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Is it safe to remove lumps in the lips caused by ArteFill?

It is safe to remove lumps in the lips caused by ArteFill when performed by a highly skilled facial plastic surgeon.  ArteFill is a permanent filler material composed of methylmethacrylate and if placed in the lips, can commonly cause bumps or nodules.  These nodules can be a very difficult problem … Continue Reading

I have been told the Botox is for the upper portion of the face and fillers are for the lower portion of the face. Is this true?

Overall this generalization about injectables is true.  Botox, for the most part, is very effective in the upper portion of the face including the forehead, glabella or area between the eyebrows, as well as the crow’s feet area where as fillers are more effective down in the area of the … Continue Reading

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Can intense pulse light be used to treat precancerous spots?

Yes, intense pulse light or broadband light can be used to treat precancerous lesions such as actinic keratoses, but only when used in conjunction with a photodynamic sensitizing agent such as ALA.  Intense pulse light or broadband light in and of itself will not adequately treat precancerous lesions, but the … Continue Reading

Are there any nonsurgical options for a double chin?

The answer to that question really depends on the patient’s age. If the patient is relatively young and has very elastic skin, there are various nonsurgical treatment options available, but the most productive and most efficacious treatment would involve some sort of fat removal. Classically this is done via liposuction … Continue Reading

Do you recommend any followup for new Juvéderm or Botox patients?

For new patients that have never had Botox or Juvéderm injections by me or my nurse injector, I highly recommend that they follow up approximately two weeks after the procedure. I recommend this due to the fact that many of our patients have had treatments elsewhere that were either ineffective … Continue Reading

Are there possible complications from frequent Radiesse injections?

Any injectable as a risk of complications; however, the risk is extremely low when extremely experienced injectors are performing the procedure.  Radiesse has a slightly increased risk of creating red bumps in the skin if it is injected too superficially, but the frequency at which Radiesse is injected should not … Continue Reading

Is there such a thing as a nonsurgical nose job for a drooped tip?

Yes there is.  Botox or Dysport can be used to relax the muscle at the base of the nose and in the upper lip called the depressor septi muscle that can pull a nasal tip down.  Only a certain percentage of patients actually have this muscle, but is a patient … Continue Reading

Can Botox help headaches and relieve sinus pressure?

Absolutely! Many patients who think they have chronic sinusitis due to significant facial pressure or headaches, oftentimes are really suffering from myofascial pain syndrome or tension-type headaches. And surprisingly, Botox injections can actually improve these kinds of headaches, and in some cases, completely eliminate them. Botox for Migraine Headaches There … Continue Reading

Do you recommend Radiesse or Juvéderm for lip augmentation?

In my opinion Radiesse is actually contraindicated for injection into the lips.  Tough Radiesse is a wonderful product for injection into the smile line or into the cheek area, I feel that it is absolutely contraindicated for injection into the lips due to the fact that the material frequently migrates … Continue Reading