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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

Would you recommend microdermabrasion or dermabrasion for the treatment of skin tags?

I would recommend neither microdermabrasion nor dermabrasion for the treatment of skin tags.  Neither of those modalities would work well and dermabrasion could create the need for significant healing time.  Typically I just directly excise skin tags with scissors under topical cryogenic anesthesia.  This is a virtually pain free way … Continue Reading

Can you recommend an expert in Juvéderm removal?

I am not sure if there truly is an expert at Juvéderm removal, but there certainly seems to be more than enough people placing fillers inappropriately.  With that said, I would highly recommend seeking an injector with a significant amount of experience with the products that you are interested in … Continue Reading

How much does Botox cost for a gummy smile?

Both Botox and Dysport can be used to successfully treat a gummy smile or a smile that exposes too much of the gum above the upper teeth.  This is done by placing the product in the levator labii superioris muscle, which elevated the upper lip.  This muscle is … Continue Reading

How many units of Dysport are needed for a brow lift?

Botox and Dysport can both be used to relax the muscle along the side of the upper eyelid. This muscle causes the brow to be pulled down and by relaxing this muscle, one can get a small elevation of the brow or a browlift by the use of this Botox … Continue Reading

Is intense pulse light safe if you have a suntan?

The short answer to that question is no, intense pulse light is not safe if you have a suntan; however, it does partially depend on what treatments and what correction you are requesting.  If you are interested in treating pigmented areas on the face, then I would consider it an … Continue Reading

How much bruising will there be with Juvéderm in the chin crease?

Typically, injections of Juvéderm do not cause any visible bruising. However, there may be a 10 percent or up to a 20 percent chance that bruising will occur with this type of injection and I do caution patients of this fact ahead of time. If bruising does occur, you … Continue Reading

Would you recommend Retin-A or fillers for hollow under eye circles and wrinkles?

Retin-A is a wonderful product that I recommend to virtually every one of my patients; however, I do not recommend it for wrinkle reduction and certainly would not recommend it for under eye hollows. Retin-A essentially increased the cellular turnover of the skin. It can provide a very small amount … Continue Reading

Would you recommend Radiesse or Juvéderm for the lips?

I would absolutely recommend Juvéderm for the lips as Radiesse is essentially contraindicated in that location. Due to the fact that Radiesse is calcium based and relatively thick, it tends to create irregularities in the lips and will often migrate and become visible just below the mucosa. Juvéderm, on … Continue Reading

The Sheboygan Press voted Quintessa Medical Spa as The Best Medical Spa!

View press release | PDF version … Continue Reading