LAM FACIAL PLASTICS

Hi Dr Lam,
understand that there'll be some swelling, after initial injection of fillers.Does this cause an illusion that u may look much more 'volumnise' then when the swell subside?

when u inject fillers to make a patient looks years younger,do you prefer to do it periodically or just one time injection so as to achieve the best results?

Gd day

yes, i always tell my patients that immediately after the injection you will have a little swelling because the act of injection causes a bit of swelling, plus the anesthetic volume stays around for a few hours to a day plus the HA product tends to absorb water for a few days For all of these reasons you can still have good swelling for a few days. That is why I take my photos at a week. I always say that 50% of my patients are freaked out for 1 to 3 days because they can't see through the distortion. The other half are in love with it because they can see through the distortion and are in love with what would otherwise be a fat transfer result (not really but in terms of some extra volume yes more or less).

however, even after a week to several months it still looks very good. remember i only have a few cc's to try to make it look like 30 to 40 cc when i do fat transfer. this is an interesting story (see attached photo). this nice lady who flies in from out of the country to have my botox and fillers came to me yesterday and said, "Dr. Lam, it's been four months now and I think I have lost all of my fillers." Then I took her photos (attached) and she said, "I guess I haven't." the point is that we ALL forget what we used to look like until I show that individual his/her before and afters. this is normal. (btw, i am really appreciative of my patient for consenting for me to use her photos on this site.)
best,
sml

Wow! she surely looks better after the filler injection...

Q)is the tear trough area no.1 culprit for a person looking tired and haggard?
my friend had her tear trough filled,sometimes she looks great but at times she does look a little tired..
Q)is this normal? and is this yo yo effect a result of not enough fillers being injected in that area?
Q)what makes a good candidate to pump up the eyebrow area with fillers to look younger? (alternative to botox in lifting the tired eye)

Have a Great Weekend Dr Lam

1. i have never heard of or seen the yo yo effect you are talking about.
2. fillers should be placed in priority lower eyelid, then anterior cheek in some individuals to look more rested and anterior cheek, then lower eyelids in others. it is hard to say unless i see you. obviously, both areas would be ideal among other places.
3. the brow area can tend to bruise and not be as smooth an area to treat. i tend to focus on the lower eyelid, central face, and chin but can do the brow if you desire. the problem is that since i need several syringes to get a great result, it can get expensive so i tend to prioritize. if you look at this lady's brow that is featured you might want to hit it with fillers but i didn't. she is also photographed with all of the botox worn off so you can see that oftentimes what we think needs brow treatment, doesn't. that requires my judgment when i see you and what you want to spend.