Ask an Evolve Doctor
Is it Good to Remove Blackheads?
Can filler really cause blindness? Can I go blind from anti-wrinkle injections?
Blindness following injection with dermal fillers is far and away the most feared complication that cosmetic injectors have to think about, and one that we all must talk about with our clients before treatments. Even though the risk is so tiny, the consequences are so catastrophic that injectors should be morally and legally obliged to mention it to every client prior to their filler injection.
The reason that blindness is a risk following dermal filler injections has to do with the anatomy of the arteries that provide the blood supply to the eye. Most of the blood to the eye actually comes from an artery called the “ophthalmic artery”, which runs from deep inside the skull and then forwards to the back of the eyeball.
In many arteries however, there can be “cross-channels” from other arteries which communicate with each other. Sometimes there are arteries from the area between the eyes above the nose, a region also known as the glabella, which can communicate with the ophthalmic artery and the eyeball. Sometimes this also happens from arteries in the temples.
These anatomical variations are so variable amongst people that we never can be sure when and where we will find them. We just have to assume that they are there, in order to avoid the “worst case scenario”. The reason that this feared complication has never before been seen in Australia has a lot to do with the high standards followed in the Cosmetic Injecting Community and the general commitment to ongoing education and patient safety. The “No-Go” injecting “Danger-Zones” are generally avoided, or if injected they are done with extreme caution and only by the most experienced injectors with the safest techniques.
Whilst this is the first case of blindness in Australia, there have been multiple incidents worldwide, especially in some parts of Asia where injections to the glabella (or the bridge of the nose) are common. When you look at the statistics, with the number of people treated with dermal fillers each year numbering in the thousands, and fillers having been around for so many years, the number of cases of blindness is extremely low.
What is slightly more common, and not spoken about as much, is tissue ischemia and necrosis from injections into an artery. Ischaemia means “lack of blood to a tissue”, and necrosis means “tissue death”. It’s essentially the same thing as happens with filler being injected into an artery that travels to the eye, except the artery (and the filler) in this case travels to and lodges in other tissue, usually skin.
It’s another rare and feared complication, but thankfully in experienced hands the risks are very low, as the “No-Go” injecting “Danger-Zones” are well known. One more possible complication is injecting so much filler into a “tight” area (such as the nose, where the skin is bound down much more tightly to the underlying tissue). Too much filler may actually compress the veins and arteries in these areas, and ischaemia and necrosis may occur.
How would I notice if I had these problems? How would they be treated?
If you had filler inadvertently injected into an artery which travelled to your eye, the visual changes would be noticeable very quickly, within minutes usually. Your injector would then have to immediately flush the area with an enzyme which breaks down filler.
This could potentially mean an injection between the eyeball and the eyelid, to get to the back of the eye where the filler may be lodged. You would then be urgently sent to the nearest large hospital with an eye specialist (Opthalmologist) for treatment. A hyperbaric chamber (if available) can sometimes be used to increase the amount of oxygen in the blood and hopefully save the precious eye tissue. An important question to ask your injector is, “do you have filler dissolving enzymes in your clinic”?
Ischaemia and necrosis to other tissue can be more difficult to notice and diagnose, because it can come on slowly, typically four to six days after the injection. The skin may become “dusky”, painful and the capillary refill may be slower (capillary refill is where you compress some skin to squeeze out the blood, and then wait to see how long until it goes from white back to normal). Again, the answer is large amounts of filler dissolving enzymes injected in the area to dissolve the filler.
How can these complications be avoided?
These devastating complications can be avoided by risk management. There is a risk to every medical procedure (and it’s sometimes easy to forget that cosmetic injections are in actual fact a medical procedure). Clinicians perform a mental calculation and weigh up the risk versus the benefit of every procedure and fillers and anti-wrinkle injections are no different. Avoiding the “No-Go” injecting “Danger-Zones” is the best way to minimise risk.
The use of a blunt tipped cannula as opposed to a needle may be preferred in some areas to minimise the chance of puncturing and injecting into an artery. In theory at least, a blunt tipped canula should push aside a blood vessel rather than puncture it. Cannulas aren’t appropriate for every injection though, so after puncturing the skin and finding the exact place that we want to inject it’s a good idea to “pull back” or “withdraw” the plunger of the syringe.
If the needle tip is sitting in a vein or artery we will see a backflush of blood, which we won’t see if the needle is sitting in other tissue. Injector experience is of such huge importance, and sometimes we as injectors need to have the confidence and the courage to say “no” and refuse to inject in a situation or area which we find unsafe. After all, we get cosmetic injections for beauty, so why would we risk serious injury?
