Northbrook Juvederm doctors
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Amy Taub, MD
Lincolnshire Dermatologic Surgeon
275 Parkway Dr Suite 521, Lincolnshire |
1 answer | |
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Karol A. Gutowski, MD
Chicago Plastic Surgeon
Northbrook |
1 answer | |
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Laurie Casas, MD
Chicago Plastic Surgeon
2050 Pfingsten Road Suite 270, Glenview |
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Adam J. Cohen, MD
Chicago Oculoplastic Surgeon
4709 Golf Road 12th Floor, Skokie |
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Peter D. Geldner, MD
Chicago Plastic Surgeon
680 N Lake Shore Dr Ste 1325, Chicago |
Recent Answers
A year & a half ago, I received v-y lip plasty. I was stupid enough to get juvederm injection on top of that. As a result, I have huge duck lips. The lips are very thick from scar tissue as a result from v-y plasty & I also developed granulomas. Both my lips come out too forward. I wanted my lips to become wider, NOT protrude forward. The light hits the top of my lips so much that it looks unnatural & my bottom lips sag. Can kenolog injection help my lips go in more and get rid of granulomas?
You may have one or more issue going on:
- Granuloma formation
- Biofilm associated infection
- Injection of filler other than Juvederm
- Scar tissue
As others suggested, it would be best to diagnose the problem before trying a Kenalog injection (which can cause side effects). After a proper examination, a biopsy with special cultures is the first step. If no evidence of infection after 6 weeks of microbiology cultures, then a Kenalog injection or surgical excision of the masses could be considered. If it is an infection, you may need up to 6 weeks of antibiotics. There are also cases where a laser was used to open these lesions on the lips and allow the material to drain out.
It may be best to see someone who has experience in dealing with these complications.
From what i can tell juvederm is maybe better than restylane because it lasts longer. Is this true? Are there other things i should take in to account before choosing juvederm or restylane?
The most important point in choosing a filler is the skill and artistry of the injector. There are some difference between the fillers in terms of their consistency, the syringes that are supplied and how they are manufactured. Some patients and practitioners do have preferences of one over the other. But these differences pale in comparison to how they are used.
Another important consideration is the amount of product that is used. Understandably, people want to use the least amount of product as the procedure is costly. However, I have become a huge advocate of "full correction". This means that you need to replace enough of the lost volume to get a great result and not just fill in the line with a liitle bit of product to get a good result.
I performed a study that showed that 6-8 syringes of product resulted in patients looking on average 7 years younger! This was recently published in the Journal of Dermatologic Surgery. I try to explain that although the fillers are temporary, they don't go COMPLETELY away that quickly. So ideally our patients/clients will come back at 6-10 months and get a retreatment that is usually 1/2 to 1/3 of the amount done originally. If you keep these "maintenance" treatments up, then you can retain the youthfulness that these injections impart for years.
