LAM FACIAL PLASTICS

sure, unfortunately, i see so many patients in the day, i generally just take their frontal views. even though i have every angle photographed preoperatively, i only take the frontal view in most patients. i will try to take 3/4 more often afterward. there is a good saying, "There is only one chance to take a good before photo but a million chances to take a good after."

that being said, most docs take 3/4 views because they CAN'T show a good frontal view. remember that when we see each other, we look at each other front on. i think for most of my before and afters i show a pretty good frontal shot. it is not the exact volumes i am hitting it is the overall impact of a rejuvenated face. i try to shoot my shots the way that you would see this individual, i.e., head on.

6 months is DEFINITELY too early for a touchup. your result is just beginning at that point. you will be overfilled by 2 years out. those that complain that they are too underfilled between 3 to 6 months are asking for trouble to get refilled. most docs keep touching up, touching up, touching up, then when the fat gains blood supply 6 months later to 18 months later, you have an overfilled face at 2 years post.

okay, when do i do a touchup and how do i make that decision. serial photos are important in many respects and i perform them on all patients who live in Dallas if they can come to see me at 1 week, 1 month, 3 months, 6 months, 9 months, 1 year, etc. why? because i can see the evolution. at 6 months i should start to see an improvement that should continue to improve over the first 18 months. if i see steadily increasing improvements from 6 months, 9 months, 1 year. i will not touch them up because they are on a trajectory for improvement for the next 6 to 8 months into the 2nd year following the procedure. what if i see no improvement or a slight decline over the first year due to not a great graft take. THEN, i would consider a touchup at a year but not earlier. so i hope that is clear. worsening results until 1 year then touchup. improving results until 1 year. don't touch it. that of course means we START that eval at 6 months. any result at 6 weeks to 3 months is not a result. it is either swelling or a dip. i am talking about RESULTS.
best,
sml

Wow, this woman looks strikingly yet subltely improved. She is a younger, prettier version of herself. Upon closer inspection, her temples, eyes, and sub-malar (?) areas are good markers (but only because I know what to look for). You would never think she has had a thing done. Fantastic work.

Kudos,
Melissa

thanks!