Dr. Sethna is an amazing doctor and she changed my life. I had a Septoplasty that didn’t go so well and I was very self conscious about my nose. I always liked my nose, but after the damage from the surgery I was very embarrassed about my look. One thing I know is that this was just something that happened. I know for sure that it wasn’t the doctors intent. However, the damage was done and he didn’t have any answers about what could be done to fix my nose. He later told me to go see a plastic surgeon. I spoke to a few plastic surgeons and I just wasn’t satisfied with what they said. Finally I went to another ENT doctor and he referred me to Dr. Sethna. He said she was the best and he assured me that if anyone could fix my issue Dr. Sethna could. When I met her I was instantly drawn to her personality. She was very honest with me about the pros and the cons of the surgery. She was also very straight forward and upfront with me. I have seen a lot of physicians, but I have never met one that seem to love the work that they do. Dr. Sethna seem to really enjoy the work that she does and I think it is because she enjoy making a difference in a person’s life. I had my surgery done with her and I am just in my first week and I am so very pleased and satisfied with the work she performed on my nose. I recently completed medical school and I wanted to apply for the match, but I was so embarrassed about my look and my confidence was so low that I was on the fence about applying. Thanks to Dr. Sethna I will be applying to the up coming match. Dr. Sethna restore my confidence and helped removed any self doubt that I had. I would recommend Dr.Sethna 100%. If you are not feeling good about your look I encourage you to make an appointment and discuss it with Dr. Sethna you won’t regret it.
I really could not love Dr. Sethna more. She is exceptionally professional while also caring and empathetic. If you've been a specialist physician-patient, you probably know that is a rare combination. I appreciate that she takes a less-is-more approach to cosmetic procedures and carefully explains why something is or is not a good idea. I've never been anything other than exceedingly happy with my botox injections and filler. My interactions with her staff (both nurses & the front office) have always been pleasant—cheers to caring and compassionate medical providers!
Dr. Anita Sethna was wonderful! I was very nervous about having my sinus surgery, and I didn't want just anyone putting my face back together, so I opted for Dr. Sethna to do so immediately after the sinus doctor finished His work. I honestly didn't know too much of what the process before walking into this and felt some sort of weird comfort in not thinking too much about it, I really needed the surgery so I looked at it like I just had to do it and didn't want to freak myself out beforehand by thinking about it too much! But Dr. Sethna was warm confident and she put my nerves to rest with her confidence and experience. She was honest and very pleasant to speak to through the whole journey! We went through the whole process together and I couldn't be more thrilled with the exterior appearance of my nose! I am breathing better than I have my entire life. absolutely life changing and life giving! I love the look of my nose and I think if you are looking for someone to perform this surgery on you I will highly recommend Ms. Anita! She was wonderful and I really am impressed with how much I love my appearance! Thank you Dr. Sethna!
One could not ask for a better doctor. She did a superb job in correcting a facial scar. Dr. Sethna has a wonderful bedside manner and explains the procedure well, and I am very grateful she was recommended to me. I was told she is the very best in what she does.
Motivation pros cons outcome I wanted to experiment with juvederm to fill out my top lip to somewhat match my full bottom lip... Pros: I felt immediately sexy after leaving the office (even though my lips were uneven) cons: my lips were uneven for a few weeks with large bumps which dr. Sethna later fixed.
Dr. Sethna performed practical magic on my chin and lower jaw. "Practical" because she was careful not to over-promise the limits of what surgery would be capable of doing to correct the inherited lack of a chiseled jawline and "magic" because the completely natural looking results have totally transformed my self image. I am EXTREMELY pleased with the results, just as I was with the entire process from first consultation to last post-op visit. Dr. Sethna and her staff rock!!
I decided to get filler on my top for the first time -- the vermillion border only. None was injected in my top lip. My bottom lip is naturally full already, so I didn't have anything injected there. I believe my doctor used .8 CCs of Juvederm Ultra. I only had a little bit left in the syringe, which I am able to come back for a touch up. This was my first experience ever having injections. They added numbing cream to my top lip for 10 minutes. I then had 4 injection points on the top lip border. On a pain scale, I would say it is a 4 or 4.5/10. It does not hurt when the needle goes in, only when the product goes in. It feels a little bit like a burning sensation. The top injection sites were more uncomfortable than the side/corner of my top lip, but nothing unbearable. My MD was very good because she massaged the product in, and added pressure after the injections. I did not bruise at all. I was able to go directly back to work in hour later, and no body noticed. Updated on 17 Sep 2014: Everything looks pretty good still. I think most of the swelling has gone down, if I even swelled at all. The top border is still pronounced, which is what I want, and why I initially wanted the injections. The top left corner, where I was injected has a slight pin sized bump. You can hardly see it. I don't think it's a cold sore, probably just a healing injection site. It doesn't hurt at all. The only side effect I got after injection was slightly chapped lips on day 2 and day 3. Updated on 20 Sep 2014: So, I ended up going to a weekend Walk-In Botox and Fillers place. I ended up paying $400 altogether for a little bit of Belotero in my right tear trough hollows and half a syringe of Juvederm Ultra in the actual lip towards the sides, as well as bottom sides. I had an older male doctor this time, and I think I might actually go back in the future. I liked what he did with my lips, and he was very personable and funny. Since this clinic does use topical numbing agent, the doctor gave me a full dental block in the inside of my mouth. I think it was a total of 6 shots, which feel like the kind they give you when you get cavities filled. It completed numbed my lip, teeth, and entire mouth. I did not feel a thing. I probably will try the injections without it next time because I don't like the constant drooling feeling. I also can't close my lip all the way since I'm so numb; hence, my mouth is open in that picture. [I'm not perusing at all; I simply cannot close my mouth.] lol The doctor did say my lips may look uneven right now, due to the numbing. He recommended not drinking out of straws for next few days and to not be afraid to massage the product. I hope this numbing wears off soon because I can't really annunciate words right now. I'm nervous about bruising, but I don't think I will since I didn't bruise on Monday when I had some injected on the borders, and filler under my left eye. Updated on 20 Sep 2014: The numbing is starting to wear off. Of course, I'm still experiencing chapped lips, which I'll take any day over bruising or cold sores. I'm attaching one more final picture, now that I can finally close my mouth. The transition from the vermillion border to the body looks a lot better now. I get the actual pouty look I have been wanting all these years, without having to over line my lips, and without as much effort.
When I was in high school, I was in a car accident and broke my nose. I had a closed reduction for the fracture, but it never healed to quite the nose I had. I thought for 6 years and decided the procedure would be worth it. I'd get my old nose back and then some. I did it a little over 1 year ago and I am so glad I did. I've been nothing but extremely pleased with my results! I'm more confident in my appearance and the best part was that no one can tell. It looks just like a nose I would be born with. Updated on 20 Aug 2014: I just thought I'd add my pictures to bring my story to life. Recovery wasn't super easy (I was really nauseated), but once the splints came out I felt like a new woman. Here are pictures from my 9 month follow-up!
