is where a round punch cut is made and sutured closed, if a float is done, then the center of the punch is not removed but pulled up flush to the surface of the surrounding skin and then sutured in place. If the scar is small then an excision is best, if it is wider, then a float is better. We do perform that type of surgery, yes. JG 4.27.09
Answer: textural changes that do not resolve with time, stiff and hardened visible scars are the most common. JG 4.27.09
Answer: properly done it should not scar and it will not close or shrink pores. At times, during the healing process the sweating is actually the oil from your pores being released in an attmept to aid the skin healing. I would likely imagine the offices that told you that do not offer CO2 laser so I would expect them to down play it. Has it been around for a long time, yes, does that make it bad, no, are there newer things out there,yes, are all new things beter, no. JG 4.27.09
Answer: A CO2 laser should not thin your skin. Thin skin does not look lighter and if you tan the skin should get darker. JG 4.27.09
Answer: sounds like a granuloma reaction to whatever filler was placed, I think at this point the vibration massage is past its point of helping and you might need to get the lumps cut out. An MRI will not give much information as the material is quite small and even if you have it cut out, it might not be able to be determined as to what the type of filler it was, wish I had more to offer you. JG 4.27.09
Answer: some of the smoothness that existed prior to the surgery was likely due to the smooth contours of the tissues beneath the skin at that time. When complications occur, especially with scar tissue and fat loss, the smoothness of the underlying tissue is lost and undulations of the skin can become apparent. I think in many cases small amounts of fat can be injected to regain the prior smoothness, and the abdomen is a good source for that fat. Although some doctors are claiming they are also injecting stem cells with the fat, that is a theory, a stretch, and is not substantiated at present. But the fat injections do help a large percentage of the people, albeit having to be done more than once at times. Fat transfer should not harm the skin in anyway, and in some cases can improve the texture due to increased support and blood flow from the transfered fat. Congrats on turning 60, I am not far behind, best of luck and thanks once more for the mugs, they have been enjoyed many times. JG 4.27.09
Answer: about all you can do is try to get it exposed to the sun and see if it darkens. JG 4.27.09
Answer: no, the peptide is enough of a moisturizer. Still need sunblock though. JG 4.27.09
Answer: the more the skin damage, the more you should use it, so if mild at night alone, if worse, then twice daily. The eye booster will not be needed if you are using the peptide there already. JG 4.27.09
Answer: in a place whre the needed scar for excision will be acceptable to you and also where the lump is easily felt so the surgeon will not need to injure other normal tissues in order to get to the lump. JG 4.27.09
Answer: the lasers work by irritating the veins so they clot, that is the normal response. It can still heal and will heal more over time. Laser treatments commonly make it look worse in the short term though, and it usually requires a series, not a single treatment. JG 4.27.09
Answer: yes, they can be used on toop of the filler, no problem there. The bruising will not be affected for better or worse with my creams. JG 4.26.09
Answer: the facelift alone will not accelerate aging but some complications that can occur after a facelift can make a face look older. Facelifts on thin and fair skinned people are done many times and they do not always have a complication, complications can happen for many different reasons. I do think in some patients that fat transfers can help. Sorry to hear about all the issues, I wish you the best. JG 4.26.09
Answer: I usually use Restylane or Perlane. Lifting the corner of the mouth with a filler can be difficult at best. JG 4.26.09
Answer: the redness is normal, as to how flat they are, there might still be some swelling present. You might need further treatments though. JG 4.26.09
Answer: sounds like skip areas where the laser overlapped and caused a deeper injury. JG 4.26.09
Answer: hard for me to say without seeing you in person. I think though that texure alone might be able to be improved with more lasers or retiniols to some extent. The problem though is the breaking of the skin and the pain, with that happening I would be apprehensive about further lasers until that has totally resolved. If the skin has been demaged by the CO2 laser, that can happen in rare cases, then further lasers would only make it worse. I do think using things like Capsacin cream, which is the hot pepper cream can help in some cases. You can also try Emu oil and I have had some people get better with topical DMSO, sold at most large health food stores. Wish I had more to offer you. JG 4.26.09
Answer: 6 months or so. JG 4.26.09
Answer: it is possible, yes. JG 4.26.09
Answer: should be about right. JG 4.26.09
Answer: some studies have shown it to last 5 years, and if injected in a large amount in one place could last longer, in some cases when injected thinly it has been found to breakdown over less than 5 years. I think all you can do is wait, or have it cut out if easily accessable. JG 4.26.09
Answer: I think they could be injected at this time. JG 4.26.09
Answer: it should be used for deeper injections only and nasolabial folds and marionette lines need superficial injections. JG 4.26.09
Answer: it is likely a good skin care product that the doctor can place their name and label, saving themselves the time and knowledge in developing their own, will probably be similar to SkinCeuticals. JG 4.26.09
Answer: no, actually, the facelift should do quite well for that. Best of luck. JG 4.26.09
Answer: could try Sculptra injections. JG 4.26.09
Answer: the muslces should be reattached with sutures to help it shrink and readhere in its origianl position, but the skin should shrink back into place. It is relatively easy to perform. JG 4.25.09
Answer: no, it will not help the red capillaries. It will help the fine lines, might improve the scars by smoothing them out and will remove sun damage in most cases. As to tightening the skin, also yes, but not to the degree a facelift would. The Triple Mix does help reduce hyperpigmentation risks. JG 4.25.09
Answer: since a facial wash is on your face for so short of a period of time its long lasting effects are almost none, but it will irritate your skin more than one closer to your normal skin pH. JG 4.25.09
Answer: they are meant to be injected for different things so I think in many cases you can use them both, they are not interchangebale as some docotrs promote. Sculptra is for deeper tissue loss and Radiesse is for more superficial injections. JG 4.25.09
