I've been a patient of Dr Hricko's for about six years. I've had a number of procedures done by Dr Hricko, including fillers. He has always advised me appropriately and my appearance has continued to improve. He never pushes me to do anything, but his suggestions have always been exactly what I needed to give me a more youthful appearance. Advanced Cosmetic Surgery is a very welcoming office and he has a great staff.
I am about to turn the big 5 0. The pockets under my eyes were getting deeper and deeper, feeling vein I was hesitant to consult with a Dr. Dr. Hricko listened to my concerns, never once did I feel vein. He was professional and made me feel so comfortable, before, during and after the procedure. The office staff was professional and very accommodating to my crazy schedule. I am thrilled with the results, I feel more confident. People are commenting on how good I look, without knowing exactly what I did. I am glad I went to see Dr. George Hricko!
I went to the same Doctor for the 3rd time (no prior problems) to have Restylane injected into my upper lip. I received a Dental Block (lidojust as I had before, but this time it was then injected the other side of my face, which was also way painful than usual, though not quite as bad as the left side. When I complained of excruciating pain, he gave me a shot of saline and that did help the pain subside. However, I immediately swelled in my cheeks, and we did not do the Restylane. He thinks I had a reaction to the preservative in the lidocaine. I am skeptical because I have never had a problem with lidocaine in my life, and have had plenty of dental work, etc. The next day my face was so swollen and completely numb that I could barely smile, and I could not feel anything. I had this in late March, and it is July and I am just now completely back to normal. The swelling lasted about 2 weeks (the worst of it gone after one week), but my smile was partially paralyzed for weeks and I did not regain total feeling for months! It was terrifying. I went to a few neurologists and plastic surgeons to get their opinions and they seemed to think that it was injected directly into the nerve (a fluke accident, not necessarily the doctor's fault). My friend is a dentist and he said no one is allergic to lidocaine. I'm not sure it was injected into a nerve because the saline dilution injection did help, and all the doctors said it was unlikely that he would hit a nerve on both sides. However, it was excruciatingly painful, and upon the first injection (on the left inside of my upper-lip, below the cheek) the pain went shooting all the way up to my left eye, in a fluttering sensation. Updated on 28 Oct 2009: **UPDATE** I am fully recovered, and I recently ran into the Doctor who did this, at a restaurant in town (we were both getting take-out), and he looked as if he had seen a ghost when he saw me. He was very uncomfortable, very awkward, and VERY quick to get out of my sight. I had to be the one to say "hi", and I did because I couldn't believe he was going to ignore me after looking me in the eye. He did not forget me, as I was in there once a week after this happened so they could monitor what was going on with my frozen, swollen face, I needed to say something to get him to acknowledge me, and so I said "I'm all healed". He said "oh good", very nervously, and rushed out. It was very dismissive. It angered me because I could have sued him -- I think most people would have and I was even advised to, but I didn't because I figured anyone can hit a nerve, it wasn't intentional. I felt very brushed off and that he was very sleazy. I will name him now, after all this time trying to be respectful of him and his practice, but he doesn't care about me at all, I believe he was only trying to protect himself from getting sued. I want to know what other doctors think this could be, and if anyone else has had a similar experience.
In my practice as a Board Certified Plastic Surgeon I have always advocated the use of Retin-A and Retinol products. We have a specific program to address that called our Skin Fitness program. The skin is the largest organ of the body and it is very important for it to be in optimal condition. The overall result of facial cosmetic procedures such as facelift, eyelid surgery and injectable dermal fillers can be enhanced by good skin quality resulting from the regular use of a Retinoid product and daily broad spectrum sun protection.
Injectable dermal fillers such as Restylane and Juvederm are designed to replace volume that has been lost over time. Two of the most popular areas that do tend to lose volume as we age are the areas that you have mentioned, naso-labial folds and eye area.You should ask your doctor how much experience he or she has had injecting those products in the specific areas you want . Find out if they will be the injectors or if they have another professional in the office who does that job Ask what are the most common complications and how often do they occur.Be aware that there can be some bruising and swelling following the procedure. Ask your doctor what they find most helpful to minimize these side effects.I find it very helpful to have a patient bring in a photo of what they looked like when they were younger so I can actually see what areas have lost volume and to what extent. I hope you will be pleased with your facial rejuvenation.
This is a great question. Thank you for asking it.After years of experience I have found that each patient is so unique and each patient's recovery is also unique as well. Generally speaking, I tell my patients that the first few days following surgery will be uncomfortable and that can usually be well controlled with medication. We always insist that you are up and walking the night of surgery and a specific short walking routine is maintained for the first week following surgery.Most patients with a sedentary job return to work in about one week. That being said, I am careful to let my patients know that they will be more tired that first week or so and should not plan on anything extra apart from their job. For those patients with more physical jobs we suggest at least two weeks prior to returning to work . No heavy lifting for four to six weeks depending on the patient and their usual activities. Lower body type aerobic activities may begin at about three weeks after surgery in most cases. We try to be very specific with each patient during the initial consultation. Important information is the type of work you do, if you have children and their ages,whether you have another adult in the houshold who will be available to help you.. Another important factor is if your lifestyle requires significant travel, either by car, train or plane. Be sure to share as much as possible with your surgeon so aspects of your recovery can be answered in more detail. Regarding scars---:the best result for almost any plastic surgery procedure is seen at one year after surgery, including the condition of the scars. The result from the scars would be compromised by sun exposure or the use of tanning beds. I ask my patients not to intervene on their own with oils, creams or lotions applied on the scars unless they consult with me first. Most times the healing properties of the human body are enough to produce minimal scarring.I sincerely hope that you will be one of the many happy post surgery patients who ask "why did they just not do this sooner?"