Fort Lauderdale ArteFill doctors

Laura Skellchock, MD Laura Skellchock, MD
Palm Beach Dermatologic Surgeon
6100 Glades Rd Suite 304, Boca Raton
1 answer
Nathan Mayl, MD Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon
6405 N Federal Hwy Ste 200, Fort Lauderdale
1 answer
Jon F. Harrell, DO Jon F. Harrell, DO
Miami Plastic Surgeon
2133 N Commerce Pkwy, Weston
Barry Resnik, MD Barry Resnik, MD
Miami Dermatologist
2630 NE 203rd St Ste 105, Miami
Ryan Greene, MD, PhD Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon
4900 W. Oakland Park Blvd. Suite 300, Ft. Lauderdale

Recent Answers

Can ArteFill Be Injected over Juvederm in NL Folds?

If a person has Juvederm in their NL folds and wants to supplement with ArteFill also, can the two be injected within a couple of months apart? I have received 1 injection of Juvederm in my NL folds and in two months would like to go back and get an injection of ArteFill in the same area. My Doc said this is OK. Would like to here other comments on this.

A: Sounds fine to me

If you've already had Juvederm and like the results, then putting ArteFill in should provide satisfaction as well, only it will last a lot longer!  As the Juvederm dissipates, the ArteFill will be filling in, so you should see a consistent result over the next 6 months.  Just make sure you're not allergic to the ArteFill - have a skin test at least 2 weeks before using the ArteFill.

Laura Skellchock, MD
Palm Beach Dermatologic Surgeon
What Can I Do About Lumps from a PMMA Product Like Artefill or Artecoll?

Hi
I have developed a granuloma under each eye in the tear trough area from a product called "Precise," which is a PMMA product I received in Mexico 2 years ago. This product is essentially the same as Artefill/Artecoll.
I have been to see several doctors and have done extensive research on the internet. It appears I have two real options, the first is to have the product removed doing micro-lipo suction with a fine needle to scrape out the particles, which should not cause scarring, and the other is to have it surgically removed. I tried steroid injections but the change was minimal and short lived.
Here are my questions:
Is it possible to remove PMMA with micro-lipo if the product is encapsulated or embedded?
Would surgically removing from the tear trough area cause serious scarring or can it be handled in a way to leave scars that are manageable?

I welcome and appreciate any answers or insight !!

Thanks.

A: PMMA can be removed easily from the tear trough

I am a trainer for Sculptra and consequently have been referred problem cases.

Problems outside of the lids and lips are very rare.  

These products should not be used in the lids because they are best under thicker skin and in a deeper level that does not exist in the eyes.

However, i have removed the material from the lids by just making a tiny slit in a wrinkle and working the firm material out.  It DOES NOT RESPOND TO LIPOSUCTION because it is too dense.  Injections with cortisone are also difficult because the area moves away from the needle and you may place the cortisone just where you do not want it - about and not into the area of thickening.

Dr. Mayl

Fort Lauderdale

Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon
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