Rhinoplasty: Cost, Pics, Reviews, Q&A

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Nov 1, 2019 /
Dec 31, 2023

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Specific treatments

I'm 27, and plan to have children in the future: should I wait to treat my veins?

No
Aug 22, 2017

Your veins will get worse while you are pregnant and they may cause a lot of discomfort during the pregnancy. If you get the veins treated before you get pregnant it can help with symptoms and the risk of developing phlebitis (superficial clot) or more discoloration in the legs. If you do you have vein treatment prior to your pregnancy you will probably need follow up treatment because you may develop new veins while pregnant.

hemosiderin staining post sclerotherapy

sclerotherapy staining
Apr 5, 2015

Staining after sclerotherapy will continue to improve over time but dark stains can take over two years to lighten significantly. There are several lasers than can help. A q-switch laser shoots a very fast blast of laser light into the pigment breaking it up so the body can clear the treated area. The newer pico switch lasers are also claiming seccess wit hemosiderin stains. Fractional ablation if you can get it deep enough will also result in some improvement....

Can I have Fraxal and Botox ?

Fraxal first then botox
Mar 24, 2015

Yes you can have both the same day. It is important to know that Botox is very sensitive to heat. If you were to get the Botox injection around your eyes and then get it too hot the molecules of Botox could get cooked. This would make them ineffective. Wait at least a week after the Botox injection to have a Fraxal treatment. .....or....... simply get the Botox immediately after the Fraxal the same day. That should be fine. Massage of the Botox with the Fraxal...

I've got a lump on my nasolabial fold - is that normal?

difficult nasolabial folds
Mar 22, 2015

Your nasolabial folds are quite deep. Filling them with any filler is not going to flatten out the fold without bunching up the skin if it is put directly into or under the fold. Injecting the material below your eyes will lift the skin and improve the lines somewhat. A lower face lift with sutures could be the next step and would support your cheeks for perhaps 18 months to 2 years. An office face lift of the 'Lifestyle' kind would be more aggressive and last longer....

How much Botox would I need to lift area between eyebrows?

botox relaxes muscles
Mar 21, 2015

Be careful with Botox here if your goal is to 'lift' your eyebrows. Botox relaxes the muscles wherever it is used. If it is placed between the eyebrow the result is to slightly lower the area. Most of the time you can see a slight lift with a small amount of botox placed in the center of each brow but this is not dramatic.

What would your advice be if I walked to your office? Botox?

neck lines laser peel
Mar 19, 2015

Botox works nice for Bands but not so good for lines. A light resurfacing peel maybe repeated after 6 weeks would be my recommendation. 15 microns is good to start. Make sure you see someone who has been doing this procedure it is easy to go too deep on the neck making slow to heal wounds. I would also add your neck looks nice in the photos knowing what we can do now then consider waiting until you need the procedure maybe..........

Botox units - I get a little confused how much units to wear to an area.

Mixing Botox
Mar 11, 2015

All these answers here are all good. We recommend you keep it simple and use 2.5 cc of saline to reconstitute the 100 unit Botox vial. You will then be injecting 4 units of Botox for every 0.1 cc mark on the 1 cc syringe. Mixing it up more concentrated waste more Botox In the needle and the hub where the plunger does not reach. Diluting the Botox more than that will make the bumps on the forehead bigger than necessary. Your patients will not like that.