Barry S. Citron, MD, FACS

This is a very important question.  Thank you for asking it.

EMSCULPT is very intense exercise.  Just like an elite athlete after an intense workout, you must eat a healthy diet with adequate protein intake to allow your muscles to maximally respond to the intense exercise.  If you were to diet or have a high carbohydrate, low protein diet, your results might be less than optimal as adequate protein intake is important for muscle growth.   Your body might metabolize and mobilize amino acids from other tissues to build muscle in the treatment area.  That would not be desirable.  So think like you are an elite athlete training for the Olympics when you get EMSCULPT.  EMSCULPT exercises your muscles more intensely than you are capable of doing on your own.  Consume adequate amounts of high quality protein during and after your treatment package. Drink a lot of water.   Stay away from the empty calories, processed foods and excess carbs.  One of the most impressive body builders I have ever met ate only boneless/skin less chicken breast, steamed broccoli and brown rice.  I'm not recommending that, but you get the picture.  PS  I bought the machine mostly for myself, but my patients are loving it too!  It works!

Lucky you. This is probably the beginning of the anagen growth phase.  I’m not just a hair transplant doctor, I’m also a hair transplant patient and I know what you are feeling.  Immediately after hair transplant, many to most hairs fall out of the transplanted follicle.  This resting phase is called telogen.  The itchiness you feel might be the pointy tips of the growing hair poking through the skin during the early anagen growth phase. Other conditions may cause itching as one of my colleagues rightly pointed out below.  You should visit your hair transplant surgeon for a check up and get their specific recommendations.  Vigorous fingertip massage of the transplanted areas while shampooing to help stimulate the follicles and helps with itching. Your doctor might recommend the use of minoxidil, finasteride, lights treatments or PRP injections to further stimulate your follicles or to help maintain your result.

I am cautious to answer this question based upon a single photo, however it appears as if you have what is known as quizzical brow. This is seen because of the strong upward pull of the frontalis muscle, the muscle that lifts the forehead and eyebrow, on the lateral or outside portion of the eyebrow resulting in this look. The central portion, as you described, was treated to smooth out the wrinkles of your forehead.  It cannot always be predicted which patients have extra strong muscle in this area and might get quizzical brow, but once we see this in a particular patient, we know to give a very small amount of Botox in that area with future treatments to avoid this issue proactively. Most people tend to raise their eyebrows when looking at themselves in a mirror, and possibly while taking selfies.  I am guessing that this problem does not look as severe when you are at rest and not raising your brow. You should return to your doctor, who is probably very familiar with this phenomenon, and can correct it for you with a very small amount of Botox in a matter of minutes.

Voluma is a relatively unique hyaluronic acid filler with physical characteristics that allow it to retain its shape and form.  When placed in a restricted space such as directly over the cheek bones, lifting of tissue can be accomplished with a relatively small amount of product.  Filling in a large hollow under the cheeks generally requires more than 1cc per side.  You might just need more. The effect you saw initially could have been in part due to swelling from the trauma of the injections.  Agree with Dr. Peck about Sculptra, you simply get more volume when filling severely hollowed cheeks.   One warning however, Sculptra treatments carry the risk of nodule formation and cannot be reversed.

Thank you for your question.   It is important because so many people have similar issues.  For the buttocks to appear full and smooth, the skin envelope has to closely apply to the underlying muscle, fascia and fat.   An uneven contour of the underlying structures, skin lesions such as cysts and/or sagging skin can spoil the appearance of your buttocks.  Augmentation alone may not address this problem.  Please consult with a board certified plastic surgeon in your region for more specific answers to your concerns.

Thank you for your question. This is an important question to answer because many people try to find a cheaper way to augment their buttocks other than having proper surgery performed by a qualified board-certified plastic surgeon. Sadly some people have seriously injured themselves by having a layperson inject foreign material into their buttocks. This criminal act is very dangerous and frequently results in life-threatening infections and at the very least deformity, discomfort and lifelong problems.  The only natural way to increase the size of your buttocks, which would result in only a modest amount improvement, would be to do exercises that would increase your gluteal muscle mass in conjunction with an appropriate training diet with sufficient  protein.     Best of luck to you.