I had my Marionette lines and nasolabial lines injected 10 days ago and I'm extremely unhappy with the result as there does t appear to be any difference infarct the left side appears very uneven and lumpy what should I do? Go back to her and ask for them to be redone? Go somewhere else as it's probably her technique which is the issue? Also you will see that I have pronounced peri oral lines which I'm feeling very very self conscious about .
Answer: Marionette lines/ Nasolabial lines -- fillers / fat/ sculptra, you may need lifting Juvederm typically takes 10-14 days to see optimal results. If you are unhappy with the results I suggest reversing with hyaluronidase and seeking treatment from an experienced cosmetic dermatologist. There are other options including layering with fat and combination of fillers, or lifting which may need implants or surgery. Please consult with an expert. Best, Dr. Emer
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CONTACT NOW Answer: Marionette lines/ Nasolabial lines -- fillers / fat/ sculptra, you may need lifting Juvederm typically takes 10-14 days to see optimal results. If you are unhappy with the results I suggest reversing with hyaluronidase and seeking treatment from an experienced cosmetic dermatologist. There are other options including layering with fat and combination of fillers, or lifting which may need implants or surgery. Please consult with an expert. Best, Dr. Emer
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CONTACT NOW June 20, 2016
Answer: Juvederm to marionette and nasolabial lines hasn't worked? 2 issues: #1 Undertreated with amounts that would be needed to effect an apparent visual result. Like 4 syringes at least, but than the expensive would be $$$...#2 Might need facial peels, surgery before trying fillers?
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CONTACT NOW June 20, 2016
Answer: Juvederm to marionette and nasolabial lines hasn't worked? 2 issues: #1 Undertreated with amounts that would be needed to effect an apparent visual result. Like 4 syringes at least, but than the expensive would be $$$...#2 Might need facial peels, surgery before trying fillers?
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June 20, 2016
Answer: Juvederm to marionette and nasolabial lines hasn't worked? Thank you for your questions and photographs and I am sorry that your current results have not met your expectations. At 10 days your results may still improve as the filler material matures and softens but if you feel large lumps I would revisit your injector for an in-person evaluation. They may ultimately need to dissolve the material if it does not clear on its own. As far as your results, one consideration you did not mention was how much filler material was used. These two areas often require more filler volume than people expect and can be supported by filler placement into the cheeks for further improvmeent. As far as your vertical lip wrinkles you may see better benefit from the use of chemical peels, Botox, and a thin filler such as restylane silk or belotero. See a board certified plastic surgeon for an in-person evaluation and discussion of treatment options.
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CONTACT NOW June 20, 2016
Answer: Juvederm to marionette and nasolabial lines hasn't worked? Thank you for your questions and photographs and I am sorry that your current results have not met your expectations. At 10 days your results may still improve as the filler material matures and softens but if you feel large lumps I would revisit your injector for an in-person evaluation. They may ultimately need to dissolve the material if it does not clear on its own. As far as your results, one consideration you did not mention was how much filler material was used. These two areas often require more filler volume than people expect and can be supported by filler placement into the cheeks for further improvmeent. As far as your vertical lip wrinkles you may see better benefit from the use of chemical peels, Botox, and a thin filler such as restylane silk or belotero. See a board certified plastic surgeon for an in-person evaluation and discussion of treatment options.
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June 27, 2016
Answer: Juvederm Didn't Work? First, make sure you express your concerns to your injector. Juvederm can help improve the appearance of skin folds, but it cannot take the place of a facelift or skin tightening from a laser. Jowling is best treated with a facelift and will help improve the appearance of marionette lines beyond what Juvederm can do. Before and after photos (taken with your face in the same position and the same lighting in each photo) can help you see when/if a difference has occurred so that pertinent adjustments can be made to your treatment plan. It my be as simple as you may need more Juvederm or you may need something more invasive (laser, facelift, etc.). Feel free to discuss these options with your injector.
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June 27, 2016
Answer: Juvederm Didn't Work? First, make sure you express your concerns to your injector. Juvederm can help improve the appearance of skin folds, but it cannot take the place of a facelift or skin tightening from a laser. Jowling is best treated with a facelift and will help improve the appearance of marionette lines beyond what Juvederm can do. Before and after photos (taken with your face in the same position and the same lighting in each photo) can help you see when/if a difference has occurred so that pertinent adjustments can be made to your treatment plan. It my be as simple as you may need more Juvederm or you may need something more invasive (laser, facelift, etc.). Feel free to discuss these options with your injector.
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June 22, 2016
Answer: Combination treatments are key Thank you for your question. You have deep etched in lines that are best treated with a combination treatment of botox, fillers and laser resurfacing. A face lift will do nothing to address these, unless paired with an aggressive laser or deep chemical peel. When treating the peri-oral lines one must address multiple issues such a over all volume loss in and around the lips to "frame" and "reset" the lips, relax excessive movement and puckering with botox injections, and filling of the individual lines with fillers that are meant for fine line treatment such as restylane silk. Often when lines are deep, filler alone is not sufficient, and a resurfacing laser such as erbium in need not only to soften the lines, but also improve skin quality and thickness that causes lines in the first place. Best of luck!
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June 22, 2016
Answer: Combination treatments are key Thank you for your question. You have deep etched in lines that are best treated with a combination treatment of botox, fillers and laser resurfacing. A face lift will do nothing to address these, unless paired with an aggressive laser or deep chemical peel. When treating the peri-oral lines one must address multiple issues such a over all volume loss in and around the lips to "frame" and "reset" the lips, relax excessive movement and puckering with botox injections, and filling of the individual lines with fillers that are meant for fine line treatment such as restylane silk. Often when lines are deep, filler alone is not sufficient, and a resurfacing laser such as erbium in need not only to soften the lines, but also improve skin quality and thickness that causes lines in the first place. Best of luck!
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