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  • It is currently Wed Jun 19, 2013 1:42 pm

Perlane cheek without bunching when smiling

section of the forum is dedicated to discussions addressing injectable fillers including Restylane, Perlane, Juvederm, Radiesse, Sculptra, Silicone, Artefill, or other office-based injectable filler, except for the management of acne scarring (See Acne/Acne Scarring Forum).
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Perlane cheek without bunching when smiling

Postby Riley6908 » Mon Nov 22, 2010 9:00 pm

Hi Dr Lam,

I noticed all of your filler patients have really natural cheeks at rest and when animated (I was watching the testimonial videos).
Here in Australia, I work in the skin care industry. I see so many cheeks that bunch under the eye when someone smiles or laughs. I can also pick when someone's had filler done too superficially in the cheek area. It seems to move strangely when animated.

Are your great results due to deep product placement and a fanning technique? Is the Perlane injected over the bone & under muscle?
Also, if someone is developing recessed eyes with age, do you keep the cheek fill conservative to avoid making the eyes look even more deep set? (Another thing I see all the time in my line of work)

Warm Regards :D
Riley6908
 
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Joined: Mon Oct 25, 2010 7:17 pm
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Re: Perlane cheek without bunching when smiling

Postby dr. lam » Mon Nov 22, 2010 10:18 pm

i place the product in all planes. sometimes deep sometimes more superficial depending on what i am trying to achieve. for large volume, yes i go deeper. for small surface irregularities i do spot treatments into the skin creases or other abnormalities. for the eyes, i go deeper below the muscle and above the bone. i do not do fanning but concentrated depot injections because fanning hurts and is unnecessary and causes excessive bruising. yes, i put less in the cheek if i don't do the eyes. balance is critical. thank you for the kind comments.
best,
sml
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
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Location: Dallas Texas
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