Blog with Dr. IrwinTag >> Fillers Hi Dr. Irwin,
I have cleft lip and I was wondering if I could get lip filler done to balance out the asymmetrical lip ???
As I am very upset with the symmetry of my upper lip.
Thank you
Generally, a cleft lip must be corrected with surgery. Fillers can sometimes make the cleft look worse. Hopefully, you can find a good surgeon near you and, there are international... more
Is two Sculptra treatements for the intitial series enough?Posted in Sculptra, Fillers, 2012 on Jan 15, 2012 | Permalink Dr. Irwin,
My dermatologist recommended 1 treatment with 2 injections of Scupltra. I have been reading that normally there are 3 treatments so I am wondering if 1 treatment would be sufficient.
You didn't tell me your age! So it really depends a lot on that and also where your body weight range is. Low body weight women tend to need more. And, the older we get, the more is... more
A Sculptra complication - what can I do?Posted in Sculptra, Finding a Good Doctor, Fillers, Filler mistakes, 2011 on Dec 26, 2011 | Permalink Dear Dr.
I am russian with a naturally round face, rather flat, and prounounced cheeks. I had Sculptra injections in July this year in the cheek hollows and above the cheekbones, I was badly overfilled the day of injection that I hardly recognized myself. I hate the new volume in my face, it does not suit my face at all. I look so different, it has completely changed the natural anatomy of my face (now the widest point is above the cheeks up to the temple, which makes my face more angled, before or naturally the widest point was just below my cheekbones, having no angles and a round face). My former sweet and young looking face looks harsh and older. The high and overly pronounced cheekbones make me look almost agressive, and my eyes look smaller and more sunken, while the lower cheek next to the mouth look like a chipmunk. A lot of projection and volume next to the mouth and nose. My face feels almost stiff when smiling due to the huge volume and thikness increase. I am crying a lot, before i was a very good looking woman now I became invisible. I am really depressed and stoped going in public. How long I have to live with this? Will my face ever get back to what it was? Is there anything I can do to speed up the process?
Mny thankd for your answer
First of all, I am so, so sad that this happened at all. Sculptra can be lovely when it's done gradually over a period of months and the doctor doing it has a good "aesthetic eye." ... more Is there a way to fix a noticeable facial asymmetry on my left?Posted in Thermage and Radiofrequency Devices, Thermage, Sculptra, Fillers, Facial rejuvenation, Carbon Dioxide Lasers, 2011 on Dec 21, 2011 | Permalink Hello Dr. Irwin I LOVE your site! With that said, I've taken the time to go through quite a bit of your blog to get my question answered and still cant quite pin down what I'm looking for. So here is a bit about me and my question will follow.
I just turned 40. The left side of my face is significantly more lax in skin texture (very visible) than my right. The other problem is I have significantly more pronounced crows feet/lines under the left side of my eye opposed to the right as well.
I'm hoping to get the left side to match the age on my right...at least the best I can. I HAVE started botox for all my problem areas. Great stuff.
I've read great things about your thermage treatments and the tightening effects on the skin. I've also read great things on your DOT laser experience and results as well. My question is which one would you suggest to get the skin tightening results I so desperately want and also treat the pronounced crows feet?
Thank you!
Thank you! It would be interesting to have you look back at photos when you were 16-25. Can you see the asymmetry even back then or younger? Some people have an inborn (genetic)... more I have bruises after Juvederm!! Anything I can do??Posted in JuvedermRestylane, Juvederm and Restylane, Fillers, 2011 on Dec 12, 2011 | Permalink I got Juverderm under lower lip and chin couple days ago. I Have two large purple color bruises each side. How is that treated? How long it will take to go away? or is that treatable at all? Thanks for responding.
Any time a needle is used in skin there is a potential for a bruise! The best option is to try and prevent them in the future. Try these tactics. No aspirin (unless required by a... more Are injections of filler inside the mouth safe?Posted in Fillers, Filler mistakes, 2011 on Dec 08, 2011 | Permalink Can you use fillers in your gums to hide grey teeth inplants?
The answer to the above is no. And, in my opinion, injecting fillers into the face through the mouth raises safety issues. Think about it! The mouth is one of the most bacteria... more How can men avoid that overly feminine look with fillers?Posted in Mens Skin Care, Fillers, 2011 on Nov 09, 2011 | Permalink Can you comment on fillers for men, especially around the cheekbone area? How does a man avoid getting a feminine look from fillers?
