San Mateo Restylane doctors
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Donald M. Brown, MD
San Francisco Plastic Surgeon
2100 Webster Street Suite 429, San Francisco |
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2 answers |
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Sheldon S. Kabaker, MD
Oakland Facial Plastic Surgeon
3324 Webster Street Street Level, Oakland |
1 answer | |
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Robert M. Lowen, MD
Bay Area Plastic Surgeon
305 South Drive Suite 1, Mountain View |
1 answer | |
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Vishal Banthia, MD
San Jose Facial Plastic Surgeon
1510 Fashion Island Blvd Suite 100, San Mateo |
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Carie T. Chui, MD
San Mateo Dermatologist
280 Baldwin Ave., San Mateo |
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?
Thank you for your question and photograph. It does not appear from your photograph that you have an excessive amount of fat above the tear trough so your best option would be to correct the tear trough depression using a filler such as Restylane.
Do Restylane and Perlane both act as dermal fillers with the same reults?
Restylane and Perlane are both hyaluronic acid fillers manufactured by the Medicis, the only difference is the size of the particle. Perlane has a larger particle size, lasts longer and costs a bit more than Restylane. Perlane last about nine months and Restylane lasts around six months. Generally Perlane is used for deeper filling and Restylane is used for more superficial filling however, these are just guidelines.
Could Restylane affect vision or cause a reaction or swelling in the eyelids?
It's safe, but you have to be careful. That is because the risk of embolizing (getting filler into a vessel) one of the small arteries that supplies the skin between the eyebrows seems to be higher in this area. If one of these vessels gets occluded by intravascular injection of restylane or any filler, an area of skin between the eyebrows will die, leaving a wound that has to be dealt with, obviously not a desirable situation.
Many patients want that crease between the eyes to go away, and if is well-formed, long-standing and deep, Botox alone will not take care of it. All Botox can do is stop the creasing over time and maybe the crease will improve or not get worse as a result.
When filler is used between the eyebrows, care should be taken to inject very slowly and smoothly and inject while withdrawing the needle. This technique lessens the chance that some filler will get injected into a vessel. Another precaution I take is to put a finger over the orbital rim to put pressure on the vessels. That will prevent any filler from going back toward the eye and collapse the vessels in the area to be injected, lessening the chance that filler will get into them.
