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	<title>Northern Virginia Mini Cheek Lift &#124; Mini Cheek Lift - Blog</title>
	<link>http://www.virginiafacialplasticsurgery.com/blog</link>
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	<lastBuildDate>Thu, 03 Jun 2010 17:16:35 +0000</lastBuildDate>
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		<title>IMPORTANT: New Laws &amp; Regulations Regarding Prescribing Retin-A, Hydroquinone and Latisse by Physicians in Virginia.  This may affect OBAGI, SkinMedica,NeoCutis and IMAGE skin care lines.</title>
		<description><![CDATA[For many years Plastic Surgeons and Dermatologists in the United States and all over the world have been treating their patients’ skin and helping them look and feel better about their facial appearance, using a combination of products and services.  For example, to effectively treat and improve facial wrinkles, sun damage, photo-aging and hyper-pigmentation, doctors [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/06-03-2010/important-new-laws-regulations-regarding-prescribing-retin-a-hydroquinone-and-latisse-by-physicians-in-virginia-this-may-affect-obagi-skinmedicaneocutis-and-image-skin-care-lines.html</link>
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		<title>Possible &#8220;Protocol&#8221; for treating Hydrelle complications</title>
		<description><![CDATA[•	Hydrelle complications follow in the acute and delayed category
•	The acute Hydrelle complication is usually swelling and redness. 
o	Oral antibiotics  help reduce the inflammation
o	Oral steroids may be useful but have risks
o	Hyaluronidase injections to dissolve the Hydrelle are useful
•	The delayed reactions seem to occur at 4-6 weeks after injections
o	The presentation may be lumps or initial swelling
o	As some point lumps seem to appear.  These may appear little by little and not all at once.
o	Oral antibiotics are useful
o	Oral steroids may be useful but also have risks
o	Hyaluronidase injections are important to dissolve the Hydrelle molecules
o	Kenalog injections may be useful, especially at the beginning.  These may leave divots or depressions and should be used conservatively.  
o	Aspiration of sterile abscesses may be needed at some point as the lumps are often granulomas or sterile abscesses.  
•	The Hyaluronidase injections can also cause a sensitivity reaction that is does dependent.  Take that into account
•	The Hyaluronidase injections may be needed once a week or even more for several weeks
•	Steroid injections may be needed as well but I don’t do them more than once every 2-3 weeks usually.  Be careful with this.

I typically mix 1cc of Hyaluronidase (150u-200u/cc) with 1cc of 2% Lidocaine with epinephrine with 0.5cc of K40 steroid to make a 2.5cc mixture.  I use a 27g needle with a 3cc syringe.
•	I inject deep to avoid damage to skin
•	I often leave the kenalog out for subsequent injections 

Frequent follow up is necessary
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		<link>http://www.virginiafacialplasticsurgery.com/blog/04-05-2010/protocol-for-treating-hydrelle-complications.html</link>
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		<title>New versions of Juvederm and Restylane</title>
		<description><![CDATA[There have been new additions to the two families of relatively safe Hyaluronic Acid fillers recently.
Allergan has introduced the long awaited formulation of Juvederm with lidocaine for added patient comfort.  Juvederm is now available in Ultra, Ultra Plus and XC variations.
Medicis also released Restylane with Lidocaine as well as a 2.2cc syringe of Restylane.
These [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/02-15-2010/new-versions-of-juvederm-and-restylane_3.html</link>
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		<title>UPDATE on Hydrelle Allergies and Complications</title>
		<description><![CDATA[I am speaking today to the CEO of Coapt.  I am hoping she will decide to voluntarily remove Hydrelle from the U.S. market.  I have had doctors and patients contact me from all over the country about serious Hydrelle complications and as I suspected, the number is growing.
The only thing that doctors can do right [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/01-19-2010/update-on-hydrelle-allergies-and-complications.html</link>
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		<title>Hydrelle Support for Hydrelle Complications</title>
		<description><![CDATA[Hydrelle Support for Hydrelle Complications
As of this morning, we have had 2 doctors from Florida, 1 doctor from Ohio, and one Nurse Practitioner from San Diego as well as 1 doctor from Baltimore tell me about their Hydrelle complications.
They have all had patients with unexpected to severe complications from Hydrelle.  I have even had a patient from [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/01-08-2010/hydrelle-support-for-hydrelle-complications.html</link>
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		<title>Hydrelle Complications / Risks of Hydrelle</title>
		<description><![CDATA[Hydrelle Complications / Risks of Hydrelle
Ever since Hydrelle was introduced to the U.S. by Coapt (made by Anika and distributed by Coapt), there have been a significant series of complications that have resulted from the use of Hydrelle:
1) Allergic Reaction
2) Infections
3) Abscess formation
4) Necrotizing Granulomas
5) Scar tissue
6) Delayed onset problems
Most of these problems have been [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/12-28-2009/hydrelle-complications-risks-of-hydrelle.html</link>
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		<title>Warning about Hydrelle</title>
		<description><![CDATA[Warning About Hydrelle
The introduction of an FDA approved, safe, Hyaluronic Acid filler, with premixed Lidocaine, for patient comfort, was long awaited and exciting news.  Up to that point the Hyaluronic Acid fillers had proved to be the most versatile and safest of all the available fillers.  But unlike Cosmoderm Collagen or Artefill which both had [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/11-23-2009/warning-about-hydrelle.html</link>
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		<title>What Makes Hydrelle an Exciting New Filler?</title>
		<description><![CDATA[By: Shervin Naderi, MD, FACS
www.NaderiCenter.com
Although Collagen based fillers such as Zyplast and Cosmoderm had initially dominated the market, they fell out of favor due to their short lasting results and the potential for allergic reactions.
