Charlotte Dermatologists

What Is The Injection Depth of Restylane at the Lips? 3 Months Later I Still Have Vertical Lines.

Could someone please tell me what the depth of the injection of Restylane for the lips is? Would the injection be subcutaneous, or deeper? I'm currently having Restylane injections around the lip line and even 3 months after injection, I have vertical lines on the lips from the Restylane which I never had before. You can see lumps and bumps from the Restylane. Other people I see that have the Restylane injections for the lips do not have these visible lumps and bumps.

Botox works great on the vertical lines that occur from normal talking and pursing the lips. A dermal filler such as restylane can enhance the shape and volume of the lips but is not great for the small vertical lip lines and injection in this area frequently can cause bumps.

Elizabeth F. Rostan, MD

Charlotte Dermatologist

What Kind of Treatment Will Eliminate a Nose Piercing Scar?

I have a raised scar from piercing my nose three times. How can I eliminate or reduce the scar? What is the average cost of the treatment? Thank you

In my practice we typically start with injections of 5-fluorouracil and kenalog with or without Vbeam pulsed dye laser. Later a resurfacing laser such as Fraxel restore or repair can be used to improve the scar.

Elizabeth F. Rostan, MD

Charlotte Dermatologist

What Are My Options For Fat Transfer Removal From Face? (photo)

I had fat transfer under my eyes/top of cheeks 2 years ago with terrible results. The area is uneven& lumpy, with hard little beads underneath. There are zillions of plastic surgeons in Atlanta. I thought the one I went to was skilled, but he ruined my face. I met w/ a top ps here. He thought the area looked "freaky" but would only recommend filler on the outer side to even things up. How do I find a ps w/ fat trans experience? What are the best options that won't make it worse?

I would recommend one or more injections of very low concentration of cortisosteroid. These injections can have the side effect of fat atrophy or dissolving. I would start at low concentration and do injections as needed to achieve the desired effect.

Elizabeth F. Rostan, MD

Charlotte Dermatologist