Can I go blind from anti-wrinkle injections?
This is highly unlikely for a number of reasons, but mostly because of the very different effects of filler and anti-wrinkle injections. Filler works by doing exactly that: filling. It is a big molecule, designed to take up space and expand. Anti-wrinkle injections work by paralysing and weakening specific muscles in the face that cause wrinkles when they contract. They are very small molecules and are highly unlikely to block an artery, even if they were injected into one.
After all has been said and done, these serious complications are very rare. Otherwise we would not be injecting fillers into anyone! No clinician wants to cause a serious complication. Far and away the most common side effect of dermal filler injections is swelling and bruising to the area, which usually settles down after a few days and is easily managed. But it is important to be aware of the risks involved, and to be able to discuss them with your injector for your own piece of mind and safety.
How can I stop myself passing out when I get anti-wrinkle injections or filler?
Does the actual sting of the injection cause you to pass out? Your injector can use ice to numb the area beforehand to minimise discomfort. Ensure that you have eaten a small meal prior to your injections so your blood sugar doesn’t drop, and drink a few glasses of water beforehand so that you are well hydrated.
If you start feeling dizzy, perhaps a jelly bean to raise your blood sugar may help. You can also ask to lay down, with your feet above the level of your heart if you are feeling dizzy.
After the injections, take a few moments to catch your breath before you stand up. Hopefully all of these things will help you!
Are chemical peel safe for the skin?
Treatment with chemical peels is not limited to the face, and can be very useful on the neck, back, upper chest and upper arms. Treatment with chemical peels can also be combined with microdermabrasion or Photo-LED therapy to enhance the rejuvenation process.
A series of chemical peels, in conjunction with Dermafrac, microdermabrasion or Laser Genesis and occurring over a period of weeks or months, may be recommended by your dermal therapist
What does anti-wrinkle treatments do for eye wrinkles?
What are the side effects of Coolsculpting?
A rare complication is late onset pain thought to result from irritation of the nerves during treatment: this pain generally appears on the third to fifth day after treatment, and although it usually resolves by itself, some patients may require a stronger pain medication which your doctor should be able to write you a prescription for. An extremely rare complication (seen in less than on in every ten thousand patients) involves growth of fat, rather than fat loss at the site and may require surgical correction.
Is it true that anti-wrinkle injections in your armpit keeps you from sweating?
Are double chin fat injections as effective as lipo under the chin?
How important is technician experience for a Coolsculpting treatment?
Does fat freezing work for weight loss?
Are Double Chin Injections Safe?
The swelling is a good sign that the treatment is working, and is expected to peak at forty eight hours after injection. The swelling lasts for an average of seven days. If bruising occurs most patients find that it can easily be covered by makeup until the bruise resolves, which takes a few days.
Another, much rarer side effect is a temporary, asymmetrical smile. This may occur if the medication is injected too close to the nerve that helps move some of the muscles of your mouth. This risk can be minimised by avoiding injecting too close to the jaw, which is where the nerve usually runs.
Your highly trained doctor is familiar with the anatomy of the area, and will discuss with you the safest sites for treatment. If this asymmetrical smile occurs it is likely to last for an average of six weeks until the nerve recovers. Allergic reactions are also possible after any medication injection, although the likelihood of this is small.
How are double chin injection different to coolsculpting?
Can I have anti-wrinkle treatments and dermal fillers at the same time or is this not recommended?
I have Eczema on my face, will anti-wrinkle injections help me?
I have bruxism, Would there be any reasons to avoid anti-wrinkle injections and in your experience is it a successful treatment?
Has anyone had anti-wrinkle injections for spasticity and if so did it help?
I have wrinkly lips, Is this something that dermal fillers can help with?
Can lip fillers be done to only certain parts of the lip?
Do lip fillers shrink lip size afterwards?
Can CoolSculpting be applied directly over the kidney area cause damage to the kidney?
Is it common to get Spock eyebrows with anti-wrinkle injections?
Is abdomen CoolSculpting okay for someone with an insulin pump?
After anti-wrinkle injections, how long do the result last?
Will a steroid injection affect my CoolSculpting results?
Is it normal and common to get a burn from CoolSculpting?
Coolsculpting is newly approved for upper arms? Has it been successful?
Would dermal fillers help under eye bags and marionette lines?
As we age, we lose bone and fat in the face. We also lose collagen in our skin. Collagen is the protein that keeps our skin tight and minimises wrinkles and sagging. Ageing, and the loss of bone, fat and collagen causes the youthful “heart-shaped face” to fall with gravity, and become more “square” and hollow. Replacing lost volume in the face with filler is a great place to start. Think of it as building the strong foundations for a house. Not many people realise just how much difference replacing lost volume can make. The results are subtle, but noticeable. It is a very natural way of making someone look more youthful. Rather than look like you’ve obviously had fillers, it just gives you a subtle freshen up, like you’ve had a great night’s sleep.
