My commentary in the latest Monsters and Critics article on Ali Lohan
I can’t say that I know of too many teenagers whose lips suddenly double in volume as they “grow into their bodies.” Not that there’s anything wrong with lip augmentation…. well maybe there is if you’re 17 and your mom is telling you you have to get cosmetic procedures and starve yourself in order to succeed as a model (a purely hypothetical situation – I have no way of knowing if mom is pushing her into it or just standing by irresponsibly as the kid does it to herself) ….
http://www.monstersandcritics.com/lifestyle/consumerhealth/news/article_1662072.php/Ali-Lohan-s-new-face-examined-by-Plastic-Surgeon
Posted in
Cheek enhancement, Juvederm, Radiesse, Restylane, chin enhancement, fillers, heidi montag, lip injection, nose job, rhinoplasty |
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I have small implant now. I am wondering if fat grafting to my chin area is a good option to add vertical length and squareness?
Also, is the risk high for lumping of the fat? Is it also good for the nasolabial folds?
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I would think about using fillers, specifically Radiesse, to do the subtle augmentation you are talking about (from your picture, it seems that a subtle change would be all that you need). It’s quick, relatively cheap and easy. You know its going to last for 10 to 12 months with Radiesse. You can get the definition you are looking for, for the most part, because Radiesse is a thick filler that holds its shape well. Fat injection, on the other hand, is still an unpredictable procedure. Duration of effect is variable (sometimes it lasts for several years, sometimes several months). Degree of absorption is variable (sometimes 80% stays, sometimes 50%, sometimes less). And, in your case, I’m not sure that one could get the definition necessary to square off a chin with fat.
Posted in
Radiesse, chin enhancement |
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I had a small chin implant 8 years ago. I am happy with the projection, but am now unhappy with the length. Would also like to get a more square implant. Is there a way to add length? Such as placing the implant slight lower? Also, is it much more complicated due to scar tissue from my current implant? Thanks!
From the pictures you have submitted, your chin looks very good. I would be careful about trying to get too perfect a result. That being said, the changes you are looking for are subtle and therefore may not be worth a second surgery. To answer your question: yes, there is always scar tissue formation after a surgical procedure. This scar tissue makes surgery in the same area more complicated and more prone to adverse outcomes. I frequently use filler injection for these kinds of subtle modifications where the results of surgical procedures have to be tweaked to get the perfect outcome. It is safer, easier, and cheaper. Filler injection is usually as effective and sometimes even more effective than replacing the implant.
Posted in
ArteFill, Radiesse, Restylane, chin enhancement |
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The best temporary filler for the chin area that is FDA approved at this time is Radiesse, in my opinion. It is firmer and longer lasting than any of the HA fillers like Restylane, Perlane or Juvederm. Radiesse is not reversible with enzyme, however, like the HA fillers. You should therefore go to an injector who is very experienced with Radiesse to get the best results.
Posted in
Juvederm, Radiesse, Restylane, chin enhancement, fillers |
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First of all, it just goes to show that my mommy was right – I am special!
Actually, it is great to see the continued attention that non surgical facial sculpting is receiving.These procedures have been adoopted faster than I even expected back in the day (6 years ago) when it was all getting started.
Fillers and Botox have redefined the relationship that the average person has with the aesthetic field.
The last six years have seen a non surgical revolution and I look forward to all the new stuff we have yet to discover!
Posted in
ArteFill, Botox, Cheek enhancement, Cosmetic procedures for Asians, Fraxel, IPL, Juvederm, Radiesse, Restylane, Silicone, Starlux, acne scarring, blepharoplasty, celebrity plastic surgery, chemical peel, chin enhancement, eyelid surgery, facelift, fillers, hair replacement, hair transplant, hydroquinone, hypopigmentation, laser hair removal, lasers, lip injection, microdermabrasion, nasolabial folds, non surgical nose job, non surgical rhinoplasty, nose job, plastic surgery, rhinoplasty, smoothbeam, thermage |
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I came in for Radiesse last Thursday.
So far, so good — no real major bruising or anything, though my face has been really puffy/swollen (this was the case last time, too, though). I think the left side may be a little fuller than the right, but it’s still hard to tell. I’ve made an appt. to come in the week after next so you can take a look.
In the meantime, though, I’ve gotten into a bit of a panic. Even though things went so well last time, I’m now (suddenly) wondering if it’s foolish of me to be putting a synthetic foreign substance in my face in my early 30s, and I’m hoping you can provide some reassurance. I know that Radiesse is supposed to be reabsorbed by the body, but how does this work? And does it leave behind scar tissue or other damage? Do we know what the injected tissues look like several years after the injections? (I guess you must from doing the nose work–do the tissues get damaged when they are injected over and over again?)
I guess my big concern is whether there might be some adverse effects from doing these injections regularly. Are there any studies on people who have been getting Radiesse injections regularly over a long span of time, or is this use of the product still too new to know the long-term effects? I saw some story on the Internet about a woman who had Radiesse injected between her eyebrows (I know it’s not supposed to go there, right), and according to the story, she developed a hard spot five years after the initial injection. Is that type of thing possible with cheek injections?
I also read that the substance can show up in X-rays: how long is that the case? Does it dissipate completely after a year or two, or can it hang around for several years?
Thanks so much –
Your questions are good ones.
Over the years, I have done repeat injections on a good number of patients, with Radiesse, as well as Juvederm and Restylane.
With Radiesse, I have done a significant amount of reinjection of patients in the cheek area.
I do not think that these fillers cause scarring and I have not seen evidence in the literature that shows it to do so.
The tissues remain soft and natural.
Yeah, the injection of Radiesse between the eyebrows is not a good idea, and the hard spot that she developped is probably related to some of the filler obstructing and scarring down a blood vessel in the area, along with other tissue damage.
Radiesse is pretty much gone within a year. It does show up on x-rays, but not as a mass – it looks like a diffuse haze. It should not interfere with radiologic diagnosis.
Feel free to contact me with any concerns.
Cheers,
Posted in
Radiesse, Uncategorized, chin enhancement, fillers, non surgical nose job |
5 Comments »
Hi Dr. Rivkin,
I have had radiesse injections in my chin (as I have a very weak chin, specifically I have had 2 syringes)….
When Acquamid is FDA approved can I use it over my radiesse to get a permanent chin? I am assuming that some of the radiesse would have faded though some of it would still be there. I am worried about waiting for the radiesse to completely fade as I really really need a stronger chin.
So are there any risks in injecting acquamid over radiesse?
Thanks in advance.
hi,
good question.
the company does not recommend combining other fillers with aquamid.
reports from people who use alot of aquamid and, by necessity, have combined it with other fillers have been that it is no problem.
i have not had experience with the product outside the fda trials (where there was no mixing) but i do not see a reason why it would be a problem. companies usually recommend no mixing to avoid liability, but clinically we have not seen this to be an issue.
also, i expect that aquamid will be an excellent tool for facial sculpting and chin augmentation. the reports from abroad all attest to that.
hope that helps
Tags: chin enhancement
Posted in
Radiesse, Uncategorized, chin enhancement, fillers |
4 Comments »
