Who Should I See for Injectable Fillers?
asked 2 years ago by joonbug37 in New York
Latest answer by Donald M. Brown, MD
Question viewed 2,169 times
Tags: hollow, plastic surgeon, puffy eyes
20 answers to Who Should I See for Injectable Fillers?
+2
Skin filler - Juvederm - Restylane - where to go?
Hello,
The real answer is to go to the doctor that will provide you the best result. If you set the "cost" as your determining factor, you may win or you may loose. Take a look at the listings about unhappy patients. Why do patients have "bad" results at least in their minds. A lot of possibilities.
For your treatment - Plastic surgeon... dermatologist... facial plastic surgeon...... ophthalmologist... gynecologist.... family doctor... clinic with a nurse providing the
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Michael Kulick, MD
San Francisco Plastic Surgeon
San Francisco Plastic Surgeon
+1
Who Should I See for Injectable Fillers?
In order to obtain the best results ether a board certified plastic surgeon or dermatologist should be able to help you. You need to check however, to ensure that they have had experience working with fillers in this area.
The real question here is determining exactly what the problem and how is it best treated. Since this may mean surgery I would suggest that you see a plastic surgeon.
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Doctor for injectable fillers
Hi!
I know you have heard that who does the injecting is much more important than what is being injected. Both dermatologists and plastic surgeons should be expert with fillers. But it is the individual that matters. Try to find a doctor who does a lot of fillers. Ask to see before and after pictures.
My web site has links to the societies, where you can get names near you.
+1
Juvaderm / Restylane / HA fillers for undereye hollows: Pick a quality professional
Joonbug37:
We're glad you understand the importance of picking the right person to do your facial HA fillers, especially the area around the eye.
Your answer is not as simple as my recommending a Derm or Plastic Surgeon (even though I am a plastic surgeon). Some practices don't do hardly any cosmetic or aesthetic work - they're mostly reconstructive. You want one that does mainly aesthetic work. Some practices do plenty of fillers, but don't often do the lower eyelid hollows - you want...
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Sutton Graham II, MD
Greenville Plastic Surgeon
Greenville Plastic Surgeon
+1
Either Dermatologists or Plastic Surgeons can do well for you
This is one area that you should be careful selecting your doctor who has done these procedures a lot.
Lumpiness and bruising is common in this area however it is easy to correct should it happen.
Good luck!
Nissan Pilest, MD
Irvine Dermatologic Surgeon
Irvine Dermatologic Surgeon
+1
Restylane or Juvederm for correcting wrinkles
You can see either a plastic surgeon or a dermatologist for both of these fillers. Just be sure you are comfortable with who you see and ask to look at before and after pictures. Price is important, but don't settle! Board certification is an important quality to consider as well. Shop around and see what fits you! Good luck!
+1
Pick based on qualifications, not price
As everyone mentioned, there are many different good injectors. The most important thing is to pick someone based on qualifications, not price. Injection in the area around the eyes does require more technique than some other areas such as the nasolabial folds. The nice thing about restylane or juvederm is that if you don't like the results, you can always have it dissolved with hyaluronidase.
D.J. Verret, MD
Dallas Facial Plastic Surgeon
Dallas Facial Plastic Surgeon
+1
You have many options
As the other providers have mentioned, there are many qualified medical practioners that can inject fillers safely and effectively. It is true that the eyelid area is much more unforgiving then the lips or nasolabial folds. You really want someone who has done a lot of these injections. The nice thing about injections is that if you don't like your result you can generally use hyaluronidase to get rid of the filler. The bad part of course is that it is temporary. Based on your age (35 being...
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Samson Lee, MD
Seattle Facial Plastic Surgeon
Seattle Facial Plastic Surgeon
+1
Lower eyelid bags and fillers
You truly need to see a plastic surgeon, but this is the reason. One, we are the experts in this field. Two, if you see a dermatologist, you will get the injection because that is all he or she could do. What I mean is that if you see a plastic surgeon you will be analyzed and given an honest opinion what fillers would do for you vs. surgery. The plastic surgeon may also tell you that what you are looking for is not achievable with fillers and that you may need surgery instead. You will not...
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Farbod Esmailian, MD
Orange County Plastic Surgeon
Orange County Plastic Surgeon
+1
An unforgiving area
Joonbug,
The lower eyelid hollows are a relatively unforgiving area for injectable fillers. There are many specialists that may be competent to provide the injections, including plastic surgeons, dermatologists, facial plastic surgeons and oculoplastic surgeons. Make sure that whoever you choose is board certified or board eligible and experienced with injection in the eye area. Expect bruising and swelling. Good luck!
