Northside Plastic Surgery - Alpharetta

A: It really depends on the type of CO2 laser you had.  If it was a fractionated CO2 laser, which is the most common, then you could do it as soon as another 4-6 months.  If it was a fully ablative CO2 laser, one year is the minimum you should wait but it would be unlikely that you would need another fully ablative treatment this soon. 

A: The amount of filler needed in temples varies by the person, age, volume loss, and even gender.  On average, most individuals need 1 syringe in each temple but we've treated individuals who need up to 3 in each temple (not uncommon).  Radiesse definitely gives you more volume than Voluma and would be less expensive.   The best bang for the buck in temples is Sculptra.  Usually, 1-3 vials is needed for both temples.  It usually lasts longer than Radiesse.  Bellafill has a 5 year indication but can take 2-4 syringes to fill both temples. 

A: While Voluma is an excellent filler for the cheek/malar region, many other fillers can be used effectively.    Restylane Lyft works well in this area, and Restylane Defyne can also be used effectively here.      I would certainly offer it, particular based on your desires.     

A: There are several on the market and they achieve different types of skin tightening.  If you have a heavier face and neck, usually ultherapy is a better option to tighten and lift tissue.  If you have a thin face with thin skin, fractionated CO2 laser does a great job of increasing collagen production, improving lines and wrinkles and improving brown spots.  If brown spots are not an issue or if you tan easily, RF microneedling, such as with the Infini Genius, is a great device to achieve skin tightening.  Seeing the facial specialist in your area can really help determine your skin and face type and recommend the best laser for you.