Good question - I'm guessing a lot of men are concerned about this. Basically, if you study the face shape and contours of good looking men there is quite a variety, isn't there. But... more A problem with too much Juvederm around the Marionette lines?Posted in JuvedermRestylane, Juvederm and Restylane, Fillers, 2011 on Nov 04, 2011 | Permalink Hi - about 7 months ago I was a model for a visiting Italian doctor, who is highly respected in this field. I was injected with Juvederm for my marionette lines, but immediately noticed swelling on either side of my mouth (the lines were not filled either!) which I massaged over a week, but to no avail. They are still there, and make me look jowly (they throw shadows onto my skin). I was offered the enzyme to remove it, but was also warned that it can make the face saggy and it will require more filler to make good, which could result in a mess. So I am sitting it out, waiting for it to dissolve. My worry is that it is scar tissue, and will never disappear. What do you advise?
Thanks so much!
My apologies that this took so long to answer! In general, if there's too much Juvederm, there is too much! Have it dissolved. Your face will go back to where it was and that won't... more
A good result with Botox/Juvederm around the lips but one small problem?Posted in Fillers, Filler mistakes, 2011 on Nov 04, 2011 | Permalink Dr. Irwin, thank you for answering my question regarding the use of Botox and Juvederm to correct the wrinkles above my upper and lower lips and around my mouth. I had the procedure done. The doctor used 1 unit of Botox in 5 points around the top and bottom lip and then filled in the wrinkles with Juvederm. It worked wonderfully and it's 12 hours later and there are no issues with pursuing my lips! I do have, however, a small lump in my upper lip directly in the center. Will this go away?
I'm so glad you had a good result and kudos to you for taking the time to find a good doctor! Sometimes that is the hardest part. If you have a small bump in the middle, it could... more
Do you have to wait until filler wears off completely before repeating it?Posted in JuvedermRestylane, Juvederm and Restylane, Fillers, 2011 on Oct 31, 2011 | Permalink Hello Dr. Irwin,
With Juvederm, do I have to wait till the products is all gone to have it done again (around my nose and mouth) or can i get it done (maintain it) when I start to see some deflation? Don't like the look when it wears off complete and have to wait I guess.. I get use to my better face until the old one comes back lol..Ty :)
No, in fact I think it's better to schedule your next treatment prior to it's complete resolution. If you do that, you'll gradually build more of a base and your results will keep... more Is this a reasonable price for a syringe of Radiesse?Posted in Radiesse, Fillers, 2011 on Oct 19, 2011 | Permalink How much does a syringe of Radiesse cost? I was quoted $1000. How much does that cover? I want my lip folds and around the mouth to be treated. I think the price is outrageous.
That seems high to me unless you live in the poshest area of a large city like New York, London, etc. See my article on the Average Costs of Cosmetic Procedures to get a better idea of... more
Things I'm reading on the web about Sculptra???Posted in Sculptra, JuvedermRestylane, Juvederm and Restylane, Fillers, 2011 on Sep 21, 2011 | Permalink Dear Dr, Irwin
I had my 1st series of Sculptra placed in my temple region and cheeks on August 11th 2011. ( one week ago) I am a 46 yr old female & have been a runner for years which left my face somewhat hollow. My question is this. I am reading many negative things about Sculptra. I guess I should have done my research prior to the injections. Nonetheless, I am thinking about discontinuing the next two series of Sculptra injections & was wondering if I could get Juvaderm Plus injected into my temples instead? If so, how long should I wait before having the Juvaderm injected into that area?
I'm hoping that you don't believe even a quarter of what you read on the web! It's really not always very accurate. You may be very happy with the Sculptra since, when it's done well,... more What can I do about a Sculptra problem?Posted in Sculptra, Fillers, 2011 on Sep 03, 2011 | Permalink Dear Dr. Irwin,
I had Sculptra injected to my cheeks 2.5 month ago, and I developed a visible lump. I have two other lumps under the skin (not visible), and now I'm getting worried. I was told before treatment, that the lumps would disappear after a while, but after reading Sculptra horror stories I got very worried. My doctor is supposed to be very experienced, she has done a lot of Sculptra treatments in denmark, but she didn't treat my lumps, she just told me they would disappear with time. Can I trust that, and how many more lumps can I expect to get within the next year. I hope I will get an answer!
Sincerely,
Worried woman from Denmark
As most of you know I think Sculptra (when done well) is a wonderful product. The results are noticeable, but not puffy and sometimes you can get an almost facelift like effect with... more Dear Doctor Irwin,
I recently got the vertical lines in my upper lip filled and apart from thje fact that I was bruised for a week, I noticed that my lips for some reason now look smaller. I always used to pride myself in the fact that I had full lips and now they just seem "different"....is that normal?
Again, this is tough to say without seeing you but here are some thoughts. In general, as we age, the upper lip gets longer and loses it slight concave (like a gentle ski jump) shape. ... more
Can any or some of these steps to reduce/minimize deep marionette lines be done if you are taking blood pressure medication..??