Over the last five to ten years, we have seen the Hyaluronic Acid dermal fillers become the predominant work horse for [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/10-02-2009/what-makes-hydrelle-an-exciting-new-filler.html</link>
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		<title>Botox alternative, Dysport finally approved by the FDA!</title>
		<description><![CDATA[The FDA finally approved Dysport, a fantastic alternative to Allergan&#8217;s Botox for the reduction of frown lines (facial wrinkles).  This is fantastic news that we have all been waiting for.  Now patients and plastic surgeons and dermatologists have an alternative to Botox which should at least keep prices in check as over the last several [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/05-08-2009/botox-alternative-dysport-finally-approved-by-the-fda.html</link>
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		<title>What does &#8220;Board Certified&#8221; mean? And &#8220;which Board is the best Board?&#8221;</title>
		<description><![CDATA[Despite the thorough information on my website, I still once in a while get asked questions like &#8220;Are you Board Certified?&#8221; or &#8220;What is a Facial Plastic Surgeon&#8221; or &#8220;How is a Facial Plastic Surgeon different from a Plastic Surgeon?&#8221;
Here are the facts:
1) The larger overall governing body in the United States is the American [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/12-29-2008/what-does-board-certified-mean-and-which-board-is-the-best-board.html</link>
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		<title>Artes Medical Going bankrupt</title>
		<description><![CDATA[This past month, Artes Medical, the producers of Artefill allegedly filed for bankrupcy.  This was very surprising as Artefill was the only FDA approved safe permanent filler in the U.S.A.
The filler was a fantastic filler but the company&#8217;s business plan was unable to sustain the downturn in the current economic situation.
I have used Artefill extensively [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/12-10-2008/artes-medical-going-bankrupt.html</link>
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		<title>Indications and potential uses of Artefill</title>
		<description><![CDATA[Artefill is the first and only FDA approved wrinkle filler in the United States.  As cosmetic surgeons, we have waited a long time for a safe product such as Artefill to become available to our patients.  Although there have been other products on the market (such as silicone and Medpor, etc) none have been FDA [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/05-23-2007/indications-and-potential-uses-of-artefill.html</link>
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		<title>Advice for smoothing out the jawline in middle-aged patients:</title>
		<description><![CDATA[First, I want to clarify some terminology. The &#8220;prejowl&#8221; area is exactly as it sounds. It is the area lateral to the chin but medial to the &#8220;jowls&#8221;, so basically it is an area between the chin and jowls. The most common aesthetic defect affecting this area is a lack of fullness making the chin [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/05-10-2007/advice-for-smoothing-out-the-jawline-in-middle-aged-patients.html</link>
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		<title>Recommendations for aging neck and lower face in a dieting patient:</title>
		<description><![CDATA[Many patients today are on diets or have weight loss goals in mind as part of their overall “makeover.”  I usually recommend reaching your &#8220;target weight&#8221; before undergoing any kind of a &#8220;lifting&#8221; procedure.  If you are going to lose more than 15lbs, then the skin will loosen back up once the weight is gone [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/05-10-2007/recommendations-for-aging-neck-and-lower-face-in-a-dieting-patient.html</link>
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		<title>Neck Lift vs. Submentoplasty:</title>
		<description><![CDATA[Until now, the best and only proper way to address an aging neck was a neck lift.  It is a fantastic surgery but it is “over kill” in the majority of non-obese patients.  The ideal neck lift patient has a large neck or a neck with lots of extra fat or lots of extra skin.  [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/05-10-2007/neck-lift-vs-submentoplasty.html</link>
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		<title>Facelift vs. Fat injection?</title>
		<description><![CDATA[With every new procedure there is a wave of followers creating a new “trend.”  The fact is, if there is abundance of loose skin and sagging tissue on the face and neck then these areas have to be &#8220;lifted&#8221; to a more youthful position and then the excess must be judiciously excised &#8211; hence a [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/04-24-2007/facelift-vs-fat-injection.html</link>
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		<title>Methods to achieve malar (cheek) fullness:</title>
		<description><![CDATA[Many patients are interested in obtaining fuller more youthful cheeks.  Some have lost this fullness due to sagging tissue and loss of tissue volume as result of age.  Other have never had the ideal cheek or malar fullness as a result of genetic bony and soft tissue variations.
Options are numerous and depend on the patient’s [...]]]></description>
		<link>http://www.virginiafacialplasticsurgery.com/blog/04-24-2007/methods-to-achieve-malar-cheek-fullness.html</link>
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