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Hi Dr. Naderi,
I am very interested in Artefil. I've had Radiesse several times and it doesn't usually last more than a few months for me (in the NL folds). My question is: a) what is the total cost of the injections (assuming I'm not allergic) and b) if this substance is permanent, won't it look weird as my skin begins to lose its elasticity?
Thanks!
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HI,
I am surprised Radiesse only lasts a few months for you. It should last at least a year if not more. Injection placement and amount has a lot to do with the longevity of the substance as well.
Artefill is $1200 / 0.8cc syringe
Most patients need 1, 2 or 3 syringes injected several months apart after the initial skin test. It all depends on the depth of your nasolabial folds.
The reason the permanent injection in the nasolabial folds wont look bad as you age is that the area injected does not move. Its a static anatomic area. Also, the substance shoould be "feathered" into the soft tissue and not placed in one large "clump."
I hope this makes sense.
Tags: artefill, Fillers, juvederm, radiesse, perlane, restylane
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Hi Doctor,My name is Douglas and I have a question regarding fillers. About a month ago I did Aquamid fillers on my cheek. However the doctor who did the procedure did not do a good job and I can still see the lines pretty clearly. When I went back to him, his explanation is simply he did not do it well and offer to do it again with another type of filler called Restylane. From what I read, Aquamid is a permanent filler and it should not be used with other type of fillers. The fact that I have only done the Aquamid filler only recently adds on to my concern. However my doctor insist that there are no problems involve. I would like to know the following:
Hi Douglas,
I hope you are not in the U.S.A., because Aquamid is illegal in the U.S. and it is not an FDA approved substance. Regardless, what is done is done. Aquamid is a permanent particulate filler. As such infection is possible even by itself. People can get infections of their skin with just a plain needle penetration. In such situations, antibiotics often clear up the infection quickly. When there is an implant (and a permanent filler is a kind of implant) then any bacteria can adhere to the material and sometimes its very difficult for antibiotics alone to clear up the infection.
So basically, Restylane on top of Aquamid in theory is fine. But it does SLIGHTLY increase the risk of infection. You have to make that final decision.
If you would like to send me some pictures through the "contact us" page then I may be able to give you other suggestions - perhaps. I would recommend you see a few other local docs and discuss options.
Supposedly Aquamid can be removed with dilution and aspiration although I have never seen that.
Good luck
Tags: Fillers, Plastic Surgery, silicone, Collagen, juvederm, aquamid, radiesse, restylane
hi, i just posted a question and believe it or not, i forgot to add something...question....the doc injected the captique deep, it sounded like he was hitting my bone each and every time. Is there a possibility that a piece of bone could chip off or something and cause an infection...i know this may sound silly, however, i am trying to figure out what is going on with me since i am the only one that seems to really care. My doctor does not have to walk around with the pain or have to look loke me after this filler. Nothing was explained to me put possible bruising and slight redness. nothing about your an infetion looking like cellulitis and lumps of blood and pus...he told me today that it was probably do to my skin being contaminated. How is this possible. I went with no makeup on and then they are supposed to put alohol or something on you prior to the injetions.....HELP!!!!
The injection in the eyelid tear-trough area needs to be deep and right on top of the bone but potentially the needle could have "seeded" bacteria from your skin to the deep areas. This complication is EXTREMELY rare and again, after thousands of injections, I have never seen that happen. However, the skin should be sterilized at least with alcohol prior to injection. And although these risks are mentioned in the consent forms, when they do occur, it is a devastating situation for the patient who came in as you did for an elective cosmetic enhancement. Like I mentioned before, you need to find another surgeon who will give you a 2nd opinion and you have to be treated properly and followed closely till everything has completely healed. Trying to figure out what happened is not as important as taking care of what has happened. There will be time for speculation later. For now be aggressive in demanding care from your doctors. Good luck.
Tags: Injection, Filler, Allergan, Captique
Hello,
I have had a major disaster with fillers (captique). I am hoping that maybe you can give me some insite as to what may have happened because my doctor along with allergan has never seen this reported as they say anyway. I had botox for crows feet and upper eye brow lift. I am a 32 year old healthy female just going in for a 30's touchup. This was my first time with botox or fillers. I used the captique under eye to fill in the hollows which is hereditary. He did quite a few injections in the orbital area under eye. I did get a bruise toward the end of the injection. After the bruise went away, I went in for a checkup and he gave me a touchup of the leftover captique that I had remaining in my seringe. He put this in the corner of my eye, toward my nose, in the orbital area. Within 1-2 days, the left side of my eye started swelling. He just kept telling me that it was a hematoma and would go away in a month or 2. Well, the swelling did not stop, it went to my upper eyes and then the right eye and was as hard as a rock and about the size of a large gum ball. I found out that I had got a major bacterial infection after finally taking myself to the emergency room. The knots were filled with blood and puss. This has been going on for 3 weeks and I am repulsed about all this and the money that I had spent. I went in to his office today and he just cut them open and squeezed the mess out of them and told me to keep doing the same at home. I look horrible. By my pictures, it looked as though I had cellulitis but he says labs say no. I now have scars and still do not know if I will have soft tissue damage or scar tissue damage, is there anyway to know this? Also when I feel along the top obrbital bone or cartliage, whatever that is, it feels really bumpy, it was not like that before the infetion set in, therefore, I do not think that it could be the captique do you? It almost feels like that part of bone or cartlige is messed up, is this possible??? Could swelling do this, but as said not little pea size knots along the top and lage gumball puss. blood filled sacks in the corners of the eyes trying to heal, what a mess. How do I know if maybe he injected the filler into a blood vessel? If he did, how would I know??? Would I definately go blind right away or have something major happen? I am the only one that seems to me taking this seriously. Please help and advice you can provide will be appreciated. Also, should a surgeon fix or correct and problems to make you look normal again after a procedure like this? If so, can their be legal ramifications that I can pursue. I do not want to take that path, I just want to look and feel normal again. I have not been able to leave my home for a month. i would be happy to send you pics. Lastly, he says that I probably won't look like myself again for 3 months or so, do you think that it is o.k. to ask for my money back. I have not got to reap any benefits out of all the money that I have spent. I have done nothing but spent this part of my summer with warm and cold compresses on my face, wore huge sunglasses, stayed at home, in and out of the hosppital, picked and poked with needles to drain, high fevers from the infections....HELP, I AM A MESS...thanks so much, your great and thanks for listening.
I am sorry to hear about your terrible situation. I can tell you that any time a needle penetrates the skin, there is a VERY slight risk of infection, however, after thousands of injections, I have never seen an infection - although it is possible. The first thing is first: If there was an infection then that has to be addressed first. You should at the least see one other Facial Plastic or Plastic Surgeon for a 2nd opinion. Scar tissue and the money you spent are secondary at this point. Taking care of this "acute" process is the first step. Once the area has healed then there are things that can minimize scarring although it is likely that you may have at the least some long term aesthetic effect from this but hopefully not. I do not think it is unreasonable for your doctor to refund the money you paid but that will be between you and him. If the infection is controlled and there is no acutely expanding hematoma, then at this point your risk of blindness should not be any different that prior to getting the injection. Make sure you obtain close and frequent follow-up till everything has healed properly.
Tags: Fillers, Infection, Allergan, Captique
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