Dr. Sam Lam Plastic Surgery Forum

I've read your answers re: silicone to correct bridge abnormalities, but I am more concerned with the tip. I had an open revision rhinoplasty w spreader grafts, however a graft "shifted" on the left of my tip very shortly after surgery. Another graft was placed in-office to correct the resulting severely retracted left nostril. This helped but it is still noticeable, particularly in photos. Why do you not recommend using silicone microdroplets in the nasal ...

hi there dr lam, i recenly had a rhinoplasty 3rd time and i feel that the bridge is quite scooped, i just look really tired looking and washed out from the front.my nose has no definitiion. there is no way i can go through another surgery so what i was wondering was can a filler help a scooped out bridge? how long do you have to wait until you would get the filler after a ...

I had an upper/lower bleph in June of 2009. Fat was removed from my lower lids which has left my eyes, more particularly my right eye, hollow showing a very deep tear trough. When I pull my skin taut it appears to go away, so I'm wondering if placing filler on my upper cheekbone beneath my lower lid would work better than filling the tear trough itself or would I benefit from both? I had ...

Hello Dr. Lam,

i have an appointment to see you on May 18th, but i am hoping you can help me resolve some issues prior to seeing you. I live in los angeles, ca so initially i tried to seek help locally from a dr that was "supposedly" experienced with using silicone microdroplets. i was really low on funds so i chose the route of a local dr in order to avoid having to fly ...

I would be very happy to hear your opinion. I had been on accutane almost 3 years ago for cystic acne. While on the accutane I seemed to develop nodular like pimples. One in particular left a crater scar on my cheek it is a pretty good size almost like a chicken pox scar. I know its hard to assess without seeing me.
It really bothered me and therefore I'm not sure if I did ...

Hello Dr. Lam, Is it okay to have subcision done AFTER having silicone injections a month prior? Also would it be okay to have restylane injected at the time of the subcision?
Thanks

in my temple area where silicone was injected too superficially. Aside from triamcinilone injections which have not been successful in eliminating the hard lump, can anything be done to help me? Thanks.

Hello Dr. Lam, hope your having a great day! My questions: 1. Can the silicone migrate after you have the injections if someone was to push and rub on the injection sites, say if you were getting a facial massage a couple of days after being injected? 2. If it can migrate how easy, would it take alot of force? and how would you be able to tell if it did migrate anyways? 3. Are ...

Hi Doctor, you will smile at my probably silly question, but mathematics is not what I am best at LOL. Given any (it's justan example) filer, 1 ml in a syringe is equal to 1cc, right? and this is the most confusing to me LOL... if a filler comes in different percentages, applying 3 syringes of a filler at, say, 10% of the active ingredient is the same -in total amount of the specific injected ...

Hi DR! I was watching your videos on youtube. So excellent. Loved the explanation of the "aging of the nose by using the concepts of "hard versus soft" architecture of the nose. The video left me with a doubt, though. For someone relatively young whose nose starts becoming more noticeable out of the effects of the loss of the "soft architecture" of the face, where would fillers or fat have to go? you mention that ...