Answer: yes, in many caases it can. JG 4.25.09
Answer: well it is also controled by the diameter of yoru breast tissue you already have, but I think likely somewhere about 300cc or so. JG 4.25.09
Answer: can try a series of IPL treatments in the meantime. JG 4.25.09
Answer: just pretreat before and use sunblock after and you should be OK with the setting suggested. JG 4.24.09
Answer: I do perfrom punch excisions and in many cases will laser the skin after that, rarely does punch alone take care of the problem. JG 4.24.09
Answer: keeping it elevated and you can also wrap an ace wrap, starting at the hand and moving up to push the fluid up towards your armpit. Could last a couple of weeks. JG 4.24.09
Answer: I think it would be low risk, just pretreat with some hydroquinone for two weeks before if you desire. JG 4.24.09
Answer: There is no routine incision that I use as it is taylor made for the patient, some need shorter or longer incisions and where they fall depends greatly on what the patient needs and wants improved. JG 4.24.09
Answer: you need to stop the Retin-A for a couple of days before and after the IPL, the Bactrim should be OK, but if you are concerned, you can stop that too. You will need to do so everytime you have the IPL though. JG 4.24.09
Answer: I think the adequacy of the anesthsia under local is less and increased pain leads to increased bleeding, and if the is inadequate anesthesia, then controlling the bleeding is more difficult, that least to bigger problems. I find that most of the surgeons that perform breast surgery under straight local anesthesia do so because they are not plastic surgeons, are trained in something else and have started doing breast surgery under local anesthesia as they cannot get priveleges at a hospital or surgicenter. You always need to ask the surgeon, or the person holding tehmselves out to be a plastic surgeon at which hospitals and surgicenters they work at. If they do not, then I think you need to go somewhere else. JG 4.24.09
Answer: well, I honestly think it will not be any different from one to the other. There is no science to claim that the nipple sensitivity is any different between the techniques. There are not any increased problems with people with more visible veins, no. Best of luck. JG 4.24.09
Answer: should be OK to do. JG 4.24.09
Answer: it can be removed through an incision further back and since no skin is being removed there should not be any hairloss, it also can be removed through an incision on the upper eyelid. JG 4.24.09
Answer: sorry, but not possible. JG 4.24.09
Answer: would not recommend it. I normally would use a totally ablative CO2 laser for significant improvement or a Rhtyec Portrait for something lighter. JG 4.24.09
Answer: no difference really, where it is varies from person to person depending on where their ligaments are attached. JG 4.24.09
Answer: I think the science behind it is pretty sketchy. JG 4.24.09
Answer: wll, the honest truth is all you are seeing at this point in time is swelling and much if not all of that will go away for the next 4 weeks, at that point the new collagen will have been laid and then it will take 4-6 months for its maximal tightening to occur, so you will be on a little bit of a looking better roller coaster for now. I would not consider doing anything else for at leasst 6 months and preferably 12 months in order to let the skin heal and avoid scarring from to much burning. JG 4.24.09
Answer: not sure which of the Sciton lasers you are speaking of, if it is a fractional laser, I am nto impressed. JG 4.24.09
Answer: I wish you the best, your are in skilled hand with him, and thank you for the kind words. JG 4.24.09
Answer: personally I have not been impressed with the results. JG 4.23.09
Answer: I am sorry, but it depends on the laser, some could be safe that way, others might not. JG 4.23.09
Answer: Retin-A woudl be good for the hyperpigmentation and either one for the fine wriknkles, although the improvement will be small. Our DMAE is 5%. If you need something stronger, then it on to lasers. JG 4.23.09
Answer: there is no single cream that will treat all of your concerns, we have a cream that helps reduce the dark circles and another one for the fine lines without Retin-A but for the puffiness, there is not much that is very effective. The creams are on the shopping cart of this website. JG 4.23.09
Answer: all I suggest for that is either Retin-A or a light laser, I think the risks of something bad happening with Botox injections to the eyelid are too high to be contemplated. JG 4.23.09
Answer: likley, yes. JG 4.23.09
Answer: they are from the skin folding when the eye blinks or closes, fillers there can look lumpy and creams such as Retin-A will likely help some, yes. JG 4.23.09
Answer: it works within hours. It is not uncommon for it to be repeated in many cases. I would wait about a month or more to injected more, but it depends on what happens when you dissolve it, so it might vary on the patient and the problem. JG 4.23.09
Answer: it is not uncommon for differnt fillers to be layered, should not be a problem. JG 4.23.09
Answer: likely too oily for that, better to use a cream with Vitmain E in it if you want to use that, but the prevention of fine liens with Vitamin E is is small at best. JG 4.23.09
Answer: sorry, but they do not work. JG 4.23.09
Answer: 5.5 pH. JG 4.23.09
Answer: sounds like they have settled, yes. JG 4.23.09
Answer: I am sorry but the truth is there is no other way besides surgery, sorry. JG 4.23.09
Answer: no, there is not bacause a facelift removes excess quantity of skin and also repositions sagging tissue below the skin. Lasers improve the quality and not the quatity of skin and do nothing for the tissues below the skin. That is the fact, and more experience with lasers does not make the machine do something it cannot. I do agree with the doctr`s interpretation that poorly done facelifts should become a thing of the past, but claiming that lasers will replace facelifts I think is a completely selfserving commnent, one I would expect from someone who does not perform facelifts and is a smudge on his reputation as the more expereicne you have with lasers, the more you should know the facts. is expereicne coems form years o fusing lasers, always new and improved ones ad if htey were so great there woudl be no need for new lasers. I suggest you see, in person, a plastic surgoen who performs both facelifts and lasers for an unbiased answer. JG 4.23.09
Answer: well, it is possible, not sure why the therapist would do that. Most stitches are meant to dissolve after a period of time, during which scar tissues should have formed in order to hold the tissues in their new position. Things always feel a little looser as the swelling goes down and the tissues soften, so I suggest giving it time, by that I mean months not weeks and see how it all goes. Hang in there. JG 4.22.09
