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Hi there -&nbsp;
What you describe sounds fairly normal.&nbsp; As your body creates the scar around the implant (capsule) this sensation should hopefully diminish for you. Palpability or feeling of the implant, along with rippling and sensation changes are all possible, and can be normal depending on the implant choice, placement choice and how much tissue you had to start out with.&nbsp; If you have any concerns or pain, it is always best to call your surgeon and have him or her perform a thorough evaluation.&nbsp; All the best!

I'm 3 month PO and my implant moves somewhat across my rib cage like sliding and it smooth. The doctor lowered my natural crease could that be a reason? Also it seems that i could also have double bubble. I got silicone implants, 450cc, under the muscle.

Is it normal to feel my implant sliding on my rib cage? It doesn't hurt but it does bother me a little.

Thank you for your question.
Only after a detailed consultation and evaluation of&nbsp;your particular skin and soft tissue pattern, can someone tell&nbsp;you what is the best product and the number of syringes needed to produce your aesthetic&nbsp;goals.&nbsp;The location of&nbsp;injection often&nbsp;determines how long it will last; the more an area animates (or moves) the&nbsp;faster it’s effect may wear off.&nbsp;Importantly, there is variability from person to person. The cost will vary depending on the product used and the surgeon chosen to administer&nbsp;the injections.&nbsp;&nbsp; &nbsp; For more information, be sure to find a trustworthy surgeon, with experience and impeccable credentials in your area.
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*The responses reflect a response to a public post and should not be considered medical advice or treatment. Please seek advice from your local physician, and call 911 in the event of an emergency.&nbsp;

How much would it cost, how long does it last, and what filler is typically used for it?

How much would it cost to fill in a chin dimple?

Dermal Fillers

Great question and understandable concerns.&nbsp;
A&nbsp;fully customized plan is necessary to figure out just how much&nbsp;of a particular product may be needed.&nbsp; Only after a detailed consultation and evaluation of&nbsp;your particular skin and soft tissue pattern, can someone tell&nbsp;you what is the best product and the number of syringes needed to produce an excellent non-surgical facial rejuvenation. For more information, be sure to find a trustworthy surgeon, with experience and impeccable credentials in your area.*The responses reflect a response to a public post and should not be considered medical advice or treatment. Please seek advice from your local physician, and call 911 in the event of an emergency.&nbsp;

Is 1cc enough? I am getting fillers for my tear trough hollows next month. I am wondering if I should get 1cc or 2 cc. The doctors at the clinic suggested 2 cc, but since I am living in a foreign country, I am afraid they just want to sell me more for their profit. Would 2 cc be too much or ideal? Thank you!

How much Restylane filler does my tear trough area require? (Photos)

Great question.
When dermal fillers are injected the material expands the surrounding tissue. This is normal, and may cause some raising of the skin surface. Over a few days this subsides to a flatter surface, while maintaining the cosmetic improvements for the life of the filler.&nbsp; There are also known complications to filler injection, and not every ‘bump’ is the same.&nbsp; This may require an in-person evaluation by your injector sooner than your follow up. &nbsp;For more information, be sure to find a trustworthy surgeon, with experience and impeccable credentials in your area.
*The responses reflect a response to a public post and should not be considered medical advice or treatment. Please seek advice from your local physician, and call 911 in the event of an emergency.&nbsp;

Every time I get <a href='http://www.realself.com/reviews/juvederm'>Juvederm</a>, I develop a little bump, like a bug bite. Is there any way to avoid this?

Why Does Juvederm Leave a Bump After the Injections?

Great question.&nbsp;
When dermal fillers are injected the material expands the surrounding tissue. This is normal, and may cause some raising of the skin surface. Over a few days this subsides to a flatter surface, while maintaining the cosmetic improvements for the life of the filler.&nbsp; There are also known complications to filler injection, and not every ‘bump’ is the same.&nbsp; This may require an in-person evaluation by your injector sooner than your follow up. &nbsp;For more information, be sure to find a trustworthy surgeon, with experience and impeccable credentials in your area. 
*The responses reflect a response to a public post and should not be considered medical advice or treatment. Please seek advice from your local physician, and call 911 in the event of an emergency.&nbsp;

I received a full syringe of Juvéderm for smile lines on each side of my face. On the right side of my face there were quite a few more smile lines as I tend to smile wider on that side. So more filler was added to the right side. I am wondering if there would have been a better way to decrease these lines, such as adding filler to my cheeks to fatten up my face overall, thus pulling the lines tighter. By the way, these lines are very superficial.

