LAM FACIAL PLASTICS

Hello Dr. Lam....

i wish i would have learned about you a couple of years ago.... i am 47, and i believe we share the same birthday...Nov 8th...so happy belated birthday to you.

i am amerasian, mother japanese and father german/english. good genes, i've been blessed. i had a cheeklift two years ago using an appliance, (can't remember the name) which dissolved after 6 months. it was extremely painful and i feel as though it did not acheive the results i was looking for. shortly after that surgery, i began to develop hollows under my eyes. i visited my botox doc who recommends sculptra under my eyes and also in my marionette lines that were beginning to show. i am pleased with the lower face, sort of....however i developed lumps under both eyes. with makeup, which evens my skintone, it is not that noticable. But without makeup and in the early morning, it looks like i've been punched. i've discussed this with my doc and he said that it would dissolve over time. it's been 15 months and though they are not as pronounced, when the lighting is just right, it's not very pretty...

so the question is, in the fat-grafting procedure, how would you address the sculptra lumps?

i don't believe that i need a facelift in addition to the fat-grafting but i will leave that to you, the expert. i have noticed a more rapid facial aging over that last year, like a runaway train and i would like to slow it down as much as possible.

i live in the los angeles area and would like to schedule a consultation face-to-face...do you ever do consultations in southern california? if not, i will certainly contact your office in texas.

Oh, another quick question... is it possible to fat-graft the neck area? as i've aged...my neck skin has thinned....it's not really sagging but it's thinned....i have read that you fat-graft the hands...which may be another procedure i would do....yesh, i tell ya....please help me slow down this train

hi,
actually my birthday is november 6th. my nurse's bday is november 8, which is what we celebrated belatedly today. in any case, also happy bday. as far as addressing the sculptra lumps, that is quite impossible to tell you the truth. we will just have to wait it out. sculptra tends to dissipate after 1 to 3 years. that leaves me in a bit of a quandary when it comes to fat grafting. if i fat graft deep around the eyes where your sculptra is (usually situated less deep), i can potentially make your sculptra more visible (obviously temporarily so because the sculptra fades out over time). nevertheless, not a great situation in any case. fat grafting truly is the gold standard for aging faces. whether i can do that under your eyes requires an in-person consultation. unfortunately, i do not perform any consultations except inside my office. i was in LA lecturing at Cedars-Sinai a few weeks ago.

i do perform fat into necks but really to help with texture and tone. it is hard to get enough fat to change the neck contour and size. hands are another story. i can get the fat in there quite well but you have to have enough body fat to do the job. anyway, i look forward to meeting you to determine your candidacy for FT.
best,
sml