Treatment Provider

Rian A. Maercks, MD
Board Certified Plastic Surgeon
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Moved onward and upward!

Additional comments from this doctor on June 20 2015 attempting to discredit me and my results from his work and these pictures as being false, (of which they are not!) and now further attempting to slur or infer a psychological issue underlies this review is disturbingly unethical on his part to say the least!

The positive side of being able to read his comments here is that you get experience first hand who you be dealing with if you choose him and something goes wrong.

No this doctor doesn’t consider that maybe my results from his procedure were like that because he used a product that is not recommended as the best filler for the tear troughs, as well as having used far more than is recommended at any one given time by the manufacturer, and according to my new practitioner, he applied it above the rim--which according to her is an industry no no. It was quite tricky for her to remove. Nope, for this guy, it’s all these other excuses of which, if he truly believes is why this horrific result occurred, and he knew about it beforehand, it begs the question, “why would he then ethically go forward with the procedure?” He recommended this procedure saying it would be the best “bang for my buck.” This whole situation with his comments has become comical. What a disappointed this guy is!

To his credit, he used a product that is reversible. This is the saving grace of my entire experience. My new practitioner has reversed this horrific result, and I have moved on from this original doctor and experience. Because of that, I will no longer post replies here, regardless of what he continues to write. If you would like to know more, feel free to send a direct message.

Good luck to you!

GREAT NEWS! Excellent reversal results!

I am easily the happiest woman om this planet right now! I have my first filler reversal session with the new practitioner today and wow!!!! Look at these results! I am crying with joy! To add to this glorious blessing, it only cost me $75.00 because I was treated as a return customer! What a gift after the very difficult, emotionally draining experience I've had along the way. I go back in two weeks for a follow up :-) thank God for this outcome!!!

Dr. Review Periorbita and Temple Balancing with Perlane

Note to anyone considering this product for use in your tear troughs or around your eyes. I believe you should do your homework on what types of filler is best for the different areas on your face before you commit. Check the manufactures information provided to doctors on all products, and get several opinions from filler injection experts, such as the national trainers for the companies that make them. Collect a lot of opinions and read a lot of reviews. This will still not guarantee your outcome, but it will help discern what product and how much is safe to use on any area of your face.

Here is the review I gave Dr. Maercks under my new account "FaithBook" on May 4th, while trying to close this one. However, Real Self combined them both into this one instead, where I not had yet give the Dr. a review. Below is the full official account of my Perlane experience with Dr. Maercks.

In January of 2015, I had a consultation with Dr. Maercks for his facial balancing procedure. I found his character, professionalism and level of intelligence to be very impressive! His office and staff are wonderful. Better treatment is very hard to find!

Dr. Maercks reminds me of a trend setting, cutting edge personality, who is unafraid of pushing boundaries set forth by those before him, in order to raise the bar. I mean this is the utmost sense of all that is good-willed and positive.

I was initially interested in fat transfer facial balancing, but feared the fact that it was permanent, and there was no way to gauge a result without going through the very costly surgery to do it. Dr. Maercks then discussed the option of temporary filler. My husband and I decided to test if his facial balancing procedure was right for me using filler before I would commit to fat transfer. Dr Maercks recommended that I have the treatment applied to my periorbita area as the most bang for my buck, quoted at $5,100.00.

I reviewed results of his own application of juvederm (similar to Perlane) to his face and periorbita (includes tear troughs), which is publicly displayed on his youtube site. His results are impeccable! There weren't many client results available in pictures for my husband and I to review, but his own demonstration on his own face, and our impression of him and his staff in person was good enough for us.

I traveled to Miami and had the procedure done on March 13th. During the procedure, Dr. Maercks realized he needed to add one more CC to my left eye, bringing the total to 7 CCs. During the application we saw that my temples were very hallowed, which stood out more now that the filler had been applied to my periorbita, so I had 4 more CC's applied. (2 to each temple). I had a total of 11 CC's (MLs) of Perlane applied that day.

The procedure itself was easily tolerable and almost painless. Dr. Maercks has a very interesting and unique method for applying filler. I found it quite fascinating. His bedside manner is outstanding and he takes his time explaining everything he does. He is very careful and respectful. He does not use numbing cream, but freezes the skin with a harmless product, and adds a numbing agent to the filler. It seemed to work very well!

When he finished, I was extremely swollen on both sides, and bruised under my left eye. This wasn't abnormal under the circumstances. However, when I got home, it got a lot worse. The bruise under my left eye increased as did the swelling, which increased the downtime to 2 full weeks. I was not expecting this result after speaking with Dr. Maercks about what the average downtime his patients experienced, to which the answer was several days and almost no bruising. However, the truth is that no two patents are alike and it is very possible that one can experience massive swelling and bruising, while another experiences none at all. So while I was not delusional about this fact, I was extremely disappointed that for me, it took 12 days for the swelling and bruise to go away.

At 4 weeks post after all was said and done, I had a horrific result with the Perlane applied to my periorbita and temples--rendering significant dents, bulges and discoloration as can be seen in the pictures. Due to other obligations and the distance between my home location and Dr. Maercks office, I wasn't able to get in to see him for correction until week 6 post the initial procedure. Dr. Maercks was very sensitive, empathetic and sympathetic toward my results and needs. He was also very generous in offering 2 additional CC's of Perlane (1 for each tear trough) and some Hyaluronidase to dissolve the large bulge under my left eye, free of charge, and applied on the same day. This honest attempt to correct my result did not work. It unfortunately rendered a worse result, and did not address the dents and bumps outside my tear troughs and around my periorbita.

I am now in the process of reversing the initial and corrective procedure with another practitioner. Not because Dr. Maercks wouldn't care for me. I really liked his ideas, it's just unfortunate that my actual results don't match up to my experience with his practice otherwise. My husband and I are very disappointed because we do like Dr. Maercks and hoped for a long-term relationship. It is my choice to use another practitioner, as well as a different product and method at this juncture. The good news is that because Perlane is an HA filler, it can be completely reversed. I am very relieved that I chose the trial route with filler as opposed to the permanent fat transfer route.

My experience is but one experience. This doesn't mean that everyone or even anyone will experience the same. I did my homework with Dr. Maercks and there was absolutely nothing to cause me to fear this result would occur. It just happened, and is very important that I (and others) are very honest and detailed about their experiences when giving a review. I have read mostly great reviews about Dr. Maercks, though very few pictures included with them. I have read less than a handful of bad reviews, with no pictures included, which all seem to attack his character. I cannot agree with any of those reviews, even though I am devastated at my results and what I have to go through to correct them.

From all my experiences with Dr. Maercks, I can honestly say that I believe he is a good guy, as well as is a very smart and caring Dr.

If you are considering a procedure with Dr. Maercks, I believe you need to make the decision after meeting him and doing all the homework yourself. Reading other peoples reviews is not a guarantee of your own results. Be keen and be careful! I wish Dr. Maercks and his staff the very best! Good luck to you as well!

Provider Review

Board Certified Plastic Surgeon
3050 Biscayne Blvd., Miami, Florida
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