Answer: topical Efudex cream, I think you should see a dermatologist though first to make sure none need a biopsy before you start. JG 4.22.09
Answer: have not had it happen but is should be OK, the tissues have some semblence of being glued together by then. JG 4.22.09
Answer: maybe a YAG laser or VBeam laser will help fade the redness. Best of luck. JG 4.22.09
Answer: I would say at least two weeks and then you cannot restart until the breast feeding is over. There have not been, not will there ever be any studies done on pregnant females and skin creams so the rule of thumb is anything with Retin-A, retinols, retinaldehydes or things like Retin-A should certainly be avoided, all other irritants like alpha hydroxy glycolic aicds, no one knows. JG 4.22.09
Answer: the wound is healing and laser might help, but it also might iritate the skin and prolong the fading process. JG 4.22.09
Answer: well, it varies from patient to patient. The more damaged your skin is the less time it will last, in most cases I tell the patient that smaller procedures will last 5 years or so. JG 4.22.09
Answer: I would stop everything, let your skin heal and then re-evaluate things. JG 4.22.09
Answer: in experienced hands it is quite safe. It does help the broken blood vessels on the face, yes. There have been no documented facial fat loss cases with IPL alone. JG 4.22.09
Answer: pretreat with hydroquinone for 2-4 weeks before and again after and it should decrease the risk of hyperpigmentation. JG 4.22.09
Answer: not sure what prodcut they are referring to in order for me to say. I think there are many things that can be taken orally or topically that can induce some changes. JG 4.22.09
Answer: all we use is Mederma or ScarGuard, but it will take 12-18 months to fade, have to give it time. JG 4.22.09
Answer: there is nothing topical or oral that will help, that is how your skin is responding to the aging process and ultimately might require surgery, there are no safe laser skin tightening procedures for the arms, sorry. JG 4.22.09
Answer: I am sorry but I do not have a list of products sold in Spain that I can help you with, you will need to search via the internet for that information. JG 4.22.09
Answer: I normally suggest you wait until you are done breast feeding so the medicine used before and after the surgery is not transfered to the baby through your milk. Best of luck with the baby! JG 4.22.09
Answer: you are most welcome. JG 4.21.09
Answer: I do think it is the best but it is not cheap. I think you need to look for a surgeon who is comfortable in doing it, I rarely inject more than one vial on each cheek per time, and then I wait 4-6 weeks and re-evaluate to see how they are responding before injecting any more. If the sagging of thevface is due to loss of facial fat, it can appear to give a lift after the Sculptra injections. JG 4.21.09
Answer: our eye booster cream has Vitamin C in a cream, on our shopping cart. As to the fine lines of the face in your case I might suggest our peptide cream. JG 4.21.09
Answer: well becasue typicall there are sutures that were placed into the muscle that make it harder to do the myofascial release and also there is scar tissue that makes it more difficult on top of that. I am not sure why you would have surgey to tighten the skin and muscles and then get myofascial release. Now if it was too tight to begin with, massage will help but until the scar tissue softens and the sutures dissolve, it can be difficult to stretch the myofascial unit and you could cause bleeding and cause the muscle you wanted tight to loosen. The sutures that were placed into the muscle to tighten it were into the fascia but also into the muscle fiber, that likely contributes to the problem, along with the hard scar tissue. JG 4.21.09.
Answer: soy will not have hormones, but I think what thay are telling you is not true, think about it, male cows might have testosterone, but they are called bulls and do not produce milk. Female cows are the ones that produce milk and giving them male hormones would stop their ability to produce milk as you need female hormones of pregnancy to produce milk and not male hormones, not what a dairy farmer wants to do. JG 4.21.09
Answer: maybe baby products.The Retin-A will aggravate the redness and veins quite a bit, could consider some IPL laser treatments to control it too. JG 4.21.09
Answer: It will help the acne and make the veins and redness worse. The IPL will help with the redness and the veins but as long as you are on Retin-A I think the IPL will be a waste. The Retin-A needs to be stopped two day before and after the IPL, sounds more like Rosacea than acne though. JG 4.21.09
Answer: I think the thighs will smooth out in time and I have never seen the implants cause a rash, might be something else this far out from the surgery. Wish I had more to offer. JG 4.21.09
Answer: I honestly have nto heard of it, sorry, and since they both lasted about the same, go with the less costly, I would likely use Perlane, best of luck. JG 4.21.09
Answer: the strap you have will do since you do not have the other one and all you need for the massage is Aveeno or Vaseline Intensive Care lotion. JG 4.21.09
Answer: the honest truth is I do not, I do not advise tanning, sorry. As to self tanners, I have seen nice results with Clairins. JG 4.21.09
Answer: self tanners are safer than a real sun tan, just remember to wear your sunblock on top of it. JG 4.21.09
Answer: there is no way to tell for sure if it will elongate again, some women, during pregnancy and childbirth do elongate their labia, but another common cause is wearing tight clothing in the groin region which pulls and tugs on the labia and elongates them. JG 4.21.09
Answer: do not think the Botox has had any causative effect on your forehead for that. JG 4.21.09
Answer: I think stabilizing another implant on top of what is in place is difficult and Radiesse injections should not affect surgery in the future. JG 4.21.09
Answer: they are the folds that are from the corners of your mouth down to your jaw, they are formed from the tissues if the cheeks sagging and falling downward. Hard for me to say whether a laser will help your scenario without seeing you in person. JG 4.21.09
Answer: light stuff after two weeks, no restrictions at one month, but that all has to be cleared by your doctor, that is just how we do it if all is going well. JG 4.21.09
Answer: Botox is a muscle paralyzing agent and does not cause any numbness. The amount of Botox used for migraines is much lower than in other applications so certaily one bottle is very safe. The use for migraines is to help with muscle spasms that can trigger the migraine.JG 4.21.09
