How long after a facelift should one wait to get structural volumizing? How many syringes for the cheeks, and where exactly would the filler be placed in the cheeks, since it's mostly a soft tissue area?
Hi @dammar117, Structural Volumizing can be done at the same time as a facelift, but it can also be done after temporary swelling from facelift surgery resolves, so results are more accurate. Structural Volumizing is done under the muscle layer of the cheeks, which is deeper than the soft tissue level, for a more defined appearance, and to avoid migration of filler so results don't look soft and doughy. You can refer to this video regarding the cheeks treated with Structural Volumizing - ruclips.net/video/kpkIuOXkloI/видео.html
At 1'03" the "Short Scar" patient in the upper left corner... Did she get a chin implant? I've been wondering about the lifting effects of a chin implant after studying the faces of some people.
Hi @dammar117, You can look at this video for the effects of chin augmentation, whether filler or an implant, on the whole face - ruclips.net/video/dP5gLXQ9ECc/видео.html
Hi Dr Prasad, I def understand this approach and it’s benefits, but why is it that a lot of facelift surgeons argue for a facelift with fat transfer more than often. Wouldn’t it be better to also get a facelift and replace volume to the bone and soft tissue with filler. You would repositioning the underlying muscles and fascia of the skin to a youthful position and removing excess skin laxity as well as removing laxity from forehead, eyes, brows, neck etc. Then you could also tackle the bone.
Hi @dencentbeatz794, Fat transfers can't be done at the bone level due to the lack of blood supply in this area, which is needed for grafted fat to remain viable. Grafted fat doesn't feel like bone, and can't add structure like a filler placed atop the bone. Thicker hyaluronic acid fillers at the bone level actually feel like bone, and filler doesn't need a blood supply to remain viable. Also, fat transferring usually requires a minimum of two procedures as 30-70% of grafted fat is metabolized soon after surgery, making the procedure less predictable, more inconvenient, and more costly for patients than non-surgical deep filler placement. I hope this clarifies things for you.
Dr....as teeth also provide structural support to face........does extracting total 4 premolar teeth from four sides as part of orthodontic treatment lead to less structural support, thus leading to tissue loss and bone loss little bit? Is it true or sort of ...
Hi @anum3702, No, because you will only notice loss of structural support of teeth if most or all teeth are lost or removed, not just 4 premolars. I hope this clarifies things for you.
Dr........4 premolar extraction as part of orthodontic braces treatment has any negative effects on nasobial folds ? ...like deepening of them? any possibility ?
Hi @anum3702, No, nasolabial folds are caused by age related volume loss. As I recall, you're only 25, or 26, so don't worry about aging so much when you're still very young.
Hi @harpers1niter, Sculptra or poly-L-lactic acid relies on a biological reaction from the body, so results can be unpredictable. You may want to consider hyaluronic acid fillers for more precise, predictable results, as detailed in the video. I hope this clarifies things for you.
@@AmiyaPrasadMD I was lucky. when Sculptra first came onto the market I was my Dr''s favorite and was one of three people chosen that he trained on. I had three treatments and loved it. But I was younger than. I have had 2 of 3 I had planned on but filler is definitely needed as well. I look to Sculptra as fertilizer for my face. It's not going to give me the cheeks I need. I wish it would stay like it looks right after injection. The next day all of that is gone. I believe in it though. Nice to see you!
@@AmiyaPrasadMD My son is getting a chin augmentation next week. We are super excited. I'll figure out how to send you before afters. I wish you were doing it.
Hi@@harpers1niter, The results the day after injection are also due to temporary swelling from the facial injection trauma, which is why it doesn't last. However, a fuller cheek appearance with long lasting results can be achieved with bone level hyaluronic acid filler treatment. You can refer to this video about it - ruclips.net/video/kpkIuOXkloI/видео.html
@@AmiyaPrasadMD Thank you. It’s hard to spend so much money on something that you don’t see results. I just know it’s good for my skin. My son gets his chin implant Thursday . We are excited.
Hi @vinayvv1yg, I suggest you consult your transplant surgeon about this as I don't know how aggressively you plan on doing this, and your surgeon knows details of your hair transplant surgery. I hope this helps you.
Hi @shraddha5963, Sorry to hear about your problem. I would have to examine your eyelids to diagnose the cause before I can recommend treatment. I suggest you follow up with your surgeon about this, as I would need to perform a physical examination to give you a proper second opinion. I hope this helps you.
Hi@@Nishta45bi44sksbs9djeje, Consultations are by appointment only, and can be arranged by our offices to be done remotely on a one-on-one video call on Skype or FaceTime. Consultations do require a consultation fee, but the fee can be applied to the cost of treatment. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia 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.
Hey doctor, Do you use custom infraorbital implants or standard implants? And how do you usually place them? Through transconjuctival approach or through lower eyelid incision? Which approach is basically better so that lower eyelid doesn’t retract?
Dr. I lost 15 kg by dieting a few months ago and during this weight loss I took antibiotics for 20 days because of a sore on my leg. Suddenly I noticed on my head that the hair in the center of my head was looking thinner and falling out on the pillow and in the shower. My hair loss is now reduced by taking multivitamins, will my hair regrow?
Hi @user-xq8pt4qv8c, It's not clear what the cause of your hair loss is. The stress on your body from rapid weight loss can cause temporary hair shedding, which does grow back as stress on your body reduces. However, I would have to examine your scalp to determine if you actively thinning hair due to genetic pattern hair loss. Also, I don't advise taking antibiotics unless they are prescribed by your doctor. I hope this clarifies things for you.
Hai doctor how many weeks after hair transplant if i hit my transplanted head anywhere probably like a wall during sleep which won't become a cause of concern. after how many weeks its safe if hits transplanted area on somewhere.
Hi @joshygeorge11, Hair grafts are so secure 48-72 hours after surgery that it would take a medical instrument to dislodge them. You can refer to this video about it - ruclips.net/video/K-t6Eu1McJU/видео.html
Hello doctor amiya prasad sir. It takes some months for the numbness on head to wear off after hair transplant right?. Iam 2 and half months post op and i still feel the numbness on my head. so for exercising i need to bend down my head at that time i feel the numbness. so is this okay to excersise with feeling numbness or i need to wait for numbness to completely go away for starting excersises
Hi @littlesparrowS7, You should not have numbness in your scalp this long after your transplant surgery, so I suggest you discuss this, and other issues with your surgeon who can examine your scalp, and knows details of how your transplant was performed, including the type of anesthesia that was used that may be causing prolonged numbness. I hope this clarifies things for you.
Doctor iam now 58 days after my hair transplant. today i was standing in a cow farm. the cow keeper poured insecticide on cows skin. Unfortunately i was standing there. a very small amount of insecticide fells on my head. i don't know Excatly where in my head it fells. fells very little on my head. I suddenly washed my head. the ingredient on that insecticide was cypermethrin. will it cause any issues to my transplanted head.
Hi @jeob112james, While this shouldn't affect you this long after your hair transplant surgery, if you are worried about results, you can follow up with your hair transplant surgeon who can examine your scalp for issues. I hope this helps you.
Doctor after 1 month of my hair transplant. i drink 1 glass of cow milk 3 hrs before my first prp after hair transplant. I read in some blogs that milk should be avoided before prp. I just wanted to know that i already done prp after drinking milk will this affects my hair transplantation results
Hi @dheeravabheyshyam, Some foods like milk can bring platelet count down, but if you're worried about it, PRP can be repeated. PRP is used in our TrichoStem Hair Regeneration treatment, but it's not the main ingredient. You can refer to this video about the differences between our treatment, and PRP alone - ruclips.net/video/vZAGaAssewY/видео.html
Hi@@dheeravabheyshyam, There are many factors that affect hair transplant results, like progressive hair thinning, not using a DHT-blocker, grafts prone to thinning that are more significant than one PRP session with reduced platelet count due to drinking milk. I think you should consider these factors more than a single PRP session that will not impact your long-term transplant results significantly. I hope this clarifies things for you.
