I’ve only seen Dr Ishoo a few times (for last minute cortisone injections) and he has been wonderful every single time. Not only are his cortisone injections for acne incredible (deflated in 12-24 hours, no indention post injection), he is very sweet and you can see that he truly loves what he does. I paid $250 for a cortisone injection each time and while it’s expensive, it’s 100% worth it for the results (especially before an event, etc) and is no more than what you would be charged at any emergency dermatologist in NYC. A+ honestly, I can’t say enough great things.
I have had gynecomastia since I could remember. I used to hear it from the kids at recess in junior high. No matter how much I worked out I still could not get rid of my man boobs. I had this procedure done in June and it's been 5 months since. I can wear tighter fitting clothes and don't have to be as self conscious. Dr Ishoo was great. He has developed his own technique and I was very surprised how easily this could be done in his own Surgical Suite in his office. Recovery was easy. I am very pleased with my results. You do have to follow a lot of post-procedure instructions and you need to keep your follow up appointments for aftercare and massage for the desired results. The worst part was initially some swelling and I needed some drainage procedures (all routine by the way) and the fact that it was the beginning of summer and I had to wear a compression vest for most of it. All of the aftercare and appointments are included in your initial payment. So no matter how many follow up procedures or appointments you need, you aren't shelling out money. It was definitely worth it and I wish I could have done this a long time ago.
One week ago I had hi def vaser lipo with Dr Ishoo in the Boston area. Even after just one week the results are amazing and I simply wanted to say that Dr Ishoo is clearly a very talented plastic surgeon and his medical staff is fantastic. So impressed with both the procedure results this early on and the incredibly thorough daily follow up from his team. I would recommend him whole heatedly. He is completely forthright about what to expect with the results and what to expect during the recovery period. The only surprises have been pleasant ones.
I am a classic pear shape and always tried super hard to have normal looking thighs. But it seemed like a futile battle as id have to get down to an unnatural weight in order for that to happen. my weight is around 120-130 pds, i'm 5'3 and i'm easily a size 4 on top and a size 8 on the bottom. After alot of thought i decided that lipo was a solution that was going to help me. Trying to diet down to thinner thighs has taken a toll on my face with over exercising, dieting , etc. So i decided to multitask and have alittle of that thigh fat removed and placed in my cheeks. Day 1: i was asleep for alot of the procedure. But i did have moments of pain during the suctioning. It was pretty jarring feeling a tube sticking in and out of you..but overall the pain was bearable. Next came the fat transfer. This was alittle painful as well, but i was so out of it i hardly remember any of the procedure. My dr. was very professional and the staff friendly. Overall the surgery was 4 hrs. Im glad my doc took time with me and perfected things rather than rushing me through. Im told 2 liters were taken from my legs. At my arrival home, i felt incredibly nauseated from the meds. The pain from lipo is exactly like a realy bad sunburn. I hardly notice any swelling in my face from fat tranfer and wonder if thats a good or bad thing. Day 2: had massage at my docs office with chyrstal and it was painful but i beared through it. Im told massages are good to help develop a smooth contour by massaging out lumps and bumps. Chrystal then wanted me to come in the next day because she disnt want me to develop fluid buildup. I really appreicated this as it shows they really care about my overall result. I go in for massages 3x per week. Taking that garment on and off is an experience thats for sure, it gets easier by day 4. The hardesr part for me thus far has been sleeping on my back as im such a side sleeper. I havent been sleeping well at all. Today is day 4 and im feeling ok. Still really tender to the touch. Walking up stairs is a challenge but walking feels great. I already see a difference in my contour and my body is already nicely in proportion so im excited. Cheeks are also looking nice but since im still "swollen" i dont know if my cheeks will deflate back to their original state and if the fat wont take, Updated on 10 Oct 2013: 