I have some facial concerns that I think would be best addressed with some injectable fillers. Do doctors choose the filler based on their preference or based on the patient's specific concerns?
Fillers should be chosen based on patient’s concerns and treatment areas. For instance, Juvederm or Restylane is a good option for lips (off label) but not Radiesse. For areas of the face where more volume is needed (i.e., cheeks), Sculptra or Radiesse would work better.
Would injecting BOTOX around the brow line create something that looks similar to a forehead lift?
Botox can create a ‘brow lift’ look. This is accomplished when Botox is used to relax certain areas of the forehead and not others. The area that has not been injected with Botox will continue to lift the brow and can mimic a look of a brow lift procedure.
Question: I love the results I've seen online with chemical peels. I've got some sun damage and minor wrinkling. Can this be improved with a chemical and would I need to have repeat treatments to maintain the results?
Answer: A chemical peel is an excellent option to help remove sun damaged spots and fine lines from the face and neck. I often perform a medium to deep chemical peel for face and neck and achieve very nice results. It requires 5-7 days of downtime. It is not for every skin type and you will need a consultation to decide if chemical peel is right for you.
Question: The other day I was getting my hair done at the salon when I saw an ad for Botox injections. I thought that only a certified medical provider could do them; what's the deal?
Answer: Every state has its own unique laws and regulations about Botox injections. I would check with your local medical board about the issue. Remember to always have your botox injected by a trained/experienced injector. It is still a medical procedure.
Question: Can injectable fillers be performed at the same time as a facelift or do you need to wait? If you need to wait, how long? And is this true of all fillers?
Answer: It depends where on the face you want to have it injected. I often inject fillers for the smile lines and lips during a facelift procedure. Patients like this since they don't feel the needle at all under anesthesia.
Question: I saw an interview with a doctor who said that a chemical peel can be used not only on the face, but the neck and hands as well. What’s different about treatment on the face as opposed to the rest of the body?
Answer: In general, the face is much more vascular (has more blood flow) than other parts of the body. This may be one of the reasons why chemical peels may work better on the face/neck than arms/legs/hands.
Many patients have a poor understanding of how and when botox or fillers should be used. The facial lines can be divided into either dynamic or resting lines. Dynamic lines are lines that can be seen when you animate or move your face. Examples of such lines are forehead lines, glabellar lines, and crow’s feet. Dynamic lines occur because the underlying muscle moves and contracts. Botox is used to relax these muscles by disrupting muscle-to-muscle communication. Resting lines are lines that can still be seen when your face is at rest.