Dr. Sam Lam Plastic Surgery Forum

Hi Dr Lam,

3 weeks back I had surgery for acne scarring and the doctor used punch floats, fascia lata and fat transfer to my cheek area. Overall the results are pretty decent--in a variety of lighting the depressions are not salient anymore--and the healing is remarkably fast with these.

However, during the time my cheeks were swelled (or because of the fat) I was amazed how good they looked.

Now that the swelling has ...

Hi Dr. Lam,

I had a chin implant put in under my chin two months ago, and I didn't like it. It affected my speech because my lower lip was stretched both vertically and horizontally. There was a deep line between my lower lip and the implant. Then I got the implant removed after it was in for two months. I am now at 9 days post op. My concern is that my speech is ...

Hi Dr Lam,

I am very intrigue with your work especially after seeing a couple of your videos. I got a few things I hope I can get your advice on. Firstly, I'm 27 years and have a chubby cheek, especially around my buccal fat area. I also have a lack of chin and thinking of getting buccal fat and chin implant. The only problem is I'm afraid after the buccal fat removal I will ...

Dear Dr Lam,

I have watched many of your very informative videos on various cosmetic procedures as well as possible complications, especially regarding fillers. Just a couple of days ago I had a HA filler injected in my nasolabial folds. Now having passed the age of 40 I also really wanted some enhancement / volume restoration in the cheeks but the plastic surgeon ended up using two syringes in my smile lines and we decided ...

Hi Dr Lam.

I had chin implant 2 years ago (silicon), with same method you use (subperiosteal pockets for the wings and central chin component above the periosteum. When I awoke from surgery the left aspect of the chin and entire left wing was above the jawline. I was reassured by my surgeon this was swelling alone. Being a medical specialist I took this with a grain of salt and hoped for the best. My ...

Hi Dr. Lam:
Thank you for this forum. In February I got a medpor chin implant. I am satisfied with the chin portion - but I do not like the wings that extend down my jaw (my jaw is now too wide). They have changed my face shape too much. I would like to get rid of the wings. Do I have any options? Could a doctor bur down the wings, could I have them ...

Hi Dr. Lam,

I am a 21 year old caucasian female and have a prominent mouth, that juts out more than normal (although I am caucasian I have noticed many African Americans have this facial structure). I do not want to have surgery to correct this because the entire procedure will take over a year because of the jaw surgery and having to get braces again. I also have very flat cheekbones that seem to ...

Hi Dr Lam!

I've watched your video about creating a balanced cheeks - it was very informative, thank you! I found the section about blending away the "stripe" of the lower cheek to be most interesting.

I'm curious to know if injecting fat or fillers to the cheek actually creates a mild cheek-lift? Compared to the Endotine midface-lift where (as you know) the fat pad is released and repositioned back to a more youthful position, ...

Hi Dr. Lam-

I'm looking for a very subtle augmentation of my chin..maybe 2-3 mm. I want to go the injectable route and had a few questions...

Do you use Perlane or Radiesse? (I notice most doctors use Radiesse, but I thought I read you like to use Perlane)

How many syringes are needed for a 2mm change? Can one syringe do it?

How much input (if any) does a patient have on the shape ...

Hi
My name is megan. I had a z plasty performed by an unqualified doctor about 4 years ago. In dec of 2008 I had another surgical revision done to the scar. This doctor reopend the scar and closed it in hopes that this would make the lines thinner. That surgery really had no effect on the scar and it actually may have widend it more. I have just finished a series of 5 fraxel ...