LAM FACIAL PLASTICS

Dr. Lam,
I came into your office a couple of months ago for silicone injections,I was wanting to come back for another round or two.I don't think that I saw any improvements, but not giving up! My questions are:Do you use the same amount of silicone for each injections? Can (or do) you increase the amount of silicone into your injections on 2nd or 3rd visit-or could you be more aggressive? I have mild scarring, with 6-8 deeper ones that are a little more noticeable.What are your thoughts or knowledge with home use dermarollers or needling? I understand that I need to be patient for my results, and I know the scarring cannot be repaired perfectly.

Thanks, Wes

remember what i said that with one session you probably will not see improvements. i can only be as aggressive as i have been doing no more no less. i do what is appropriate. you put too much in and you get a risk of lumpiness and migration. not worth it. i have found derma rolling and needling practically useless. i have tried this in the past.

my previous derm was very aggressive with silicone. Some deep scars vanished after only one round, ..however i did get several bumps from over injection in some places and even had to get kenalog shots which worked somewhat. I definitely agree that being ultra conservative is way better.

thanks.