Sacramento Juvederm doctors

Jacqueline Calkin, MD Jacqueline Calkin, MD
Sacramento Dermatologic Surgeon
2625 Fair Oaks Blvd #1, Sacramento
20 answers
Thomas E. Kaniff, MD Thomas E. Kaniff, MD
Sacramento Facial Plastic Surgeon
631 Fulton Avenue, Sacramento
2 answers
Miguel Delgado, Jr., MD Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon
450 Sutter Street Suite 2433, San Francisco
1 answer
Charles Perry, MD Charles Perry, MD
Sacramento Plastic Surgeon
3800 J Street Suite 210, Sacramento
1 answer
Vera A. Chotzen, MD Vera A. Chotzen, MD
Sacramento Dermatologist
3835 J Street, Sacramento
1 answer

Recent Answers

Juvederm Reaction - When Will This Go Away?

I had Juvaderm fillers in late July and an early Ausgut touch up of 2011. Within a few weeks I had a reaction on both sides of my face at the injection sites. The left side went away within a month, but the right side is still irritated and angry looking with some itching and now scaly red leathery appearance to the skin. I have had the reverse injections of hyurluronaise and also been treated with numersous topical steriods,plus injections of steroids and the like. Nothing's helped? Now what?

A: Juvederm reaction

This is very unusual.  The leathery appearance you describe is sometimes due to a process called lichenification which is something that happens to the skin when it is chronically irritated and inflamed.  It can take a long time to resolve so I am wondering if perhaps you have not been treated aggressively enough or if perhaps you have developed a reaction to something you are being treated with.  Please seek the advice of a board certified dermatologist.  Make sure to bring copies of your photos, medical records and any prescriptions you have already tried.  Best to you.

 

 

Jacqueline Calkin, MD
Sacramento Dermatologic Surgeon
What Are the Effects of Using Juvederm over a Long Time?

If I have my lips injected with juvederm ultra xc every few months (as the product gradually wears out but not completely)over a lifetime, is it possible that it could gradually last longer? Or does the body grow more familiar to the product and with every treatment the body absorbs it faster than the last time? I really want to fix my lips permanently, but from what I've read about the permanent options so far, I'm wary of all of the side effects and dangers. Is juvederm long-term safe?

A: Juvaderm long term

Great question that was beautifully answered by Dr. Rueckl.  I don't have much more to add except  to mirror his warning about permanent implants in lips.  Juvederm is a safe, natural looking option.  Stick with it!

Jacqueline Calkin, MD
Sacramento Dermatologic Surgeon
Dark Pigment on Smile Crease and Depressed Lines! african american. Are These Good Options For My Issues? (photo)

I'm 27, african american. 2 years ago I used a product on my face that ended up irritating and burning it, now Im stuck with slightly depressed lines in the creases of my smile (makeup sinks in, looks terrible) AND its discoloured! I look not great at all. Huge pores, lacking moisture, lines and discolouration (I smoke). Im considering Juvederm for lines and Photofacial for the discolouration. Is this a good idea? Do IPL/Photofacials work on my skin type? I tried bleach & black licorice soap.

A: Photofacial for hyperpigmentation

Photofacial is the absolute wrong choice, and if a physician recommended that to you, you must go elsewhere.  You likely have postinflammatory hyperpigmentation which should be treated topically with prescription strength creams ( I prefer compounded 8 percent or higher hydroquinone). If there is any ongoing irritation, that needs to be treated as well.  That can be easily missed in darker skin becasuse the pigment may mask underlying redness.   Other topicals can help as well.  Please realize that all topicals take many, many months to work.  Fillers will help with the lines and may improve the look of the pigment if there is any shadowing.  This can only be assessed in person.  Best to you.

Jacqueline Calkin, MD
Sacramento Dermatologic Surgeon
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