I had a terrible experience with Voluma. I was referred to Dr Lukash by another plastic surgeon to see what my options were in terms of fillers for my hollowed cheeks. I went for a consult along with pictures of my reaction to Voluma. He lootat then and said I developed a hypersensitivity to hylarounic acid and no more fillers for me. My options were Fat Transfer or Sculptra. He took his time explaining both and said it was my decision. I decided on Sculptra even after reading all the horror stories. He told me stop reading. I just had my second round of 2 vials a month apart. I had minimal swelling and no bruising. My husband told me he can see my face starting to fill in. So far so good. Dr Lukash is wonderful. He’s kind patient and compassionate. My advice to anyone considering Sculptra is make sure you see a BSPS with a lot of experience injecting Sculptra. It’s all about injector experience and technique.
textured implants are controversial there is a possible link to ALCL - lymphoma best advice - remove implants and capsule and replace with smooth silicone impalnts
yes change position of implant to above muscle active thin women should not have implants below muscle for this exact reason
looks like implants are under muscle and displaced laterally replace implants into subglandular position (over muscle) revise scars
yes I do Need to see full face in all views cleft lip and nose revisions are part of skilled plastic surgeons who deal with the pediatric , adolescent into adult population
you need an open nasal reconstruction to elevate and support tip, augment bridge, narrow base and narrow nostrils one stage procedure with predictable improvement