+1
My bias...
I think that the most important thing is the skill and eye of the person injecting. I am a plastic surgeon, so I would recommend a plastic surgeon. I would also recommend that you have the surgeon himself (or herself) do the injecting rather than a physician extender.
Scott E. Kasden, MD
Dallas Plastic Surgeon
Dallas Plastic Surgeon
+1
Plastic Surgeon
Plastic surgeons have an arsenal of products and procedures that they can offer patients. In addition as I have seen some unacceptable results from non-plastic surgeons I think you should see someone who understands all risks and complications associated with each procedure. Fillers may not be right for you and if you go to a dermatologist they can't offer you what you may really need.
Christopher L. Hess, MD
Fairfax Plastic Surgeon
Fairfax Plastic Surgeon
+1
Eye hollows and puffiness
This is a tough question to answer. If you are complaining about orbital fat herniation, then you may need this removed or redraped. If this is the case you should see a plastic surgeon. If you are specifically complaining about hollowness than a doctor who injects fillers whether it is a dermatologist or plastic surgeon would be fine.
+1
Be careful of filler injections around the eyes
Injecting fillers under the thin skin around the eyes is tricky and visible blue lumps occur as well as permanent discoloration if bleeding occurs.
Many eyelid injections are done by non-surgeons because they cannot do the appropriate surgery.
You need to see an expert who understands all of the options for the eyelid including surgery.
Personally, I do not inject fillers beneath the eyelid because of the high incidence of complications.
+1
Either would be fine, but make sure the doctor is the one who actually does the injecting
This area is the one that, as you may read in numerous postings, has problems after it is done. Unfortunately, there are many people in our profession who have started to do this and have a steep learning curve (as it is called).
What this means is that problems can occur and these problems may be long term. Injection with long term or permanent substances such as silikon is not only a bad idea, but potentially harmful. I use Restylane in this area for the most part, but I am also very...
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+1
I Will Play The Devil's Advocate
Someone from this group needs to play the devil's advocate and urge caution in this area. I agree with all of my colleagues about who you should consider. I am no longer absolutely certain that injectable fillers are the best solution for tratement of infraorbital hollows. It has now been reported that there may be a 10% incidence of either prolonged bruising and discoloration, edema, or irregularities in this very delicate area following injection of fillers. At least in my practice...
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S. Randolph Waldman, MD
Lexington Facial Plastic Surgeon
Lexington Facial Plastic Surgeon
+1
Filler for lower eyelids
Fillers such as Juvederm or Restylane can be very effective for lower eyelids. However, you need to be careful about you is injecting you. The lower eyelid skin is much thinner and less forgiving than other areas of the face such as the nasolabial folds or lips. Make sure you are seeing a plastic surgeon or dermatologist with extensive experience in filler injections. Also, fillers may not be the right answer for you. It is important that the doctor give you a complete evaluation and...
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+1
Injectable fillers are wonderful for lower eyelid rejuvenation.
You should find a board-certified dermatologist or facial plastic surgeon experienced with correcting lower eyelid bags. Try to see favorable photos before proceeding, since the lower lid is delicate, and may be over-corrected.
I've attached a photo demonstrating Injectable Fillers (Silikon-1000 in this case) to rejuvenate lower eyelids permanently.
Good luck, and best regards.
+1
Eyelid filler
Hi Joonbug. The problem you describe is a common one. It's called "tear trough deformity". While surgery is the more definitive corrective measure, as you stated, fillers can be used as a temporary measure (usually lasting 6-9 months). This is an easy and relatively painless procedure that works very well. It usually takes 20 minutes to perform the procedure and can be done in the office. The only downside is occasional bruising given the thin skin in this area. The filler...
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+1
See somebody with experience
Cosmetic surgery has evolved substantially over the past 20 years. There are many specialties who are trained to do different aspects of cosmetic and there are world renowned specialists who come from many fields. The majority of physicians who specialize in injectables like facial fillers come form (in alphabetic order)
Dermatology
Facial Plastic Surgery (a sub-specialty of ENT)
Oculoplastic Surgery (a sub-specialty of Ophthalmology)
Plastic Surgery
You should know that there are also...
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