LAM FACIAL PLASTICS

Hi dr lam

When you add volume to the cheeks with perlane, do you just do one injection or several? How many injections would you do to volumise cheeks?

one through the skin but i know how to feather it under the skin to minimize bruising and excessive swelling. this is not how most people do it.

wow! only one injection to each cheek? does this deal with the buccal zone as well? i hear a lot of people use several injections all over the cheeks. i wish you had a video showing this, it would be really helpful.

let me clarify, you have ONE injection site PER cheek? is that right? why is this better than several little injections all over the cheeks? thank )

two reasons:
1. spreading product out over a wide area when you are dealing with very little product to begin with dissipates the result. when i do fat i do it over very wide areas but when i do product like restylane i tend to be more focused to get maximal gains with limited product (that is expensive. fat is free.)
2. less bruising because every skin penetration causes more bruising and swelling. and for a bad block or no nerve block, discomfort.
btw, i don't always use one needle stick but i generally use only one cannula stick. these esoteric points really should not concern you too much. an injector that is experienced doing multiple sticks is still fine. again, i am not here to condemn a surgeon, physician or method but to explain how i do it and why. the bottom line is to go to someone who has great experience doing complicated injections. when 95% of the injectors work is lips and smile lines then you know that these complicated areas may be harder for that person to see or do. also, artistry is important. i can't emphasize that enough.
best,
sml