Oakland Dermatologists

Tomi L. Wall, MD Tomi L. Wall, MD
Oakland Dermatologist
3300 Webster Street Suite 1106, Oakland
25 answers

Recent Answers

Does Botox Work for Lips and How Long Does It Last?

Does Botox Work for Lips and How Long Does It Last?

A: botox works for wrinkles above the lips

Hello there.

Botox can be helpful for the wrinkles above the lips.  If you pucker your lips or sip through a straw and don't like the lines that you see accentuated when you make these motions, botox can help to "soften" these lines.  Please note that there are some adverse effects with the use of botox in this area, so you should talk to your doctor about these risks. 

Tomi L. Wall, MD
Oakland Dermatologist

How Much Filler Can You Have Injected in One Sitting?

I heard of the chances of "skin necrosis" and to minimize this you would inject little bits in a series of sessions. Is this what most people do? I simply want to go in ONCE every 6 months. Should I be concerned doing all the fillers I need at ONE TIME? How many syringes can I get?

A: how much filler

The amount of filler in one sitting may depend on the volume replacement you need, and the locations where you are looking to improve.  I will sometimes have people come back several times because we may not be able to see the exact desired outcome.  Some of the fillers take time to see the results (i.e. sculptra), and some patients may have significant swelling with injections which make it difficult to see what the final results will be (i.e. some of the haluronic acids). 

I have injected as little as 1 and as many as 6 in one sitting.

 

 

Tomi L. Wall, MD
Oakland Dermatologist

Long-Term Effects of Fillers?

After Yrs. of Repeated Injection of Fillers, Will This Create Holes & Freakish Complexion?

A: long term effects of fillers

There was a study showing that some fillers (hyaluronic acid) may actually increase the amount of collagen.  Other than that, the temporary fillers all "disappear" over time and should not leave any "holes".  It is interesting that our faces change over time, with loss of volume in certain areas, so over time, you may notice these changes as the fillers wear off.

Tomi L. Wall, MD
Oakland Dermatologist
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