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Lip Fillers

Hi, The original enhancement in your lips was mainly due to swelling after injection. Depending on the product used, swelling can be quite significant. You can follow up with your doctor for a touch up if you feel like you need fuller lips. Best!&nbsp;Dr. Soltani

So I had 1 syringe injected into my lips afterwards they looked great but only a week later I feel like they disappear by day. What’s wrong? Is it my body?

What could have caused my lip fillers to go away after a week? (Photos)

Injectable fillers are commonly used to improve facial asymmetry. Adding slightly&nbsp;more volume to the right side of your face would be an&nbsp;option. Keep in mind that almost all faces are slightly asymmetric. In fact, this slight asymmetry enhances natural beauty. Best!&nbsp;Dr. Soltani

I have facial asymmetry due to sleeping the same way on my stomach and my head turned. I know everyone has a little asymmetry but I feel like mine is looking more noticeable. On my right hand side I have more fine lines and less volume compared to my left hand side. Could a conservative amount of filler be an appropriate fix? I am going to retrain my sleeping patterns but it will not fix my lost volume. Yes I know I’m 25 and “too young” from what people tell me but it bothers me.

What can be done to fix my facial asymmetry due to the way I sleep, is fillers the solution? (Photos)

The sagging of the skin at the corners of the mouth results from a combination of (1)&nbsp;loss of collagen in the skin (from age and sun exposure) and (2)&nbsp;loss of&nbsp;volume/ fat in the cheek area (from age and weight loss). When the cheeks become deflated over time, the lax skin will fall downward and create a sagging appearance in the lower face. I&nbsp;recommend consulting an expert dermatologic surgeon. You would benefit from injecting filler in the cheek area, skin tightening devices such as radiofrequency, and PRP&nbsp;injections to improve skin elasticity. Best!&nbsp;Dr. Soltani.&nbsp;

Is there some way to get rid of them? They have always made me super self conscious.

What are the raised ridges on either side of my mouth and how can I get rid of them? (Photo)

The short answer is yes, you can get fillers but it's&nbsp;safety has not been studied.&nbsp;Fillers have been successfully&nbsp;used to treat scarring from lupus and other connective tissue diseases.&nbsp;In your case, the risk of complications such as infection might be higher, specially if you are taking prednisone or any other medication that suppresses your immune system.&nbsp;Stay away from silicone containing fillers. Best!&nbsp;Dr. Soltani

I went to a plastic surgeon for a cheek/eye fillers consult and he at first he told me that I could not get fillers because they increase the probability of an adverse allergic response to the filler (I have MCTD that my rheum though might be early stages of Lupus) but when I told him it's mild he said I could have them. I had lip filler in the past and had no adverse response. The surgeon who did those fillers said Lupus was not at all a problem. Would like clarity, thanks.

Can I get fillers of any kind if I have Lupus or undifferentiated MCTD (mixed connective tissue disease)?

It would be best to consult with a local dermatologic surgeon to investigate your options. For first time filler users, hyaluronic acid products (Restylane and Juvederm family) are best choices since they are reversible and degradable. All the areas you mentioned above (lips, around the mouth, under the eyes, nasal bridge)&nbsp;could&nbsp;be filled at the same time. If you would like to take is step by step, lips are more common starting areas compared to nose or under the eyes. However, the choice of product and placement is a fine discussion between you and your treating physician.&nbsp;Best!&nbsp;Dr. Soltani.&nbsp;

First time wanting fillers. I want my lips filled in, around my mouth, under my eyes, and the bridge of my nose. What should I start with?

First time wanting fillers. I need a little bit of help all over. Where’s the best place to start? (photos)

The risk of bruising/ hematoma formation depends on the amount of filler used, location and&nbsp;technique. In general, it is recommended to wait until you are off your blood thinners. I&nbsp;recommend consulting with a local dermatologic surgeon.&nbsp;Best, Dr. Soltani

I have to inject Clexane (Enoxaparin) for at least the next 3 months and am due for Sculptra for facial lipoatrophy in 6 weeks. As long as whatever would happen (bruising, some bleeding) would be temporary and would resolve over days/weeks i'm prepared to go ahead with it. Is there anything more dangerous/permanent to be concerned about? Thanks for any info. Danny.

Can you have Sculptra while on an Anticoagulant?

The amount of Sculptra needed to restore volume varies significantly depending on the shape and size of the face. You will likely need at least 2 more sessions to achieve noticeable results. However, every single vial does help. Best!&nbsp;Dr. Soltani

I am 59, and was interested in a sculptra threadlift. The provider I went to said she felt it wouldn't benefit me, and said if I want a facelift to see a plastic surgeon. So, I opted for sculptra injections, instead. I received 2 syringes, and afterwards I read online that you need a syringe for every decade. So, this was never disclosed to me at the appt, and now I'm wondering if those 2 syringes will do anything at all.

I'm interested in sculptra, and do you need a syringe for each decade you are in years?

Restoring the oval shape of the face with Sculptra is an art. I recommend consulting with a local dermatologic surgeon for further options. Just by looking at the picture, you could benefit from more filler in the temple area and zygomatic cheek.&nbsp;
Best!

I got 2 vials of Sculptra in December, one mixed with Radiesse (temples, cheeks), another for the side of my jowls and chin. I got another vial of Sculptra in February, again in the temples and right side of my jaw. Now I have a bulldog face and temples aren't even that different from before. Apart from my cheeks being better I hate the way I now look, saggy jowls and square masculine jaw. What can I do? Will masseter Botox work? More Sculptra in the temples? Other fillers? Help please!

Sculptra gave me a square bulldog face. What can I do? (photos)

To improve surface irregularities, hyaluronic acid fillers (Juvederm and&nbsp;Restylane family of products) &nbsp;work better than Scupltra. Sculptra is best for restoring volume in the cheek and temple area.
Best!

Hello, I am 58. I had a facelift 2 years ago and have been happy with it. Because of being very thin, I also had Sculptra and Radiesse and they helped the hollowness. In the mornings or after I have been lying down, my face looks great and young. By afternoon, and definitely in the evenings, my lower sides around the mouth look lumpy. See photos. My skin has pretty good elasticity for my age (I am Japanese). If I get more Scultra, will it be worse, more lumpy? Is there any other treatment?

I am 58, had lower facelift but lumpy after 2 years, will Sculptra help lumpy lower face? (photo)

Sculptra works best in 30-50 year old age group, will give nice natural results and lasts longer than Voluma. However, it can take a few months and a series of injections to see the results. Voluma works immediately. While it is possible to use both at the same time, I do not recommend this approach. If you would like immediate results, I&nbsp;recommend Voluma. If you can wait a few months for gradual results, Scupltra will be a better option.
Best wishes!

I really like the idea of trying sculptra or bellafil as it sounds very long lasting. However, it looks like you need to have several treatments before you see results. Whereas voluma is immediate. Can I use the two at the same time so I get both immediate results + long-lasting ones? Thanks!

Can Voluma and Sculptra be simultaneously used in the temple area?

Razieh Soltani, MD

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Dermatologic surgeons are dermatologists who use surgical and nonsurgical means to treat various skin, hair, nail, and vein conditions. This includes growths, skin cancers, aging skin, unwanted fat, excess hair, and varicose veins.

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S. Ozan Sozer, MD

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Ryan A. Stanton, MD

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Dilip D. Madnani, MD, FACS

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Razieh Soltani, MD

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