Thank you,
Be sure to let your dermtologist know, but no - there is generally no problem at all with blood pressure medication and fillers. Dr.... more A question on Radiesse vs Juvederm.Posted in Radiesse, JuvedermRestylane, Juvederm and Restylane, Fillers, 2011 on Aug 07, 2011 | Permalink Hello Dr I,
Would you explain why you don't like Radiesse? and the difference between two. i tryed juvaderm loved it but lasted on only 2 months and i don't have deep lines..what is your thoughts
Ty
As I've mentioned before, there are many good doctors who use Radiesse and love it. In my opinion, there is just as much variability in response to Radiesse as there is with Juvederm Ultra... more Does the "vampire" facelift really work?Posted in Selphyl, Sculptra, Fillers, 2011 on Aug 03, 2011 | Permalink This question from a reader in Chattanooga - so sorry - I accidentally deleted your exact wording on this one! :) Dear Readers - I will do an article on this procedure soon - it will be posted in resources. I'm trying to finish one on sensitive skin first! In the meantime, unless money is no... more What can I do about sleep lines on my cheeks parallel to my nose?Posted in Wrinkles, Fillers, 2011 on Aug 03, 2011 | Permalink Hi,
Your website is a great read and full of infromation. I am a 38 year old male and have developed deep lines running parallel to my nose of both sides of my face. I am trying to sleep on my back to stop these but wanted to know what type of product I should use for sensitive skin to tighten up my skin again around my nose area?
In Ireland and the infromation is not great for men!!
Thanks
J
Thank you! The kind of lines that you describe are often from sleeping with our faces scrunched on the pillow a certain way each night. Changing position frequently and trying to sleep on... more For men, is there a way to avoid looking feminine when work is being done?Posted in Lasers, Finding a Good Doctor, Fillers, Botox, 2011 on Jul 24, 2011 | Permalink Dear Dr. Irwin,
I've found your website very informative. I appreciate all your posts and articles, they have been quite helpful. I have one question I would like to ask though. I am a man and I have been considering fillers and a good maintenance program so that I can stay looking as young and fresh as possible for as long as possible. So my main concern is going to a qualified doctor that knows the appropriate way to administer fillers to a masculine face and keep it looking masculine and not "enhanced" or "feminine". I say this because I see men that look like they have been overdone and that isn't the look I'm going for. I'm guessing you are informed about the medical community and who does good work with men in keeping them young and fresh so I had to ask who you might recommend me to go see to have these procedures, or Botox and dermal fillers. The goal for me is to retain my natural features and prevent further wrinkles and restore the fullness to my face lost from years of exercise and of course sagging from age. Any suggestion on a doctor in the Orange County or Los Angeles area that is qualified and known for working well with men and keeping their facial features masculine would be greatly appreciated. Doctor, thank you again for your informative and educational articles and I look forward to hearing your input.
In Health,
M
You raise a good point. There are some facial characteristics that are culturally labelled masculine or feminine traditionally. So if the doctor doing your work isn't sensitive to... more Dr. Irwin, I had juvederm injected into my lips. This was to help smooth the lines around my mouth and slightly enhance the volume of my lips. After the injections my lips had swelled a great deal. I truely looked like a duck. On the sixth day after the injections I woke up to very pretty slightly larger lips and was pleased. Here is my delima. After the injections I expected the swelling and the hardness around my lip line. However, I did not expect the continued burning and itching of my lips. One day later after I seen my beautiful lips my world fell apart. Today, During the day, my lips began to swell once again with burning and itching. I am worried that I am either having an allergic reaction or my lips will never stop swelling. I called the person who did the injections and she thinks I am having an allergic reaction to the facial produts that I am using. Three days ago when I called to tell her what was going on she told me to stop all of the facial products I was using and to use Benadryl for itching and Ibuprophine for the swelling. I have done all of that and today my lips are swollen once again. I called the Person and explained what was going on and quite frankly she is stumped and has no clue how to correct this. Can you help me please? I can't stand this incessant burning, itching and swelling. I work outside in extreme heat four close to ten hours a day, always were a hat. I dont know if that has something to do with it. The person who injected me knew of this fact but she and I are completely confused as to what is going on.
You sound miserable! And, very understandably, discouraged. While true allergic reactions to Juvederm or other hyaluronic acid fillers are rare, they can occur. First, PLEASE MAKE... more A Radiesse complication - what to do?Posted in Radiesse, JuvedermRestylane, Juvederm and Restylane, Fillers, 2011 on Jul 20, 2011 | Permalink Hi Dr. I, I know you are not a fan of Radiesse but I was hoping you can give me your opinion on it. My mom had a syringe injected into her nasolabial folds. One side of her nose became very swollen, it formed a large cluster of white/yellowish bumps and the skin under/around the bumps turned greenish, grayish and was very painful. It was a horrible experience for us all. She looked awful and I feel the guilt because I recommended the place to her!!!!