The benefit of using non-permanent fillers is that they are much safer and have the advantage of being able to be dissolved if you are not happy with the results. Careful injection of filler will minimise the risks of lumpy and visible filler under the eyes. An injection performed with a blunt tipped micro-cannula, as opposed to a sharp needle, is not only less traumatic, with less bruising and swelling, but also allows deeper filler placement with minimal lumpiness. The use of cannula will permit much more accurate filler placement, and your results will be much more natural looking.
You would need treatment approximately every six to twelve months depending on how quickly your body breaks down filler, how much filler you are treated with, and what type is filler is used.
What is better for nasal labial folds, Injectables or a surgical face lift?
Ultimately your treatment will depend on your own aesthetic goals, the experience of your injector or surgeon, and your budget. I would recommend a review with an experienced injector and surgeon who can assess you in person (as a two-dimensional photo doesn’t tell the “full 3-D story” of your face), discuss your goals, and formulate a treatment plan.
Is swelling, bruises & hardness normal 3 days after lip filler injections?
Post TMJ anti-wrinkle injections treatment, was it done correctly?
CoolSculpting vs CryoDefine?
The new Coolsculpting treatment applicators have a temperature of minus eleven degrees, while many other treatments only go down to minus eight or even minus three degrees. The colder the treatment, the quicker the treatment, but also the more fat cells that get damaged and the more effective the treatment.
Which do I do first, CoolSculpting or gastric banding?
Is there much difference between the Zeltiq and Clatuu fat freezing devices?
The new CoolSculpting treatment applicators have a temperature of minus eleven degrees, while many other treatments only go down to minus eight or even minus three degrees. The colder the treatment, the quicker the treatment, but also the more fat cells that get damaged and the more effective the treatment.
If the botulinum toxin is so poisonous, then how can you get anti-wrinkle injections without dying?
In the illness “Botulism”, very large doses of the toxin are released in the body from contaminated food. These very large doses of un-purified toxin affect the muscles in the face in a uncontrolled way, as well affecting breathing by paralysing the diaphragm and other breathing muscles.
Anti-wrinkle injections are safe because we can deliver the medication in a highly controlled way. It’s important to realise that complications can sometimes occur though, and that’s why it’s important to choose an experience injector.
Do anti-wrinkle injections for migraines really work?
Where does the fat go after Coolsculpting?
What should I do about intense abdominal pain after CoolSculpting?
Will it cause saggy skin with the volume loss of fat?
Could puffy pubis area benefit from CoolSculpting?
CoolSculpting – each side of waist was a 30 min. session. Is this standard?
Would I be a good candidate for CoolSculpting on my arms?
Does a CoolSculpting massage impede results?
Can injectable fillers be used to better define the jawline?
After how many days post lip filler can I get my facial or facial massage done?
Is it okay to get fillers while having iron tablets for anemia?
It is completely safe to have treatment with dermal fillers while you are on iron tablets for anaemia: there is no interaction with the filler. Do you know why you are anaemic? There are many important and potentially serious causes of anaemia, and I strongly advise you to visit your family physician for a thorough investigation of these causes!
Help! Can I fix these mouth lines with dermal fillers?
Should a doctor know where the arteries in the face are to avoid causing blindness or skin necrosis from filler?
What’s the best option for fillers for nasolabial folds?
Is this ptosis of the eyelid or brow after anti-wrinkle injections and is it a forever lazy eye?
Can you get anti-wrinkle injections while getting LED treatments?
Can anti-wrinkle injections cause the brain to stop using a muscle, resulting in a permanent effect?
Fat dissolving injections are only approved for under-chin fat, but I was wondering is there any scientific or technical reason as to why it can’t be used some time in the future to melt fat bags under-eyes?
Are there any long-term nerve damage caused by fat-dissolving injections that did not resolve?
I want fat dissolving injections but have two large visible veins under the chin area. Is it safe to get it where the veins are?
I have a significant double chin when I look down. What is the best treatment for this?
How long does it take to see results from Coolsculpting?
Is hair growth common after an IPL Photo-LED Facial?
Did my face get burned by an IPL Photo-Facial?
Is doing chemical peels between IPL sessions a standard procedure?
Should all treated brown spots turn darker after a facial laser treatment?
Does Retinol still work even with irritation present?
How can I repair my badly damaged & prematurely ageing skin after too many TCA peels?
