Dr. Holcomb is passionate about empowering individuals to reach their full potential by improving or restoring facial features that hinder them physically or emotionally.
Dr. Kreithen is passionate about empowering individuals to reach their full potential by improving or restoring physical features that hinder them physically or emotionally. In 2003 and 2004 Dr. Kreithen participated in a cleft lip and palate mission with Interplast in San Pedro Sula, Honduras.
I'm 4 days post op and slightly uncomftorable, no pain, but I'm really worried about this tape holding my tip. My only post op instructions were to use hydrogen peroxide and ointment with a q-tip as needed. I am so congested still breathing through mouth and feel like I am supposed to be using a spray or saline wash? And should I be worried about this piece of tape being stuck over my...
I was a little bit nervous about the procedure, but Holcomb Kreithen came so highly recommended I thought I'd try it. I couldn't be happier with the results! Dr. Kent was so easy to talk to and made me feel so comfortable and the results are amazing! Entire staff was terrific. I wish I had come sooner!
For as long as I can remember, I have had stubborn fat to the lower abdominal area after having 3 children. I chose to do the CoolSculpting Treatment as it is non-invasive and has no downtime. The staff made me feel extremely comfortable in addressing my concerns. I am certain that my treatment will restore my confidence once again! I'm ready to book my next session!!!!
As I first time customer I was very impressed with staff.. from the front desk to my esthetician Teuta! She has a gentle touch and was very informative on my treatment.. I got the Hydrafacial!!!.... my skin is still glowing! She sent me home with some products by skin medica...love them!
Teuta is the best esthetician I’ve ever been to. She is very thorough and makes you feel so comfortable. I saw her for the hydra facial and I’m still glowing! I am really looking forward to my upcoming appointment
A: Dear AD17,
BBL/IPL treatment should not cause significant changes in facial volume - at least this is not among the well known complications and side effects of this type of light treatment. Certainly unusual outcomes can occur but loss of facial fat volume may more likely be the result of something else (e.g. radio frequency treatments, metabolic changes). Elevated temperature certainly does induce fat emulsification and fat cell destruction (lipolysis) but both the temperature and length of time required for this to happen are not achieved during typical BBL/IPL treatment sessions.
J. David Holcomb, MD
A:
Thank you for your question.
The injector's technique and choice of product do make a difference here. It is important to distinguish
where the volume loss is anatomically – mostly at and above the
orbital rim, mostly below the orbital rim, or both. For patients with
slight hollowing at/above the orbital rim a softer product such as Belotero
Balance is ideal while for patients with deeper hollowing below the orbital rim
(this is the mid face) a heavier product such as Voluma is much more
effective.
A: Thank you for your question.
Creating the “chemical
brow lift” effect with neuromodulator injections (e.g. Botox Cosmetic, Dysport)
is not possible for all patients. The chemical brow lift occurs when the
balance between brow depressor and brow elevator muscles is shifted in favor of
the latter. This works best in patients with very little actual ptosis
(sagging) of the brows but both hyperactive brow depressor muscles and
reasonably strong brow elevator muscles. The key to success is
appropriately reducing the hyperactive brow depressor muscle activity while
also preserving enough brow elevator muscle activity. So this means
adequate injections of the eleven line area (procerus and corrugators), lateral
brows and upper crows feet (orbicularis) and, if the horizontal forehead lines
are to be targeted, it is important to preserve the ability to elevate the brows.
A: Thank you for your question.
Lip swelling after
filler injections is common. Swelling is typically more significant with
greater trauma (more needle sticks, more filler volume) - both of these can be
minimized by using micro-cannulas and conservative filler volumes. Occasionally
there may be more swelling and bruising on one side – even with
the best injection techniques and identical injection volumes side to side so
to your question it’s too early to tell. Cold compresses (for the initial
several hours after injection), elevation of the head while sleeping and time
(for resolution of the acute swelling and for the filler to settle) are needed.
The good news is that if there is some asymmetry it can be corrected
by either adding more filler to the other side or by reducing the
bulkiness on the affected side with an enzyme injection (e.g. Hylenex).
A: Thank you for your question.
Topical Arnica Montana
containing products generally help. Certain laser treatments such as the
excel V 532 nm KTP can also have a dramatic and almost immediate benefit by
lightening the bruises several shades within minutes – we do this for
post-surgical and post-injection patients routinely – generally a
single session but the treatment can be repeated if necessary.