LAM FACIAL PLASTICS

did you have ultra or ultra plus? ultra plus for juvederm should hold longer. perlane ditto. i would wait on radiesse if at all possible because that will screw up fat grafting for a while. radiesse is also not a panacea. it is bad for the eyes and can last a short time too in some people. most likely if it only lasted 2 to 3 weeks the problem was not it dissolving but the swelling finally going away and you like the way that looked before. that is fat grafting. it would most likely be prohibitive in cost to get a full fat grafted look with only fillers. plus most people have no idea how to make that look smoothe.

if i can't help you, i wish you the best in finding someone who can.

No, be careful! No, just kidding. It is totally safe. The only thing I would do is make sure you put the same amount of restylane in both sides since restylane and perlane dissipate at different rates so you don't want a bigger cheek on one side than the other as the product fades.

is it theoretically possible? yes. is it logically feasible? no. Have I ever seen it in a thousand syringes of Restylane that I have done in the past 6 months or so? no. Should you worry about it? Obviously, I can't tell you, but I simply have a hard time believing that it could be possible.

Interestingly, I would almost promise you that the person who is now all of a sudden noticing bags afterward only notices them because after a paid procedure that individual is staring at the mirror too closely. i can't remember how many times someone comes in and says, "I think I look more uneven now", and I have no idea what that person is talking about because they look totally fine. Then I show their before and afters and I see that they were totally lopsided before (which they never noticed) but now are within 97% corrected but they notice the impossible 3% to correct that is left. I know how patients perceive themselves. That is why I take rigorously anal before and after photos and before I hear a complaint I show the person the before and after differences so that they can see the benefit.

Okay, enough about perception. Bottom line is that I think you will be fine.
best,
sml

1, why do women want cheek implants, are they permenante or something? And is getting cheek implants considered 'plastic surgery'? Also, how much do cheek implants typically cost?
WOMEN THINK THEY WANT CHEEK IMPLANTS BECAUSE THEY "ADMIRE THOSE NICE CHEEK BONES" ON OTHER WOMEN. WHAT THEY ARE ACTUALLY ADMIRING IS THE CHEEK PAD (I.E., THE FAT COVERING THE BONE). WHEN YOU SEE A CHEEK BONE STICKING OUT IT LOOKS LIKE AN OLD WOMAN. THEN YOU THROW ANOTHER CHEEK IMPLANT OVER THIS EXPOSED BONE AND WHAMMY YOU HAVE TOTAL UGLINESS. THE HOLLOW ANTERIOR CHEEK LOOKS WORSE AND EVERYTHING IS OFF BALANCE. THE OTHER REASON WOMEN HAVE CHEEK IMPLANTS IS THAT THE PLASTIC SURGEON TALKS THEM INTO "VOLUME" TO RESTORE THE LOST VOLUME OF THE FACE. TOTALLY TOTALLY WRONG WAY TO DO IT. AS YOU KNOW, PLEASE WATCH MY VIDEO LOG "CHEEKS: THE GOOD, THE BAD, AND THE UGLY" FOR MY DETAILED OPINION ON THIS SUBJECT.

YES, IT IS PLASTIC SURGERY. COSTS VARIES DEPENDS ON WHO IS DOING IT. TYPICALLY BETWEEN 2500 TO 4500. IF THEY ARE SILICONE, THEY ARE EASILY REMOVED. IF THEY ARE GORE-TEX ,THEY TAKE A LITTLE MORE WORK BUT THEY CAN BE REMOVED. MED-POR, PRACTICALLY IMPOSSIBLE. TOTAL NIGHTMARE OF A PRODUCT ANYWAY: PROBLEMS WITH INFECTION AND VERY DIFFICULT TO REVERSE. FORTUNATELY MOST SURGEONS DO NOT USE MED-POR. IN MOST CASES, IMPLANTS ARE REVERSIBLE. THAT STILL REQUIRES A SURGERY. I TAKE MORE OUT THAN I PUT IN.

2. I imagine there is tons of bleeding if they have to put them through the mouth.
ACTUALLY, THERE IS VERY VERY LITTLE FOR THREE REASONS. FIRST, I USE LOCAL ANESTHETIC WITH EPINEPHRINE THAT CAUSES VASOCONSTRICTION (THAT IS THE BLOOD VESSELS ARE TEMPORARILY CLOSED DOWN). SECOND, I USE A CAUTERY DEVICE TO ENTER THE MUCOSA SO AGAIN EVEN LESS BLEEDING. THIRD, ALL DISSECTION IS UNDERTAKEN IN A SUBPERIOSTEAL PLANE (BELOW THE LINING OF THE BONE) SO NO BLEEDING THERE.

3.what if women want them removed, is it possible to take it out.
YES, IN MOST CASES. SEE ANSWER 1.