Michelle Cabret, MD, DDS is an extremely educated and even more highly regarded Cosmetic Surgeon with a diverse and unique background. Born on an Air Force Base in Puerto Rico to parents that worked for the Department of Defense (DOD), she spent her childhood in a foreign country for 8 1/2 – 9 months out of every year including Japan, Philippines, and the United Kingdom. Her parents felt traveling provided an education in and of itself and she had the fortune of traveling the world- Europe, Asia, and Russia. The highlight of her young life was coming home to Texas and California to visit family. She has vivid memories of driving from Killeen to McAllen to visit family when hours of the drives were tumbleweed. She is beyond thrilled to bring her girls and herself home to Central Texas.
I came to see Dr. Michelle Carlotti 2 years prior and put down a deposit but had a huge schedule conflict due to a military obligation so I had to cancel. Fast forward a few years later and the perfect timing came up so I went back to reschedule my surgery and they still honored my deposit due to my circumstances. They were very kind and understanding when I had to cancel and just from the...
Decided to try filler injections. Was a great experience at Carlotti's office and results were instant. If your no a fan of needles, this may not be the procedure that brings you joy. I did experience slight bruising, but it went away quickly.
Scheduled to have the submental liposuction with platysmaplasty. The doctors and staff have been phenomenal so far. All my questions have been answered and I was even given a direct number to the doctors for any additional questions. The booklet given has been nice as a reference to prepare for surgery. Looking forward to the transformation. I had my first consultation a few weeks ago and paid...
A: First, You are beautiful and there is nothing “gross” about your face. It is normal to have one “long and thinner” side of the face and one “short fuller” side of the face. There are several causes including: The bone structure in your face can be different from side to side (ie one orbital rim around the eye larger than the other, one cheek bone higher than the other, one side of the jaw longer than the other) and sleeping patterns can also atrophy fat on one side of your face faster than the other. It is recommended to sleep on your back to help prevent fat atrophy from constant sleeping on the same side. With this being said, if you are looking to achieve the ideal face shape for females it is an oval or heart shape. From a non-surgical prospective, for your face using filler to add structure and volume to the high lateral cheek, treating bossing of the forehead, defining jawline, and adding length to your chin (Voluma, radiesse, Lyft, are great options) would help to achieve the ideal shape you are looking for. It is important to have a provider that is certified and trained appropriately to treat these areas and has extensive knowledge of the different types of filler being used to give you the best treatment result. I am a Board Certified Nurse Practitioner and Aesthetic Nurse Specialist at Austin Cosmetic Surgery. I would love to consult you in person and we can discuss the eyes as well.
Kathryn Clayton, FNP-BC
Austin Cosmetic Surgery
A: I would wait at least 12 hours before putting any sunscreen on. I wouldn’t put any sunscreen on directly after a microneedle, chemical or physical, the molecule size of the sunscreen can actually make it more likely for you to breakout after. It also makes it more difficult for other products to enter the channels you created after the microneedle such as growth factors. If it is chemical it obviously could cause more irritation.
A: Tear trough deformity occurs for multiple reasons and at various ages depending on genetics, intrinsic, and extrinsic factors. When treating hollowness under the eyes it isn’t always easily fixed directly by placing fillers. There is usually a combination of midface volume loss and bone reabsorption due to age or a genetically inherited flat midface . When coming up with a treatment plan it is important to address the underlying structural causes of the problem instead of just the symptoms. In patients with good mid face projection and minimal under eye hollowing superior to the tear trough ligament but bellow the orbital rim, filler can be used sparingly in different planes to correct the deformity. This requires a thin filler that has the least hydrophilic effect such as belotero, classic Restylane, volbella, or vollure. These fillers vary in duration with the longest being around 1 year. Treatment of deeper tear trough deformity that may or may not include festoons or herniation of the suborbicularis oculi fat (SOOF) pad become much more complicated to treat with just filler alone, and can potentially be made worse by adding filler. Tear trough implants are a great option for these patients in combination with
Implantech Flowers tear trough implants are a great option for these patients, especially in combination with other modalities. Implants have a longer longevity than filler and can be used on bone to correct moderate to severe loss of projection in the mid face thus supporting the tear trough ligament and correcting most deep tear trough deformities and naso-jugal grooves. With the additional treatment of festoons (malar edema) and herniation of the SOOF creating a bulge under the eye other procedures can be combined with the implant to provide total undereye restoration. These include removal of herniated fat pad, blephroplasty, CO2 laser for skin tightening, and soft tissue augmentation with microionized fat. As you can see, under eyes are a complex area to treat and there is no one size fits all. A consultation with a provider who can offer every treatment and is knowledgeable on the anatomy of this area is important.
A: Yes you can use a combination of neuromodulator such as botox and dysport along with filler to treat this area.
A: repetitive movement of the Glabella complex muscles create a static line in the skin over time. Your skin is like a sheet of paper. The more it is folded by expression eventually a crease will form. The longer you wait to treat them they can get deeper and harder to treat with age.