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I am a physician and wanted to seek some info from the specialist re one of my nurses? (photo)

She was injected with Radiesse 2/2013 and then there was the creation of these lines under both eyes. In 7/2013 she saw a well known TV aesthetic physician who is not a plastic, dermatologist or oculoplastic surgeon. She was injected with Restylane to try to correct the issue, but no response was seen based on picture number 2. Any ideas or suggestions for her condition is appreciated.

Doctor Answers (4)

Info re one of my nurses?

+1
I appreciate the dilemma...it is difficult to make an assessment or offer suggestions without being able to see what she looked like before any of the injections.  It's possible that those lines were there, to some extent, before she had any treatment and were make more apparent through the uneven introduction of filler.  That is easier to produce than one might think, as previously existing lines and folds often have deep strong attachments and can be difficult to eradicate.

She may benefit most from (a) giving it some time to settle down on its own and to let her body resorb whatever has been injected and (b) then having consultations with several board-certified plastic surgeons to reconsider what can be done.  This time I would think about resurfacing procedures (laser, chemical) to help tighten the skin and possibly even surgery.  That being said, addressing the thin skin around the eyes can be challenging.

I hope that this helps and good luck,

Dr. E


New York Plastic Surgeon
5.0 out of 5 stars 150 reviews

Excess Filler in Cheeks and Lower Lid Area, What to Do?

+1

Hi KashMD,

We have treated patients with Ultherapy over Raidesse and Restylane anecdotally they have told us that they felt that their filler disappeared quicker than usual. Before subjecting your nurse to any invasive procedure, I would likely treat her with Ultherapy. At worst she will look rejuvenated with tightened and lifted facial skin. Good luck and be well.

Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Radiesse

+1

It is important to know where the Radiesse was injected?

Looking at her face she has Malar or cheek lines. And analyzing the face, she needs a facelift, and ablative CO2 laser resurfacing of the lower lids. If during the face lift I encounter the Radiesse at the height of the cheeks, I mat try removing as much as safe.

Samir Shureih MD. FACS

sshureih@msn.com

Samir Shureih, MD
Baltimore Plastic Surgeon

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Filler Injection for Correction of Lines

+1

Hi Kash. If the lines you are speaking about are the malar separation at the upper cheek, then these would normally be corrected with Restylane or Perlane in our practice. It would be helpful to see photos before any Radiesse was injected as this gives us a better idea for how to go about the injections and what the area looked like originally.

The pictures below show a patient with a similar issue that was corrected with Juvederm (we use Restylane now instead but they are both Hyaluronic acid based products).

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

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