15 days post-op and not alot of changes to report. There's no measurable decrease between my 1st week and 2nd week in terms of swelling. I can move around more easily now, and did a very brief arms workout, i'm talking 2 min. lol. I can't stretch too much and lower body workouts seem unrealistic to do at the moment. However, i'm making sure I get at least 10K steps a day. This is the most I can comfortably do. Pre-op I was around 128-129 pds. and post-op I'm the same weight. Pre-op thighs - around 23 in., post-op 22.1 (very happy with this result so far). Pre-op saddlebags - 39.3, Post-op - 38.6 (hoping this goes down even more). I'm trying to watch my diet and for the most part doing well, however keeping my sodium down has been challenging. I'm told to only have 1500mg or less a day. I think my best day was around 1900mg... yeah still working on that! I'm also massaging my thighs 2-3x per day and so far my legs are still smooth. I lightly massage for 2 min in the am, mid day and pm over my garment. I'm hoping to see a decrease in inches in my legs as time goes on. Updated on 17 Oct 2013: Not much to report, measurements are pretty much the same though I attribute it partly to a huge chinese dinner, donuts, and a whole bunch of other crap I ate, this weekend I slacked alot and I ended up bloating like a balloon! I was massive, so you can imagine the compression garment felt like a torture device. I also felt hardness and lumps. My advice is to really watch what you eat, esp when you're healing, it is not pretty. Lesson learned. You don't have to be super strict, but just remember moderation is key. I tend to go nuts on the weekends, and I ended up paying for it. This week i've been trying to detox and exercising so its been good, but I also got my period, so i'm sure that attributes to some of the bloat. I also saw one of the staff at the dr's office yesterday and she said I still had alot of swelling/fluids in my legs. To soften up the hardness and lumps, I've been massaging like crazy. At least 3x a day. I mostly feel the hardness after i've been walking/exercising. I can't *see the lumps, but I can feel a couple. I also see that my inner thighs droop down and then bulge out. I've been assured that its normal and that it will smooth out eventually. Has anyone else experience this at 3 weeks out? Cheeks are looking good, the swelling is coming down and I no longer look "off" though I am regretting not putting a little of the fat under my eyes. Right now, the cheeks seem to accentuate the hollows under my eyes. Updated on 24 Oct 2013: My measurements went down this week! Hooray! They are now 38.3 hips, 21.6 thighs, 15.7 just above knees, so that's around an inch lost in my lower half. So far i'm very pleased. I will post pics at the 6 week mark. Updated on 21 Feb 2014: Happy with the results! Updated on 21 Feb 2014: 37.6 Hips, 21.3 thighs, 15 just above knee. Updated on 21 Feb 2014: Nothing has changed here, didn't lose or gain weight during this time.
Great Experience All the Way Through - Boston, MA
It took me a long time to build up the courage to get Fraxel done. About the procedure itself: well, In my opinion, if you can't tolerate pain, don't do Fraxel. My fraxel treatment hurts like hell. I hated it, it hurts, it hurts, it hurts! I was being a big wuss, but Dr. Ishoo and Neomi were so patience with me. Noemi kept checking on me every time I twitch, and she even held my hands when I get tense. Dr. Ishoo also stopped several times during the procedure to give me breaks (THANK GOD!).
Simply the Best - Boston, MA
Hello, My name is R.J Black As a young adult I suffered from a condition known as gynocomastia, or excessive breast tissue. I learned that thousands of adult men and boys often suffer from the embarrassment of this condition. I ultimately decided that I wanted to be over this condition and began my search for a cosmetic surgeon. After reviewing several different options, I decided to consult with Dr. Ishoo of the Boston Cosmetic Surgery Center. Before my initial consultation I didnt know what to expect, but Dr. Ishoo addressed any concern that I may have had and eliminated all doubts. During the consultation we came to the decision that VASER Liposelection would be the best option for me.
I had a scar for the past 20 that I was really self conscious about. I went to Dr. Ishoo and he provided me with wonderful service and after scar repair my scar has been visibly reduced. I feel more confident now in my appearance. I also had stretch mark removal done and it was well worth it. I will definitely be returning for more surgery.
