Dr. Troutman is very experienced at lasers and injectables. I have been going to her for over 10 years, and have gotten exceptional results. My skin looks much younger now. She is very cautious and professional. I would highly recommend her!
Halo can definitely cause hyperpigmentation to the chest. The chest is not as forgiving as the face when it comes to healing. In addition, it takes longer for the chest to heal from a Halo procedure than does the face. Having said this, it is important that your medical history and skin assessment be done by a skilled professional/provider who has worked with the Halo procedure. In general, the Halo is safe and effective when in skilled hands.
I love both of these products. However, it really depends on how much volume needs to be replaced. I look at Sculptra as replacing the baseline. I then use Voluma and other filler products for enhancement. My recommendation would be to seek advice from someone who is not only an expert in the field of aesthetics but also carries multiple products. This can give the assurance that there is less bias in their recommendations. Best of luck on your decision. Dr. Troutman
Thank you for the opportunity to assist you with some possible solutions to your concerns. I have been injecting for the past 15 years. While I agree that the most important and first step for you would be a consultation, I would like to contribute that Kybella is not FDA cleared for treatment of buccal fat. The photos that you provided are somewhat limiting in that when I do an in-person consultation I evaluate your concerns from several directions. In other words, your evaluation is from a front, side, oblique, and tilted view of your face. This gives us a much clearer view of your personal profile. During the consultation, I listen to your concerns and together we discuss the possible approaches to these concerns. From the limited photo, the model has very high cheek bones and a long, triangular face. In your photo, you do have slight lower and middle face heaviness. While a plastic surgeon may be able to help you, it may be that you would achieve best results from building up your cheeks and mid face a bit with fillers. The important thing is that you seek consultation from an experienced injector and someone who knows facial anatomy. Fillers would be the least aggressive approach to a possible solution. I hope this helps and I wish you the best of luck on your journey.
Thank you for your great question. This concern comes up commonly with patients. I think it depends on your downtime, how quickly you would like to see results, cost, benefits and risks, and of course the exact nature of the volume loss. Both modalities are good options. Just based on the question (I did not see photos), I favor Sculptra. If you are not yet in need of a surgical procedure such as a mini face lift then you can temporize for a few years with Sculptra. Sculptra does not require any sedation so this in and of itself will decrease some risk. Most of all, I would recommend a consultation with a provider who is well skilled in this area.
You absolutely can have your Halo treatment over your thyroid scar. In fact, this is likely to help your scar especially if you have repeated Halo treatments. In skilled hands, there are safe levels of treatments that can promote collagen production thus improving the looks of the scar. In my opinion, the Profractional is probably the best option if your target is to improve the scar. The Profractional, however, will require increased time for healing. Good luck on your treatment decision.