Answer: it could be, it can also be part of the normal aging process. Usually Thermage fat loss starts to show in the first few months though, not this late. JG 4.21.09
Answer: we wear it for two weeks almost all of the time and then two more weeks at night. What you have is normal and wil get better with massage. JG 4.21.09
Answer: sorry, but it will not help your scenario. JG 4.21.09
Answer: there was a concern with potential skin cancers I believe, it has been awhile since most of the pills were taken off the market. JG 4.20.09
Answer: nothing to worry about, since there is scar tissue there prompting the need for the shot to begin with, that slows the absorption. JG 4.20.09
Answer: I think revision rhinoplasties take a long time to soften and shrink, very frustrating. I do think getting three shots of kenalog by two months is a bit much as it takes weeks for the changes to be seen or evaluated. I do think you will get smaller, no way to tell how much more though. I think taping effects at this point a e transient and not long lasting, but it will not hurt, wish I had more to offer. JG 4.20.09
Answer: Honestly, since it will take a series of treatments over the same spot to get it to fade and it is only temporary, I would save your money. JG 4.20.09
Answer: as you would expect, no skin cream firms body skin, if the skin is damaged from a recent sun exposure, it might help hydrate is about all you are going to get. JG 4.20.09
Answer: it is just due to the shot and will get better in a few more hours. JG 4.20.09
Answer: VelaSahape might be slightly better. Sorry. JG 4.20.09
Answer: I would skip it, I have not been impressed with their results, especially longer term. JG 4.20.09
Answer: dermatology or plastic surgeons often carry it, otherwise the internet, we use CU3. JG 4.20.09
Answer: not on blonde hair, no matter what the light is. JG 4.20.09
Answer: their availability has been curtailed by the FDA due to potential problems. JG 4.20.09
Answer: sorry, not a fan. JG 4.20.09
Answer: cannot say as I cannot find out what the ingredients are. JG 4.20.09
Answer: the peptide cream should work, but I thik if you are truly concerned about your skin and the effects of aging, you should not be tanning at all. JG 4.20.09
Answer: usually the scalp heals well and the residual should be almost imperceptible. JG 4.20.09
Answer: usually after 2-3 weeks make up should be able ot cover it almost entirely, btu in some peopel it will take a little longer. We use copper peptide creams on the skin until healed. I would not use Oil of Olay products after a CO2 laser for at least 6 weeks or more. JG 4.20.09
Answer: Rogaine or ScalpMed, the latter is sold at www.ScalpMed.com JG 4.20.09
Answer: yes, should be back to normal by one year. JG 4.20.09
Answer: any pill, if it could cause the breast to grow could also potentially casue a breast cancer to grow, I have seen no pills on the market that have been able to enhance breast size that actally work. JG 4.20.09
Answer: I am sorry but there is no no non-surgical option that is reliable. JG 4.20.09
Answer: the truth is often discouraging, but the truth is the truth. JG 4.19.09
Answer: correct, the aging is reveresed with the surgery but aging will start immediately after the surgery so return of the jowls is a matter of time, no matter good the correction is initially. Since there is no wya to stop the aging process, the correction acheived will not be permanent, how long it will last will vary from patient to patient. JG 4.19.09
Answer: not sure you can get more of it to dissolve evenly in the cream and more is not necessarilly better. JG 4.18.09
Answer: it can be from swelling and from the muscles that were detached in order to place the implant not being totally functional yet, I think it will continue to get better with time. I do not think it will be permanent. JG 4.18.09
Answer: I think between those two I would suggest VelaSmooth. JG 4.18.09
Answer: not sure what you mean by losing its effect. The first 12 months is where the result of the Retin-A will happen, after that, there will be a slowing down but not a vibile reversal of damage that you saw before. No cream will indefinitley reverse the damage. Changing over to the peptide is a good option, and you could always go back to the Retin-A again at some future time. JG 4.19.09
Answer: they are different, the Retin-A causes irritation and the peptide cream does not, they have very similar effects I feel. I pesonally feel the peptide cream is easier to use and moisturizes while Retin-A does not. JG 4.18.09
Answer: there is no way to predict that as it will depend on how you age, that is a multifactorial issue and there is nottway to predict that. JG 4.18.09
Answer: well, it is a good choice, whatever effect you get will not last as long as the Artefil as the tissue that are sagging will continue to fall regardless of the Artefil as it does not stop the sagging. Artefil can last as long as 5 years or more, but the company recently went bankrupt so I am not sure how much longer you will be able to get it here in the US. Marionette lines are not always able to be corrected with fillers, it many times takes surgery to correct, the fillers can only temporarily slow the need for surgery. JG 4.18.09
Answer: has been tried for years and the sutures break, it does not last, and if one side breaks and the other side does not you look like you had a stroke. JG 4.18.09
Answer: Wwll, by now all of the Juvederm should have dissolved if it was real, I do not think anymore hyaluronidase will help at this point. Might want to se a plastic surgeon who does facial surgery for an evaluation. Best of luck. JG 4.18.09
Answer: because the intent of a laser is to incite damage in the deeper laers of the skin and then the skin heals by the creation of new collagen, the new collagen is laid down in 4-6 weeks but it is disorganized and will take 4-6 months for the collagen bonds to form from one strand to another to get the maximum amount of skin tightening. Sounds like whoever sold you on the laser and performed it on you did not give you much of an explanation before you had it done. JG 4.18.09
Answer: hard for me to tell without seeing you in person, if you press lightly on it, if it is fat, it should flatten where if it is a filler, it usually will not flatten. In most cases fillers in that area dissolve in 8-10 months so it sounds like your case is more one of fat if it has been this long. JG 4.18.09
Answer: I personally do not feel erbium offers much, but if you do not need much, it might be of some slight benefit. JG 4.18.09
Answer: if the redness is due to the eye being dried out from inadequate lower lid coverage, then elevating the lower lid should help, yes. JG 4.18.09
