Alexander Z. Rivkin M.D. is a Yale trained facial cosmetic surgeon and UCLA faculty member who has focused his practice exclusively on providing his patients with the latest in non-invasive, non-ablative cosmetic treatments in Southern California. He understands that no one relishes the thought of “going under the knife,” and believes modern medical technology can provide today's patients with superior alternatives to invasive, painful surgery that requires a long recovery time.

Monday, July 28, 2008

Kenalog Dent

About 3 months ago I had kenalog injected into my TT scar and also lasered (whisper). 1 month ago I had my second laser treatment. Last night I noticed a dent near my scar and the skin looks thinner there. I say thinner because I can really see alot of veins I didn't see before.
Googling this brings me to the kenalog? Is there anything that can be done to stop the dent from getting worse or fixing it?
I plan on calling my PS Monday but this is just really bothering me!
Thanks!
Melissa



Hi Melissa,
The dent is not going to be a major problem. It does sometimes happen from kenalog injection, but its easy to fill it in. It generally will not get worse and worse. It just happens and then either improves on its own, or we fill it in. Once it is filled in, collagen stimulation happens and we usually do not have to fill it in a second time.

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Friday, July 18, 2008

Radiesse in the Tear Troughs

Dr. Rivkin

The middle of this past May '08, I had injections in/under my eye hollows with Radiesse. I had a lot of bruising and swelling, but was told that this would go away, some of the bruises were very deep and purple and lasted nearly two weeks. But, they DID go away.

the end of the second week, I began to swell in a different way all under my eyes, on top of the cheek bone, and got weird discoloration at the sight of the injection. A brownish/reddish color. I went to the Dr. who did the injection and was given a prescription for oral steroids, as well as an antibiotic.

The swelling went away, but even now, mid July the discoloation is there and I need makeup to cover it...it is very noticeable..

do you have any solutions, adivce, or thoughts? what could this be?

thanks so much for you time

-pepper



Hi Pepper,
This is one of the reasons that i do not use radiesse under the eyes. I think this is pigment deposited as a result of prolonged bruising. I'm not sure how to make it resolve. Perhaps hydroquinone cream? I use 8%, but it doesn't always work. steroid injections are also a possibility - I would start with kenalog 10.
Hope that helps


http://www.westsidemedicalspa.com/radiesse.html
http://www.westsidemedicalspa.com/non_surgical_bleph.html

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