We contacted the doctor and he put her on 2 antibiotics, anti-inflammatories and valtrex. He explained that the product caused the veins in the area to constrict and therefore became inflamed. The explanation was along the line that her veins were sensitive and had a negative reaction to the product. It doesn't really make sense to me. I was hoping you could explain it better. I know that without seeing it its hard but does the explanation make any type of sense to you? It has been 15 days and after the cocktail of pills she had to take it dried up, formed a scab and fell off a few days ago. The area is still red and the pores on her nostril are very open and still tender to the touch. I have pictures if they would help. Words can't describe how terrible it looked, she couldn't leave the house for a week and a half. I wonder what your opinion is on the explanation the doctor gave us. I know it is hard to say without seeing it but have you heard of this type of thing happening with Radiesse? Thank you again for your time.
I'm am so sad this happened to your mom. These problems are the reason I don't use Radiesse. First the good news, the fact that it's healing, the scab has fallen off and her nose is red... more A question regarding how long Juvederm should last.Posted in JuvedermRestylane, Juvederm and Restylane, Fillers, 2011 on Jul 08, 2011 | Permalink Hi Dr. I,
Had juverderm done only 2 weeks ago, love it. The Dr. did a good job, but it seems to be fading already. Is Juverderm a mantence program if it doesn't last 1 year and can I go back again for touch ups?
ty
Depending on your facial structure and your age, it's possible that you really just needed an extra syringe to get a good base in the first place. Juvederm Ultra Plus tends to last longer... more
How long do fillers like Restylane/Juvederm last especially in the marionette lines?Posted in JuvedermRestylane, Juvederm and Restylane, Fillers, Chin Lines, 2011 on Jun 20, 2011 | Permalink How long do fillers like Restylane/Juvederm last especially in the marionette lines?
I think there's a lot of confusion about this. The very general answer is 4-9 months. Also, fillers will often begin to last longer as time goes on if you get treated 2-3 times a year in... more Anyone know a doctor in Chicago who's an artist with lasers and injectibles?Posted in Lasers, Finding a Good Doctor, Fillers, Botox, 2011 on Jun 04, 2011 | Permalink I live in chicago and am trying to find and "artist" who is good with all fillers, botox etc. I am a redhead and I have had a fat transfer where placement is not ideal. It is important to have someone who can help with volume and poor skin tone(large pores, fine lines etc.). I am 48 and my skin looks much older than it should. I have had some great things done and some bad things done and would like to just find one person to work with in all areas. Thank you
This is such a tough one and I know women all over the country/world are struggling with this right now. I think demand for high quality services in this "new beauty" area has outstripped... more Is Artefill a good filler for the under eye area?Posted in Fillers, Eyelid Treatments, 2011 on May 22, 2011 | Permalink What do you think of arteform? Particularly for slight hollows in the undereye area?
I'm thinking you might mean Artefill even though you wrote Arteform?? If I'm mistaken, please write again. Artefill is a terrible idea in general and especially under the eyes. It... more
I was wanted to know if I can use a laser on my face due to the fact that I have a silcon chin implant and a small drop of silcon on the bridge of my nose.
Generally the silicone, both the implants and the injectible forms, are placed quite deeply. Below the dermis or in the deep dermis. Depending on the laser, the level of would be higher... more
A Juvederm mistake???Posted in JuvedermRestylane, Juvederm and Restylane, Fillers, 2011 on May 16, 2011 | Permalink I had Juvaderm in my Glabellar Furrows and it looks as if nothing was put in especially on the right side. I also look like my right eye is swollen and I can feel some of the Juvaderm close to the corner of my eye which I assume is causing my eye to look swollen. I paid a $1000 dollars for 2 syringes and the fine lines around my lips do look better, I certaily don't feel I got a $1000 worth of improvement especially the way my Glabellar Furrows still look. I was told by the nurse at the plastic surgeons office that it would take care of this. The nurse is the one who did the procedure. Please help?
Thanks
You bring up two good issues. Was a good job done? And, was the value for the money there? Let's face it........this stuff is expensive and the responsiblity is with the doctor to make... more After Juvederm, if I'm a little lumpy 3 days later, do I need to see my doctor?Posted in Restylane, JuvedermRestylane, Juvederm and Restylane, Fillers, 2011 on May 06, 2011 | Permalink Dr. Irwin,
I had Juvederm in my marionette lines three days ago. The right side looks great, the left is still a bit lumpy. Should I worry, is this normal? Or, do I need to go in and see the doctor?
Generally, I ask my patients to wait 7-10 days before calling our office. This is because there is a some natural evolution of the product for about a week. 3 reasons - it absorbs... more
Can the tip of the nose be lifted without surgery?Posted in Restylane, Radiesse, JuvedermRestylane, Juvederm and Restylane, Fillers, 2011 on May 06, 2011 | Permalink Hi Dr. Irwin,
Can the tip of the nose be lifted without surgery?