Answer: nothing negative will happen to your skin if you use the peptide cream versus the DMAE cream. You will still age, I would expect the signs of skin aging on yoru face would be less. In the future, as no cream will 100% stop the aging, you might need a different cream. New creams are being developed all the time and I am sure in 3-5 years we will have even better products. I am actually work on new mixtures that will likely replace the peptide cream I presently sell, I expect release of that in 12 months or less. In short, if you are concerned about your skin aging the peptide will certainly help, if you are not too worried, then the DMAE might be enough. Nothing negative will happen from the use of a product intended for older more damaged skin on younger patients. JG 4.18.09
Answer: I am sory but the mixture is of five peptides in a liposomal delivery complex and it is a proprietary compound that I cannot divulge, unlike my other creams. JG 4.18.09
Answer: normally 5-7 days. JG 4.18.09
Answer: I am sorry but I do not recommend Levulan for the treatment of wrinkles, it is an attempt to take two products to improve skin texutre but it removes all of the safety margins that each product has and nas never been approved by the FDA for that application. JG 4.18.09
Answer: I normally use Restylane. The potential side efects would be short term bruising and lumps if too much is deposited. JG 4.18.09
Answer: I have no personal experience of a patient that has used it, sorry. JG 4.18.09
Answer: I think much of the distortion you have at presetn is the swelling in one area and none in the other, it should balance out in a couple of weeks. The jowl, unfortunately, will eventually come back.JG 4.18.09
Answer: no studies have ever been done to determine the safety of that combination. Sorry. JG 4.18.09
Answer: as to the Fraxel laser, make sure when they show you pictures, they are at least one year after the Fraxel, that is when you will see the real result, all lasered patients look good three months after, it is what they look like 6-12 months later that tells you whether it was worth it. JG 4.17.09
Answer: not common, no, but I also would not have used Sculptra in that area, it is meant for deep injections and the area around the eyes needs superifcial injections. I think at this point all you can do for the bruising is give it time, sorry. JG 4.17.09
Answer: lots of different names but all essentially the same. In some small subsection of people, it can be done under local anesthesia. I do not use any fancy terms for my procedure, I just tighten the SMAS and remove the excess skin in front of the cheek for my mini lift. JG 4.17.09
Answer: it will take 2-6 months to get the maximum resolution of those lines, if you were not told that, they should have. JG 4.17.09
Answer: I have not seen it cause anything faster than it would have happened without it. I feel different fillers are better for certain things so you need to tell me what area you are using the filler on. JG 4.17.09
Answer: I would always start with Retin-A, it will help the texture and stimulate collagen to some degree. I think there are lots of lighter fractionated lasers that claim great results with no downtime, as I am sure you can figure out, if it sounds too good to be true, it ususlaly is. When the time comes it will likely need something with some downtime JG 4.17.09
Answer: I am sorry but I am noe a believer in the effectiveness of the fractionated lasers so in good conscience, I cannot recommend anyone. JG 4.17.09
Answer: the peptide cream also helps promote the creation of new collagen, but with no skin irritation, in that sense it does renew skin in a similar way. JG 4.16.09
Answer: I think pre and post IPL or YAG laser treatments will help and the laser treatment will never work after one session, it is a series, so be prepared. JG 4.16.09
Answer: it is a modification over the traditional old-fashioned inferior pedicle technique and I personally do not feel it offers much advantage. I no longer perform that technique and have moved over to a superiomedial pedicle technique so I do not depend on the tissue inferiorly supporting the breast tissue and areola. The time saved is minutes compared to the non-laser inferior pedicle technique. I think all breast lifts should be done under general anesthesia though. A laser breast lift is still invasive surgery, it is not a lift produced by merely lasering the breast skin, that will not work. Hope that helps. JG 4.16.09
Answer: Radieese probably, but not much longer. JG 4.16.09
Answer: sunblock, can also use Mederma or ScarGuard, but it can take up to one year to fade to its maximum. JG 4.16.09
Answer: safe, yes, good, no better than when it is preformed without the laser. I think it lasts no longer than a traditional inferior pedicle technique.The amont of dermis that is left does not significantly stop the recurring sagging, that is more relative to what is done to the breast tissue. Think about it, they are lasering the superficial part of the skin in an areas that have aleardy failed and now you want it to support what it coudl not support before just by causing strengthening by the laser. I will grant you that is is less bloody to perform versus the older method of talking the epidemis off. As to Thermacool, sorry, I do not beleive the hype. JG 4.16.09
Answer: shoudle be able to do so after the laser, best of luck. JG 4.16.09
Answer: I think the Iridex is commonlly used for broken blood vessels. As to hte negative comments on the web, remember, happy people rarely post things on the net, so you likley have a slanted opinion regarding potential resutls. JG 4.16.09
Answer: I think the evidence for the effectiveness of Prevage is very slim, I suggest maybe a Vit C serum along with sunblock of course. You can use the Retin-A under the Prevage, yes. As to a moisturizer, if you can avoid it at night so as to not dilute the Retin-A effects, that would be best, I do not think Relastin is any better than many less expensive ones, so that is why I said that, Oil of Olay or others are just as good for less money. I suggest the three month break from the Retin-A because there is evidence out therre that continued skin irritation can lead to accleration but not cause of superficial skin cancers. JG 4.16.09
Answer: can`t imagine how a 30 year old woudl have hollowness there and I do not perform fillers in the upper eyelids due to the high chance of lumps,sorry. JG 4.16.09
Answer: the creams will help the fine line, the small ones, it will not tighten skin like a laser or surgery will. The DMAE face cream has ingredients in it that can irritate the eye skin so I suggest the peptide cream for the face and the eye booser for the eye region. JG 4.16.09
Answer: I will be honest, I do not use fillers in that area as the chances of lumps are too high. JG 4.16.09
Answer: sorry, but in my opinion,as I think it is a waste of time, I would not suggest you have it done. JG 4.16.09
