Annapolis Cheek Augmentation doctors

	Theda C. Kontis, MD Baltimore Facial Plastic Surgeon 1838 Greene Tree Rd Suite 370, Baltimore		1 answer
	Michele A. Shermak, MD Baltimore Plastic Surgeon 1304 Bellona Avenue, Lutherville		1 answer
	Adam Tattelbaum, MD Washington DC Plastic Surgeon 3203 Tower Oaks Blvd 2nd Fl, Rockville		1 answer
	Lisa Kates, MD Annapolis Dermatologist 2200 Defense Hwy. Suite 201, Crofton		1 answer
	Randolph Capone, MD Baltimore Facial Plastic Surgeon 6535 North Charles Street Suite 250, Baltimore

Recent Answers

Can I Get Cheek Implants After or During a Sculptra Treatment? Not literally DURING a treatment, but if I decided to initiate one treatment and then a month later decided to go with implants could I do that? Or how long would I have to wait?

A: Cheek implant vs. Sculptra

Both of these treatments provide improved cheek fullness. I have become a fan of Sculptra to provide a natural looking result and nice improvement in cheek fullness. It's like a facelift in a bottle. Cheek implants are tricky and have more risks than Sculptra which is minimally invasive. Cheek implants are permanent and lead to more remarkable results - which is a benefit. There is a risk, however, with scarring and nerve weakness. It seems you should weigh the benefits and risks of Sculptra vs. cheek implants, and choose one. You should not need both. If you decide to do both, provide either treatment the full recovery time necessary before you decide.

Michele A. Shermak, MD

Baltimore Plastic Surgeon

Can I Have Cheek Implants While I Have Existing Radiesse? I have had six 1.5cc syringes of Radiesse injected in my cheeks over the past two years. The last two were injected in October 2011. I would like to have combined malar implant surgery in March 2012. How would the Radiesse affect the implant surgery? Should I wait? If so, how long?

A: cheek implants after filler.

It is best to wait until the filler absorbs before you go ahead. With the filler present you may wind up picking an implant that is too big or too small. I usually take photos of my patients and consider surgery when they return to how they looked before the filler.

You should discuss this with your surgeon. The amount and location of the filler will play into his or her recommendation on timing as well.

Adam Tattelbaum, MD

Washington DC Plastic Surgeon

Deep Upper Cheek Dents - Fillers or Facelift? I am 42 y/o. I have deep dents in my upper cheeks. Best way to deal with the dents: (a) dermal fillers (and what brand), (b) mini-facelift (what type) or (c) other? Thanks

A: Treatment options for malar bags

Your photograph shows prominence of something we call malar bags. This is a triangular fat pad the can become prominent when we age. The dents you see are the depressions in the tissue around the prominent fat pad, which develops as the midface descends due to aging..

There basically two options to treat these bags. One is surgery, which involves a lower eyelift (blepharoplasty)and midface lift with resuspension of the fat pad. It is a lot to go through to fix a relatively minor problem. Your other option is fillers. In my experience, Restylane would be the best filler to camouflage the prominent fat pad. It's a little tricky to do to get a nice result, so make sure you see a physician who has experience with this type of injection. You will likely be very pleased with the results, and the improvement will probably last a year, or so.

Theda C. Kontis, MD

Baltimore Facial Plastic Surgeon