Yes, a little with certain fillers. This requires some skill. Some of the better cosmetic dermatologists are good at it. I think though that a facial plastics ENT (ear, nose & throat)... more
What would be the longest acting filler in my chin?Posted in Sculptra, Restylane, Radiesse, JuvedermRestylane, Juvederm and Restylane, Fillers, 2011 on Mar 27, 2011 | Permalink Would scuptra be a good choice to fill volume loss in my chin? I am 50 years old and the loss of volume in my chin brings out marionette lines. I have filled it with fat, restlene, and radiasse.Nothing has lasted more than 6 months. I have been told it is because it is such an active area. WIll scupltra last in this area. I was told it will last up to 2 years , But I was told radiasse would last 1 year too.
You bring up several good issues. On the longevity issue, you are not alone in that fat transfer (while we all love the idea) is just not very predictable still. As for Radiesse, I agree... more if you are over 65(Like 66) can one still use a filler for around the mouth?
Yes! FDA approved fillers can be used safely indefinately as long as you don't have an individual adverse reaction to them (these are rare). I'm not sure I've ever had a request by... more Fillers around the eyes - are they safe?Posted in Fillers, Eyelid Treatments, 2011 on Mar 04, 2011 | Permalink I have just read and enjoyed your book!
There was a very small paragraph on putting filler into the channel under the eye to smooth it out which mentions this can be dangerous and may cause blindness - can you tell me any more about this?
Many Thanks
I really have to say yes and no. The eye area is not FDA approved for any filler to my knowledge although it's often done as an "off-label" use. This is a tricky area and my... more Is it okay to use different fillers in the face?Posted in Sculptra, Radiesse, JuvedermRestylane, Juvederm and Restylane, Fillers, 2011 on Mar 02, 2011 | Permalink | View Comments (2) Hi there,
I am considering having sculptra to help with volume lost in my cheeks. After having the sculptra and due to economic issues could one (after 1 year) get Perlane or Radiesse injected into that same cheek area (where the sculptra was injected) for continued cheek volume? Thank you for your thoughts.
LC
Good question. There are no studies that I have seen on this. But from talking to some of my collegues and my experience, here's what I'd recommend. There doesn't seem to be any problem at... more What is the cost of Juvederm?Posted in JuvedermRestylane, Juvederm and Restylane, Fillers, 2011 on Feb 09, 2011 | Permalink Hello Dr Irwin i am 52 years old and thinking of starting to use fillers like juvederm for my cheeks ,i was wondering how much is the cost for it?
Thank you, Marie.
Marie - This varies quite a bit by area and country. In the United States, the range is usually $450-800 per syringe. Areas like New York and Los Angeles tend to be at the higher end. ... more
How long should Restylane last?Posted in JuvedermRestylane, Juvederm and Restylane, Fillers, 2011 on Feb 09, 2011 | Permalink how long is restylane supposed to last?
I think today is filler question day! If you are using what I call the "mid weight" version - not the Perlane, it generally lasts 4-6 months. Over time, if you are regular with... more
Dr. Irwin,
I have used cosmoplast before, but, it is not available anymore. What do you think of Preville? Jevederm? Are they comparable?
thank you
The nice quality that Cosmoplast had was how well it filled smaller, more subtle lines without causing any bumps or ridges. The only comparable product in the United States right now is... more Which is better for volume loss in the chin area Sculptra or Radiesse?Posted in Sculptra, Radiesse, JuvedermRestylane, Juvederm and Restylane, Fillers, 2011 on Jan 24, 2011 | Permalink DR Irwin, i got your message and will ask my question again. I am 50 years old but have skin that looks more like 40. I do have volume loss in my chin and this shows the marionette lines. I have been using radiasse for this area because I had a bad reaction to restylene. Would sculptra be a better choice for this area? I have had good results with radiasse but do not yet know how long it will last as I had it put in in September and added to it in December.
Everyone's face is so different that it's almost impossible to answer without seeing you but some general principles still apply. Look at your cheek area. Is volume loss in your cheeks... more HI Dr. I, I was wondering what you recommend for overall volume for my face? I lost about 20 pounds 3 years ago, along with turning 40. I have high cheek bones but my eyes and mouth area make me look gaunt and older. I have used fillers for the smile lines and that does help but I need an overall plumping. From your sight I know a laser would be the next thing to do, but which one would give the most volume? I have a month off coming up incase downtime is required but I am interested to get your opinion since I follow your sight closely ;) Thanks for your help.