What is a Dermal Therapist? Am I being treated by a Dermal Therapist at Evolve Advanced Cosmetic Medicine?
To obtain qualification as a Dermal Therapist in Australia requires a four-year university degree in a Bachelor of Health Sciences, with a major in skin sciences. The Australasian academy of Cosmetic Dermal Science is also a specialized body for such academic training.
Dermal Therapists have a detailed knowledge of human anatomy, physiology, endocrinology, chemistry, plastic surgery, dermatology, nutritional relevance to skin, wound management, infection control, and the physics and real-world applications of laser technology. A core component of a Dermal Therapist’s education is the unbiased evaluation of peer reviewed evidence relating to skin and tissue interaction with lasers and other light modalities such as intense pulsed light (IPL).
Dermal Therapy qualifications are highly prized in the aesthetic and skin-care industry, and leading clinics will employ Dermal Therapists for their evidence-based approach to skin health. Dermal Therapists are experts in the management of many skin conditions including acne, dry or sensitive skin, pigmented lesions, rosacea, redness and other vascular lesions. They are able to individually tailor a skin-care program specifically for you. This may consist of treatments such as microdermabrasion, chemical peels of varying strengths, skin needling, laser and light therapies and a personalised home-care cosmeceutical regimen. Working with in partnership with a doctor they can also assist in obtaining prescription only treatments for pigmentation and acne.
Dermal Therapists are also experts in the appropriate and safe use laser technology in a clinical setting. In the State of Victoria, there are no restrictions on who can operate a laser in the setting of an aesthetic clinic. Unfortunately burns, scars, and permanent changes in pigmentation are all too common following laser treatments by inexperienced practitioners. At Evolve Advanced Cosmetic Medicine, you are always treated by our certified and trained Dermal Therapists. For your safety, it is important to ask, “am I being treated by a Dermal Therapist”?
Will taking a daily zinc supplement have an effect on Coolsculpting results?
I had a tummy tuck and liposuction 2 years ago. Will Coolsculpting help?
After Coolsculpting, what happens to new fat coming into the body?
Provided that your diabetes is well controlled, it should still be possible to undergo Coolscultping. You will have to keep a close watch on your blood sugar levels and may want to have a source of sugar close at hand in case of a “hypo”. In theory you may also be at slightly risk of nerve pain, due to the nerve problems that can be caused by long-standing poorly controlled diabetes. If you have any queries, I would certainly recommend that you discuss it with your endocrinologist beforehand.
Coolsculpting under the chin?
Coolsculpting upper abdominal, no massage after – will this effect treatment?
Is Coolsculpting beneficial for saddle bags?
Had I a hiatus hernia repair as an infant. Can I get Coolsculpting on my stomach?
Can I get a Coolsculpting treatment after spinal surgery?
When do I need to stop taking blood thinners before having Coolsculpting?
Can I Coolsculpt the same area more than three times?
Can a person with cold-induced hives get Coolsculpting?
Which is the best most effective method for removing unwanted double chin fat: CoolSculpting or Liposuction?
Could Coolsculpting Mini cause permanent nerve damage to your face & chin?
I received Coolsculpting mini for my double chin on Monday and immediately after noticed numbness from the side of my jaw to my lip which is causing my smile to droop. This was a serious concern of mine before getting the procedure and the technician assured me it wouldn’t happen. I’m worried it may have caused permanent damage to my nerve. Is this possible? If so, how long will it take?
I’m very sorry to hear about this event. Nerve damage, or neuropraxia, is a possible, rare side-effect from Coolsculpting. In most cases it effects the nerves just underneath the skin and leads to some temporary changes in sensation. In this case, it is possible that the nerve which controls the muscle to your lips has been temporarily injured. In most cases of nerve injury, the nerve function returns fully in an average of six to eight weeks. You may wish to consider consulting a specialist neurologist. Best of luck.
Can anti-wrinkle injections be used in areas other than crow’s feet and forehead wrinkles? What are other benefits?
I’ve never had cosmetic treatment. Where should I start?
Replacing lost volume in the face with filler is a great place to start. Think of it as building the strong foundations for a house. Not many people realise just how much difference replacing lost volume can make. The results are subtle, but noticeable. It is a very natural way of making someone look more youthful. Rather than look like you’ve obviously had fillers, it just gives you a subtle freshen up, like you’ve had a great night’s sleep.
People are often amazed that simply adding volume to the cheeks can have such an amazing effect on bags under the eyes, and lines from the corners of the nose to the corners of the mouth. It’s my favourite place to start.
How many CoolMini sessions would I need to treat my double chin?
