LAM FACIAL PLASTICS

Hello,

I am so happy to say, I am a patient of yours!!!! I am sure all of your patients feel the same way.


I had botox done on my forehead and around my eyes (+ my jawline) on May 11th. I can tell it is definitely wearing off everywhere except my jawline (boy, were you RIGHT, my thinning jawline is beautiful!!!!!!!!!!!!!!!!!!!). I am schedule to come in for the second round of my jawline botox on Nov. 10th. Should I go ahead and come in for the botox around the eyes and for my forehead now? (cancellation list of course) But, should I go ahead and come in for the parts that are wearing off now? I am within an hours drive.

Now, another question..... . I have major hollowness (we are waiting for a better time for me to have the fat transfer), so you were so kind to do fillers to "tide me over" until then. So, a fat transfer is in my future, definitely within 1-2 yrs.

I had a very aggressive dermabrasion done by another doctor. I have loss of pigmentation in a few areas (I went into the sun too soon, is what I think happened, although, my acne scars worsened by 1000x times, yes 1000x seriously, I did have a yeast growth on my face afterwards, that may have attributed to that????) All of that to ask, am I a candidate for TCA cross? You said I wasn't a candidate for the plasma resurfacing. Would TCA be something I could do?

My acne scars look similar to the person on the post:
acne scars-silicone by dre » Thu Aug 06, 2009 2:19 pm
only, mine are only on my cheeks and mine are not as deep. Would I be a candidate for the TCA cross? Or would the loss of pigment from previous surgery rule me out???


I know you are NOT one to sell false hopes. But, can you tell me if any of your patients who had fat transfers that also had acne scars of this type, above post just more shallow. Does it ever make their skin texture where the scars are better?

If that is such a long shot for the FTransfer to better my skin texture in addition to making me more pretty due to the youthfulness it adds, if that is such a long shot. Then, after my fat transfer what can we do to help my acne scars????? What would my options be with my pigment already having some loss? You said too, that silicone wouldn't help my scars.

I know I am sounding desperate, I kind of am. I really shouldn't have looked at myself in the real sun, I try NOT to do that. Please help, I need some hope, I do not want to live with this texture of skin the rest of my life.

Thanks,
imhappy

I had botox done on my forehead and around my eyes (+ my jawline) on May 11th. I can tell it is definitely wearing off everywhere except my jawline (boy, were you RIGHT, my thinning jawline is beautiful!!!!!!!!!!!!!!!!!!!). I am schedule to come in for the second round of my jawline botox on Nov. 10th. Should I go ahead and come in for the botox around the eyes and for my forehead now? (cancellation list of course) But, should I go ahead and come in for the parts that are wearing off now? I am within an hours drive.
YES, YOU SHOULD. THE BOTOX FOR THE FOREHEAD AND AROUND THE EYES ONLY LASTS 3 TO 4 MONTHS THE FIRST TIME. MY FEELING IS THAT IF YOU HAVE EARLY WRINKLES OR ESPECIALLY LATE WRINKLES CONSISTENCY ON THE FRONT END (THE FIRST FEW TIMES YOU DO BOTOX) ARE YOUR ABSOLUTE MOST IMPORTANT TIME TO DO IT. IT ALLOWS ME TO HEAL THE SKIN IF YOU TRY TO MAINTAIN A CONSISTENT COURSE. THE JAWLINE OF COURSE LASTS LONGER.

Now, another question..... . I have major hollowness (we are waiting for a better time for me to have the fat transfer), so you were so kind to do fillers to "tide me over" until then. So, a fat transfer is in my future, definitely within 1-2 yrs.
GREAT!

I had a very aggressive dermabrasion done by another doctor. I have loss of pigmentation in a few areas (I went into the sun too soon, is what I think happened, although, my acne scars worsened by 1000x times, yes 1000x seriously, I did have a yeast growth on my face afterwards, that may have attributed to that????) All of that to ask, am I a candidate for TCA cross? You said I wasn't a candidate for the plasma resurfacing. Would TCA be something I could do?
YEAH, THE DERMABRASION SHOULDN'T MATTER. I WILL SEE IT AGAIN AND HELP YOU DECIDE.

My acne scars look similar to the person on the post:
acne scars-silicone by dre » Thu Aug 06, 2009 2:19 pm
only, mine are only on my cheeks and mine are not as deep. Would I be a candidate for the TCA cross? Or would the loss of pigment from previous surgery rule me out???
HOPEFULLY SO. PIGMENTATION LOSS SHOULD NOT BE AN ISSUE FOR ME.

I know you are NOT one to sell false hopes. But, can you tell me if any of your patients who had fat transfers that also had acne scars of this type, above post just more shallow. Does it ever make their skin texture where the scars are better?
I WOULD SAY THAT I SEE A TEXTURE IMPROVEMENT VERY OFTEN BUT FOR ACNE SCARS I SIMPLY DO NOT WANT TO MAKE ANY CLAIMS.
If that is such a long shot for the FTransfer to better my skin texture in addition to making me more pretty due to the youthfulness it adds, if that is such a long shot. Then, after my fat transfer what can we do to help my acne scars????? What would my options be with my pigment already having some loss? You said too, that silicone wouldn't help my scars.
WE CAN CROSS THAT BRIDGE WHEN WE COME TO IT. OF COURSE, IF I CAN DO A CROSS FOR YOU NEXT TIME BEFORE YOUR FAT, WE CAN START THAT. LET ME SEE YOU AGAIN TO DECIDE.

btw, thanks for the nice remarks. sorry to all if i don't explicitly thank you for your nice comments in this forum. i really do appreciate them and always smile when i see them. i just try to answer the questions here.
best,
sml

I used to have really bad acne that covered basically my whole face, mostly my cheeks. I still get zits that pop up now and then, but its totally manageable. Now, the problem I'm having is that I have a bunch of scarring left over on my cheeks from the acne I used to have. I have been using the ProActiv 3-step system and i also have been using ProActiv's skin lightening lotion, though i havent noticed much of an improvement.

honestly, you should wait until all of the active acne is manageable before we start with permanent scarring correction. i would do that when you are more under control but if you just have a little left then i can start scar correction. sorry, i deleted a signature link because it looked like an advertisement.
best,
sml