Answer: well, the CO2 would have gotten a better result for the fine lines over the erbium as the heat the CO2 geneates helps that but erbium has no heat, even if done to the same depth. As to the oral commisure and the slight nasolabial folds, no laser will correct that, that is surgery or filler. Lasers will never be able to long term tighten the skin enough to correct that. JG 4.16.09
Answer: I think it best to let it heal for at least 6 montsh as when there is swelling, even if not perceptible, it can make it difficult for the new surgeon to knwo how much to remove from certain areas. Best of luck. JG 4.16.09
Answer: skip the Relastin and Prevage and use the Retin-A twice daily. JG 4.16.09
Answer: tough problems, the person with the largest fat transfer experience in NYC is Dr Syd Coleman. Sorry to hear about the troubles. Best of luck. JG 4.15.09
Answer: I have not been impressed with the results in people who have used it. JG 4.15.09
Answer: doubt granuloma, it is either fat or filler. JG 4.15.09
Answer: doubt granuloma, either fat or filler. JG 4.15.09
Answer: well, if the granolma is really deep, then it might be hard to appreciate how hard it is, as to telling the difference between fat and a granuloma, that should be pretty straight forward unless there has been surgery done in the area before. Also, if there has not been surgery before, the fat around the eye is not a small ball, it is longer and more sausage shaped so that should be easier to distinguish from the others. JG 4.15.09
Answer: they can, unusual, but yes, the granuloma would feel like a hard lump. JG 4.15.09
Answer: I do not feel that injecting the Vitrase would harm anything. JG 4.15.09
Answer: I am sorry but besides creams or lasers to attempt to induce new collagen, there is not much at present. Fillers cannot be reliably used in that area for dynamic wrinkles as it will look lumpy when relaxed. JG 4.15.09
Answer: Botox injections are used off-label for the outer corners of the eye region but injecting it to the lower eye muscle can in many cases cause the muscles to weaken to such an extent that the eyelid function can suffer and the lid not be held agianst the eyeball as it is supposed to be, I do not recommend Botox injections for the skin of the lower lids. JG 4.15.09
Answer: nothing bad, likely the cartilage moving over another piece of cartilage, surgery might and might not be able to fix that. JG 4.15.09
Answer: I only use it in order to remove the cream we apply only if it does not come off when washing the face, otherwise we do not use it routinely, it is only as needed. JG 4.15.09
Answer: stabilizes cell membranes and promotes the skin`s ability to create its own collagen and glycoaminoglycans. The skin normally does that but as we age its capacity decreases and the ingredients help it stay as efficient as possible. JG 4.15.09
Answer: Rhytec Portrait, Retin-A maybe. JG 4.15.09
Answer: well, Restylane is thinner than Perlane, does not have more volume as 1cc is 1cc, it lasts about the same, is meant for a deeper injections so there are subtle changes. If your time is short you really do not have many choices as other fillers like Sculptra will not build up in time. I think the Perlane can be used, I suggest sing it about two weeks before you need to look good as I think the effects, especially in the filling of the hollowed cheek will not last long. The marionettes will lood good for awhile though. With your age and time constraints, you need to understand this is a quick short fix and is a compromise due to the limitations. JG 4.15.09
Answer: well, if there is swelling, which there likely is, it can be difficult to determine how much to remove, that is important to avoid depressions or divots. As to not seeing any difference after two months, that is unusual, but think about it for a second, why would you do the same thing with the same surgeon if it did not work the first time. Maybe you were not a good candidate for the lipsouction to begin with or they used an ineffective method and are now you are going to repeat the same mistakes. I suggest getting your preop photos from the doctor and getting a second opinion from someone else before you do anything. JG 4.15.09
Answer: it is safe to use on young skin, yes, no negative effects. JG 4.15.09
Answer: the more damaged the skin is the better it is with the peptide cream, there is no negative effect form using the peptide cream on your skin though. JG 4.15.09
Answer: in your case Erbium might be a reasonable option, as to the flat moles, the Erbium and CO2 will not do much, could darken, them too. They will either need to be cut out or lightened with a YAG laser and it will nto be a permanent lightneing and will nedd a series of treatments.JG 4.15.09
Answer: it is a slow dissolution. I think if you are going to do all of that I would do the filler last. JG 4.15.09
Answer: well, first of all, I think you should not be telling a professional like a dermatologist how to treat something, that is their job. Secondly, I find it unbelievable that the dermatologist would do something at your request when they should know that a triple pass with an IPL is likely not help to fade anything faster or more effectively and is likely to cause harm and further problems. For now, I would let it heal and not continue to irritate it, and I strongly suggest you get a second opinion on your problem. It might get better, all depends on how strong the IPL was set for, but when there is scabbing, there is a chance, especially in olive skinned people and darker that there might be some permanent color loss. JG 4.14.09
Answer: I think you will need to let the tissues heal and soften for at least one year and then likely more surgery will be needed. I think LipoDissolve is a waste of time and could cause further tissue damage and would advise against it. I think the hardest part will be waiting, but it is needed. What can be doen at that time, after a full year, will depend on how soft and pliable the tissue are. I am so sorry to hear about your troubles, they are rare probelms, but do happen. JG 4.14.09
Answer: most welcome.JG 4.14.09
Answer: they are different produucts, the peptide is for more mature skin, they are both in a 1 oz container. Neither will fix sagging skin though, no cream will do that honestly. Our DMAE is 5%. JG 4.14.09
Answer: I think it best to get it checked out by a dermatologist to make sure it is not something that needs a biopsy. JG 4.14.09
Answer: might take a full year, can consider using some saline nasal spray, it might help. JG 4.14.09
Answer: it might be that they are not looking forward to getting involved with a problem done elsewhere, yes. You might have to go back and see the original surgeon, sorry. JG 4.14.09
Answer: there is nothing that will restore the color, if there is enough skin, a very conservative scar excision and reclosure is likely your best bet. JG 4.14.09
