I am starting o have a problem with hollowness underneath my cheeks and would like to fill them out again. I have used Radiesse and it is great..problem is..it only lasts 4 months on me and it is very expensive to maintain. I suppose I am unfortunate as fillers disolve quickly on me.Is there something better? Or is a lower check implant the best solution for me? HELP!!!
March 11, 2011
Answer: Cheek augmentation
In such cases my first choice is free fat transer, second is sculptra, third is other dermal fillers and fourth is a submalar implant. This is based on cost, ease of the procedure, risk of complications, reliability of the result, longevity of the procedure etc. Without photos or a face to face examination one cannot say what would be best in your situation.
Helpful
March 11, 2011
Answer: Cheek augmentation
In such cases my first choice is free fat transer, second is sculptra, third is other dermal fillers and fourth is a submalar implant. This is based on cost, ease of the procedure, risk of complications, reliability of the result, longevity of the procedure etc. Without photos or a face to face examination one cannot say what would be best in your situation.
Helpful
March 12, 2011
Answer: Submalar filling can be achieved in many ways
In general, if the volume loss is truly submalar, submalar implants are a permanent, yet reversible option, and are my preference in patients willing to accept the cost, risk, and recovery of surgery.
In many patients, we will use filler instead, as cost, risk, and recovery are less. I generally avoid Radiesse, as 30% or so of the product is a carrier gel that is absorbed over the first few months. I find many patients feel that their immediate result "doesn't last" when that initial carrier gel resorption occurs. I much prefer Juvederm Ultra plus, as this emotional "let down" does not occur.
I generally reserve fat transfer for patients in whom I'm already doing other surgery, as it is neither as fast and recovery-free as fillers, nor as predictable and permanent as implants.
Helpful 1 person found this helpful
March 12, 2011
Answer: Submalar filling can be achieved in many ways
In general, if the volume loss is truly submalar, submalar implants are a permanent, yet reversible option, and are my preference in patients willing to accept the cost, risk, and recovery of surgery.
In many patients, we will use filler instead, as cost, risk, and recovery are less. I generally avoid Radiesse, as 30% or so of the product is a carrier gel that is absorbed over the first few months. I find many patients feel that their immediate result "doesn't last" when that initial carrier gel resorption occurs. I much prefer Juvederm Ultra plus, as this emotional "let down" does not occur.
I generally reserve fat transfer for patients in whom I'm already doing other surgery, as it is neither as fast and recovery-free as fillers, nor as predictable and permanent as implants.
Helpful 1 person found this helpful