I think this is a common misconception - that a laser can create volume - so thanks for asking this! Lasers are best used on the face for color problems (too red, brown spots), or
Would Radiesse be a good alternative to Restylane?Posted in Restylane, Radiesse, JuvedermRestylane, Juvederm and Restylane, Fillers, 2010 on Oct 03, 2010 | Permalink I want to get a dermal filler in my marionette lines. I was considering Radiesse for this area. Do you agree? If not what would you recommend for this area. I had Restylene last year and it caused horrible swelling. I am afraid to use that product again.
In your situation, Radiesse is a reasonable option. Just make sure your doctor is experienced and a board certified dermatologist or plastic surgeon. It's not a guarantee, but it helps. A... more Can having filler along labial nasal lines cause shadows and furrows elsewhere?Posted in JuvedermRestylane, Juvederm and Restylane, Fillers, 2010 on Sep 26, 2010 | Permalink Can having filler along labial nasal lines cause shadows and furrows elsewhere? I had two syringes of Juvederm, on either side of my mouth and now appear to have a hollow the other side of the filler and also the bags under my eyes look slightly worse. Should I have more filler to counteract the hollows or will this just transfer the furrow to somewhere else? I am a 47 year old with fair skin which tends to be dry. I also have Botox to counteract corrugation on my forehead and crows feet and Botox for bunny lines down the side of my nose.
Without seeing you, it's really hard to comment. This can happen sometimes depending on your original facial contours. It's fixable and preventable the next time. Please go back to your... more
What is the best treatment for vertical lines over the lips?Posted in Lips, Fraxel laser, Fillers, Carbon Dioxide Lasers, 2010 on Sep 17, 2010 | Permalink What is the best treatment for vertical lines over the lips?
I wish there was one "slam/dunk" treatment for vertical upper lip lines. They can be 80-90% corrected but it takes a little time, money and patience. There really is no one treatment... more Is there a non-surgical way to shorten the distance between nose and mouth?Posted in Lips, JuvedermRestylane, Juvederm and Restylane, Fillers, Carbon Dioxide Lasers, 2010 on Sep 17, 2010 | Permalink Dr. Irwin, as I've aged, the distance from my nose to lip has lengthened and my lips have also flattened. Is there a non-surgical way to shorten the appearance between nose and mouth, and to make my upper lip go up and out so they're not so flat looking?
The answer to this is yes ........but depending on the exact anatomy. You didn't tell me how old you are. If you're 80, it will be much harder than if you are 50. The bony structure of... more Why don't you use sculptra in the lips?Posted in Sculptra, Lips, Fillers, 2010 on Sep 11, 2010 | Permalink Why don't you use sculptra in the lips. I would like to have my lips made a bit fuller but really don't want to spend 400 every 6 months.
Sculptra becomes bumpy in or around the lips where the muscles around the lips are strong. The same can be true around the eyes. Lumpy lips is not a good look! Dr.... more
What about the filler Selphyl. Is it the best filler?Posted in Selphyl, Sculptra, Fillers, 2010 on Sep 06, 2010 | Permalink What about the filler Selphyl. Is it the best filler? How long do the effects last and is there downtime?
I'm not recommending Selphyl at this time. There are two issues with any new filler: safety and how well does it work? I think it's pretty clear that Selphyl is safe as long as blood... more I don't like my Juvederm. Can I get rid of it?Posted in JuvedermRestylane, Juvederm and Restylane, Fillers, 2010 on Aug 20, 2010 | Permalink I do not like the look of the nasolabial lines after the Juvederm application because they are hard and changed my smile. How can I get rid of it?
Yes, you can! Please call your doctor. There is an enzyme (hyaluronidase) that can be injected into the Juvederm (or Restylane) to dissolve it pretty much instantly. It works on all the... more
I have had bad experiences with several fillers. What can I use around my mouth?Posted in Sculptra, Restylane, Lips, JuvedermRestylane, Juvederm and Restylane, Jowlsjawline, Jowls and Jawline, Fillers, Chin Lines, Cheeks, 2010 on Aug 13, 2010 | Permalink I have marionette lines around my mouth. It is due to volume loss in my chin. I had a bad experience with Restylane, (massive swelling after the procedure that scared me into a visit to the ER). Would Artefill be a more permanent option? I also had fat put into this area but it only lasted about 3 months. Could a laser tighten the skin in this area to get rid of it. It is not to bad I am 50.
I wish I could say your situation is unusual but I've heard many similar stories! Let's start at the beginning and think through this. I want you to go back to the mirror because most of... more Dear Dr. Irwin,
What do you think of the procedure where they use your own blood and derive part of it to use as a filler via injection?
Selphyl is the name of the method.
