LAM FACIAL PLASTICS

Hi dear Doc!

Following the conversation on what procedures are compatible or not... can a person have an injection of a filler and some days after get a deep microdermabrasion (but still NOT dermabrasion, micro, just done by a derm and less superficial than in salons, etc.).

I am asking because my friend (my "guinea pig" friend who I am always asking you stuff about) seems to have schedule issues and her docs (same office, so far good ones, it seems) too... the docs and my friend are leaving for trips/my friend has important commitments too and all, then, have apparently to "do as much as possible" IN in the same week, so they have to sort of smash many treatments (or as many as possible) in a short period of time. But my friend could not discuss everything with both doctors AT ONCE yet and I am voicing my concerns over whether or not all she is having is compatible as consecutive treatments.

I know you can't see her so your comment can only be an opinion, not actual "advice".

My friend is treating her face with fillers in some areas (different fillers) and a few scars. The four treatments are basically a)Artefill in a few spots b) Restylane in others c)careful TCA Cross in some pitted scars.

My friend apparently has to have everything done in two weeks or so) - and then again find appointments with the doc who are leaving on a congress/conference trip for a while!

So far she seems to have found a way to get a bit of Artefill on next Monday + some TCA Cross in few spots by one of the derms of the office (good at those), then with the other doc she "should" be having filler in some scars (in those where filler is applicable) and she thinks the doc will want to perform microdermabrasion in the face after a very light general mandelic peel.

With such a short span of days (2!) between all those treatments, isn't she a risk or something?ç

Sorry I ask you about this friend so often... but a) I care for her safety and b) I one day will have similar treatments (not saying all or at once, but eventually, over time) so she is sort of a "guinea pig" poor girl whose progress give me hints on what to do or not.

Can Resty be injected in the scars of the nose, say, or cheek, and then the person have microdermabrasion in the area anyway on the same day?
And if some area got Artefill two days ago, is it safe to get two days after Resty in some close areas (or same, she will have Artefill to raise the tip of the nose -off label use of Artefill) and yet a few injection of Resty in a few scars in the nose. Although I wonder if in some close to those to be filled she won't have TCA Cross.
Can derms perform microderm over an area two days ago filled with Artefill and the same day in a few areas with TCA Cross and some microdermabrasion TOO? (maybe not in the areas with Cross, I assume!).

My friend is in a rush before the derms leave, but I am not sure this is safe for her. So far she could only arrange to have that distance in days between treatments.

Do you think she is risking something? I know you should have to see her to give a definite opinion! just would like to hear what it seems "from afar" this like to you.

Hugssss

this is something you REALLY need to ask her docs not me. speaking in broadly general terms, microderm should be done before the fillers. the rough movement over the skin could move the filler product. i don't know how rough the microderm is. as far as fillers on top of fillers, in general i see no problem with that. TCA Cross if it is truly cross since so few know how to do this safely should NOT be combined with microderm for weeks in my opinion. as far as combining TCA CROSS with fillers i don't think there should be an issue. as far as combining some kind of peel with microderm with TCA CROSS. my God, what the heck? That is a lot of skin treatment in a small timeframe. Beyond this, please ask your docs.
best,
sml

[quote="dr. lam"]this is something you REALLY need to ask her docs not me. speaking in broadly general terms, microderm should be done before the fillers. the rough movement over the skin could move the filler product. i don't know how rough the microderm is. as far as fillers on top of fillers, in general i see no problem with that. TCA Cross if it is truly cross since so few know how to do this safely should NOT be combined with microderm for weeks in my opinion. as far as combining TCA CROSS with fillers i don't think there should be an issue. as far as combining some kind of peel with microderm with TCA CROSS. my God, what the heck? That is a lot of skin treatment in a small timeframe. Beyond this, please ask your docs.
best,
sml[/quote]

GOOD, GOOD, such a genius! I mean, the microdermabrasion before fillers makes sense! Considering her docs are good ones, I assume it is the case but I will make sure to make her ask them!! THANKS on her behalf!!! (on a sidenote, the microderm is not as light as in done by cosmetologists, but not strong, I have accompanied her and she leaves there looking fresh, only a bit redder (not much) in areas with more problems that need a bit more "microdermabrasion).

My mistake, I think I misunderstood my friend, the doc was CONSIDERING topical application of glycolic in some areas, not of TCA Cross (my mistake) and not for now, so that part should be no problem

Thanks!!!

glad i could be of help.

Dr. Lam
I am considering having Portrait PSR and dermal fillers to the marionetts. Which procedure should be done first or does it matter?

probably do the fillers first by a couple of weeks if possible. the skin can be a bit sensitive when i am injecting if you are fresh out of the portrait.
best,
sml