Hello! My surgery is going to be April the 15th. I am a 27 year old single professional. I broke my nose when I was 14 and never had the septum repaired. Now that I am in the position to take the time off work and have the insurance to help me with the financial burden...it just seemed like "why wait?". Along with a multitude of internal problems, purely cosmetically, the tip of my nose turns down pretty severely, especially when I smile and I have a pronounced bump that cast ugly shadows in photos so I am going to have those things repaired as well. I have always debated with myself if I really wanted to go through with this surgery because even though my nose is what some people would consider "ugly"...it's mine. I just don't know who or what I will look like without my distinctive nose. I finally made up my mind that this was the right choice for me when both my breathing problems and the amount of photoshopping I was doing to my nose in photos increased last summer. I'm actually not that scared of the surgery or the results because I trust and really love my surgeon already. I do fear, however, the splints that will stay in my nose for the first few days (and how I will breath/sneeze, ect.) AND the final cost because my insurance company should be covering most of the internal mechanics portion of the surgery, but they can't seem to give me a quote as of right now as far as final dollar amounts. In summery: I am very excited to have found this forum and look forward to the support you all so kindly provide and I look forward to being a part of that for other people going forward. Updated on 5 Apr 2013: Question! I am 10 days from my surgery and have extremely bad allergies. On Monday I say my general physician and she put me on a zpac of antibiotics to ward off the sinus infection that was beginning in my sinuses, but I finished the antibiotics and am still very congested. The reason for the surgery in the first place is my constant struggle with congestion and sinus infections but I am worried now that it might effect the surgery and/or my recovery. Did any of you have congestion going in to surgery? Any advice would be much appreciated! Updated on 11 Apr 2013: I had my pre-op appointment today. I can not get over how much I love my PS. She is so so easy to talk to and an excellent communicator. They took a few photos and did some digital imaging that I am posting now. I am having a hard time determining how much of a change I want so this helps to a certain extent (or maybe just creates more questions because when she asked me which of the two images I was leaning more towards, I honestly couldn't make up my mind. I am just ready for her to decide for me. I know I am going to love my new nose because a) it will be an improvement from what I have and b) I will be able to breath in a month or so. Holy crap I can't wait. Like I told her today, my biggest fear now is the walking around with a swollen nose after the cast comes off part. I'm 4 days from surgery and I already have my bags packed (going to my parents' house for the week) and I have all my groceries purchased. I am making myself a bunch of low sodium veggie filled soups and fruit filled popsicles. If they turn out well I will post them on my blog and put the link on this page. I've really been focused on getting healthy and eating clean in the weeks leading up to my surgery and just in the last month I have lost about 15 lbs and I'm feeling really fit and healthy going into my procedure. I will post again after my surgery. Wish me luck! Updated on 13 Apr 2013: Hey guys, sorry I was going to wait to post again but I have a big question about the morning of surgery. I realized after meet with my PS on Thursday, I want something a little different than what we talked about. Does anyone know if it is standard to meet with the Doctor before you are sedated the day of surgery? I emailed her a photo and explanation but I am worried that she will not get it. I'm worried I'm going to have to tape the photo and email to my chest going into surgery! hah! (also I posted a photo of the cake I made for my parents who are taking me into their home for the week, and the note I am leaving them) Updated on 15 Apr 2013: Guys, I did it! I'll write more in detail soon when I don't feel so eager to keep ice on my eyes. Long story short, surgery lasted 4 plus hours and I had a very large bone spur that my surgeon had to work extra hard on which is why I only have one back eye. I felt a little crummy right after and until I got a little nap in at home but I feel all and all pretty good right now. No pain except the open wounds/stiches sting a bit and my forehead is sore. All I can say is that I found the best surgeon of all time, she was an honest to goodness God send and came with a fabulous anesthesiologist and team. I am SO grateful. Also, thank you all for your kind words and positive thoughts I needed them! Updated on 17 Apr 2013: I woke up this morning to my stupid eye left swollen shut. It turns out I was having an allergic reaction to the detergent that my mom used to wash the Tshirt that I made an eye compress holder out of. Such a silly thing to cause