How many CoolMini sessions would I need to treat my double chin? I’m interested in getting CoolMini to reduce my double chin and reveal my jawline a bit more. I am a 5’6, 180 lb female. I’m not looking for a totally sculpted jawline, but just to reduce the double chin area. How many CoolMini sessions do you estimate it would take to accomplish this? Would I need more than one applicator per session? I also have quite a bit of fat in my ‘jowls’ area, can CoolSculpting help with that?
I suspect that you will require two applicators per treatment, and most likely two treatments. Another option to consider is fat-dissolving injections. Both Coolsculpting and fat dissolving injections are amazing treatments for permanently removing submental fat and both have their place in my practice. I would recommend a review with an experienced injector who can assess you in person, discuss your goals, and formulate a treatment plan. I would also suggest a review at a clinic where both Coolsculpting and fat dissolving are available, so you get an unbiased opinion.
Which would you recommend: Coolsculpting or fat dissolving injections?
Which would you recommend: Coolsculpting or fat dissolving injections? I decided on Coolsculpting over fat dissolving injections for my procedure, what are your thoughts? One never can have too many opinions! Sometimes I believe I almost have a jawline then I turn sideways and never mind!
Both Coolsculpting and fat dissolving injections are amazing treatments for permanently removing submental fat and both have their place in my practice. There are many reasons to use one instead of the other. Firstly, do you have enough submental fullness to fit the CoolMini vacuum applicator? If you do not have enough, the applicator may not stay in position during the treatment, and your results may be less than optimal, so be mindful, you may fall into this category. The benefit of CoolMini is that there is less “downtime” than you will experience following fat dissolving injections The swelling following fat dissolving injections can be quite severe for the first 24-72 hours, although this is actually a good sign that the treatment is having its desired effect. I would recommend a review with an experienced injector and surgeon who can assess you in person, discuss your goals, and formulate a treatment plan. I would also suggest a review at a clinic where both Coolsculpting and fat dissolving injections are available, so you get an unbiased opinion.
Will fat dissolving injections help with my double chin, undefined jawline and weird lumps in my cheeks?
Will fat dissolving injections help with my double chin, undefined jawline and weird lumps in my cheeks? Will fat dissolving injections solve these issues or will I need some other form of surgery to help with this? What would be an estimated price for this/these procedures?
Fat dissolving injections are injected into the “preplatysmal fat”, also known as “submental fat” or “double-chin fat”. It’s a very specific area, and I would recommend a review with an experienced injector who can assess you in person, discuss your goals, and formulate a treatment plan.
I would like to improve the appearance of my jaw and neck, would fat dissolving injections work?
I would like to improve the appearance of my jaw and neck, would fat dissolving injections work? What is the least invasive procedure with the least potential for adverse effects that could improve my saggy neck, double chin, and lack of jaw line of a 52-year-old woman. I am thinking fat dissolving injections versus lipo plus some tightening procedure?
Fat dissolving injections are injected into the “preplatysmal fat”, also known as “submental fat” or “double-chin fat”. The body’s natural processes then break down and eliminate the fat cells over the next few weeks and months. Once the fat cells are destroyed, they are permanently removed. The treatment also promotes the formation of new collagen. This acts to tighten the skin. Most people notice either an improvement in their skin tightness, or no change. Although it’s difficult to tell from a photograph, it looks like you may be a good candidate for treatment with fat dissolving injections.
As for liposuction or other surgical treatments; these can certainly be of benefit, but are considerably more expensive, involve the risks of surgery and anesthesia, and may have variable lengths of “downtime”. Conversely, the outcome of these surgical treatments may be more pleasing to you in the long term. Injectables often can’t compare to the outcome of surgery, but have the benefit of being lower risk, quick, and having less “downtime”.
Ultimately your treatment will depend on your own aesthetic goals, the experience of your injector or surgeon, and your budget. I would recommend a review with an experienced injector and surgeon who can assess you in person, discuss your goals, and formulate a treatment plan.
Can I massage my chin to drain the fluid from my fat dissolving injections?
Can I massage my chin to drain the fluid from my fat dissolving injections? I got fat dissolving injections four days ago and it’s still quite swollen, however not nearly as swollen as the first two days. I’m used to using my clarisonic massage head to massage my face neck and chest and was wondering I’d be able to use it to drain the fluid faster or should I just not touch it and let it run its course?
