LAM FACIAL PLASTICS

Dr. Lam,

What product would you recommend for the cheeks and tear trough area that is very good for those areas. My favorites are anything hydrollic acid (water absorbing) I need something that won't cause lumpiness or problems. Any suggestions for me also having extremely thin skin and what product would be best for that.

i hope you are not going to use hydraulic acid from your car! i assume you meant hyaluronic acid (just kidding, btw.) HAs are about the only thing that I consider safe around the eyes except for fat transfer. However, you would probably surmise from the ton of recent posts in this forum that fillers around the eyes can be disastrous in unskilled hands. If you don't come to have me do it, please make sure you ask if your physician does it every day (which I do) or at least very frequently and can show you substantial number of before and after photos of this kind of work (who cares if he or she can show you filling smile lines. that is easy [in most cases]). Not only can I show you a ton of before and after photos, EVERY SINGLE ONE OF MY STAFF MEMBERS has been filled either with fillers or fat under the eyes (oh except my hair transplant coordinator who didn't want it done. personal choice.)
best,
sml

haha, I will just say HA from now on so I don't through people off. Can you tell me if perlane is HA. My doctor is very experienced and she said scultrpa around the eyes but you said NO, so I will go with your thought on that and not do sculptra. My gut was telling me no on that anyway.

Aren't juvederm and restylane essentially the exact same product just with different names. I have seen them both and they are both clear and look the same in appearance, so what is so different about them. I get thrown for a loop when people say they don't trust juvederm. my doctor just took it out of her office after some problems.

In another blog you mentioned that it is important that volume in the face is not over done, how can you tell if volume is overdone from fillers in the face?

I can never get Hyrollic acid and the other you mentioned straight. I will just say HA.

I always say HA because I can't get them straight ever. It is emberressing because people look at you like Huh? I always say HA so people don't look at me funny.

just be careful too since some people refer to radiesse as HA since it is hydroxylapatite. however, most technical individuals reference it as CaHA since it is more correctly calcium hydroxylapatite. Don't worry, HA should be fine when talking about hyaluronic acid. I assume you know that HA is not an acid but a neutral salt. The truly accurate word to describe HA scientifically is hyaluronan but no one really uses that term.

Perlane is an HA. Juvederm and Restylane are almost interchangeable HAs. However, Juvederm is a lot softer so that is good for lips but it also tends to mush out a bit and spread to unintended areas in areas around the eyes and cheeks. I have done many cases with Juvederm around the eyes without issue but my colleagues have had enough problems with Juvederm around the eyes that I decided not to risk it so I only use Restylane around the eyes.