such a terrible reaction. My eyes were itching like CRAZY! Also, it turns out I am allergic to the surgical tape they use to attach drip pads so I've had to rig a piece of fabric that goes around my ears to hold up the gauze. I'm still having to use the drip pads, not so much for bleeding anymore more I am SO congested and even though my nostrils are swollen shut, I'm still getting some drainage and I'd rather not have a constant runny nose so the gauze is doing the trick for now. I had a follow up appointment with my surgeon yesterday. She made sure everything looked okay and answered any questions, although she gave me her personal cell number which was SO nice the first night. Anyway, the worst part of the the appointment involved a tiny metal suction that she stuck UP MY NOSE! it was terrible. I almost fainted. But the interesting part of the appointment was getting to hear about the surgery and this crazy bone spur that I had. It turns out it was not just in my nostril, it curved into my sinuses, she said it was about 3 inches long and a half an inch wide. No wonder I couldn't breath! Anyway, the spur would not come out as she wanted it to and that is why the surgery took a full 4 hours and why I only have one black eye. The last 3 days haven't been fun, keep in mind, but they haven't been terrible. The worst parts are the swelling, the fact that I have zero sense of taste or smell, the pressure in my ears (especially when I try to swallow liquids) and trying to sleep (I keep waking myself up with my little snoring). My new favorite things that are making this process bearable...marshmallows! (they seem to take some of the congestion out of my throat when I swallow them), Jello, cucumbers (to lay on my eyes), the new season of The League and YAWNING I can't even explain how good it feels I can feel and see my nostrils expand when I do and my old nose didn't do that, it is the coolest sensation! I added a new photo from today and a photo of my profile, my face looks terrible and swollen but you can see the cute tip of my new nose. Updated on 21 Apr 2013: Well...I might cry. I just spent the last hour and a half typing a VERY detailed description of the last week and I hit a button and it all just disappeared. Let's try again.... Day 6, CAST OFF DAY!!!! I want to start with a list of the things I would like to address that I have learned from the last week and the people who should read my review if they are going into a rhinoplasty procedure. Septal Bone Spurs/Breathing Problems, Internal Splints and Skin Allergies. Septal Bone Spurs/Breathing Problems: As I stated in my first review, I broke my nose as a young person and I have suffered with allergies and sinus infections and have always attributed those to the trauma caused to my nose as a kid. After all of my consultations with ENT's and my PS I was told that I had a "sizeable bone spur" in my left nostril. Well I was imaging a quarter inch hump in the septum that curved into my left nostril, boy was I wrong, it turns out that thing just kept growing...allllll the way into my sinus cavity. My Mom has let me know that the surgeon indicated it was 3 inches rather than 4 but either way...I can not believe something that substantial was blocking my airway and digging into my nasal tissue and I was able to leave it untreated all these years. It blows my mind. I also mentioned in my review that I was struggling with allergies going into surgery so not being able to breathe the week of surgery seemed like it was just to be expected bc all that gunk was probably building up over the week bc it was stuck due to the swelling. Well it turns out that was not the case.... Also, because with the complications of the size of that spur...my surgery ran way over the estimated 2.5 hours. I was notified when I woke up that at hour 3 they inserted a catheter due to all the liquids they were pumping into my IV. I didn't really even know what that was but they let me know that it might hurt to pee, which it didn't, but this was disturbing news to wake up to. I wish someone mentioned it was a possibility beforehand. Nasal Splints: I spent the entire week after surgery 100% completely congested. I only passed the occasional (very uncomfortable) air bubble through a nostril when I was talking or swallowing, yuck...and I kept reading about people getting breathing back in their noses around day 3 or 4 so I got VERY nervous. Although luckily I managed to avoid having a sore throat even after an entire week of nose breathing so that feels a little bit like a super power. I also could not smell or taste a single thing the entire week, which might have been a good thing because I only ate jello and grapes and low/no sodium soups that I made for myself and I wonder if the lack salt helped keep the swelling down. Also, for anyone who wonders if this is normal...I had a VERY hard time with liquids all week, when I swallowed them my ears would pop and my head felt like an over inflated tire. Anyway...when I went to have the cast removed today I assumed the removal of the internal splints would create at least a momentary gust of air into my nose (I assumed these things were just metal