The inflammatory reaction from fat dissolving injections takes about 6-8 weeks to have the desired effect, namely the breakdown and removal of the fat cells under the chin. The swelling is actually a good sign that the treatment is having the desired effect in killing the fat cells. There is little evidence to suggest that massage can improve the resolution of the swelling or improve the outcome with regard to loss of fat. Anti-inflammatory drugs should be avoided if possible, although paracetamol may be used if the area is tender. Applying ice to the region may be of benefit initially, but more from the point of view of helping with pain. It is unlikely to make the treatment more of less effective. Ultimately, it’s just a matter of letting the fat dissolving injections do its job.
Would fat dissolving injections work for me? I’m 25 years old and my chin has always been weak.
Would fat dissolving injections work for me? I’m 25 years old and my chin has always been weak. I have always had the same amount of fat underneath it and on my neck. I have always been very insecure about this and was planning on getting a chin implant, until I heard about fat dissolving injections. I want to achieve a very sharp jawline but am unsure of how much fat dissolving injections I would need, and if it would probably be a better idea to get a chin implant/lipo because I do know my case is a bit more severe than most people.
It is important to remember that fat dissolving injections are only licensed for use in a specific area under the chin, in a “safe-zone” designed to minimise the chance of damage to underlying blood vessels and nerves. I’d also like to see a photo of your “front-on”.
With that having been said, I think you may be a good candidate for treatment with fat dissolving injections. As for chin implants or surgery; these can certainly be of benefit, but are considerably more expensive, involve the risks of surgery and anesthesia, and may have variable lengths of “downtime”. Conversely, the outcome of these surgical treatments may be more pleasing to you in the long term. Injectables often can’t compare to the outcome of surgery, but have the benefit of being lower risk, quick, and having less “downtime”.
Ultimately your treatment will depend on your own aesthetic goals, the experience of your injector or surgeon, and your budget. I would recommend a review with an experienced injector and surgeon who can assess you in person, discuss your goals, and formulate a treatment plan.
I have extremely deep smile lines at 29, what can I do to get rid of them?
I’m a 29 year old male and I have extremely deep smile lines around my mouth. I’ve had them for a few years but never really paid much attention to them when I was younger but now they are prominent even when I’m not laughing or smiling and make me look way older than I actually am. Are there any ways to get rid of the lines and if so what would the cost of such a treatment be? Are there any natural alternatives for it too? Please help!
These lines are called nasolabial folds. It is difficult to tell from a two-dimensional photograph, but I suspect that you have lost volume in your cheeks. As we age, we lose bone and fat in the face. We also lose collagen in our skin. Collagen is the protein that keeps our skin tight and minimises wrinkles and sagging. Ageing, and the loss of bone, fat and collagen causes the youthful “heart-shaped face” to fall with gravity and become more “square” and hollow. Replacing lost volume in the face with filler is a great place to start. Think of it as building the strong foundations for a house. Not many people realise just how much difference replacing lost volume can make. The results are subtle, but noticeable. It is a very natural way of making someone look more youthful. Rather than look like you’ve obviously had fillers, it just gives you a subtle freshen up, like you’ve had a great night’s sleep. People are often amazed that simply adding volume to the cheeks can have such an amazing effect on bags under the eyes, and, in your case, the nasolabial folds. I would start with using some filler your cheeks, which will “lift” the cheeks and minimise the lines, and then perhaps inject a small amount directly into the nasolabial folds.
Ultimately your treatment will depend on your own aesthetic goals, the experience of your injector or surgeon, and your budget. I would recommend a review with an experienced injector and surgeon who can assess you in person, discuss your goals, and formulate a treatment plan.
Are fillers a good option to help a recessed chin and to make a jawline more defined?
Are fillers a good option to help a recessed chin and to make a jawline more defined?
I would like to get a better jawline; would fillers be a good alternative to implants or sliding genioplasty.
Filler are a good first option with a low “risk to reward.” Dermal fillers can certainly be used to sculpt the appearance of the chin and jawline, although this can sometimes be a difficult area to treat with fillers.
As for chin implants or surgery; these can certainly be of benefit, but are considerably more expensive, involve the risks of surgery and anesthesia, and may have variable lengths of “downtime”. Conversely, the outcome of these surgical treatments may be more pleasing to you in the long term. Injectables often can’t compare to the outcome of surgery, but have the benefit of being lower risk, quick, and more easily reversible.
Ultimately your treatment will depend on your own aesthetic goals, the experience of your injector or surgeon, and your budget. I would recommend a review with an experienced injector and surgeon who can assess you in person, discuss your goals, and formulate a treatment plan.
Would filler work well on a very mildly recessed chin and jowls?
