Festoons under eyes after filler have gotten worse after dissolving. RF hasn’t made any difference. What can I do? (photos)

If placed correctly, there really should be no route for deep pyriform filler to migrate to the nose. The deep pyriform filler actually ends up (should end up) in the deep medial cheek compartment, which is a fat compartment with distinct anatomic boundaries. Furthermore, the fillers you want to...

Hi @infinitemeridian! A few units of botox can help with the wrinkles you experience with smiling. I also recommend a co2 laser to help tighten the skill.

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry...

A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works...

Thank you for your question. A facial fat transfer can volumize various areas of the face to address the sagging which you describe. Fat grafting can restore volume to sunken areas beneath the eyes and cheeks to create a more youthful appearance while improving the quality of the skin. Results...

Hello Hopeful, The swelling that you are experiencing is not normal. You should revisit your injecting physician for evaluation, preferably when it is swollen. Good luck and be well. Michael Persky, MD Encino, CA