Blog with Dr. IrwinTag >> Restylane Lumps on the chest after Restylane injectionsPosted in Restylane, JuvedermRestylane, Juvederm and Restylane, 2011 on Jul 24, 2011 | Permalink How do I get rid of lumps on my decolletage after injections with restylane for sundamage. It has now been 4 weeks since the treatment and I am still lumpy? Would dermaroller help I have been massaging? Donna
It would be very upsetting to see lumps on your chest! But lumps from fillers are generally easy to fix. In my opinion, you should see your doctor. It is very easy to inject the area... 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
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
How long does Radiesse really last?Posted in Restylane, Radiesse, JuvedermRestylane, Juvederm and Restylane, 2011 on May 06, 2011 | Permalink Do you have any updates on how long radiesse lasts especially in the marionette lines?
This is my main issue with Radiesse and why I don't use it much. In my opinion, the longevity of it is less predictable than with the Juvederm/Restylane products. In some patients the... 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 What should I use for hollowing under the cheeks?Posted in Sculptra, Restylane, JuvedermRestylane, Juvederm and Restylane, Cheeks, 2011 on Mar 20, 2011 | Permalink I recently heard you speak on Pauls Choice blog radio and would like your opinion on what to do for hollowing under the cheek. I know there is sculptra, but I have heard it is not all it is cracked up to be and can leave little bumps under skin even 4 years out. I have good skin but because I am thin, need to do something. What injectable and/or laser should I consider?
N If you're nervous about Sculptra, find a good cosmetic dermatolgist (this is the key part) or very experienced nurse injector and start with the hyaluronic acids like Perlane or Juvederm... more Are there any treatments which prevent the use of other treatments in the future?Posted in Sculptra, Restylane, Lasers, JuvedermRestylane, Juvederm and Restylane, 2011 on Mar 16, 2011 | Permalink Does use of any treatment (for example -- laser - co2, fraxel, etc..., or injectibles - sculptra, rejuvaderm, etc.) prevent use by any other treatment (either same kind, ie. laser to different laser or different, ie. laser to injectable or vice-versa, etc.) at any point in the future?
Good question. This is a little complicated for a blog but in general, no. The exception is anything permanent like silicone, Artecoll/Artefill, and others available outside the United... more What do you recommend for hollow areas under the eyes?Posted in Restylane, Eyelid Treatments, 2010 on Dec 21, 2010 | Permalink Hi Dr. Irwin, what type of treatment do you recommend for the hollow area underneath the eyes? I'm 28 and tired of people telling me I look sick or tired, but due to some weight loss, the area underneath my eyes has lost volume. Any suggestions? Thank you!
At age 28, you definately do not need surgery under eye hollows. Look for a truly expert injector in your area and depending on where you live this may take some time. When you call,... more
That Dr. Oz episode with Radiesse for jowls.Posted in Restylane, Radiesse, JuvedermRestylane, Juvederm and Restylane, Jowlsjawline, Jowls and Jawline, 2010 on Dec 04, 2010 | Permalink Dr. Oz had a cosmetic dermotologist on yesterday addressing the issue of jowls- uck! She treated a woman on the show with RADIESSE- instant results and lasts up to 1 1/2 years. Was really quite amazing and was wondering what your thoughts are on this. Thank-you Dr. Irwin! Connie
This episode was a few weeks ago but I thought it was interesting. I generally don't like Radiesse in the cheeks because I think it looks too stiff and a little wooden when the face is... more 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 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 Differences between Sculptra and Restylane?Posted in Sculptra, Restylane, 2010 on Jun 12, 2010 | Permalink Dear Dr. I
I was wondering if you can briefly give me the differences (excluding cost and how long it lasts) between Sculptra and Restylane. I have had Restylane shots in the past for the smile lines and around my mouth. I am in my late 30's. Thank you for your helpful site!!!
This is tough because there are a lot of differences. Can you write back and be more specific with your questions? I just updated the Sculptra article on SkinTour and the new updated... more
Is it likely that Restylane will show through thin skin?Posted in Restylane, JuvedermRestylane, Juvederm and Restylane, 2010 on May 23, 2010 | Permalink Hi Dr. Irwin,
Can you tell me if Restylane will show through (either in lumps or color) in someone with really thin skin? Thank you so much for this website and all the information you provide!!
