Ridenour Plastic Surgery

Neuromodulators such as Botox, Jeuveau, Dysport and Xeomin are effective in the treatment of axillary hyperhidrosis.  However, the cost of treatment can be significant over time and frequent maintenance is required in order to be effective. We have chosen the Miradry procedure for our patients with excessive sweating. As mentioned by others, Miradry is safe and effective in eliminating sweat, odor and hair in most patients with just a single treatment. A much smaller percentage of patients will require 2 treatments for complete eradication of sweat and odor. Patient satisfaction is extremely high with a 90% "worth it" rating on this website. The downsides include minor issues such as temporary swelling and numbness. Infinity is a needle based radiofrequency device that lacks the time and temperature control needed to uniformly heat the sweat glands to the desired endpoint. For that reason, I  believe that Miradry remains the Gold Standard in treatment of excessive axillary sweating. My very best, Dr. Ridenour

It is difficult to say whether your concerns are the result of a misplaced or asymmetric fat graft or simply the result of normal age-related sagging in the lower face. A single two dimensional photograph is difficult to accurately assess. It is indeed possible to safely remove a small amount of fat by syringe liposuction using a very small micro-cannula, although minor irregularity is a potential complication. In some areas of the face it may be safe to use a fat dissolving agent such as Kybella, although this is an off-label usage and caution is advised. Finally, I would suggest that you step back from the situation and consider an overall re-assessment of your face. It may be that the treatment was simply inadequate to address your aging concerns. Best wishes, Dr. Ridenour

Computer simulations are not meant to predict or guarantee an outcome after rhinoplasty. They are simply a means of visual communication to support the consultation and to make certain that the patient and the surgeon share the same surgical ambitions.  In this case I think it has proven quite valuable. The simulation provided is one that many patients would find pleasing. Since you do not, it is important that you share your concerns with your surgeon to help them understand your aesthetic tastes and inclinations. You need to work together to find out if you can reach common ground.  I think the greatest problem with the computer simulation is the fact that you have not addressed your recessive chin.  I think that your nose simulation would be more pleasing if you were to consider a simultaneous chin augmentation or sliding genioplasty. My Best, Dr. Ridenour

The choice of anesthesia during eyelid surgery is made by the patient in consultation with their physician. Upper eyelid surgery is easily performed with local anesthesia alone, although some patients opt for IV sedation in order to manage their anxiety or 'fear of discomfort'. Uncomplicated lower eyelid surgery can also be performed under local anesthesia, however I suggest sedation anesthesia for a majority of my lower eyelid patients. General anesthesia is rarely ever necessary. Surgery can be performed in office or in an ambulatory surgery center setting. Best wishes.

Remember, the base of the nose shares "a common area" with the upper aspect of the lip.  When strong pieces of rib cartilage are used to lengthen the nose or increase tip projection, they can have a modest affect on the length, shape and movement of the lip. That said, the pictures provided are taken at very different angles and the "shape" of your vermilion lip (pink part) looks unchanged.  Talk to your surgeon. Present your concerns. It is still quite early in the healing process and your lip is no doubt still a bit stiff and swollen. Best wishes