Tucson Restylane doctors
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Todd Christopher Hobgood, MD
Phoenix Facial Plastic Surgeon
3501 North Scottsdale Road Suite 160, Scottsdale |
2 answers | |
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Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
10290 N 92nd St Suite 207, Scottsdale |
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1 answer |
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Remus Repta, MD
Phoenix Plastic Surgeon
9250 N 3rd Street Suite 1003, Phoenix |
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Lawrence Shaw, MD
Scottsdale Plastic Surgeon
8913 E. Bell Rd Suite 201, Scottsdale |
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Mireille Algazi, M.D.
Tucson Dermatologist
Tucson |
Recent Answers
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?
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.
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?
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.
I had to purchase two full syringes of Restylane for my tear troughs, from underneath my eyes to the mid sections of my cheeks. The grooves were pretty bad (the left side was worse). They look better, but I feel like I need more! I also have puffiness above my cheekbones. I don't know if it's just more visible now or if the fillers actually moved into that area to cause more puffiness. How much filler is too much? Where did it all go?! What are my options?
This is a very common problem. Although this application is off-label, it is a common application that works well. I do not believe there is any medical reason to state that there is a maximum amount that is safe to inject. Certainly I have had patients that have received up to 4 syringes throughout the face at one sitting with no problems. Unfortunately the malar festoons (troughs lateral to the pupil line) can really require quite a bit of material to lift this tissue. In my hands, the tear trough takes no more that one syringe. I happen to prefer juvederm ultra plus or perlane in this area given the longevity and fullness of the result.
