How to talk about the results you want with your doctor or nurse.

Hi Dr. Irwin, I came across your website about a year or two ago, when I thought of getting a filler first time. I’ve been reading your advices ever since. Thank you very much for your posts. I find them reliable, unbiased and trustworthy.. I have two questions for you. You’ve mentioned in one of your posts that some fillers cause the face to look “wooden” or “plastic”, when smiling. I cannot find this article again. Will you please go over it again? My dermatologist is very experienced, but I felt after my last treatment, my face had that look, and I did not ask him whether he used Juviderm or Restylane. The other question is about Thermage. Are there different equipment for treatments? I had it done in the medical spa. The square applicator produce light warming sensation on the contact (I had gel on my face), but I did not see any improvement after their treatment. The lady performing the treatment was assuring me that I should see them. Please advice. Thank you in advance for your reply. Best regards, Lora.

You are so welcome!!   I’ll answer a bit more specifically at the end, but you raised something I think would be helpful to others.

How to talk to your doctor or nurse about the look you want

Before you go in …the night before is good…..take a look at your face and neck.  No one expects you to know all the technology to get the result you want.  In addition, no one expects you to know the different properties of all the different fillers, including all the techniques to inject them.   But it really helps if you can identify what is bugging you, or bothering you, before you go in.  Make a small list and then prioritize it.  It might look something like this:

  • Corners of mouth are turning down
  • Frown lines (“elevens”) on forehead are back
  • Upper lip lines
  • Poochy area just below the corner of the mouth.

Or….whatever you are wishing you could fix!

You can find that earlier post here. But please remember, the actual filler injected is less important than the SKILL of the injector.  It’s more how much is injected and where and how……rather than the exact product usually.  Never let anyone inject the little plastic beads (Belafill & Artefill) that are permanent into your skin though.  They can’t be adjusted as you age or change your mind.

On the Thermage question, unlike IPLs which are very different from device to device, the Thermage equipment is the same.  The differences are in which tip the operator uses – 600, 900, or the body tip, and then how they “vector” the pulses on your face.  That’s the art of it.

Hope this helps!
Dr. Brandith Irwin
Founder, SkinTour
Director, Madison Skin & Laser Center
Follow my skin tips and travels on Instagram!
Dr. Brandith Irwin, MD

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Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

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