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Posts Tagged ‘restylane san fernando valley’

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So inspired!!

Saturday, October 5th, 2013

Does it seem like I’m gone once a month? Yes, that seems to be my pattern lately. This time I am in Chicago checking in on my elderly parents and attending our annual derm surgery meeting. It has been intense and fun. I have reconnected with old friends, old colleagues, and have been excited to meet new people that I have learned so much from. On top of that, this group has a sense of humor and have shown off their musical and performing talents.

Besides learning about and reinforcing advanced filler techniques and devices, we got to hear the famous Duke Coach Mike Kryzyzewski speak to us. He’s the only basketball coach I recognize besides Phil Jackson and Pat Riley (that is a big deal) We got to hear about his own insecure crush on Beyonce, but more importantly we got to learn about what qualities he looks for in young people and how he passionately motivates all of the big egos he deals with through a culture of respect. I didn’t realize he is a nice Polish boy from Chicago on top of that!

I found out that the lasers I possess are still the gold standard, despite the continual alphabet soup of new technology. I am still eager to try some new devices on myself first and see for myself what the truth is. The truth is harder to figure out at these meetings, as the lines between industry and medicine are blurred and the truth will only be told with time. You wouldn’t believe how many of the latest “hot” lasers-no pun intended- have come and gone in my career. Nonetheless, I learned a bunch and look forward to returning to LA. I miss my patients, my dog and my girlies!

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Posted in Botox, Juvederm, Restylane, Skin Cancer, acne scar treatment, acne scars, fractionated laser, fraxel laser, laser | No Comments »

Restylane-L has arrived…

Sunday, July 4th, 2010

Restylane-L (Restylane with lidocaine, a numbing agent) is here. So far, so good.  Restylane-L’s numbing effects are a bit delayed and I’m not clear still if  the lidocaine really makes a significant difference. Most patients tell me they are pretty numb after an 30 min to an hour of topical lidocaine, but still feel some of the injections particularly around the corners of the mouth and near the upper smile lines. I’m not sure if the effects of Restylane-L will last as long (which in my experience is 9 to 12 mos and beyond), but for now we’re going with it. We’ve even seen a case of microscopic retained Restylane 2 years later during Mohs surgery.

Correct placement is much more important than quantity. I once had a patient younger than I am get 3 syringes put in her face at another office. In the end, she ended up spending more money and had a complication requiring laser treatments. Juvederm XC is the equivalent of Restylane-L. In the end, both Juvederm and Restylane are great products with no discernable difference in my opinion. Both look very natural in the end.

A lot of people also ask about Sculptra and fat transfer. I do perform fat transfer, but not Sculptra. I still think hyaluronic acid is the best way to go. I don’t perform Sculptra for several reasons, that being said, it is not because it isn’t a good product. It is much more expensive than hyaluronic acid fillers. With the amount of money it would cost, one could get many syringes of hyaluronic fillers. It also has a higher risk of nodules and is not used in the lips. Fat transfer is more invasive and because a large quantity of fat must be injected in order to get reasonable results, you can look younger but fatter/chipmunky due to unpredictable resorption. It is somewhat unpredictable in its final result in comparison to hyaluronic acid.

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Posted in Restylane | Comments Off

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