Absolutely agree , I’m trying to find a plastic surgeon who does the fillers , bcs he knows the anatomy of the face , he works with it every day , and it’s really difficult. Thank u Doctor !
Hi @anastasia4068, You can look at the Y Lift network of doctors who perform bone-level filler placement. While it does require facial surgery knowledge to perform, not all facial surgeons are trained in the technique of bone-level filler placement. I hope this helps you.
@@AmiyaPrasadMD thank u Doctor ,I'll look into this issue. Can I please ask another question, how does the presence of fillers affect the result of the operation? After all, it is now difficult to find virgin faces without a single intervention?thank u , best regards, Anastasia.
Hi@@anastasia4068, Presence of filler should not affect your surgery, but your surgeon should be informed well ahead of time to plan the surgery around the filler material. I hope this clarifies things for you.
Hi @pnevlud, Yes, we have an office in Vienna, at Tyson's Corner, although we are there periodically. You can schedule an appointment in advance. You can call the Vienna, VA office at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
how exactly does placing filler on bone level prevent migration? judging intuitively, wouldn't making normal facial expressions result in the muscle above the filler moving and subsequently spreading/migrating the filler outwards as well?
Hi @rakeshroshan4119, As explained in the video, it is the overlying muscle layer atop the bone that prevents filler migration. Filler migration often occurs at the more superficial level of filler placement, such fat/soft tissue layer, or at the dermal level just below the skin. The Structural Volumizing technique of deeper bone level placement is done in areas with little to no facial movement, such as the cheeks, jawline, and chin. For areas with more facial movement, softer fillers are used to allow for natural facial expressions, but softer fillers also don't last as long, at about 1 year as compared to thicker fillers placed at the cheeks and chin that can last up to 2 years. I hope this clarifies things for you.
@@AmiyaPrasadMD but wouldn't the movement of the overlying muscles, say, for filler placed directly on a very mobile place like the midface, cause the filler to move as well?
Hi@@rakeshroshan4119, If you'd like to see how the filler doesn't migrate when someone has their facial muscles engaged, you can watch the video showing the featured patients talking after treatment. I hope this clarifies things for you.
I ended up getting cheek implants but my doctor used those blue Demo implants instead of a clear ones. Would you say that was a horrible idea? Are the demo blue implants made the same as the clear ones?
Hi @CriscianaLovely, Blue implants are called sizers, and are not meant to be implanted. They are used for finding the right size implant for a patient before surgery. Clear implants are meant to be implanted because they are sterile out of the protective packaging right before they are implanted into a patient. I hope this clarifies things for you.
@@AmiyaPrasadMD Omg!! This doctor put Sizers in my face ! I dont have real implants. Should i remove them ? This is like malpractice , right? Are these sizers made of the same materials as real implants?
@@AmiyaPrasadMD he said i needed different sized implants in my face so he had to use 2 different sizes … maybe to save money he didnt want to buy me 2 different boxes of implants! Im shocked. Im speaking to him tomorrow but i know he will dismiss me like most doctors
Can hyaluronidase desolve an old filler dated of about 5 or 6 years ago and if the use of fractional radiofréquency can desolve this old filler thank you.
Hi @leila3226, Hyaluronidase can dissolve old filler that hasn't metabolized, but it has to be a hyaluronic acid filler, and injection technique matters if the filler is in deeper tissue. It is not safe to attempt to dissolve filler with a thermal device like radiofrequency. Keep in mind these devices use heat, and it's not safe to heat filler. I hope this clarifies things for you.
Just had filler dissolved yesterday on the cheek for a small lump looking thing. Wondering how long to see it gone. My doc is saying 2-3 days. Do you concur?
Hi @pnevlud, I hope you understand that second opinion requires a physical examination, like your doctor did. Without an examination, I would have to defer to your doctor's judgment.
Hi @kidi4245, Hollowness under the eyes, and dark circles are two different issues, which are treated separately. These videos feature treatment options for under eye hollowness: ruclips.net/video/SF1O-tPVGO0/видео.html ruclips.net/video/Q0QiNH7LUVI/видео.html These videos feature treating dark circles: ruclips.net/video/QBvjjvxPt2g/видео.html ruclips.net/video/S6_nTRr1tio/видео.html ruclips.net/video/jQUb67RpaAM/видео.html ruclips.net/video/RHJodb437o4/видео.html
Hi @therealnirmalpr, Combing your hair normally can be done soon after hair transplant surgery, but it is best to ask your transplant surgeon who knows the details of how your hair transplant was performed, and can examine your scalp for any issues. I hope this helps you.
Hi. How long after a hair transplant should I wait to get a face/neck lift done, and which one should be done first the hair or the neck/face? Thank you.
Hi @thestork2210, As long as the facelift incision needed are not on hair bearing skin, I would recommend the hair transplant first, then the face and neck lift done at least 3 months after so hair grafts have time to heal. Keep in mind that I perform facelifts with local anesthesia. General anesthesia puts more stress on the body, so it could add to shock loss (temporary hair shedding) even months after your transplant was performed. I hope this clarifies things for you.