Hmm structural volumizing. What product do you inject? My doc uses restylane Lyft and does a cheek lift and temporal lift (not exactly in the temples) if that makes sense. Are you saying she should go deeper? Sorry I’m confused. I actually just sent your video to her to confirm if she is doing this
Hi @pnevlud, The brand of filler is not as important as the placement technique. Structural Volumizing, or the Y Lift is a specific procedure that injects filler at the bone level, and underneath the muscle layer, which is particularly important for the cheek area to avoid the doughy/pillowy appearance. Although it's not a surgical procedure, it does require surgical facelift experience to place filler at the bone level. I hope this clarifies things for you.
Greetings doctor sir thanks for the video. I got done my hair transplant 2 and half months back. some weeks before my hair transplant i stopped my gym and all other forms of exercises, and i didn't resumed yet. my gym trainer meets me today and he said i became fat and after examining my physical features he said iam almost obese and i should reduce my fat otherwise i can lead to health issues. he advised me to cut some of my calories and says to add high protien diet. he says doing weight loss while having a balanced diet won't impact hair growth but he is not a doctor. If i focus on weight loss with high protien diet ( without including protien supplements like creatine whey protien etc ) insted of it i eat soy chunks, eggs, milks, peanut butter, chicken, pulses, dry fruits etc and will do moderate level weight training without stressing a lot. i can aim for weight loss slowly and steadily. is this ok to do can i start this soon or do i need to wait for more months.
Hi @jithujithin1AS, You can likely resume your regular exercise routine by now, but you should consult your transplant surgeon first about it. You can refer to this video for guidance about resuming exercise after hair transplant surgery - ruclips.net/video/5SNt8OQopjs/видео.html
Great Video as always!!! Thanks for your time!!
You're welcome, @marianatirante612! I'm glad you liked the video. Thank you for watching!
How do you inject trichostem to places like sides,temples with large area of thinning ? Pain will be there ?
Hi @anum3702,
No, there is no pain as we use topical, and injectable anesthetic before the treatment.
How long after a facelift should one wait to get structural volumizing?
How many syringes for the cheeks, and where exactly would the filler be placed in the cheeks, since it's mostly a soft tissue area?
Hi @dammar117,
Structural Volumizing can be done at the same time as a facelift, but it can also be done after temporary swelling from facelift surgery resolves, so results are more accurate. Structural Volumizing is done under the muscle layer of the cheeks, which is deeper than the soft tissue level, for a more defined appearance, and to avoid migration of filler so results don't look soft and doughy. You can refer to this video regarding the cheeks treated with Structural Volumizing - ruclips.net/video/kpkIuOXkloI/видео.html
At 1'03" the "Short Scar" patient in the upper left corner... Did she get a chin implant?
I've been wondering about the lifting effects of a chin implant after studying the faces of some people.
Hi @dammar117,
You can look at this video for the effects of chin augmentation, whether filler or an implant, on the whole face - ruclips.net/video/dP5gLXQ9ECc/видео.html
How long does a Y lift last?
Hi@@marianmcoy7816,
Thicker hyaluronic acid fillers such as Voluma used in the Y Lift last up to two years. I hope this clarifies things for you.
Hi Dr Prasad, I def understand this approach and it’s benefits, but why is it that a lot of facelift surgeons argue for a facelift with fat transfer more than often. Wouldn’t it be better to also get a facelift and replace volume to the bone and soft tissue with filler. You would repositioning the underlying muscles and fascia of the skin to a youthful position and removing excess skin laxity as well as removing laxity from forehead, eyes, brows, neck etc. Then you could also tackle the bone.
Hi @dencentbeatz794,
Fat transfers can't be done at the bone level due to the lack of blood supply in this area, which is needed for grafted fat to remain viable. Grafted fat doesn't feel like bone, and can't add structure like a filler placed atop the bone. Thicker hyaluronic acid fillers at the bone level actually feel like bone, and filler doesn't need a blood supply to remain viable. Also, fat transferring usually requires a minimum of two procedures as 30-70% of grafted fat is metabolized soon after surgery, making the procedure less predictable, more inconvenient, and more costly for patients than non-surgical deep filler placement. I hope this clarifies things for you.
Dr....as teeth also provide structural support to face........does extracting total 4 premolar teeth from four sides as part of orthodontic treatment lead to less structural support, thus leading to tissue loss and bone loss little bit?
Is it true or sort of ...
