Macon Plastic Surgeons

Do They Put Fat Filler Under the Muscle in Face?

do or can they put fat filler under the muscle in face

Yes. Both fat grafts and other fillers are often placed under the muscles. We lose bone volume with aging as well as fat. Fillers are excellent for volumizing this loss. Also most fillers are best put under the muscles in the eyelid region, such as the hollows under the lower eyelids.

Ronald Finger, MD

Savannah Plastic Surgeon

Do I Need a Lift 7 Months Post Implants? (photo)

Hello: I had a primary breast augmentation in July - 500cc smooth silicone under the muscle through the areola. Developed capsular contracture in my left breast and my right has dropped below the point where I liked it. I am also attaching a picture from before anything was done to me. I want both my breasts to look like my right did at 2 months after the surgery (refer to picture). Any way to achieve that without doing a lift? Why did the right drop so much if it wasn't droopy before? Thanks!

Actually, I would have tried to talk you out of having implants. Few women have the breast volume that you had for your frame. Then, if you insisted, I would have recommended much smaller implants. There is no muscle in a breast, and the pectoralis muscles do not cover the lower part of the implants. Think of sand in a sock. More sand causes more sagging. You will not get the shape of your breast like your photo at two months.

My suggestion is to reduce the size of the implants and correct the capsule contracture in the left breast. Additionally, when larger implants encapsulate, the deformity is much more obvious. I would recommend against an uplift. Your nipples are above the crease under the breast which is the usual benchmark for an uplift. Plus an uplift leaves scars that  you may not like. Some day you may need an uplift, but not for several years, in my opinion. To me the right breast looks much better and natural than the left. Best of luck with your decision and result.

Ronald Finger, MD

Savannah Plastic Surgeon

Can I Get Scupltra 1 Month After Radiesse To Add Volume To Face?

At my consultation my dermatologist wanted to use sculptra to restore volume to my face. I wanted more immediate results, so I chose radiesse instead. While I see a difference in my face from the radiesse, I think I would like to try sculptra to see if I can get more volume than I have from the radiesse. Being that I just recieved the radiesse treatments a month ago, would it be too soon to start the sculptra treatments?

Yes. However, I prefer to inject the Sculptra close to the skin and Radiesse near the bone so they are not mixed in the tissues. Other fillers are immediate and Sculptra takes a few weeks to start volumizing. However, some areas are best injected with Sculptra such as the broad cheek areas in front of the ears, and Sculptra is the longest acting of the fillers with the exception of Artefill.

Ronald Finger, MD

Savannah Plastic Surgeon