I am 46 and I have very good skin. Most people think I am about 35. Two years ago, I went through a very difficult separation/ divorce and experienced a great deal of stress and I actually started noticing some changes in my face. My chin and neck skin started to feel and look looser and my smile lines just started to look so saggy. I found myself looking in the mirror, worrying way too much. So, I started reading about some gentle procedures that might work for me, to help me feel more like my old self, more confident. I wasn't looking to have a face lift, in fact, I actually like a few wrinkles - I am trying to age gracefully not look 20 again. So, after a lot of reading I came across Dr. Ishoo's video on Ultherapy. It seemed like a very progressive idea and had no or little down time. I called the office and scheduled a free consult. I arrived during a huge rain storm and had to move my car which made me late. But Victor, the assistant who runs the front office, was so nice and didn't make me feel uncomfortable at all. My consult with Dr. Ishoo was not rushed at all. He went over several different things with me and he recommended the Ultherapy and another procedure called Clear and Brilliant. He was extremely easy to talk to and made me feel very comfortable. I scheduled the procedure for the follow week. I arrived on time and was brought in right away. Victor explained the procedure and gave me some reading material. He also took some pre-procedure pictures. I was then treated with a topical antithetic and I waited for it to take effect for about 15 to 20 min. Victor came in and checked on me several times. Next, I was moved to the procedure room. Dr. Ishoo came in and was so friendly. I explained I was nervous. I had never had a facial procedure done. He was so comforting. When I was ready he placed me back in the chair and he told me what would happen. He started the pulse points on my neck and under my chin and it wasn't too bad. However, there is some pain involved. I don't want to say it was like a breeze. I tolerated it but it does get a bit intense near the jaw bone and brow bone. I did ask for a break one time. But over all, I think I was ok. I asked to use a stress squeeze ball when it was going on which Victor brought over right away. Dr. Ishoo made me laugh through out the whole procedure and I felt so good afterward. I noticed an immediate lift that day. I had my procedure almost a month ago and I have seen even more improvement in my neck profile, around my eyes and above my brow. I am so pleased with the results so far. I will be going in for my one month follow up and have the Clear and Brilliant procedure done at that time. I am so excited about it. If you are looking for a way to preserve and improve your skin's overall look and feel - Ultherapy is a great procedure. Dr Ishoo's rates are very much comparable to others in Boston, I checked various places. The two processes cost me about $3,000. I highly recommend Dr. Ishoo and his staff. I had a wonderful experience.
Thank you for your question. It is difficult to say what the cause of your eye "blobs" may be as there are no pictures of before the filler injection or description of where the injection was administered under the eyes. Depending on the HA filler used, you can generally expect dissolution in 6-9 months. You may see improvement with daily massaging. I always recommend seeking experienced dermatologist, plastic, facial or occuloplastic surgeons for any injections around the eyes as the treating physician is usually the best person to advise you as to how any complication should be managed. Also, no "aesthetician" should ever perform injections on any patients. At a minimum, it should be a very experienced nurse under the direct supervision of an experienced physician. The success of most procedures depends on the experience and expertise of the surgeon performing the initial procedure.
Thank you for your question. The most important determinant in answering your question is the type of filler was was injected. If you have used HA fillers then hyaluronidase injections should dissolve it; however, HA filler does not normally persist and it is generally expected to breakdown spontaneously in 9-12 months and would not require removal. However, if you have used calcium hydroxylapatite, collagen or silicone, removal will not be easy. I recommend contacting the physician who has been treating you and discuss your options. With regards to potential sagging after successful removal of the filler, it is highly likely as is the case any time soft tissue has been expanded and then the expander is removed.
Thank you for your question. Botulinum toxin injections are designed to be preventative and will only keep the dynamic wrinkles or furrows from worsening. It would not help furrows that are present at rest. With regards to the neuromodulator injection "always make my eyelids a little droopy", that is more likely related to the injector's technique rather than an accepted "trade off". In my experience, when treating glabbelar furrows, its best to use the neuromodulator in a higher concentration in glabella and also treat the forehead and crow's feet along with a 1-2 unit injection just under the tail / lateral 1/3 of the brow to help lift the brow and open the eyes. I would recommend seeking an experienced dermatologist, plastic or facial plastic surgeon for your next treatment.
Thank you for your question. Improving the 3 dimensional projection of face is often best achieved with properly placed facial implants. Fillers don't lift, they fill and may have temporary improvement; however, these filler have their own weight and they will ultimately weigh down the tissue into which they are injected and will cause even more sagging. With regards to correcting the tear trough deformity, the brand of HA filler is not nearly as important as the skill and experience of the physician performing the injection.
the lips. Botox is used to paralyze or weaken muscles. The muscles that act on the mouth raise the upper lip or constrict it to purse. Majority of the time when Botox is injected, it is designed to lower the lip by weakening the muscles that elevate it. when we weaken the muscle that purses the lip, we can expect the sphincter tone of the circular lip muscle to be weakened leading to oral incompetence and some difficulty with speech. All of this is temporary. It is best to consult a board certified dermatologist, general or facial plastic surgeon for such treatments.