Thanks you,
Sharon Newton
Albany, Oregon
The marketing machine for this product is beginning to rev up! I can tell because I've been getting a number of questions about it. It's buyer beware. My opinion is that it's way... more Is there anyone in VirginiaPosted in Skin Care, MedSpa, Lasers, Finding a Good Doctor, Fillers, Botox, 2010 on Aug 10, 2010 | Permalink Dr. Irwin,
I have been a regular visitor to your website since hearing you on Paula Beguon's radio show. I feel like I can't go wrong having the both of you in my corner. I'd really like to pursue getting dermal fillers. However, you have not included any Virginia cosmetic dermatologists on your 'trusted' listing. I did take a virtual tour of the Washington D.C. 'trusted' facility because I reside in Northern Virginia. What makes me hesitant about the D.C. facility is that they list so many things they specialize in. I've read almost every blog you've responded to and what stays with me the most is your insistence that it all goes back to the injector and his/her skill. I don't see how anyone can be skilled in so many procedures?
Any suggestions? Linda
Thank you!!! As you all know, I am revising the regional guide but it's SLOOOOW because I feel like I need to check possible additions with several different sources. In Virginia, I'm... more Does the use of Botox or dermal fillers have any potential to slow down the deepening of existing wrinkles?Posted in Wrinkles, Fillers, Botox, 2010 on Aug 05, 2010 | Permalink Does the use of botox or dermal fillers have any potential to slow down the deepening of existing wrinkles?
Yes!!! If the wrinkle is being caused by an over active corrugator muscle (the "frown" muscle), then relaxing the muscle with Botox will not only make the lines improve but also... more
Dr. Irwin , I am a fifty eight year old woman that has had aortic valve replacement and am on blood thinners. I want to have filler injections for the lines that go from my mouth to my chin. I am very self conscience of these lines and so much want to have this taken care of . My question is can this be possible since I need to be on the blood thinners?
I'm going to assume for this answer that you're on coumadin/warfarin. It's very safe to use a filler like Juvederm or Restylane while you are on coumadin BUT you will very likely... more Can fillers be used to contour the nose?Posted in JuvedermRestylane, Juvederm and Restylane, Fillers, 2010 on Jul 05, 2010 | Permalink Can fillers such as restylane be used on the nose to fill out imperfections? Thanks for any information. Bonnie
The answer to this is absolutely yes! In fact, there are several dermatologists and plastic surgeons who have made this a special interest and published papers on these techniques. If I'm 68, would Juvederm help my chin area?Posted in JuvedermRestylane, Juvederm and Restylane, Fillers, 2010 on Jun 21, 2010 | Permalink I am a 68 year old woman considering Juvederm XC. I have deep wrinkles around the chin area. Would it be feasible to have treatment?
Yes - Juvederm will work for deep wrinkles around your chin, but you would almost certainly need 2-3 syringes to lay down a good base. Follow up treatments would probably require less. ... more
What is a good solution for deep marionette lines around the mouth?Posted in Sculptra, Fillers, Acne on Jun 12, 2010 | Permalink I am 45 and have a deep marionette line on one side of my mouth that is about ½ inch in length. I had Sculptra injected and while it did soften the line it is still very noticable. Is there anything else I can have done that will help improve this?
I'm always fascinated by how asymmetric we all are. It sounds like the line is just on the one side. Usually the side of the face with more lines is the "sleep side" where we spend more... more What is the best filler for hollow cheeks?Posted in Sculptra, Radiesse, JuvedermRestylane, Juvederm and Restylane, Fillers, 2010 on May 13, 2010 | Permalink What is the best filler for hollow checks? I am 57 and have good skin, but I see some hollowing in the middle of my upper center of my cheeks. I have a full face, but not fat. I do Thermage and it works great for me so far. I tred Radiesse, but I agree with your opinion that it looks a little wooden when smiling. It has worn off some since I tried it last year.
If you have only mild to moderate hollows, then try the more robust forms of hyaluronic acid like Juvederm Ultra Plus or Perlane. These should last 6-9 months the first time and slightly... more
When Juvederm doesn't seem to be working.Posted in Sculptra, Radiesse, JuvedermRestylane, Juvederm and Restylane, Fillers on Apr 29, 2010 | Permalink Your site is a wealth of information, Doctor Irwin. I am 48, and have the typical sagging because the collagen in my cheeks bones is being lost. Therefore, I have double parenthesis down between my nose and mouth on the sides. I have had Juvederm, and the first time loved it, but the next time with the same doctor, had weird results. It is as if the filler just shifted where the sags were. So, I sought out a new doctor, and still was not happy with Juvederm. Now, it is time to do something about these sags I mention, and even another doctor recommends Juvederm. A consult with another spa mentioned anti-aging bio-therapeutic treatments. I am so overwhelmed, but want to fix my face. Your website is great. Do you have a suggestion. That is a lot to ask, as there is so much out there. Thank you.
