Name: Donald Clemons, MD
Rating: 4

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Thread Lift

I would be very careful about having my eyelid microneedled because of potential complications during procedure and healing afterwards. Any invasive procedure over the globe would need an intraocular eye shield and I doubt that you could be aggressive enough to make a visual improvement. Without seeing the defect I would still council against this.

I have&nbsp;a very little scar on my left eyes upper eyelid. It's like a small and short wrinkle. But the thing is this thing changed my eyelid and now it's not my original shape and it's not healthy, natural and not working perfectly. It looks like a little bit crippled. And this thing actually changed my mind and psycology. I feel huge difference than before. Anyway,&nbsp;I&nbsp;want to&nbsp;know do you think microneedling&nbsp;can make improvements? Thank you and I really appreciate your help in advance.

Will microneedling improve an upper eyelid scar?

Wrinkles in motion need Botox or Dysport to relax the motion. Valleys that remain at rest can be filled with Bellafill once the motion has been addressed. This is a potential danger area for fillers as permanent blindness , while rare,and tissue death have been reported. unresponsiveness to Botox can sometimes be due to technique.

Will Bellafill work for deep frown lines? Botox failed. (photo)

Bellafill is the most studied and has the&nbsp;longest continuous data of all the fillers. The 10 year safety profile was just published and it is still the safest filler on the market. Most filler studies stop at 2 years.&nbsp;Unfortunately it is often confused with other related&nbsp;fillers that never passed FDA clearance so are only legally used outside the US. It will not migrate and most of the side effects noted occur within the first few days (allergy) or the first year (nodules or localized infection or biofilms). These have also been reported with all the other fillers. It has been followed for 15 years and no problems with adverse aging are seen. Occasionally a nodule of scar tissue becomes visible and must be injected or excised.

Any knowledge of Bellafill causing severe problems for people many years down the road? Even if everything is done exactly right? I’m reading that facial aging may not coincide with the permanent PMMA material and you may end up looking strange later on in life. Or the spheres could “activate” somehow and it could cause complications that can only e resolved by surgery. Is a poor reaction later in life dependent upon the person, assuming everything was done by the book?

Is Bellafill a good or bad long-term solution?

From looking at your pictures I do not think a thread lift would be the primary procedure. The two prominent bands near the front of your throat should be addressed with Botox or Dysport as they appear to be two fibromuscular bands. Your skin could be tightened with Ulthera Ultrasound or ThermiSmooth Radiofrequency. A threadlift could tighten the area just under your jawline. An actual neck lift would give you the most dramatic results.

Would a thread lift on my neck help me until I can afford a neck lift? What will help tighten this loose skin mess? I am 39.

you will probably receive only modest improvement with only microneedling. You have mostly ice pick and crateriform scars. These are not the best type to do microneedling. Including 80% TCA on toothpick and punch grafting might improve you results and CO2 resurfacing would be a better choice because of the depth of your scars. Sublesional Bellafill injections would also improve your more shallow lesions. A combined modality is your best choice.

I am left with these deep acne scars all over my face for having acne during college. I haven’t had active acne since 2010 but I have these deep scars, skin discoloration, redness and large pores. The discoloration is covered well with a light foundation but the deep scars I could not hide. Wondering if Mircroneedling would make a difference. I am scarred of laser treatment. I’m not looking for perfection, just at least a great improvement. Thank you!

Can my deep acne scars be improved with microneedling?

You have multiple choices of therapy. Standard treatments including surgical repair and/or pelvic floor exercises might resolve your problems. In our office we have had great success with our radio frequency device, ThermiVa. Three treatments one month apart usually suffice. A good exam and history should be performed before any treatment is contemplated.

I’m 38 years old and literally can’t top peeing on myself. I cough- I pee. I sneeze- I pee. I laugh to hard- I pee! Help me!

The results are variable but I have had some patients really improve. It not only “shrink wraps” loose aging tissue but also improves blood supply, moisture and innervation. Usually 3 treatments 2-4 weeks apart suffice but occasionally a 4th treatment is needed. It can last up to 2 years and beyond before a touch up treatment is needed. The external&nbsp;labia usually&nbsp;responds better but I have seen great results with both.

I m concern about my flappy vagina wall Does thermiva work on me  Help

Would ThermiVa help fix my ugly vagina wall? (Photos)

I have a patient who I did Re:pair treatment of severe post topical steroid induced striae in her axilla and groin. She has moderate improvement after 2 months. I used conservative settings as she was my first striae patient but in retrospect in the future I will be more aggressive. I know of one patient treated for post partum abdominal laxity who had excellent results using very aggressive settings. I will be treating a similar patient next week.

I have found a lot of information about <a href="/Fraxel-Laser/restore/reviews">Fraxel</a> for <a href="/Acne-scars/info">acne scars</a> and <a href="/Wrinkles/info">wrinkles</a>, but don't find much about the success of using Fraxel on <a href="/Stretch-marks/info">Stretch Marks</a>. Does it work well on those?

Using Fraxel for Stretch Mark Removal

Donald Clemons, MD

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