Why can I see bumps after getting filler for smile lines?

Great question.&nbsp;
Juvederm, and all hyaluronic acid fillers, now come in various formulations, designed to be injected into different depths and areas.&nbsp; Depending on your and your surgeon’s aesthetic goals, a fully customized plan is necessary to figure out just how much one syringe of a particular product may cover.&nbsp; Only after a detailed consultation and evaluation of&nbsp;your particular skin and soft tissue pattern, can someone tell&nbsp;you what is the best product and the number of syringes needed to produce an excellent non-surgical facial rejuvenation. For more information, be sure to find a trustworthy surgeon, with experience and impeccable credentials in your area.
*The responses reflect a response to a public post and should not be considered medical advice or treatment. Please seek advice from your local physician, and call 911 in the event of an emergency.

How far does a full syringe of <a href='/reviews/juvederm'>Juvederm</a> go? Would I have enough for my smile lines, top and bottom lip, and the crease in my chin?

How Many Areas Can a Full Juvederm Syringe Cover?

Great question.&nbsp;As the product is injected into the skin, the result
can be seen immediately. However, the full result will come in the following
weeks as the redness/swelling dissipates and the product settles into the skin.
A follow-up with your physician after 2-3 weeks of the injection is a great way
to make sure both you and they are happy with the achieved result. For more
information, be sure to find a trustworthy surgeon, with experience and
impeccable credentials in your area.
*The responses reflect a response to a public post and should not be considered medical advice or treatment. Please seek advice from your local physician, and call 911 in the event of an emergency.&nbsp;

How long does it take to see results from <a href='/reviews/juvederm'>Juvederm</a>?&nbsp; I just got some in my <a href='/Nasolabial-folds/info'>nasolabial folds</a> and lips, and I can't wait to see how it really is going to look.

How Long Before I See Juvederm Results?

Juvederm can last an average of 6 months in the lips and nasolabial folds and up to a year in the tear troughs under the eyes. The location of Juvederm injection often determines how long it will last; the more an area animates (or moves) the faster it’s effect may wear off.&nbsp; Importantly, there is variability from person to person.&nbsp; For more information, be sure to find a trustworthy surgeon, with experience and impeccable credentials in your area.
*The responses reflect a response to a public post and should not be considered medical advice or treatment. Please seek advice from your local physician, and call 911 in the event of an emergency.&nbsp;

I&#39;ve been researching how long Juvederm lasts, but what people say in <a href='http://www.realself.com/reviews/juvederm' title='Juvederm reviews'>Juvederm reviews</a> and what the FDA&nbsp;says don&#39;t really match up.&nbsp; Can someone tell me, how long does Juvederm last? Does where you have the Juvederm injections in your face make a difference in how long it lasts?

How Long Does Juvederm Last?

These are all great points; There are several wonderful plastic surgeons in Dallas who will offer treatments themselves.&nbsp;&nbsp;When you find an office/practice/surgeon you like ask them to schedule you specifically with that surgeon for your treatment, and make your preferences known from the out set.&nbsp; Best of luck in finding a great surgeon!

Most plastic surgeons and great dermatologists now a days own beauty spas which I think makes complete sense. The problem that I encounter is they are nowhere to be seen. Ever. So basically you are still going to facility to be treated by different specialist and I just don't feel comfortable that. I am very picky when it comes to my face. And I will not do BOTOX or even consider fillers with anyone but a knowledgable plastic surgeon or dermatologist? Please help.

Are there any plastic surgeons in Dallas that does Botox themselves, not through an injector?

Raj Sawh-Martinez, MD, MHS

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