Thank you!! It really helps to know your age but I wish I knew your facial structure as well. So let's talk a little about the causes of those deep lines from the nose to the mouth. In... more Who should I see - a dermatologist or a plastic surgeon?Posted in Lasers, Finding a Good Doctor, Fillers, Botox on Apr 12, 2010 | Permalink The advice I usually here is to see a "cosmetic or plastic surgeon" rather than a dermatologist for many of the procedures you recommend. Besides being more costly, why wouldn't I see what seems to be a more skilled physician when I'm thinking about altering my face. I know that they do do botox, and laser resurfacing, etc. I'm quite confused about the best physician.
Thanks,
Janis
I think this is very confusing for people. Dermatologists are specialists who are experts in the care of skin, hair and nails. We do 4 years of college, 4 years of medical school, 1-3... more Which is better - Restylane or Juvederm?Posted in JuvedermRestylane, Juvederm and Restylane, Fillers on Mar 27, 2010 | Permalink --------------------------------------------------------------
So confused as to which is best, Restylane or Juvederm?! I've read articles/reports that say Restylane lasts longer and others claim that Juvederm lasts longer. I'm mainly interested in what is best for the nasolabial folds. Additionally, when I began to research I see there are 2 different Juvederm treatments, Juv.Ultra and Juv. Plus. Is Restylane the same, are there different concentrations? Please help! It IS confusing, isn't it? And, there are "new" products all the time which make it seem even more so. Here's my opinion after years of experience. I tell my patients that comparing... more What makes those lipstick ruining upper lip lines better?Posted in Wrinkles, Lips, Fillers on Dec 03, 2009 | Permalink Is there a product or exercise to get rid of the small little lines around my mouth? These make my lipstick look funny. There are 5 issues to think about for this area. But first, what causes these is the constant movement of the lips (so exercises don't work), sun damage and loss of collagen, fat and bone... more I am allergic to aspirin products. I have an anaphylactic reaction to them. I read that if you have an anaphylactic reaction to anything you cannot use fillers. Is that true? Thanks, Joanne That is not true for the fillers that I use - Juvederm, Sculptra, Restylane and Cosmoplast. Be sure to let any doctor you see know this though. Dr.... more
What is the best treatment to correct the turning down of your mouth as you age? Does Botox help this any, or would just a filler be best? And how many units of Botox are generally injected in each site of injection? I am trying to calculate cost.
Teresa Botox should never be used in the lower face except by an expert injector because it can cause facial drooping (like a stroke only temporary) or problems with chewing and drooling. I will... more Juvederm Gone Wrong!Posted in Lips, JuvedermRestylane, Juvederm and Restylane, Fillers on Jul 24, 2009 | Permalink Dr.Irwin- I had juvederm injected into the upper lip area to smooth lip lines that are hereditary. My first injections left the areas in approximately two weeks, and the second series left one area more plump that the right side leaving my face asymmetrical. I also had lots of injection problems with hematomas, purplish blistery knots, and swelling that lasts to this day. Continuing to this day (three months later) at this end of the day my lips swell leaving me very self conscious. Can you offer any advice on what the problems may have been, and what I can do to stop the swelling. I do not want to return to this physician (who is board certified in Dermatology). Please help if you can. It helps me to know your age and how deep the lines are. In general, I don't like Juvederm for upper lip lines, unless they are quite deep for these exact reasons. It tends to be too full... more In March 2008 my doctor injected juvederm under my eyes and just above my cheek. Within a few months I developed "pillows" just above the cheek that have a bluish cast. An aesthetician says it could be from the Juvederm; my doctor says no. I still have them over a year later. Do you have any idea what causes this and how I can get rid of them.
Thank You
Debbie
Wow - this one is tough without being able to see you. If the Juvederm had been done more recently, I would say yes, it could be the Juvederm. Because, sometimes the hyaluronic acid... more using numbing cream, i had juvederm filler injected into my lips, 30 minutes later my lips swelled really bad.my practiononer gave me antihistamine, piriton afterwards.this morning, the swelling in my lips has gone down,the both sides of my face are now swollen. i have continued taking antihistamine as required, will the swelling eventually subside??? It's hard to respond to this because I wasn't there, but generally, that would be an unusual reaction for Juvederm. Since it involved more of your face than just the areas injected, one... more |
Ask a QuestionAsk Dr. Irwin a question about skin care, beauty, new treatments, skin care products, new technology, or skin health. She'll answer five to ten questions a week. 
Your Own News Feed
Click here to subscribe to an automatic news feed of Dr. Irwin’s latest question and answer blog posting.
Take a quick skin care or acne quiz to see tips on skin care and products. 
Skin Care Product Info Which Products Do You Really Need? Products Dr. Irwin Uses Skin Care Products on a Budget Product Recommendations
|
||||||