Hello doctor. I had a hair transplant 9 months ago in Turkey. 3400 grafts on the front. (FUE/DHI). When the hair fell out after a few weeks, it started growing very slowly in the 3rd month. Unfortunately, since 3 month the left side has been growing much better than the right. The clinic said everything was normal, but I was frustrated by the lack of growth on the right side of my head. Around the 7th month I went to a trichologist who said that I might have seborrheic dermatitis (I haven't had any redness for about a month now) I changed my shampoo then and started supplementing with vitamins and minoxidil. I have been taking finasteride since the 3rd week after surgery. The clinic says everything is fine and I'm frustrated because the left side and center is dense enough and the right side just looks like it was done in a worse clinic. What can I do?
Hi @newdomiwave2137, Sorry to hear about your problem. A factor often overlooked in FUE transplants is that at least some hair prone to thinning is used as hair grafts, so there may be issues with growth, and progressive thinning of grafts. We have thickened hair grafts, and native hairs, as well as stimulated growth from follicles that are dormant and miniaturizing with our TrichoStem Hair Regeneration treatment. Our patients who were already on finasteride for years still see dramatic improvement in growth and thickness, and minoxidil is not needed after our treatment. You can refer to these videos about it: ruclips.net/video/rIlI55F478w/видео.html ruclips.net/video/A3huSHGYrFU/видео.html
@@AmiyaPrasadMD I understand, but even if the hair was taken too wide from the recipient area, it is then randomly attached to the donor area, so why would there be small patches on the right side? The clinic tells me to wait because it may be a blood circulation issue. But how can I believe that suddenly after 9 months the right side will catch up with the left?
Hi@@newdomiwave2137, There are several possibilities about the cause of your issue. You can refer to these videos about the possibilities: ruclips.net/video/YXEAxJTpumM/видео.html ruclips.net/video/885_UrKpfMo/видео.html
Hi @ummumm-qr7iv, It depends on the cause of one eye being bigger than the other. Your eyes would need to be examined before answering your question definitively. I hope this clarifies things for you.
Thank you doctor prasad for clarifying things for us
You're welcome, @choubeila2996. I'm glad you found the video informative.
Absolutely agree , I’m trying to find a plastic surgeon who does the fillers , bcs he knows the anatomy of the face , he works with it every day , and it’s really difficult. Thank u Doctor !
Hi @anastasia4068,
You can look at the Y Lift network of doctors who perform bone-level filler placement. While it does require facial surgery knowledge to perform, not all facial surgeons are trained in the technique of bone-level filler placement. I hope this helps you.
@@AmiyaPrasadMD thank u Doctor ,I'll look into this issue. Can I please ask another question, how does the presence of fillers affect the result of the operation? After all, it is now difficult to find virgin faces without a single intervention?thank u , best regards, Anastasia.
Hi@@anastasia4068,
Presence of filler should not affect your surgery, but your surgeon should be informed well ahead of time to plan the surgery around the filler material. I hope this clarifies things for you.
@@AmiyaPrasadMD I see, thank you !!! Good luck !
You're welcome,@@anastasia4068
I cannot find a doc in northern va that does the Y lift. Can you help?
Hi @pnevlud,
Yes, we have an office in Vienna, at Tyson's Corner, although we are there periodically. You can schedule an appointment in advance. You can call the Vienna, VA office at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
how exactly does placing filler on bone level prevent migration? judging intuitively, wouldn't making normal facial expressions result in the muscle above the filler moving and subsequently spreading/migrating the filler outwards as well?
Hi @rakeshroshan4119,
As explained in the video, it is the overlying muscle layer atop the bone that prevents filler migration. Filler migration often occurs at the more superficial level of filler placement, such fat/soft tissue layer, or at the dermal level just below the skin.
The Structural Volumizing technique of deeper bone level placement is done in areas with little to no facial movement, such as the cheeks, jawline, and chin. For areas with more facial movement, softer fillers are used to allow for natural facial expressions, but softer fillers also don't last as long, at about 1 year as compared to thicker fillers placed at the cheeks and chin that can last up to 2 years. I hope this clarifies things for you.
@@AmiyaPrasadMD but wouldn't the movement of the overlying muscles, say, for filler placed directly on a very mobile place like the midface, cause the filler to move as well?
Hi@@rakeshroshan4119,
If you'd like to see how the filler doesn't migrate when someone has their facial muscles engaged, you can watch the video showing the featured patients talking after treatment. I hope this clarifies things for you.
I ended up getting cheek implants but my doctor used those blue Demo implants instead of a clear ones. Would you say that was a horrible idea? Are the demo blue implants made the same as the clear ones?
Hi @CriscianaLovely,
Blue implants are called sizers, and are not meant to be implanted. They are used for finding the right size implant for a patient before surgery. Clear implants are meant to be implanted because they are sterile out of the protective packaging right before they are implanted into a patient. I hope this clarifies things for you.