wires of sorts that stuck into the sinuses...I never really understood what they were for...) well...when those sucker came out...POW...air! I was breathing immediately. It turns out those "little splints" are like GIANT collar stays with a little wire attached that sits in your nostril and is attached with a single stitch. The splint is flat, about 2.5-3 inches long and plastic looking and felt like a snake coming out of my nose. Seriously, whoah. She vacuumed out my nose with the tiny vacuum and all of the sudden I was breathing better than I ever have to date. At that point I didn't even care what the nose looked like...I was just SO happy to be breathing freely! Skin allergies/Sensitive skin: It turns out that I was actually not allergic to the detergent from my cold compress headband like I thought...it was the ARNICA GEL that I was using under my eyes, the gel got into my eye and one actually was swollen shut by the end of day 3. :/ Also, it turns out I was not allergic to the medical tape but i had a bad reaction to ripping it off too quickly which caused blisters. I treated the blisters with vitamin E oil and once the dried and quit stinging I exfoliated the skin and it seems to be back to normal. Just a warning! It was a very long and very quick week for me. I can't believe I have to go back to work tomorrow..ugh (but also my company AND boss sent me beautiful flowers last week so that make me more excited to go back! I'm starting to miss them!) but also, it feels like a lifetime ago when I walked into the OR. Oh! my best funny story from surgery! My anesthesiologist who was adorable and maybe my Dad's age happened to walk into the OR the moment that the nurse was untying my gown in the back in order to "keep me from laying on knots". So the gown is open in the back and he walks in and says "You better be careful there...or we might start throwing dollars". It was completely my sense of humor and I laughed and that was about the last thing I remember before they put me out. Clearly I could not be happier with the look of my nose. Later, when the swelling goes down and the tape comes off I plan to do a side by side of the final simulation photo we chose just hours before surgery and the now...because I can already tell it is that exact nose. but it looks even better in person. I think the thing that I like most is how feminine it looks. I have always LOVED distinctive noses, especially on men (Daniel Day-Lewis anyone?) And I adore my family members' noses that all have parts of what my nose looked like but for whatever reason I just never felt like that nose belonged on my face..like it made me look sloppy or unrefined in a way that I don't see on other people...just me. But now I just look like the version of myself that I always had in my head...like what I assumed everyone else was seeing until I saw photographs and realized that was NOT the case! I'm sure a lot of you can relate to that! It's a really odd unexplainable feeling unless you have experienced it. But I think the look of my nose has taken a back seat to how amazing it feels to take a deep breath of air in both nostrils for the first time. I had no idea what I was missing out on! Once again, Dr. Sethna in a goddess....she even came into the office on a Sunday today just to take the cast and stitches off because in her opinion "5 days is not long enough and 7 days is too long". I honestly admire so much the work that she does. She certainly found the correct career path, except maybe she should have been a sculptor/engineer! Thank you all for your support and good vibes! This forum was my serenity for the week. Updated on 21 Apr 2013: Day 6 Cast Removal Continued: I forgot to add...the in between my eyes area has been very swollen all week and was when she took my cast off, my mom calls it my "lion look" but within and hour or so the swelling went down in that area (see the photo in the car with the tape on my nose). Also, apparently the skin on the bridge of my nose has not properly fused with the muscle so that is why I need to continue having it taped for the next week. I always wondered why some people have to do that and others do not....I also had concerns that the tip might drop so she taped that up to...just to be safe. I will update once all tape comes off one week from today! Updated on 22 Apr 2013: Day 7: Went out tonight with my long time crush and penpal. I had a bad headache all day (that I attribute to salad dressing w tons of salt that I had for my victory lunch yesterday) but I pushed through it because I have been dying to see him. The point of this review is to say...this guy, who has known me very well for almost 4 years, told me he didn't see much change in my nose. More of a testiment to it looking natural! I also found myself more comfortable in conversation with him, not worried about which angle he was seeing me from. Tape and all I felt very proud of my new nose. I wanted to write this review so I could remember this feeling: Confidence in a way I have never felt before; puffy, taped, bruised and still confident. So neat. :) Updated on 26 Apr 2013: Happy Friday Everyone, I am at day 11 and just wanted to