Hi Dr. Lam,
I am thinking about getting your fat injections for cheek/under eye and silicone in the lips. I love the concept that they are permanent (and am impressed with your technique and artistic abilities). But, I have a dilemma; I currently have sculptra in my cheeks, restatylne under my eyes and in my lips. The question is, if I want to get fat/silicone injected, do I have to wait until the sculptra and restaylne is TOTALLY gone?? I hope not, because I do not want to go au natural and would prefer to "transition" from sculptra to fat, rather then having to wait unitl scupltra is TOTALY gone to finally add the fat. My thought is that I can wait until a point where I think I might want another sculptra injection (but I would still have some left), and at that point, instead of adding sculptra, you add some fat. Then, maybe 6 months or so down the line, the remaining of the scupltra dissolves and you add fat again, possibly achieving the final effect (assuming all sculptra dissolved). If not, add more again. As for the lips, I was thinking you could either dissolve the restaylne with the hyaluronidase, and then add the silicone OR my other thought was to go from restaylne to collagen which is short lived. Then when the timing is right, I let the collagen dissolve (which should be gone in a few weeks to a month) and come see you as soon as it does so you can start silicone injections with a â€œclean paletteâ€.
Please advise me how I can transition from sculptra to fat, and restaylne to silicone without having to go â€œfiller-lessâ€. Thanks so much and I look forward to your reply!