Spokane Juvederm doctors

	Sam Naficy, MD Seattle Facial Plastic Surgeon 1110 112th Ave NE Suite 150, Bellevue		3 answers
	William Portuese, MD Seattle Facial Plastic Surgeon 1101 Madison St Suite 1280, Seattle		2 answers
	Joseph L. Cvancara, MD Spokane Dermatologist 1807 N Hutchinson, Spokane Valley
	Paul T. Dunn, MD Spokane Dermatologist Spokane Valley
	Phil Werschler, MD Spokane Dermatologist 104 W 5th Ave Ste 330W, Spokane

Recent Answers

Upper and Lower Lip Juvederm - No Results I had no noticeable results. Went back 2 weeks ago, and had more added. Still no results. I have spent over 900.00 for nothing.. Does this ever happen?

A: No results, but consider your goals

$900 worth of Juvederm injected in the lips should have produced a noticeable augmentation. However, your dissatisfaction is also dependent on your ultimate goals - were you seeking a larger and more pronounced augmentation? Did you have very thin lips to start? Remember that a typical single syringe of Juvederm is the equivalent to only 1/6 of a teaspoon - it is not that much volume. It is important to communicate your ultimate goals with your provider so they can understand the amount of product needed to achieve your desired results, and it is equally as important for you to understand the costs involved in order to reach your goals.

Sam Naficy, MD

Seattle Facial Plastic Surgeon

Xanax for Juvederm Lip Injection with out a Nerve Block? I went to have a juvederm lip injection and they did not numb me or give a nerve block, it was so painful I passed out than threw up. The doctor could not even finish. So He said he would cap it and try the following week and told me to take a xanax which he gave me a RX for. Will this keep me from feeling so much pain and from passing out? Scared to go through this kind of pain again.

A: Experienced injectors will use nerve blocks

Experienced injectors will use nerve blocks for filler injections - especially to a particularly sensitive area such as the lips. The newest form of Juvederm also comes with lidocaine (a numbing medicine) incorporated into the product. If used correctly, Juvederm injections to the lips should not cause very much discomfort at all. Don't assume that just because your provider is a PS that he/she has extensive experience using injectables. Always ask how many injections the providers (including the MDs) at the clinic have performed. There is no substitute for experience.

Sam Naficy, MD

Seattle Facial Plastic Surgeon

Safest and Most Effective Treatment for Hollow Eyes? I have hollow eyes (from missing fat) which causes the dark eye circles and makes me look tired all the time. I'm seriously considering plastic surgery but want to make the safest, most effective decision. I've heard Juvederm and Restylane injections are best. but then some say fat transfer is another good option. Will there be surgical incisions to insert the fat vs. laser? I'm so confused.
Has anyone actually gotten these procedures done, and have recommendations on which has worked for them? What would doctors that recommend on which ways are the most safest and long-lasting? HELP!

A: Filler and fat injections are not recommended for the orbital area.

We do not recommend injectable fillers placed in the orbital area. We have seen too many complications from these with long-term edema that just simply does not go away. The results from fat injections have been very inconsistent, and we do not recommend that either. There is really not much of an option for simply hollow eyes other than makeup for the dark circles.

William Portuese, MD

Seattle Facial Plastic Surgeon