Radiesse
Question: 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! Answer:
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.
Question: Hi Doctor,
I really hope to have a second opinion from other doctors who are experience in fillers. Hope you can help me with my queries. Answer:
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
Question: Good Afternoon Dr. Nederi, I have received perlane injections on two separate occasions to address grooves across my cheeks. It works for a while but of course I have to keep getting them done and it's unpleasant and expensive. My plastic surgeon recommends a mid-face lift, which I am not at all comfortable with, rather than cheek implants. I don't see the point in a midface lift if I don't have jowls and such that seem to warrant something that major. Plus, I haven't heard about great long term results when dealing with soft tissue lifts like the midface lift. When I look at my face, it appears that I have no cheeks at all. What little I had when I was younger have simply melted away. When, in your opinion, is a midface lift warranted over cheek implants? Thanks,
Michele Answer:
Hi Michele, To improve the nasolabial folds the easiest and most common approach is to use injections such as Restylane, Perlane, Juvederm, Radiesse, Collagen, etc. Fat injection is also a great option but its a very technique dependent procedure. Good "coleman" technique can give permanent results but poor technique will have very little long term results past 6 months. Artefill is an alternative which is a permanent filler. If the midface atrophy is evident then again fat injections are an option as is malar or submalar implants. These procedures are geared toward enhancing volume. If the midface fat and soft tissue had fallen inferior-medially towards the nasolabial folds creating even deeper nasolabial folds then a midface lift is an option. Many surgeons prefer to do some fat injections along with the midface lift to address the descended tissue and the loss or lack of volume. The results of Midface lifts last about 3-7 years. This procedure will slightly improve jowls as a side effect but it is not geared towards improving the jowls. A cheek lift or facelift is the proper surgery to improve jowls. PHOTO GALLERY  View Before and After Plastic Surgery Images ABOUT DR. NADERI
 Dr. Naderi is a true Specialist Cosmetic Surgeon with distinguished Facial Plastic Surgery practices in the Washington DC area dedicated to Rhinoplasty, Revision Rhinoplasty & Facial Rejuvenation using Botox and Dermal Fillers. Learn More about Dr. Naderi TESTIMONIALS
"I can not thank Dr. Naderi enough. Beginning to end he is a mastervisionary that actually can do what he promises for you." Janice Alexander, Chevy Chase
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Dr. Shervin Naderi is a leading Virginia facial plastic surgeon who specializes in Rhinoplasty in Virginia as well as Revision Rhinoplasty in Maryland to correct botched nose jobs or nasal breathing problems. His offices are conveniently located in Herndon, Virginia and Chevy Chase, Maryland and service the entire, DC Metro Area. If you are unhappy with the appearance of your ears, you might consider an Otoplasty in DC which is ear-pinning surgery to adjust how much the ears protrude. Dr. Naderi offers this surgery as well as other facial procedures such as facelift as well as neck lift. In addition to facelift and neck lifts, Dr. Naderi performs Blepharoplasty which is eyelid surgery in Maryland as well as in Virginia. Dr. Naderi also offers chin implants and fat injections to smooth out the face and create a more youthful appearance. Many patients opt to have Virginia neck liposuction in order to reduce the fat and wrinkles on their necks and look slimmer. You might consider enhancing the fullness and overall appearance of your lips with a lip augmentation in Virginia or our other office in Chevy Chase, MD. If you have scar which resulted from acne, Dr. Naderi is able to excise it using scar revision techniques which may be performed at a hospital or his offices. He ensures that any unsightly scars are reduced as much as possible. Dr. Naderi understands that self-esteem and self-confidence can be bolstered with acne scar reduction surgical or non-surgical procedure such as Dermabrasion or the non-inavasive Chemical peels. Many men and women would like to look and feel younger. As a result, the use of Botox injections in DC as well Dysport has increased significantly. It is important to only have these shots administered by a skilled, Board Certified, surgeon or physician. Dr. Naderi offers these filler injections as well as Restylane and the popular Juvederm and injections such as Radiesse. Dr. Naderi offers a host of non-surgical cosmetic procedures such as the liquid midface lift using fillers such as Radiesse and Juvederm. They are temporary solutions unlike permanent, plastic surgery procedures. Another such procedure is the non-surgical nose job which also uses fillers or injections to reshape the nose. Our offices offer various laser procedures such as Erbium laser and CO2 laser to improve the skin as well as Fraxel laser. Another dermatological procedure offered by Dr. Naderi is microdermabrasion in Chevy Chase. Pulsed light can also enhance the skin’s appearance which is why the Naderi Center offers IPL Photorejuvenation to combat spider veins as well as sun spots. Finally, we offer Obagi which is a facial peel that tightens the skin.
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