Eric Shreder, DO, MS

Hi Kpsony, If you are unhappy with the filler, have the person that put it there dissolve it. I personally use Bellafill (a collagen based filler) in small quantities deposited via canula over a few sessions. I never have gotten pooling using this technique. Don't always assume that every dermatologist or plastic surgeon is skilled in utilizing fillers, or choosing the best filler. It comes down to the training, experience, and the aesthetic eye of the injector. Good Luck, Dr Eric O Shreder - Full Circle Wellness, Mesa, AZ

Hi Tiffany280, thanks for your question. The answer is - that depends! Whether 1 tube of Voluma will work depends on how much "jowling" you have and your underlying facial structure. In many cases, we do see improvement with 1 tube per side, however, it may take 1 1/2 or 2 tubes per side. It may be that you should combine treatments like Ultherapy, or Radio Frequency to "tighten" and "lift" the sagging lower facial skin. We find that this combination works "best" and appears the most natural. Cheers, Dr. Eric O Shreder - Full Circle Wellness - Mesa, AZ  

Hi Shadi, thanks for your question. In my experience, Bellafill has produced the most consistent lasting and natural looking results with no down time. Using a thin microcanula, I have been able to achieve youthful looking results without surgery downtime or significant bruising. Cheers, Dr Eric O Shreder - Full Circle Wellness, Mesa, AZ

Hi, thanks for a great question. There is no specialized licensing or restrictions for performing any kind of filler injection. Currently, the jawline is "off label" with any of the current fillers on the market. It is up to the individual physician to get the appropriate training to perform a jawline injection and know their personal limitations. The individual physician must get advanced training on their own in order to have the skills and knowledge to effectively perform the procedure safely. Don't assume that every dermatologist or plastic surgeon for that matter has trained on the procedure. Many physicians err on the side of caution and don't wish to go "off label". There are, however, advanced courses available in facial anatomy relevant to fillers (employing actual human cadaver models), and which also employ the use of cannula (safer) which help to differentiate an injector that has gone the extra mile with their training. Because it is impossible to state every procedure that a physician can perform on their website, most only list the most commonly requested. For example, I perform chin augmentation, and jawline reshaping, but do not list it on our website specifically. In addition, I have attended the most advanced courses on facial anatomy available, but don't specifically state it. So, it is up to the consumer to question the physician as to their training and which areas that they are comfortable to treat. I would schedule a consult with a physician with good reviews and discus your concerns. Good luck with your search! Dr Eric O Shreder - Full Circle Wellness, Mesa, AZ

Hi, you have a great great question. Although it is unusual to feel no "burn" with Kybella, I would expect you to still get great results as it is very predictable if the injections were performed properly. The previous liposuction procedure itself may have injured or stunned some cutaneous nerves, leaving you with less sensation from the kybella. Unlike other commenters, I don't recommend using every tool in the toolbox on post Kybella skin tightening. I have a very large quantity of Kybella  in my practice and, depending on the skin laxity, we may employ either Ultherapy or Radio Frequency (RF) treatments sometimes both for additional skin tightening and smoothing. Be patient!

Good Luck, Dr Eric Shreder - Full Circle Wellness.