add a little information. After my last post, I feel like I got some negative feedback about being super happy with my new nose. I just wanted to let everyone know that it's not that the nose is perfect or not swollen or all of those normal things...it's just that I am so happy to know that eventually it is going to be wonderful and even this swollen taped thing on my face is SO much prettier than the nose that I was born with. I even starting pulling my bangs out of my face and I WORE MY HAIR IN A BUN for the first time ever in my adult life on Wednesday and I felt SO confident. :) I am adding a couple of photos from this week. The front view is hard to get used to and I can't even think what it is supposed to look like in the end because it is so puffy. It seems like sodium or just diet in general makes a HUGE difference in my nose (especially the tip, see photo!) , because of that, I am very nervous about taking the tape off for good on Sunday because then there is nothing left to hide behind. It looks like I have a couple of months left on the dressing-less salad and banana smoothie diet. As always, please let me know if you have any questions! Have a wonderful weekend everyone! Updated on 1 May 2013: Hello everyone! Today is day 17 with my new nose. I'm still in love and life has gone back to normal. Half the time I think that nothing really changed so that is why I put my before and afters side by side, it's been really fun for me to look at how much younger I look and how cute my new nose looks in comparison. I also added some side by sides to show how much the swelling decreased in the week after cast removal. My only real annoyance and concern right now is my breathing. I still can not really breathe out of my nose. I was only able to on the day the splints came out and then it just swelled shut. :/ I can smell and pass just a little air here and there but it doesn't really seem to be improving. I meet with my surgeon in a week and she will hopefully be able to confirm that this is normal. I'm also having issues with the bump coming back and I'm not sure if this was a mistake or if it is the product of the healing process, but either way I don't really mind it. My new bump is kind of cute maybe. Now I'm sitting just kind of waiting for the bill for my new "Summer 2013 Look" lol. Updated on 31 May 2013: Hi everyone, I haven't posted in awhile because a) I don't ever think about my nose or the forum anymore. (I've switched my obsessive internet time to Pintrest haha! ) and b) The changes so far have been very subtle so there isn't a ton to update anyway. I met with my PS this morning, I am going in to my 7th week post surgery and I have zero pain, discomfort, or problems breathing anymore (yay!) and the swelling in my bridge is mostly gone but this stupid tip...it looks just like it did before surgery...if not bigger! My surgeon assured me this morning that the structure of my nose under the swelling is much smaller and more refined than what I see currently, but the bad news is that I have very thick skin for someone of my ethnicity so it could take a full year or longer to see the full results of what my nose will look like. I also have a small break between the bridge of my nose and the tip which is causing a bump that resembles my old bump (just much smaller!) and Dr. Sethna agrees with me that she is not happy with it either but she reassured me that it will go away once the swelling in the tip subsides and if it is still noticeable there are injectable fillers that can fix the problem. All in all I can say is that I am 100% happy with the results (although they are not drastically different). No one even notices I had anything done...even when I tell them. ha! But the best news is the amount of confidence I have now...I am this new fun person who wears her hair up, and goes to the pool without makeup on, and jumps in front of a camera when she can. Pretty cool stuff ya'll! ;) Updated on 31 May 2013: Only my nose friends will be able to understand the humiliation of this one! My last post with all of my side by side before and after selfies I updated from my work computer. I never keep personal stuff on this computer but that night I got lazy and forgot to delete the photos off the desktop. Well, the next morning I was working away and received an email from a (male) superior in my department that said... "Our desktops have merged. I sent a ticket in to IT. The pics look great btw." So clearly I was mortified. I cried I laughed so hard and then the real humiliation set in when I realized that the entire IT department had seen my photos and none of them knew I had had work done, until that point. I still laugh when I think about it! No more personal photos on my work computer for me! Updated on 25 Mar 2014: Hello everyone, I am 1 year post op and I just wanted to let anyone who is nervous of debating about the procedure know, don't be. It's the best thing I ever did for myself. Find a surgeon that you trust and go for it! My nose is still a little swollen but I honestly don't even think about it anymore. If I hadn't told so many people about my surgery, I don't think anyone would have noticed.