Answer: all of those will help, they can be combined. JG 4.14.09
Answer: I think you can use both. JG 4.14.09
Answer: in most cases it does not get lumpy and if it does, again in most cases it goes away.I do not think fat is a good choice for that area as survivability is no longer and the needles required are larger. I use Restylane for that area. JG 4.14.09
Answer: It likely will need more surgery and at least the skin relifted and possibly the tissues below the skin too, hard for me to say without seeing you in person. At times the pleat is due to agressive lifting of the tissues and no to little skin being removed and that can cause the skin to fold. That is one of the great deficiencies of an endoscopic procedure as it does not allow the skin to redrape well. I am sorry but no exercises will help. It cna likely be repaired with a traditional cheek lift. Best of luck. JG 4.13.09
Answer: should not cause any long term problems, just maybe a bruise from the needle. I have not seen any bad side efects from Vitrase. Best of luck. JG 4.13.09
Answer: yes, but your body makes it back as part of the body`s natural process, and since the lump is a larger spot, it is affected to a greater degree. It does not result in scar tissue though. JG 4.13.09
Answer: well, I will be honest, there have not been any studies I am aware of that have been done on pregnant females, so I cannot say 100% for sure. JG 4.13.09
Answer: the skin typically regenerates so it does not thin and 100 microns is not that deep. A revision rhinoplasty is OK to do after the laser, yes. JG 4.13.09
Answer: I think the burning is likely due to some element of scarring and the hypopigmentation might get better with a little sun. I think either a plastic surgeon or dermatologist could see you as long as they have laser experience. JG 4.13.09
Answer: I figured.
Answer: too early to tell, btu most likely you stil have lots of swelling and they wil get flatter than they are at present, hang in there. JG 4.13.09
Answer: a phenol peel is the msot effective for wrinkles but has serious down time, as to the peels, they are good for pigment problems and the microdermabrasion is good for recent sun damage and for pores. JG 4.13.09
Answer: implants might be a better option if that is your desire, but they do not do exactly what fillers do as they are placed much deeper. I do perform facial implant surgery, yes. JG 4.13.09
Answer: it is hard for me to say without seeing you and feeling the tissues, but I think the nasal bones will likely need to be broken in order the thin the bridge of your nose. Cartilage grafts will give the tip more definition but will not stop the muscles that pull the tip down. As to the silicone, it might be able to be removed during the other surgery but it can be difficult at times to perform that. I wish you the best. JG 4.13.09
Answer: Retin-A will be the most effective, best of luck. JG 4.13.09
Answer: if it is done too deeply it can injure the melanocytes that create the pigment. The burning sensation is not a normal thing. JG 4.13.09
Answer: hard to find out what the ingredietns are but prescription hydroquinoen is likely much stronger and more effective for a fraction of the price. 4.13.09
Answer: not permanent, just temporary. JG 4.13.09
Answer: that is too much vinegar, decrease it to the prescribed amount and it should get better. JG 4.12.09
Answer: might be, only trial and error will tell. JG 4.12.09
Answer: waxing or electrolysis. JG 4.12.09
Answer: I personally feel that hyaluronic acids in topical creams does not work, it is not absorbed through the skin and they are just trying to capitalize on the hyaluronic acid fillers effects and trying to let pateints think it works the same way. JG 4.12.09
Answer: You can try steroid injections but the effects are mild at best and do have side effects. Steroids and cortisone are the same thing. A facelift would elevate the skin and tissue and possibly, if the filler is seen at that time, it could be removed. Best of luck. JG 4.12.09
Answer: that is normal for that depth laser at this point, got to hang in there. JG 4.12.09
Answer: i$t shoudl get better but it takes 6-8 weeks for the carrier gel to dissolve. I fear you will be like that for a long time, I never inject through the mouth, it is very difficult to place the material in the location needed that way and the infection rate is higt due to the bacteria in your mouth that cannot be sterilized. JG 4.12.09
Answer: IPL will never help reduce hair, sorry.JG 4.12.09
Answer: Vitrase injections are not common, but are needed at times and it sounds like you might need a little more where the bump is. Vitrase is completely gone in less than one day and does not cause swelling. Sorry you had the bad experience, it usually is not like that. JG 4.12.09
Answer: still too early, go to give it 4-6 weeks. JG 4.12.09
Answer: likely not enough in there to see a result. JG 4.12.09
Answer: not things like Retin-A or retinols for safety. JG 4.12.09
Answer: there are no studies documenting the safety of any of those drugs while pregnant, but I will say that usually acne gets better while pregnant as the hormones help settle it down. JG 4.10.09
Answer: no, it should not be that much different. There are incisions but they usually heal pretty well in time. JG 4.10.09
Answer: the danger is in the tissues in the fetus that are developing and are much more susceptible to things than adults are. JG 4.10.09
Answer: in general, pretty goods products. JG 4.10.09
Answer: I feel it is a safe procedure. JG 4.10.09
Answer: you can try increasing the Retin-A to a stronger strength, 0.1% and see, but peeling is not needed to get the benefits. JG 4.9.09
Answer: there is no way to tell if it did anything bad. JG 4.9.09
Answer: impossible for me to tell without seeing you and the appearance of your breasts before the surgery. JG 4.9.09
Answer: well, it has never been studied so no one can say for sure. I think Retin-A and Tazorac should be avoided while trying to get pregnant and stick with microdermabrasions while pregnant. JG 4.9.09
Answer: can try Radiesse, might last a little longer in some patients. It can be done as often as desired and it was coming out the pores because it was injected too superficially is all. No danger with your nose falling off. JG 4.9.09
Answer: directly underneath the fold. JG 4.9.09
Answer: safe, likely yes, 12 minutes,yes, effective, I do not think so, sorry. JG 4.9.09
Answer: no, it is common to have friends or family come. That should not be a problem. JG 4.9.09
Answer: the 20% might be too irritating and will likely give you some donwtime to heal. JG 4.9.09
Answer: I would remove it all, the silicone implant should not cause any calcifications. JG 4.9.09
Answer: sorry, not a believer of Lipo-Ex or Accent tightening skin.
