Scottsdale Restylane doctors

Amir M. Karam, MD Amir M. Karam, MD
San Diego Facial Plastic Surgeon
4765 Carmel Mountain Road 201, San Diego
4 answers
Shepherd G. Pryor, MD Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon
8952 E Desert Cove Ave Suite 205, Scottsdale
3 answers
Susan Van Dyke, MD Susan Van Dyke, MD
Paradise Valley Dermatologist
5206 N Scottsdale Rd, Paradise Valley
3 answers
Todd Christopher Hobgood, MD Todd Christopher Hobgood, MD
Phoenix Facial Plastic Surgeon
3501 North Scottsdale Road Suite 160, Scottsdale
2 answers
Steven Turkeltaub, MD Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
10290 N 92nd St Suite 207, Scottsdale
1 answer

Recent Answers

filler or blepharoplasty for my tear trough?

My deep tear troughs are starting to really make me self-conscience.  I have been reading the pros and cons of each and am not sure what would be better.  I have barely gotten enough courage to consider a filler but I hear that they are difficult in this area to work properly.  I don't know if I could see myself having a blepharoplasty since its surgery (and I'm worried about not looking like myself once its done).  The fillers seem to be easy but everybody says to find an "experienced" person.  I talked to one board certified plastic surgeon who performs fillers but won't do them in the tear trough area because the results are so inconsistant.  Also, it appears that there are several different kinds of fillers as well.  Based on my photo, what would be recommended? 

A: restlyane works very well in the tear trough

I certainly agree with the previous reviews.  After reviewing your photo, I am guessing surgery would be premature at this point.  I would recommend a hyaluronic acid filler for this area.  I use all varieties of these products but find that restlyane is the most reliable and affords great surgeon control in the tear trough.  This is a very safe product I have been using for many years in the tear trough (although this is an off-label application).  If by chance, you were uncomfortable with the result (which is unlikely) you can adjust this product as needed after your injection with massage and hyaluronidase.  That can be very reassuring for most first-time patients.

Lower eyelid surgery with fat repositioning (see Hamra fat transposition) is highly successful but should only be contemplated when non-surgical methods will not provide adequate results.

I hope that is helpful to you.

Todd Christopher Hobgood, MD
Phoenix Facial Plastic Surgeon
How Can I Find a Doctor That is Very Skilled in Injecting Under Eye Resylane?

I am searching for a doctor who is very skilled in injecting under the eyes to fix hollows. However, I feel many doctors say they do this treatment when in reality they haven't done it often. What are the questions I should be asking and what other things should I look for? Also what is the cost to this procedure? I have heard about extremely low and high costs so I am very confused. Thanks for the help!

A: Filler injections for under eye hollows.

Many practices inject filler in this region.  If you don't know anyone who had the same procedure that can give you a positive referral, then it is best to rely on a few basic things to decide.

1) first, you need to see lots of before and after photo grafts of patients with similar features. 

    This also tells you about the experience and artistic 

2) make sure the practice has a strong reputation and you are dealing with well-trained and board certified   physicians. 

3) make sure you are a good candidate for the procedure.  Although, you may have volume loss around the lower eye,  in some cases filler is not the best choice.  In certain cases, fat transfer is a better choice because the volume loss is too advanced or extends down to the cheeks.  

I hope this helps, 

Dr. Karam

Amir M. Karam, MD
San Diego Facial Plastic Surgeon
Would Restylane Be an Option over Rhinoplasty for a Boney Nose?

The top of my nose seems to be just skin and bone. The bridge is narrow and boney. Wearing sunglasses can be irritating. Would a filler like restylane be an alternative to nose surgery for creating a softer look and feel to my nose?

A: Question regarding fillers to increase soft tissue thickness of nose

Photos and an examination would be needed to provide you with useful advice. Typically fillers are used to help address minor contour irregularities rather than for a diffuse increase in soft tissue thickness. If you do want to pursue some course of action, you should inquire of your physician exactly what your options are and the expectations.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
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