When I was turning 18, I went to Emory and had Dr. Sethna diagnose me with a Deviated Septum as I couldn't breathe. This was supposed to be a simple procedure but Dr. Sethna did not seem to be experienced. She screwed up the surgery and made my breathing worst. The horrible part is that my nose became crooked!!! She charged me for follow-up visits but couldn't tell me why she messed up the surgery and what needs to be done to fix my nose. All she said is that she could try again but would also charge me again. Not sure what to do about my crooked nose. No apology for screwing up my nose and not even a follow up phone call to see how I am doing. Your health is important. Stay away from her!!! Before I saw her, I was able to breather a little bit through my nose, but not I can't breathe at all and my nose is not straight anymore. I will update this review accordingly as things develop. - Isaac.
After a septoplasty, deviation recurring is certainly something that can be seen. After a trauma, the septum can deviated or fracture since it was already weaker from prior surgery. A few days is likely not enough time to know if the breathing will be permanently affected or whether another surgery will be required. A physical examination by a Facial Plastic surgeon would be the best option. They likely wouldn't suggest anything immediate but would be able to give you recommendations once the injury has healed. Best wishes! Anita Sethna, MD FACS Emory Aesthetic Center
The photos are really helpful! A very thin filler, such as restylane silk, belotero or volbella would be great in this area. i wouldn't anticipate complete resolution in one treatment, but repeated every 3-6 months should lead to ultimate softening. the other addition that must be done very carefully would be to add 2 units of botox to the skin just above the cupids bow. When you do this at the time as filler it can often help the filler last even longer because the muscle contraction isn't as strong. Good luck! Anita Sethna, MD FACS Facial Plastic and Reconstructive Surgeon Emory Aesthetic Center
I am sorry you are not pleased with your result! It doesn't happen often, but it's disheartening when a patient is unsatisfied with their injections. I'm sure your surgeon would like an opportunity to improve on your areas of concern, so I would give him or her the chance to do so.Firstly, Voluma is indicated for the cheek area and is intended to go right on top of the cheekbone as your surgeon seems to have performed it. If you were in fact more interested in filling the area under your cheekbone, perhaps it wasn't as clear to him or her that this was the region you were concerned with.Secondly, you mention it has been a few weeks since your injection--by this time, the majority of swelling should have settled. It is possible that as you have continued to age, filler in the same region you had it years ago may not work the same way; your face, specifically, the soft tissue and bone around the eye area changes dramatically even in a few short years.My suggestion would be to call the office and make an appointment to not only discuss your results but possibly discuss addressing your concerns with either dissolving this filler or putting other fillers in different areas (such as under the eye, where Voluma would not go). This way you assure yourself that an appropriate amount of time will be blocked off and you don't feel rushed. Hopefully, you and your surgeon will be able to come to an agreement on what needs to be improved upon, what may just need time, and what should be addressed differently!Best of luck to you!
Juvederm has many versions--some thicker than others. Lumps can form, but usually with massage and time, they settle easily. The concern should resolve with a quick phone call to your surgeon-confirm what type of filler you had injected first off, and if it was Juvederm, perhaps it was one of the thicker versions that lasts longer. If you can see the lump (not just feel it if you push hard) and it is bothersome, perhaps the amount of hyaluronidase was too little. You should see a difference within a few minutes of injecting the proper dose, though some surgeons are so conservative, they will only inject small doses. If after trying all that, you are still having trouble, ask your surgeon for a second opinion or recommendation to make sure you are satisfied. I am sure he or she ultimately just wants you to be pleased with your outcome.
You have excellent lower lip volume already and the lower lip should always remain more full than the upper. Half a syringe or less in the upper lip should give you the volume you most likely would desire in the top lip--even injecting one syringe in both can be overkill. Its easy to return and inject a bit more--difficult to undo an over-injected lip well. My advice would be to start with a half syringe or less and see where that takes you! As always, make sure you are getting injected by a facial plastic surgeon with experience as this can be an area inexperienced injectors can overdo quite easily.happy injecting!
