My temporalis muscle works so it might be from some atrophy or "settling of the bone flap." Surgery was in 2014. Will the Voluma stay in place? Am I at a greater risk than others due to the fact my temporalis muscle was dissected and and reattached and I have screws nearby? Does this increase the risk of the filler going where it should not go? I'm scheduled to have the procedure done by an RN expert injector who is a "nationally recognized speaker and trainer for Allergan." Thank you..
January 17, 2018
Answer: Voluma and contour defects following craniotomy. Voluma would be a completely safe option in this setting provided there are no large bone defects at the site of the craniotomy. However, it would not be the most cost effective option. Based on the photos you provided I would estimate the volume deficit in your left temple to be at least 7 cc. Assuming that Allergan is not donating product for a promotional/educational program and assuming an average rate of $700.00 per vial then you can expect to start at around $5,000.00 of Voluma which will last 1 to 2 yrs before it needs to be augmented. More cost effective choices would be fat transfer which may take 2 sessions to get right but will have much longer longevity. My recommendation would be to augment the deficit at the bone level with a bone replacement product such as hydroxappatite cement which can be inserted with an endoscopic assisted minimal access through the existing scalp incision. This will create an excellent foundation. The contour can be "fine-tuned" at later date. Typically, my office has enjoyed good long-lasting success with this approach and we have been able to gain insurance benefits for these types of repairs. Good luck,Mario J. Imola, MD, DDS, FRCSC, FACS.
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January 17, 2018
Answer: Voluma and contour defects following craniotomy. Voluma would be a completely safe option in this setting provided there are no large bone defects at the site of the craniotomy. However, it would not be the most cost effective option. Based on the photos you provided I would estimate the volume deficit in your left temple to be at least 7 cc. Assuming that Allergan is not donating product for a promotional/educational program and assuming an average rate of $700.00 per vial then you can expect to start at around $5,000.00 of Voluma which will last 1 to 2 yrs before it needs to be augmented. More cost effective choices would be fat transfer which may take 2 sessions to get right but will have much longer longevity. My recommendation would be to augment the deficit at the bone level with a bone replacement product such as hydroxappatite cement which can be inserted with an endoscopic assisted minimal access through the existing scalp incision. This will create an excellent foundation. The contour can be "fine-tuned" at later date. Typically, my office has enjoyed good long-lasting success with this approach and we have been able to gain insurance benefits for these types of repairs. Good luck,Mario J. Imola, MD, DDS, FRCSC, FACS.
Helpful
January 17, 2018
Answer: Improving the temples with fillers or Sculptra Yes, this area can be improved with fillers (Voluma, Juvederm, Radiesse) or Sculptra. I recommend getting a formal evaluation with an expert. Best, Dr. Emer
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January 17, 2018
Answer: Improving the temples with fillers or Sculptra Yes, this area can be improved with fillers (Voluma, Juvederm, Radiesse) or Sculptra. I recommend getting a formal evaluation with an expert. Best, Dr. Emer
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