I kno it's common to have touch up/top offs before exsisting HA filler is completely re absorbed. But when getting a touch up is it ok to inject the filler into previous injected HA bolus? Is this standard procedure or Does this cause any reactions? For example if a patient wants to continue having their cheeks augmented to have a lot of projection, how long do they need to wait between each session? And can the filler safely be added to the same boluses of exsisting filler each time?
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January 18, 2016
Answer: Facial Sculpting Using Fillers Like Voluma, Radiesse, Lyft, Juvederm and Sculptra and Fat
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Jason Emer, MDDermatologic Surgeon, Board Certified in Dermatology
Blunt cannula may reduce the risk marginally but the reality is that there is no way to reduce the risk to completely zero. Though it is rare, it is possible. It's like driving a car...every time you get in and drive there is a risk of dying in a car accident. The only way to completely avoid it...
Saline lasts 24 hours or less. Some surgeons will inject saline into the skin to "test" the area before using a filler. This is not common. In fact, it is rarely done. But, there are some circumstances that it can be useful. In general, saline tests the distensibility of the skin (how much...
I have been injecting tear troughs and dark circles with fillers for over three decades since the use of the original Zyderm I collagen product for this purpose. In general, the results of treatment are immediate and typically evoke an immediate "Wow!" response when the patient looks in the...
