Dr. Holcomb is passionate about empowering individuals to reach their full potential by improving or restoring facial features that hinder them physically or emotionally.
Dr. Kreithen is passionate about empowering individuals to reach their full potential by improving or restoring physical features that hinder them physically or emotionally. In 2003 and 2004 Dr. Kreithen participated in a cleft lip and palate mission with Interplast in San Pedro Sula, Honduras.
Mention RealSelf to redeem!
Dr. Holcomb performed a facelift and facial lasering on me when I was 50. It was transformative with beautiful results. I was thrilled! It is 16 years later, and he performed a lower face and neck lift seven weeks ago. It's perfect, and I am so happy! First, I quickly recovered, but it's so natural-looking. I look like me with a contoured jawline and a lifted neck. I feel more...
I have always been uncomfortable with my ears. I have never wanted to wear my hair up. We found Dr. Holcomb and immediately felt so comfortable with him. He and his staff made the procedure so easy and it was not stressful. I am so happy with my results. I feel more confident and am so thankful for Dr. Holcomb.
Dr. Kreithen did a terrific job! I had tuberous breast deformation, and with a lift and 240cc implants it has been significantly improved. I feel much more confident in my body. The implants look and feel very natural, and the pre and post op consultations were very informative, and everyone was extremely helpful in person, and over email. I would highly recommend him to anyone looking for a...
I got a Rhinoplasty done by Dr. Holcomb and I couldn’t be happier! My results were exactly what Dr. Holcomb and I discussed in the consultation. I was so happy to know that it was all worth it with no pain.
I am a young facelift patient (38), but had loose skin around my neck and my lower face had lost a lot of volume due to a stressful few years and an autoimmune disease that resulted in my losing a lot of weight. Even as I got healthy, my face did not rebound! I tried everything from profound to C02, botox, fillers, and more, all of which helped, but I knew that to get the results I wanted I...
A: Dear lbruce8883,
Bellafill is not an HA (hyaluronic acid) filler and cannot be dissolved with hyaluronidase - perhaps it was Belotero that was used? In any case it can take a while (months) for HA fillers to dissipate, even with appropriate use of hyaluronidase. Sometimes repeated hyaluronidase injections are helpful. The submitted photos show significant remaining mid-facial volume loss that can be addressed with a different injectable HA or with other options such as Sculptra injections or fat grafting. Certainly lower eyelid surgery is not the answer for your concerns.
J. David Holcomb, MD
A: Dear AD17,
BBL/IPL treatment should not cause significant changes in facial volume - at least this is not among the well known complications and side effects of this type of light treatment. Certainly unusual outcomes can occur but loss of facial fat volume may more likely be the result of something else (e.g. radio frequency treatments, metabolic changes). Elevated temperature certainly does induce fat emulsification and fat cell destruction (lipolysis) but both the temperature and length of time required for this to happen are not achieved during typical BBL/IPL treatment sessions.
J. David Holcomb, MD
A: Dear bee1990,
Lower eyelid surgery to reposition the outer (lateral) part of the eyelid more superiorly (lateral canthoplasty or lateral tarsal strip procedure) may be the appropriate procedure for you but a formal consultation with physical examination is needed for this determination. Lateral canthoplasty may make the eye opening (palpebral fissure) noticeably smaller in patients with upper eyelid drooping (ptosis) even if mild...
Best,
Dr H
A:
Thank you for your question.
The injector's technique and choice of product do make a difference here. It is important to distinguish
where the volume loss is anatomically – mostly at and above the
orbital rim, mostly below the orbital rim, or both. For patients with
slight hollowing at/above the orbital rim a softer product such as Belotero
Balance is ideal while for patients with deeper hollowing below the orbital rim
(this is the mid face) a heavier product such as Voluma is much more
effective.
A: Thank you for your question.
Creating the “chemical
brow lift” effect with neuromodulator injections (e.g. Botox Cosmetic, Dysport)
is not possible for all patients. The chemical brow lift occurs when the
balance between brow depressor and brow elevator muscles is shifted in favor of
the latter. This works best in patients with very little actual ptosis
(sagging) of the brows but both hyperactive brow depressor muscles and
reasonably strong brow elevator muscles. The key to success is
appropriately reducing the hyperactive brow depressor muscle activity while
also preserving enough brow elevator muscle activity. So this means
adequate injections of the eleven line area (procerus and corrugators), lateral
brows and upper crows feet (orbicularis) and, if the horizontal forehead lines
are to be targeted, it is important to preserve the ability to elevate the brows.