Dear Dr Lam,
I have watched many of your very informative videos on various cosmetic procedures as well as possible complications, especially regarding fillers. Just a couple of days ago I had a HA filler injected in my nasolabial folds. Now having passed the age of 40 I also really wanted some enhancement / volume restoration in the cheeks but the plastic surgeon ended up using two syringes in my smile lines and we decided to first see how that would work out. Though I can obviously see some difference, it hasn't done much for the overall volume in my face, which was what I really wanted.. I have always been happy with the bone structure of my face but now feel the time has come for some subtle volume restoration in that area. I am now considering having a filler in the upper cheek area but am particularly worried about possible lumps or other complications (the chipmunk look) as I have read some horror stories in blogs and forums. I am well aware of the importance of having a skilled injector, unfortunately I can't see you as I live in Europe (Greece particularly) but was hoping you'd be willing to at least 'guide' me a bit in the right direction.. My question is: would Restylane be suitable for the cheeks as I don't want anything too dramatic, at least not the first time? Restylane being a softer substance than say Radiesse or Sculptra or even Juvederm Ultra, I'd think there are lower risks of possible bumps and lumps? The doctor I saw is a skilled and renowned plastic surgeon here but I feel it really takes a lot of expertise as an injector to get a smooth, natural result as I am sure you'll agree. So for some restoration of volume in the upper cheek area, would Restylane or Restylane Perlane be an option in your view? If not, what filler would be? Lastly but not least importantly, I read about risks (hitting a nerve etc) with the intra-oral method for cheeks. I know you use this method but how substantial are those risks with a less than 'gifted' injector? And should I expect lots of bruising if this method is not applied?
It is a huge pity your practice is so far away, I would not think twice about seeing you if I lived across the ocean!!! Thanks so much for your time and expertise, and who knows one day..!