Showing posts with label filler. Show all posts
Showing posts with label filler. Show all posts

Saturday, March 21, 2015

What do you think? Facelift/neck lift? Fillers and Botox or fat transfer?

Dr. Dean Kane Q & A.

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Q. I'm 43 but feel like I'm 23. The past few years I've noticed less volume, for the record I think I already have a thin face. The upper eyelids stand out along with the tear trough. My dermatologist told me no on the face/neck lift but I submitted my photos to a plastic surgeon. He also said I wasn't a candidate for the lifts. He suggested an upper eyelid surgery and fat transfer! I don't want to spend thousands on that if in a few years I will need a facelift. Please help with your opinions. Thank you!
​A. Thanks for sharing your photos! You will notice that your best appearing presentation are the photos in which your cheeks are the most prominent and your jawline is most angular. This is due to a "heart-shape", convex presentation where there are more highlights then shadows.
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​You, like many patients may achieve these features with facelifting options, injectibles, peels and laser. Each has its own advantages and disadvantages, onset and duration, recovery and cost. Your personal needs must be evaluated with a well experienced, Board Certified Plastic Surgeon or Facial ENT Surgeon that provides all options so they are not biased based on a lack of skill level.
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​I have many patients choose fillers, retinoids, peels / lasers when they won't consider surgery, have the funds or recovery time for surgery.  Others, recognize the advantages of surgery to reduce / lift the jowls, widen and fill the upper cheek and redrape the lax skin while maintaining a thinner facial appearance and obtaining a longer duration of results.
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​Both of these and other combinations are options you will determine with a trusting physician.
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​I hope this has helped! All the best!

Monday, January 26, 2015

Dr. Dean Kane Q&A – Can a filler be effective on11 lines after Botox poor result?

Question from Hallandale, FL: After 7 days Botox does not seem to work on the 11 lines.my injector said that she might have to use a filler like volume or restyling. Does this sound right?

 Answer from Dr. Dean Kane, Board Certified Plastic Surgeon from Baltimore:
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​Botox begins to work after 5-7 days and is optimal at 10-14 days following injection. So please be patient before discounting the effects of Botox. 
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​After 2 weeks, revisit your injector to see if there is another set of muscles (called the orbicularis oculi muscles) which may be "recruiting" the skin from the outside brow to create those "11's". If so, it takes great skill to inject these recruitment muscles without causing eyebrow or eyelid droop and stop the skin folding inward towards the middle.
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​If the "11's" are permanent lines from continuous creasing, fillers properly injected and retinol / Retin-A will smooth out those lines. It will also allow the Botox to "work" longer by reducing the amount of squeeze and line formation. 
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​It is imperative that you find a expert injector with these finer techniques. There are risks of complications involved not typical of the more common injector. Please consult with a well experienced, Board Certified Plastic Surgeon, Facial ENT or Dermatologist. 
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​All the best!