Hi @anum3702,
No, because you will only notice loss of structural support of teeth if most or all teeth are lost or removed, not just 4 premolars. I hope this clarifies things for you.
Dr........4 premolar extraction as part of orthodontic braces treatment has any negative effects on nasobial folds ? ...like deepening of them? any possibility ?
Hi @anum3702,
No, nasolabial folds are caused by age related volume loss. As I recall, you're only 25, or 26, so don't worry about aging so much when you're still very young.
Just on my way for more Sculptra. It's not doing my lower face any favors. It looks more saggy. Just going to do upper face and temples I think.
Hi @harpers1niter,
Sculptra or poly-L-lactic acid relies on a biological reaction from the body, so results can be unpredictable. You may want to consider hyaluronic acid fillers for more precise, predictable results, as detailed in the video. I hope this clarifies things for you.
@@AmiyaPrasadMD I was lucky. when Sculptra first came onto the market I was my Dr''s favorite and was one of three people chosen that he trained on. I had three treatments and loved it. But I was younger than. I have had 2 of 3 I had planned on but filler is definitely needed as well. I look to Sculptra as fertilizer for my face. It's not going to give me the cheeks I need. I wish it would stay like it looks right after injection. The next day all of that is gone. I believe in it though. Nice to see you!
@@AmiyaPrasadMD My son is getting a chin augmentation next week. We are super excited. I'll figure out how to send you before afters. I wish you were doing it.
Hi@@harpers1niter,
The results the day after injection are also due to temporary swelling from the facial injection trauma, which is why it doesn't last. However, a fuller cheek appearance with long lasting results can be achieved with bone level hyaluronic acid filler treatment. You can refer to this video about it - ruclips.net/video/kpkIuOXkloI/видео.html
@@AmiyaPrasadMD Thank you. It’s hard to spend so much money on something that you don’t see results. I just know it’s good for my skin. My son gets his chin implant Thursday . We are excited.
Doctor when is safe to move transplanted hairs with palms to opposite direction hairline to backwards
Hi @vinayvv1yg,
I suggest you consult your transplant surgeon about this as I don't know how aggressively you plan on doing this, and your surgeon knows details of your hair transplant surgery. I hope this helps you.
Sir, im suffering from upper eyelid hypotrophy after ptosis surgery
Can u please just tell ways in which it can be treated?
Hi @shraddha5963,
Sorry to hear about your problem. I would have to examine your eyelids to diagnose the cause before I can recommend treatment. I suggest you follow up with your surgeon about this, as I would need to perform a physical examination to give you a proper second opinion. I hope this helps you.
Hi@@Nishta45bi44sksbs9djeje,
Consultations are by appointment only, and can be arranged by our offices to be done remotely on a one-on-one video call on Skype or FaceTime. Consultations do require a consultation fee, but the fee can be applied to the cost of treatment.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia 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.
Hey doctor, Do you use custom infraorbital implants or standard implants? And how do you usually place them? Through transconjuctival approach or through lower eyelid incision? Which approach is basically better so that lower eyelid doesn’t retract?
please see replies to yo0ur same comment on other videos
Dr. I lost 15 kg by dieting a few months ago and during this weight loss I took antibiotics for 20 days because of a sore on my leg. Suddenly I noticed on my head that the hair in the center of my head was looking thinner and falling out on the pillow and in the shower. My hair loss is now reduced by taking multivitamins, will my hair regrow?
Hi @user-xq8pt4qv8c,
It's not clear what the cause of your hair loss is. The stress on your body from rapid weight loss can cause temporary hair shedding, which does grow back as stress on your body reduces. However, I would have to examine your scalp to determine if you actively thinning hair due to genetic pattern hair loss. Also, I don't advise taking antibiotics unless they are prescribed by your doctor. I hope this clarifies things for you.
Hai doctor how many weeks after hair transplant if i hit my transplanted head anywhere probably like a wall during sleep which won't become a cause of concern. after how many weeks its safe if hits transplanted area on somewhere.
Hi @joshygeorge11,
Hair grafts are so secure 48-72 hours after surgery that it would take a medical instrument to dislodge them. You can refer to this video about it - ruclips.net/video/K-t6Eu1McJU/видео.html
Hello doctor amiya prasad sir.