Answer: I think many do have photos and it is certainly OK to ask to see them. I think it is also OK to ask about their experience level with the treatment proposed. A consultation first to determine if you are a good candidate for the laser is typical. JG 4.9.09
Answer: if you are a tolerant person, it could be. JG 4.9.09
Answer: nope, it is a collagen and hyaluronidase will not dissolve it. JG 4.9.09
Answer: no way to tell because it depends on your ski and the energy used, there is no set number. JG 4.9.09
Answer: it can be used but it will not work I am afraid, it has been tried by many. JG 4.9.09
Answer: I do not routinely see that, maybe because the base gets wider, or they gain weight, not sure what has occured in those cases without having more information. JG 4.9.09
Answer: well, it is healed now, it just needs to repigment, that time will vary depending on your skin and the amount of sun exposure, no way to tell. JG 4.9.09
Answer: ther is no measurement that says that, it is relative. JG 4.9.09
Answer: if by 6 weeks it is not helping you will need different things. No reason not to do the laser for redness if you are breaking out. JG 4.9.09
Answer: well after it is placed, if it sticks out past the edge of yoru breast tissue, it was too big, as to before, your beast tissue is measured and then compared to the chart that lists the implant dimensions. JG 4.9.09
Answer: sometimes their skin is tighter and takes longer to relax and let it drop. JG 4.9.09
Answer: light chemical peels remove the epidermis, if you desire wrinkle reduction you need to go into the dermis. My preference is CO2 as it is ablative and also heats the colagen to shrink it which the Erbium cannot,therefore the erbium heals fasetr and the improvements are not as dramatic. The tripel mix cream will help avoid the potential hyperpigmentation that can occur with both CO2 and erbium. I always do a TCA peel on the neck to help the color of the face blend in better with the neck when I do a facial laser. I tried the erbium technology long ago and abandoned it as I was disappointed with the results. Best of luck. JG 4.9.09
Answer: sorry, but not that I have seen be effective. I think Strivectin at present is no better than many other creams out there and is more expensive than their competition. JG 4.9.09
Answer: not exaactly the same, but they are used for the same purpose and last about the same, the evolence is a collagen product where the Restylane is a hyaluronic acid product. Neither is permanent and should not scare you. JG 4.8.09
Answer: nothing new besides the old ways. JG 4.8.09
Answer: maybe not in that case. Best of luck. JG 4.8.09
Answer: I feel it offers no significant advanatge to the patient, it might hurt a little less as it has a numbing agent in it is about all. JG 4.8.09
Answer: it has not been studied so I would avoid it for fear of damage to the baby. I think you can use micordermabrasions and likely light glycolic acid washes. JG 4.7.09
Answer: I would skip it. JG 4.7.09
Answer: although it has not been tested, there should not be a problem. JG 4.7.09
Answer: testosterone replacement can certainly cause things like this due to its conversion to DHT that affects hair loss. Estrogen will not make your hair grow back, but stoppig or decreasing the testosterone might help along with some Propecia. I feel estrogen creams are better than pills. JG 4.7.09
Answer: if you are using the cream just leave them open to air. JG 4.7.09
Answer: not uncommon from the bleeding and the scabbing, just continue doing as you are for now. I would not use the concealer until the scabs are off. JG 4.7.09
Answer: at times some people will get a little scabbing, and there are a smaller number that have pale splotchy skin for awhile. Nothing that can be done will improve it on a permanent basis though. I think Iridex is good, as is a YAG laser and a VBeam laser too. JG 4.7.09
Answer: as a matter of fact, yes, we are going through the trials as we speak, stay tuned. JG 4.7.09
Answer: it is temporary and with a little time and sun it will all come back. JG 4.7.09
Answer: for an infection to cause a capsular contracture would take weeks, so it happening right after is likely a coincidence. Taking it now might not help I am afraid. JG 4.7.09
Answer: I think the chances of bad thinsg happening goes up the larger the implant, I try to stay at 450 or smaller if at all possible. JG 4.7.09
Answer: Retin-A or my DMAE face crema or peptide cream, mine are on my shopping cart. JG 4.7.09
Answer: it is likely related to the position you slept in causing them to be worse on some days. Creams will have a small effect if they come and go lie that. JG 4.7.09
Answer: I do not think it will last three weeks, likely longer, but they will last less time than in more sedentary people. JG 4.7.09
Answer: Medlite is a true YAG laser while IL is a light amplification device, like a weak laser. I think IPL is safer and at the same time not as effective, but understand that Asian skin is risky with both as to be effective it takes higher energy which can cause dark spots to appear, and no matter what you use, there will never be complete removal and it is temporary. Neither one should normally scab although it does happen at times. Medlite will also not do much for wrinkles. JG 4.7.09
Answer: I do not feel the new lasers are more refined, they have been dialed down in terms of energy, and therfore likewise in their effectiveness. It is all a matter of depth and experience on the surgoen`s part. JG 4.6.09
Answer: no, that is something that happens when you pull on the skin because there is no way to seperate the tissues around the eyes while doing that maneuver, during a facelift or cheeklift the eyes and their shape is not changed. JG 4.6.09
Answer: we use fillers all the time on vertical lines, are they 100% gone, no, but they are usually substantially improved. The injection results do depend on the skill of the injector though. JG 4.6.09
Answer: good moisturizer that is similar in fatty acid make up to the fats in normal skin. Some people report it helping in acne control. JG 4.6.09
Answer: I think erbium is not as effective