San Diego Perlane doctors

Jason R. Lupton, MD Jason R. Lupton, MD
San Diego Dermatologist
12395 El Camino Real Suite 117, San Diego
3 answers
Melanie D. Palm, MD Melanie D. Palm, MD
San Diego Dermatologic Surgeon
320 Santa Fe Drive Suite 310, Encinitas
3 answers
Amir M. Karam, MD Amir M. Karam, MD
San Diego Facial Plastic Surgeon
4765 Carmel Mountain Road 201, San Diego
1 answer
Arnold W. Klein, MD Arnold W. Klein, MD
Beverly Hills Dermatologic Surgeon
9415 Brighton Way M110, Beverly Hills
1 answer
Steve Laverson, MD Steve Laverson, MD
San Diego Plastic Surgeon
477 North El Camino Real Suite D-304, Encinitas
1 answer

Recent Answers

Vertical Wrinkle from Eyelid to Brow, Would Perlane be a Good Solution?

I am 47 and had upper eyelid surgery in 2008 (3 years ago) I am happy with result but.. I have 3 deep vertical wrinkles from eyelid to eyebrow, almost as if too much skin was removed and there is spare above the incision.. like it puckered almost.. it really gets me down, can these be filled with say perlane? they're quite deep? & In the past i had sculptra and radiesse in another sleep line next to my chin upwards (not nasal labial fold) and these treatments barely improved it, would perlane?

A: Vertical wrinkles on eyelid - Restylane over Perlane

I agree with the others - i would probably recommend Restylane first.  Perlane may be too thick and lumpy in this area and may make it look worse.  I inject small wrinkles in the upper eyelid quite regularly with Restylane and the results seem to be quite good with very small amounts used. As always make sure you are going to a very experienced injector.  Good luck.

Jason R. Lupton, MD
San Diego Dermatologist
I Want to Get Perlane to Enhace my Cheeks, my Chin and my Lips

my cheecks have "fallen" for the past year, making me look tired and older, my jawline looks funny, and I never had a prominent chin, I feel very tempted to do fillers, I have consulted with a doctor and he said we can fill my cheecks and my chin, and that would make me looka a bit younger (I'am 35, so the problem is not too bad, but I noticed it)I'am just too scared of necrosis,i have seen horrible pictures of this side effect, this keeps me from doing it,any advice?

A: Be conservative with your first treatments, Perlane or otherwise

Being 35 is actually a great time to start some maintenance treatment, but you have to feel comfortable with the procedure, and it is good to appreciate the side effects--bruising, swelling, redness at the area of injection, discomfort, and worst case scenario, skin necrosis if arterial injection/compression occurs.  The latter is an extremely rare occurrence, and can be reversed with hyaluronidase if Perlane is used.

Your face ages by losing volume in many places in your face.  It is great that your doctor suggested volume replacement in several areas.  You might consider a biostimulatory agent, such as Sculptra, instead of the Perlane.  It may allow volume replacement in these areas with longer lasting results.

Melanie D. Palm, MD
San Diego Dermatologic Surgeon
How Often Can I Have Fillers?

I had perlane 6 months ago. Although it hasn't run out completely, it does not look as before. Is it safe to have a topup before it runs out completely? I did not have any problems with it.

A: A touch up session of Perlane is fine

The idea of fillers is to maintain a pleasing effect.  If you notice deflation has occurred, it would be reasonable to have a little bit of Perlane added to the previously treated area.  Although the FDA guidelines outline typical durations of product, it is variable depending on the patient and the area of treatment.

Melanie D. Palm, MD
San Diego Dermatologic Surgeon
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