@@AmiyaPrasadMD Omg!! This doctor put Sizers in my face ! I dont have real implants. Should i remove them ? This is like malpractice , right? Are these sizers made of the same materials as real implants?
@@AmiyaPrasadMD he said i needed different sized implants in my face so he had to use 2 different sizes … maybe to save money he didnt want to buy me 2 different boxes of implants! Im shocked. Im speaking to him tomorrow but i know he will dismiss me like most doctors
Can hyaluronidase desolve an old filler dated of about 5 or 6 years ago and if the use of fractional radiofréquency can desolve this old filler thank you.
Hi @leila3226,
Hyaluronidase can dissolve old filler that hasn't metabolized, but it has to be a hyaluronic acid filler, and injection technique matters if the filler is in deeper tissue.
It is not safe to attempt to dissolve filler with a thermal device like radiofrequency. Keep in mind these devices use heat, and it's not safe to heat filler. I hope this clarifies things for you.
Just had filler dissolved yesterday on the cheek for a small lump looking thing.
Wondering how long to see it gone. My doc is saying 2-3 days. Do you concur?
Hi @pnevlud,
I hope you understand that second opinion requires a physical examination, like your doctor did. Without an examination, I would have to defer to your doctor's judgment.
I am a 30 years old woman i have deep hollowed under dark circles,does the filler is the solution? Thank you
Hi @kidi4245,
Hollowness under the eyes, and dark circles are two different issues, which are treated separately. These videos feature treatment options for under eye hollowness:
ruclips.net/video/SF1O-tPVGO0/видео.html
ruclips.net/video/Q0QiNH7LUVI/видео.html
These videos feature treating dark circles:
ruclips.net/video/QBvjjvxPt2g/видео.html
ruclips.net/video/S6_nTRr1tio/видео.html
ruclips.net/video/jQUb67RpaAM/видео.html
ruclips.net/video/RHJodb437o4/видео.html
Dr is there any chance of fillers migrating to the sinuses ...i am more prone to sinisitits after undereye fillers ...any relation?
Doctor how many months after hair transplant is safe to start combing hair normally as before
Hi @therealnirmalpr,
Combing your hair normally can be done soon after hair transplant surgery, but it is best to ask your transplant surgeon who knows the details of how your hair transplant was performed, and can examine your scalp for any issues. I hope this helps you.
Hi. How long after a hair transplant should I wait to get a face/neck lift done, and which one should be done first the hair or the neck/face?
Thank you.
Hi @thestork2210,
As long as the facelift incision needed are not on hair bearing skin, I would recommend the hair transplant first, then the face and neck lift done at least 3 months after so hair grafts have time to heal. Keep in mind that I perform facelifts with local anesthesia. General anesthesia puts more stress on the body, so it could add to shock loss (temporary hair shedding) even months after your transplant was performed. I hope this clarifies things for you.
Hello doctor. I had a hair transplant 9 months ago in Turkey. 3400 grafts on the front. (FUE/DHI). When the hair fell out after a few weeks, it started growing very slowly in the 3rd month. Unfortunately, since 3 month the left side has been growing much better than the right. The clinic said everything was normal, but I was frustrated by the lack of growth on the right side of my head. Around the 7th month I went to a trichologist who said that I might have seborrheic dermatitis (I haven't had any redness for about a month now) I changed my shampoo then and started supplementing with vitamins and minoxidil. I have been taking finasteride since the 3rd week after surgery. The clinic says everything is fine and I'm frustrated because the left side and center is dense enough and the right side just looks like it was done in a worse clinic. What can I do?
Hi @newdomiwave2137,
Sorry to hear about your problem. A factor often overlooked in FUE transplants is that at least some hair prone to thinning is used as hair grafts, so there may be issues with growth, and progressive thinning of grafts. We have thickened hair grafts, and native hairs, as well as stimulated growth from follicles that are dormant and miniaturizing with our TrichoStem Hair Regeneration treatment. Our patients who were already on finasteride for years still see dramatic improvement in growth and thickness, and minoxidil is not needed after our treatment. You can refer to these videos about it:
ruclips.net/video/rIlI55F478w/видео.html
ruclips.net/video/A3huSHGYrFU/видео.html
@@AmiyaPrasadMD I understand, but even if the hair was taken too wide from the recipient area, it is then randomly attached to the donor area, so why would there be small patches on the right side? The clinic tells me to wait because it may be a blood circulation issue. But how can I believe that suddenly after 9 months the right side will catch up with the left?
Hi@@newdomiwave2137,
There are several possibilities about the cause of your issue. You can refer to these videos about the possibilities:
ruclips.net/video/YXEAxJTpumM/видео.html
ruclips.net/video/885_UrKpfMo/видео.html
Doc, can one eye bigger than the other be fixed ?
Hi @ummumm-qr7iv,
It depends on the cause of one eye being bigger than the other. Your eyes would need to be examined before answering your question definitively. I hope this clarifies things for you.