Would filler work well on a very mildly recessed chin and jowls? I’m only 20 and recently my facial skin has dropped, leaving me with jowls and an emphasis on my slightly off chin. I already know with my luck that a chin implant would only cause irritation (I have intermittent inflammation and my body doesn’t heal itself well). I want a minor enhancement to my chin and for my jawline to be restored. Is this possible? (I am not considering surgery for either of these problems and would rather keep up with fillers as they last long in my skin).
Dermal fillers can certainly be used to sculpt the appearance of the chin and jawline, although this can sometimes be a difficult area to treat with fillers. Ultimately your treatment will depend on your own aesthetic goals, the experience of your injector, and your budget. I would recommend a review with an experienced injector who can assess you in person, discuss your goals, and formulate a treatment plan. An experienced injector is a must!
Which is the best filler for these so-called smokers’ lines?
Which is the best filler for these so-called smokers’ lines (I have never smoked)?
I would also like the vermilion border improved. As I age, the lip line is not what it used to be. I am wary of all the different fillers and would like to know if there is a specific one for the lip area which produces a natural result. Thank you.
Small amounts of a softer filler. Start slowly! This is quite a difficult area to treat with satisfying results, and should only be attempted by experienced injectors, as there is a small risk of the filler being visible under the skin. The best place to start is along the vermillion border (the line along the lip and the skin) to give some more volume to the lip border, and only then under the wrinkles themselves. Massage after treatment is very important to minimise the chances of lumpiness. You can also combine this treatment with small doses of anti-wrinkle injections to the orbicularis orbis muscle. This is the muscle which causes the lips to pucker, so small doses of anti-wrinkle injections can minimise the appearance of movement lines in the area.
I have a small amount of fat I would like to remove, but hernia in my abdomen. Is there a safe alternative to Coolsculpting?
Several years ago, I was diagnosed with a hernia in my abdomen. I did not need surgery then or since then. I’ve been seen from several doctors answers that Coolscupting should not be done on someone with a hernia. I have a small amount of fat I want removed from my stomach and abdomen. Is there another noninvasive alternative?
The Coolsculpting technique uses a vacuum and should not be placed over a hernia. However, if your target treatment area is sufficiently far away from your hernia, you may find that you can still undergo treatment with Coolsculpting.
If you have any concerns at all regarding your suitability for Coolsculpting (for whatever reason), it is important to discuss your concerns with your doctor beforehand, and in this case a physical examination is essential. I would also recommend that you speak to your surgeon regarding the hernia before undergoing treatment.
Will lines completely disappear after treatment with anti-wrinkle injections?
At 30 years old I got my first treatment with anti-wrinkle injections between brows on Wed. I can see a small change in lines but I am hoping they will become less indented. When I frown it’s slightly restricted but the current results aren’t what I was expecting. I know full results take up to 14 days, but I was hoping for them to (if not) completely disappear – be very faint. Will they become fainter in the next few days since it’s only been 3 days since I got the treatment? Will they ever completely disappear?
Typically, anti-wrinkle injections begin to have an effect 48 hours post-injection, and the effect continues to increase to a maximum at anywhere from 7 to 14 days post-injection. So, it is still early days for you! Of course, the maximum effect also depends on the dose that you were given. I like to see my clients after two weeks for a quick review appointment, as sometimes people will need a “touch-up”.
If your lines are “static-lines” (lines which do not disappear even when there is no muscle movement), you may find that they become less visible with every subsequent treatment.
Is a hard lump after filler in the lips a concern?
Is a hard lump after filler in the lips a concern? I had filler done to my lips. It looked great at first, with minimal bruising and swelling, perfectly even and symmetrical. I have this hard lump on my top lip that developed a few days ago I also feel it inside my mouth. It shows when I smile with my teeth. Do I still have any shot that this is part of the healing process or am I screwed and need to dissolve this and get it redone. Also, the lump has like a pearly bluish tint to it if I pull the skin back. Help!
Small lumps following injection with lip fillers that don’t resolve with massage can be dissolved if they are of concern to you. Your injector should be able to dissolve just the lump, leaving the rest of your lips and filler alone. The blue-tint is called the “Tyndall Effect” and is common when filler is very close to the skin.
I’ve also written a simple but complete guide to lip fillers aftercare for some more tips and other things to expect.
Advice on under eye/temple hollows, possibly tear trough?
Advice on under eye/temple hollows, possibly tear trough? I have bad under eye circles and deep hollows around my temple area which are both particularly noticeable when I’m standing directly under light. The circles under my eyes run from the inner eye area all the way down to the upper cheek area. Please help me with some information on what the cause of this is and what my options are in regards to potential treatments to rectify. Will dermal fillers help?
