Helen Perakis, MD

Generally speaking, fillers do not tend to be useful in improving the appearance of "ice pick" acne scars. Laser resurfacing, depending on the depth of the acne scars and the depth of penetration that is available with certain lasers, can help improve the quality of these scars and re-texturize the adjacent skin to help blend the scars more. Medical grade chemical peels, using TCA is also a way to treat these deep acne scars.

Greetings! Thanks for the great question. Having Von Willebrand's disease is not a contraindication to getting any type of injectable, be it fillers or a neurotoxin such as botox. Because Von Willebrand's disease has to do with the way your blood clots, you are more likely than another patient to have some bruising. You can take Arnica Montana (which is an herbal supplement) prior to getting your fillers which should help with bruising. Good Luck!

Many patients experience anxiety prior to surgery. In your case, you seem very anxious about having breast implants....this might be a reason to NOT have a breast augmentation. You should think about the surgery and the reasons you initially wanted breast implants. You should also spend time talking with your plastic surgeon. At the end of the day, this is an elective procedure- and therefore if you are not mentally ready to undergo surgery- you shouldn't!

Greetings and thanks for your question. You seem to have very large breasts that are causing symptoms such as your back pain, breast pain and inability to exercise. These would all be reasons for you to undergo a breast reduction. Breast reduction tends to be the one surgery which has the highest satisfaction rate amongst our patients, as it truly is life altering. I think you would be a great candidate for a breast reduction. Although, you have to realize that this is surgery- and all surgeries come with potential risks and potential complications. There are scars that you have to be aware of. Also in younger patients, it is important to know that if you plan on having children in the future- your breasts will change size and shape again. Also if you plan on breastfeeding in the future, there is always a chance that you may have trouble breastfeeding after a breast reduction. For all of these reasons- you should meet with a Board Certified Plastic Surgeon to discuss breast reduction in more detail. Good Luck!

Greetings. I understand that you are concerned, but one week following rhinoplasty surgery is a very short period of time. The nose tends to stay swollen for some time. Your nasal swelling may take up to 3 months to resolve. I wouldn't judge the results for at least a few months. Good Luck!