Nashville Oculoplastic Surgeons

How Much is Lower Eyelid Surgery?

While financial factors are certainly important in considering aesthetic procedures, the most important factors to consider in your decision making process should be the experience, judgment, and skill of the surgeon.  Lower eyelids surgery can be tricky; if performed well it produces beautiful results but if performed poorly it can have side effects that can be difficult to correct and which may be a source of trouble for years to come.  The bottom line: don't shop for surgical, laser, or injection procedures using price as a primary decision factor.  

Brian Biesman, MD

Nashville Oculoplastic Surgeon

How Long Until I Can have Fraxel After CO2 Resurface with Matrix Dot Therapy?

I had the CO2 Resurface 10/3 and still having very many issues. The tech that did it offered to do another Resurface this week for 500. I have my entire face covered in splotches that are getting worse with time. I went to a Licensed Dermatoligist he has recommended Fraxel test sites for the engraved lines which Im starting to think is permanent scarring. Is it too soon for Fraxel? is that safe? will test sites heal uneven on my face making it look worse?

If you are still having problems with you skin 3 months after CO2 resurfacing something is most likely not going well with the healing process.  The primary concerns are scarring and infection but reaction to topically applied agents must be considered as well.  I would seek an opinion from a physician who is extremely experienced in dealing with complications of laser skin resurfacing.  Whether your treatment is with a Fraxel brand device or a Dot Matrix device does not matter nearly as much as the experience, skill, and judgment of the person operating the device.  You may need vascular laser therapy and/or medical therapy at this time rather than more resurfacing;  without more information it is impossible to give an opinion as to what your next treatment should be.  Your next move should be to do your homework and find a physician who is a skin resurfacing expert.

Brian Biesman, MD

Nashville Oculoplastic Surgeon

Am I Experiencing A Granuloma 8 Months Post Fillers?

My fist restylane/Juvederm injection into the nasolabial fold gave a perfect result. The second injection of restylane alone provoced after ten days within one hour on several spots in the nasolabial fold bumbs and one nodul. You could only see them when you looked really closely. Now eight months later most bumps have resolved and the nodule is softer. I now want to try Belotero. Is it correct that lumpiness and granuloma occur less than with Restylane? Thank you so much for your answer

It is not uncommon to have lumps or bumps develop after injection of dermal fillers.  It is true that some products are "stiffer" than others and thus more prone to producing lumps or bumps.  Some areas such as the lips and tear troughs are particularly prone to development of lumps.  The major concern needs to be whether the bumps are simply related to the presence of the product or if they represent infection or an inflammatory process.  This distinction should be made by your physician.  I strongly urge you to return to the physician who performed your injections so as to determine whether additional treatment is needed.

Brian Biesman, MD

Nashville Oculoplastic Surgeon