It takes some months for the numbness on head to wear off after hair transplant right?. Iam 2 and half months post op and i still feel the numbness on my head. so for exercising i need to bend down my head at that time i feel the numbness. so is this okay to excersise with feeling numbness or i need to wait for numbness to completely go away for starting excersises
Hi @littlesparrowS7,
You should not have numbness in your scalp this long after your transplant surgery, so I suggest you discuss this, and other issues with your surgeon who can examine your scalp, and knows details of how your transplant was performed, including the type of anesthesia that was used that may be causing prolonged numbness. I hope this clarifies things for you.
Doctor iam now 58 days after my hair transplant. today i was standing in a cow farm. the cow keeper poured insecticide on cows skin. Unfortunately i was standing there. a very small amount of insecticide fells on my head. i don't know Excatly where in my head it fells. fells very little on my head. I suddenly washed my head. the ingredient on that insecticide was cypermethrin. will it cause any issues to my transplanted head.
Hi @jeob112james,
While this shouldn't affect you this long after your hair transplant surgery, if you are worried about results, you can follow up with your hair transplant surgeon who can examine your scalp for issues. I hope this helps you.
Doctor after 1 month of my hair transplant. i drink 1 glass of cow milk 3 hrs before my first prp after hair transplant. I read in some blogs that milk should be avoided before prp. I just wanted to know that i already done prp after drinking milk will this affects my hair transplantation results
Hi @dheeravabheyshyam,
Some foods like milk can bring platelet count down, but if you're worried about it, PRP can be repeated.
PRP is used in our TrichoStem Hair Regeneration treatment, but it's not the main ingredient. You can refer to this video about the differences between our treatment, and PRP alone - ruclips.net/video/vZAGaAssewY/видео.html
@@AmiyaPrasadMD yes doctor i understand will this affect result of my hair transplant ie drinking milk and taking prp.
Hi@@dheeravabheyshyam,
There are many factors that affect hair transplant results, like progressive hair thinning, not using a DHT-blocker, grafts prone to thinning that are more significant than one PRP session with reduced platelet count due to drinking milk. I think you should consider these factors more than a single PRP session that will not impact your long-term transplant results significantly. I hope this clarifies things for you.
Hmm structural volumizing. What product do you inject?
My doc uses restylane Lyft and does a cheek lift and temporal lift (not exactly in the temples) if that makes sense. Are you saying she should go deeper? Sorry I’m confused.
I actually just sent your video to her to confirm if she is doing this
Hi @pnevlud,
The brand of filler is not as important as the placement technique. Structural Volumizing, or the Y Lift is a specific procedure that injects filler at the bone level, and underneath the muscle layer, which is particularly important for the cheek area to avoid the doughy/pillowy appearance. Although it's not a surgical procedure, it does require surgical facelift experience to place filler at the bone level. I hope this clarifies things for you.
Just saw a video you made 10 years ago. How have you not aged a day?! lol
Thank you for the compliment, @TicTocRobotSnot! Much appreciated! And thank you for watching!
Greetings doctor sir thanks for the video.
I got done my hair transplant 2 and half months back. some weeks before my hair transplant i stopped my gym and all other forms of exercises, and i didn't resumed yet. my gym trainer meets me today and he said i became fat and after examining my physical features he said iam almost obese and i should reduce my fat otherwise i can lead to health issues. he advised me to cut some of my calories and says to add high protien diet. he says doing weight loss while having a balanced diet won't impact hair growth but he is not a doctor. If i focus on weight loss with high protien diet ( without including protien supplements like creatine whey protien etc ) insted of it i eat soy chunks, eggs, milks, peanut butter, chicken, pulses, dry fruits etc and will do moderate level weight training without stressing a lot. i can aim for weight loss slowly and steadily. is this ok to do can i start this soon or do i need to wait for more months.
Hi @jithujithin1AS,
You can likely resume your regular exercise routine by now, but you should consult your transplant surgeon first about it. You can refer to this video for guidance about resuming exercise after hair transplant surgery - ruclips.net/video/5SNt8OQopjs/видео.html
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Thank you for watching, @saimawaqas6960! I'm glad you liked the video!
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Thank you, @ruthc.r.4103! I'm so happy you found the video informative!