I'm 44 & thin. I have nasolabial folds, significant hollowing in my cheeks & under my eyes, sagging jowls & very loose skin above my jaw line. I would like to have treatment to correct some/all of the issues but concerned because I have melasma on my cheeks, between my brows & above my upper lip. Just recently got it under control so I'm extremely concerned that if I have facelift &/or fillers it will cause the melasma to flare. I would greatly appreciate professional opinions on best options.
Answer: Facelift, Fillers and Melasma Similar to the sun, medical procedures that result in heating, redness or inflammation of the skin can exacerbate or worsen melasma (e.g. certain lasers, BBL, etc). On the other hand, surgical procedures and injectables are quite unlikely to have a significant effect. Occasionally, surgical bruising can result in a more transient type of pigmentation know as inflammatory pigment or PIH. Unlike melasma, inflammatory pigment is not a chronic condition and is relatively easy to treat.As an aside, we now treat melasma with the Q-switched Nd:YAG laser on low energy settings. We have seen remarkable results across the board, including those patients that were previously hard to treat . Best wishes.
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CONTACT NOW Answer: Facelift, Fillers and Melasma Similar to the sun, medical procedures that result in heating, redness or inflammation of the skin can exacerbate or worsen melasma (e.g. certain lasers, BBL, etc). On the other hand, surgical procedures and injectables are quite unlikely to have a significant effect. Occasionally, surgical bruising can result in a more transient type of pigmentation know as inflammatory pigment or PIH. Unlike melasma, inflammatory pigment is not a chronic condition and is relatively easy to treat.As an aside, we now treat melasma with the Q-switched Nd:YAG laser on low energy settings. We have seen remarkable results across the board, including those patients that were previously hard to treat . Best wishes.
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CONTACT NOW Answer: Melasma should not be aggravated by fillers. I think it is very unlikely fillers would aggravate melasma. If there was a significant inflammatory response to the filler which is extremely unlikely it might. In my practice that is not been a complaint.
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CONTACT NOW Answer: Melasma should not be aggravated by fillers. I think it is very unlikely fillers would aggravate melasma. If there was a significant inflammatory response to the filler which is extremely unlikely it might. In my practice that is not been a complaint.
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November 16, 2014
Answer: Face lift/ fillers/ or cheek implants with melasma Melasma present on your cheeks, eyebrows and upper lip should not be affected by a facelift with incisions placed in front and behind the ears. Temporary filler placement in the cheeks should not affect melasma. Permanent cheek implants are placed through an intra-oral approach, so that should not affect the melasma either. Cheek implants are used when patients have hollowing of the cheeks and desire a permanent correction. Cheek implants are manufactured in a variety of sizes and shapes which is best determined at the time of the consultation. For many examples, please see the link and video below
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CONTACT NOW November 16, 2014
Answer: Face lift/ fillers/ or cheek implants with melasma Melasma present on your cheeks, eyebrows and upper lip should not be affected by a facelift with incisions placed in front and behind the ears. Temporary filler placement in the cheeks should not affect melasma. Permanent cheek implants are placed through an intra-oral approach, so that should not affect the melasma either. Cheek implants are used when patients have hollowing of the cheeks and desire a permanent correction. Cheek implants are manufactured in a variety of sizes and shapes which is best determined at the time of the consultation. For many examples, please see the link and video below
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November 16, 2014
Answer: Facelift and/or fillers with melasma. Will it cause the melasma to flare? Yes it is a possibility. But best to ask your treating dermatologist if surgery or fillers will cause a flare up...
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Answer: Facelift and/or fillers with melasma. Will it cause the melasma to flare? Yes it is a possibility. But best to ask your treating dermatologist if surgery or fillers will cause a flare up...
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November 16, 2014
Answer: Facelift and/or fillers with melasma. Will it cause the melasma to flare? Based on the first photograph you appear to need volume in the mid face region which can be treated with dermal fillers. It is unlikely that fillers will have an effect on your melasma. However in most cases patients with melasma need continued follow-up and treatment to keep it under control.Please see a board certified plastic surgeon.
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CONTACT NOW November 16, 2014
Answer: Facelift and/or fillers with melasma. Will it cause the melasma to flare? Based on the first photograph you appear to need volume in the mid face region which can be treated with dermal fillers. It is unlikely that fillers will have an effect on your melasma. However in most cases patients with melasma need continued follow-up and treatment to keep it under control.Please see a board certified plastic surgeon.
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