Let’s talk DURATION! Love this graphic from @injectorbunny regarding onset of action, peak action & then the dissipation of neuromodulator ( #botox or #dysport )with a gradual return of muscle function.
....
It is NORMAL after 2-3 months or 8-10 weeks to see a gradual return of movement. Some patients get a little longer, some get a little shorter - there is some variability depending on the individual- but overall this depicts a generally normal timeline.
....
As is often discussed with patients in clinic, generally speaking every 3-4 months (or once a season) is all that is needed. Also, those who know me hear me say this all the time, but after consistent use for a period of time at regular intervals, what we see in practice is that you can go *longer* between appointments as the muscles “forget” how to do such heavy lifting (think of it in terms of working out ones 💪🏻 - the less you work out, the less you can lift).
....
Hope this helps for my visual learners out there! 🙌 ... See MoreSee Less
Photo
The buccal fat pad (one of which is pictured here) & its removal has recently become more en vogue as we have seen a heightened interest in a more defined cheek & cheekbone complex.
....
It is incredibly rewarding for both the patient and myself when performed in the right person. Also, make sure you choose wisely - as pictured in a few images here - many very important structures in this region (namely parotid duct, facial nerve branches, & important vessels).
....
The procedure is commonly performed as part of facial contouring and frequently in conjunction with liposuction, chin augmentation and the like. This gives an overall beautiful natural result while still preserving who YOU are.
....
While buccal fat pad removal yields results, it must be approached with caution. The majority of patients who ask about this surgical procedure are not candidates. The reason why lies for the most part in considering how each particular patient will age. If done aggressively, to really reach for that “wow” sculpted result, you may run into the fact that in a few years this area will appear deflated, sunken & artificially aged ahead of course. Not the case for everyone though so worth a conversation!
....
Questions? Let’s hear them! ... See MoreSee Less
Photo
Love this from the brilliant team @cosmedocs ✨🌟✨
These retaining ligaments come into play for everything I do from facelifts to eyelid surgery to tear trough & jawline filler!
....
I have this conversation all the time with patients (especially my surgical & filler patients) regarding retaining ligaments in the face. Having an understanding of these is incredibly important in terms of why we see some of the changes we do with the face as we age. Granted, this is something for me to know inside & out to treat you best, but y’all know how much I love an educational opportunity!
....
My favorites to discuss:
1. Orbital retaining ligament (ORL)
2. Zygomatic Cutaneous
*Honorable Mention - Mandibular* ... See MoreSee Less
Photo
Love being able to contribute to the progress of our field alongside so many greats @pcarniol @mathew_avrammd @drjeremybrauer @drlouisdejoseph ! My recent book chapter is published in the new textbook “Complications in Minimally Invasive Facial Rejuvenation: Prevention and Management” focusing on complications due to filler, keys to prevention & management in the instance they occur.
....
As we see an astronomical increase in filler use as well as a diverse field of those performing injections, it is critical that you seek someone proficient in not only the injections (that’s the easy part!), but also in preventing, recognizing & managing issues that may follow. Your face will thank you!! ... See MoreSee Less
Photo
Early results from a #necklift - she is loving these results & so are we!
....
For some patients, depending on their goals & their individual anatomy, a Necklift by itself is an option. This helps to achieve a more defined neck & jawline, as seen here in this profile view, with limited incisions.
....
She still has some swelling & the ears are a tidge swollen as well, but her incision is nowhere in sight. These results will continue to refine in & improve as well.
....
Now...who’s next?!? ... See MoreSee Less
Photo