Bonnie
If it's placed correctly, it really shouldn't. We treat many thin skinned at our office with this product and Juvederm. If it's placed too superficially in the dermis (the layer of skin... more
Help! I have awful bags under my eyes after a Restylane treatment.Posted in Restylane, JuvedermRestylane, Juvederm and Restylane, 2010 on May 18, 2010 | Permalink | View Comments (1) DPlease help! I just had Restalyne for the first time 55 hours ago to help with the deep, dark circles under my eye. The well known doctor injected Restalyne under the muscle, using a threaded needle to inject the Restalyne into the corners or as near corners as possible. I have bruising on my left eye only, its ok, I can cover w/makeup.
However, both eyes have tear drop shape pouches on the top of my checks under the eye. It looks terrible as they stick out, swollen. Will this go away what should I do? It is Sunday, had this done on Friday afternoon. I saw your site and wished you were in the NYC area. Please help and can you recommend a good doctore in NYC or New Have, CT? Please.
Thank you so much.
Louise
Dear Louise: I wish I could answer every question you, my wonderful readers, send! I also wish I could do it quickly but that doesn't work with a job and children - something you all... more How long should Botox and fillers last?Posted in Restylane, Radiesse, Botox on Mar 09, 2010 | Permalink Hi Dr. Irwin,
First, I love your blog. You answer so many of my questions. I have been seeing a dermatolgist for approximately one year now. I have had perlane and restalyne and botox with him . But, I am very concerned over the staying power.
In September of 2009 I had two vials of Radiasse placed in my cheeks (for some hollowing) and nasolabial lines. It looked fabulous for about 3 -4 weeks. In october I needed another vial. End of November 2 more vials and 90 units of botox (forehead, eyes, lines around mouth, chest) Now it is approaching Feb and I see that that I have hollowing again on the right side, and the laughlines are back (not as deep, certainly, but defintely back). I also get about 90 units of botox approximately every 2-3 months. This is breaking my bank! Is this normal? Prior to the Radiasse, I had almost 6 vials of perlane starting back in March of 2009 through August. I believe I have spent over $10,000 in less than a year on fillers.
The Dr is now recommending Scuptra. I don't know anyone who has this problem. What do you think? Is this normal? I can send you a picture. Thank you - I LOVE doing this blog! Something seems odd to me. In 18 years of practice, I've never seen anyone go through so much product, unless you are in your 70s or 80s. And, I... more I had Restylane injections in the nasal labial area of my face. After each small injection in the area, my physcian had me open my mouth in order for her to use her thumb and forefinger to "squeeze & shape" what she had injected. Is this a proper and/or common technique? When viewing your video, I did not see you do anything like this after injecting the Juvederm. You bring up a really good point! Which is that even among expert injectors, there are some differences in technique. As long as you are getting an excellent result, and she's observing... more How can I get rid of puffiness from Radiesse and Restylane injections?Posted in Restylane, JuvedermRestylane, Juvederm and Restylane on Dec 21, 2009 | Permalink lst visit to dermatologist resulted in injection of radiesse in lower eye area. Puffiness still existed. 2nd visit to dermatologist resulted in injection of restylane. Puffiness still exists. What should I do now to get rid of the puffiness under the eyes. I am a 56 yr old woman in fairly good health. thank you I think this is a situation where you need a second opinion from someone good in your area. If you don't know who to turn to, see our recommendations on this site, ask your primary care... more
Hi,
I have been having restylane injections on my lips for a number of years now and have been happy with the results - only problem has been that the left side of my upper lip always looks thinner than the other. So, this time, my Doctor tried injecting some juvederm into the lip and also used this to outline the top lip. When the swelling settled, it did in fact plump up that stubborn top left side, BUT it also had the unwanted result of causing large and very deep creases in the area between my nose and mouth - they are there all the time (my friends call me 'Granny mouth') and are worse when I speak. It has been about 5 weeks now and my Doctor has tried injecting some other filler just under the nose hoping that this would help release the tension ... but it hasnt done anything. I have a virtually wrinkle free face and the creases are very noticeable ... can you help??
Ulla Secher It sounds like you are describing a phenomenon with Restylane/Juvederm where the edges of the lips are overfilled resulting in an exaggerated roll up of the lip (usually the upper). Which... more |
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