As we age, we lose bone and fat in the face. We also lose collagen in our skin. Collagen is the protein that keeps our skin tight and minimises wrinkles and sagging. Ageing, and the loss of bone, fat and collagen causes the youthful “heart-shaped face” to fall with gravity and become more “square” and hollow. Replacing lost volume in the face with filler is a great place to start. Think of it as building the strong foundations for a house. Not many people realise just how much difference replacing lost volume can make. The results are subtle, but noticeable. It is a very natural way of making someone look more youthful. Rather than look like you’ve obviously had fillers, it just gives you a subtle freshen up, like you’ve had a great night’s sleep. People are often amazed that simply adding volume to the cheeks can have such an amazing effect on bags under the eyes, and lines from the corners of the nose to the corners of the mouth. It’s my favourite place to start. Replacing lost volume in the hollows of the temples with dermal filler can help restore a more youthful appearance to the face. It also acts to tighten skin under the eyes, giving a “mini-facelift” that can help to minimising wrinkles under the eyes.
Ultimately your treatment will depend on your own aesthetic goals, the experience of your injector, and your budget. I would recommend a review with an experienced injector who can assess you in person, discuss your goals, and formulate a treatment plan.
Why does my treatment with anti-wrinkle injections only last 2 months?
Why does my treatment with anti-wrinkle injections only last 2 months? I use a very good doctor with a fantastic reputation in Ireland. However, my anti-wrinkle injection treatment only lasts around 2 months on my forehead. I do have a young face for a man in his 30s. Any ideas as to what biological process could be the reason and/or any way to get longer out of anti-wrinkle injections?
The length of effect of anti-wrinkle injections is multifactorial. The average length of anti-wrinkle injections effectiveness is 12 weeks, but that’s just an average: everyone is different. Just as some people are taller or shorter than the “average height”, some people will metabolise and breakdown their anti-wrinkle injections quicker or more slowly than others. Part of this is just due to your biology. Other factors that influence the length of anti-wrinkle injections effect include the initial dose (a larger dose of more units will tend to have a greater effect that also lasts longer), and where it has been injected. Larger muscles generally break-down the anti-wrinkle injections much more quickly than smaller muscles. Discuss your concerns with your injector, and perhaps discuss using a slightly larger dose. Unfortunately, however, perhaps you are just one of the people who metabolise anti-wrinkle injections faster than others!
I have large, deep pores on my nose, as well as scarring. What treatment and products help this problem?
I’m a woman, not on birth control and I have large, deep pores on my nose, as well as scarring. What treatment and products help this problem? I also have hirsutism and my skin is very sensitive and very damaged. What are the best products and treatments to clear pores and fix the scars. What’s the best hair removal method for face? What causes these problems? My skin tends to darken when shaved. The very deep excessively large pores are worse than anyone else’s. Everyone mentions it to me and I need to fix this ASAP, but how?
A review with a dermal therapist will help you assess your options. There are number of different methods of treatment for enlarged pores and hirsutism. A dermal therapist is someone who has studied to become an expert in these issues and they will be able to guide you in your treatment. In our clinic, our dermal therapists have had a lot of success treating clients with acne scarring using Laser Genesis, a popular treatment that involves gently heating the dermis with a laser, leading to increased collagen formation, decreased scar appearance and decreased redness and pore appearance.
What is the long-term side effect of fat dissolving injections to salivary gland or muscle?
What is the long-term side effect of fat dissolving injections to salivary gland or muscle? I am considering fat dissolving injections and concerned of short term and long-term side effects of fat dissolving injections to salivary gland or platysma muscle?
The most serious potential complication of fat dissolving injections is injection into the nerve that helps to elevate the corners of the mouth. If this nerve is damaged, the corners of the mouth can “droop” for 10-12 weeks while the nerve heals. However, if injected correctly by an experienced injector, the chances of the nerve being damaged are minimal. If injected with the correct technique, the fat dissolving injections will be superficial to the platysma, and away from the salivary glands. In the studies evaluating the effects and safety of fat dissolving injections, no permanent side-effects were reported.
Is there anything I can do after treatment with fat dissolving injections that will increase or harm my results?
Is there anything I can do after treatment with fat dissolving injections that will increase or harm my results?
I understand anti-inflammation medicine isn’t recommended, will heat help? Should I be taking supplements that will help my liver process the chemicals?
The inflammatory reaction from fat dissolving injections takes about 6-8 weeks to have an effect. Anti-inflammatory drugs should be avoided if possible, but there is no evidence to suggest that the fat-dissolving properties can be increased or decreased by other means.
I accidentally combined microdermabrasion with retinol .5. Now my skin is red, burning, and peeling, but no open wounds. I am worried I have permanently harmed my skin, have I? Will I scar?
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