by dr. lam » Sun Apr 26, 2009 6:00 pm
thanks for the kind remarks. as far as the least # of visits are concerned:
1. if you are here just for acne scarring then that is easy. you would schedule with my staff both a consultation and treatment the same day. of course, with silicone, it requires multiple treatments to get the best result in most cases. depending on your severity, that might mean 2 to 5 (in severe cases).
2. if you are needing bigger volumes that are used in conjunction to counteract aging like hollowness around the eyes, cheeks, chin, then fat grafting is more ideal to start with. in that case, i generally like to build the foundation with fat first (although i have put silicone first too) so that i can have a minimum # of silicone treatments. that being said, for a fat transfer that requires pre-planning (deposits, consultation (which we could do by phone if need be), medical clearance, preop phone time, arranging at least an overnight stay, and of course booking in surgical time). if you do fat transfer, i prefer to wait to do silicone for at least a few months to see where things are going.
in summary, with discrete acne scarring, silicone is the way to go. with aging and acne scarring, fat grafting is a preferred baseline then down the road with some silicone. silicone alone we can start the ball rolling with a first treatment on your initial visit. fat grafting requires a bit more pre-planning. hope that is clear.
best,
sml
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery