Thank you for your question.
You submitted your question with two photos and you state that you, several months ago,
underwent a filler correction with Juvederm in the cheeks, the lips as well as in the
smile lines.
And you state that you're happy with the cheeks and the lips but with the smile lines,
you are not so happy.
And your doctor stated to you that they don't really like doing the smile lines.
Now you're concerned about doing under eye hollows and you have perceived or became aware
that in salons near you, different brands of fillers are offered.
So your question essentially is about changing brands or whether to stick to one brand.
Well, I can share with you my personal philosophy about fillers and placement as well as this
ongoing perception about brand identities that are relevant to correction of different
issues of the face.
A little bit of background, I'm a Board-certified cosmetic surgeon and Fellowship-trained oculofacial
plastic and reconstructive surgeon.
I have been in practice in Manhattan and Long Island for over 20 years.
I have literally been a part of the evolution of the use of fillers since the very early
days where there was only the collagen, Zyderm and Zyplast.
And since then, I've certainly become very well-known for the use of fillers particularly
in the Juvederm and Restylane families.
And I can give you, basically, an overall understanding of how I approach these areas
and how I suggest you to do moving forward.
So to begin with, I think it's very important for everyone who's interested in having
fillers done to make some specific distinctions.
Essentially fillers, like pharmaceuticals, are produced and promoted by multibillion
dollar companies.
And it's in their interest to create consumer demand for their products.
But the product is not worth anything unless it is placed properly by a skilled practitioner.
And so, when you think about the differentiation of the United States and other areas of the
world, the menu of fillers varies.
And yet, there are many skilled practitioners able to get consistent results with limited
numbers or with large number of fillers.
So how is that possible?
Well, I'll tell you that, as far as the brands are concerned, there is a spectrum
of the behaviors and particular characteristics of the fillers of the Juvederm family as well
as the Restylane family which are both hyaluronic acid fillers.
And there are differentiations based on their relative thickness, their elasticity, their
longevity.
And based on your doctor's comfort level and familiarity, doctors choose what they
prefer.
Now that being said, I think that what you can reasonably conclude about your experience
with your doctor in terms of the cheeks and the lips, the smile lines, is that specifically
with the smile lines, the nasolabial folds, this is an area that I think most doctors,
either would confess that the nasolabial fold is not as so easy to treat.
It has to do with the anatomic nature of that area.
And rarely can you get a 100% correction because you're treating a line as opposed to structure.
And speaking of structure, in our practice, we do a procedure called structural volumizing.
And so in people who have issues with the nasolabial folds, very often when I restore
volume by placing the filler at the bone level to improve the cheeks in a way that is more
directly integrated with the bone structure, then the nasolabial fold doesn't look as
prominent or as deep and that is the art of sculpting of creating this balance.
That being said, separating that from the different fillers, I would say that if you
are really interested in getting consistency, then you should identify a practitioner who
is skilled in using different fillers and is able to establish for you the outcomes
that you are looking for, at least, close to achieving.
I would dissuade you from going to what sounds like salons like hair salons versus medispas.
A lot of times, these places don't have either doctors, at least in the United States,
don't have physicians who are present or their model is more of a volume discounting
model.
And very often, patients just bounce from one to another instead of finding the right
doctor who can offer them the solutions and the long-term relationship that really, ultimately
is more productive and results in better consistency as well as in the end, is actually more cost
effective instead of bargain shopping which happens certainly in the US.
With that being understood, I would say, differentiate the product away from the practitioner and
the method of placement.
That technique and the practitioner's style are very important.
And especially when it comes to treating the area that you're concerned about, the under
eye hollow area, getting that area just right and having the best result is really an art.
And I think that you will find that if you find the right doctor who can help you with
all those areas that you'll want to stick to the doctor as opposed to chasing the brands.
The brand does not produce the result.
It's the doctor who performs the procedure.
And the art of this is for the doctor to choose the right products that are suited for each
area based on their experience.
And so certainly, it's a balance.
And of course, doctors don't promote the way the companies do but at least the consumers
become aware of what's available and certainly, there is a value there.
So either go back to the doctor that you already had the experience with or look for a doctor
who you feel to be comfortable with doing all these different procedures.
And that way, you can at least go to someone for some consistency and get consistent results.
So I hope that was helpful, I wish you the best of luck and thank you for your question.
For more infomation >> Why Results of Facial Fillers Depend More on the Practitioner Than the Brand of Filler - Duration: 9:48.-------------------------------------------
How to pronounce the /ʌ/ sound | American English Pronunciation - Duration: 1:36.
Hi! Today we're talking about the short "u"
vowel sound. So there are different spelling patterns for this sound but
often it's just the letter "U". But the thing that's confusing is that in French
and Spanish in many languages, the "U" letter always sounds like "u" or "oo" but
in English sometimes it sounds like "a". Like in the word "sun". Not "soon" where the
lips are going out "oo". It's "sun" where the jaw is dropping and it's a somewhat low
sound: "sun" "sun", "soon" and "sun". Some other examples of the short "u" are in the
word "love". So you notice that has an "O" in it so it's not always a "U" but it could
be in the word "run" or "gun". So it's usually the letter "U" and involves that
jaw dropping "a": "Sun". Great! So now you know so you don't get confused in
English that the letter "U" is not always "u" or "oo", sometimes it's "a" like in "sun".
Now's the time for you to practice on your own! And thank you for watching.
-------------------------------------------
Creative DIY Ways To Reuse Old Jeans. Recycled Old Denim Crafts Ideas - Duration: 5:43.
Creative DIY Ways To Reuse Old Jeans. Recycled Old Denim Crafts Ideas
Watch more videos! Subscribe to the channel!
-------------------------------------------
Test BADyG - aplicación o administración online - Duration: 17:58.
-------------------------------------------
Etudes sur un campus américain — Point de vue de l'université américaine - Duration: 2:26.
-------------------------------------------
8 Ball Pool - NEW 6 AWESOME AVATARS UPDATES WITH NEW CUES FREE GET AVATARS AFTER PURCHASING CUE 2017 - Duration: 3:15.
-------------------------------------------
8 Ball Pool - LOW LEAGUE ON MY GIVEAWAY ACCOUNT TOPPING LEAGUE GET CASH$ [100%] REAL 2017 - Duration: 5:12.
-------------------------------------------
How to pronounce the /ʌ/ sound | American English Pronunciation - Duration: 1:36.
Hi! Today we're talking about the short "u"
vowel sound. So there are different spelling patterns for this sound but
often it's just the letter "U". But the thing that's confusing is that in French
and Spanish in many languages, the "U" letter always sounds like "u" or "oo" but
in English sometimes it sounds like "a". Like in the word "sun". Not "soon" where the
lips are going out "oo". It's "sun" where the jaw is dropping and it's a somewhat low
sound: "sun" "sun", "soon" and "sun". Some other examples of the short "u" are in the
word "love". So you notice that has an "O" in it so it's not always a "U" but it could
be in the word "run" or "gun". So it's usually the letter "U" and involves that
jaw dropping "a": "Sun". Great! So now you know so you don't get confused in
English that the letter "U" is not always "u" or "oo", sometimes it's "a" like in "sun".
Now's the time for you to practice on your own! And thank you for watching.
-------------------------------------------
Derde fase Nieuwe Mark - Duration: 10:11.
-------------------------------------------
do's and don't of college along with some tips for incoming freshmen| pt 1 - Duration: 13:55.
Helly all this is u140550 peace what's up everybody
ok well I've been pretty pretty busy I'm not been watched very much but um if you
guys ever decide to definitely catch me down live-streaming sometimes a live
stream on to youtube so feel free to find that down in the down box below
please subscribe hit the like button I'm also hit the bell because I make videos
as um as frequently as I can when I have the chance to currently right now I'm
doing my college classes and I've been very very busy college summer classes of
this anyways get in today's video and for incoming college students even
though I've probably already made these type of videos I felt that these needs
to be improved that's one of the reasons why you see some of the videos that
you're seeing right now as far as what I'm giving anyways for any of you guys
that I new freshmen or incoming freshmen these are some little things that you
should not do in college I mean sometimes some teachers will
prefer it but sometimes for the most part and I'm sorry if this is not even
even um some but for the most part most professors will not really listen to you
if you are doing this so when you go to college you know how I mean the college
when you go to elementary school middle school high school how do you tell you
to raise your hand I still sometimes do this but for the most part most colleges
they want you to be independent and to just answer in a respectful way and also
just to basically speak so one person has one opinion when a person has
another opinion you pretty much after they're done you can talk your opinion
then they can talk their opinion etc but depending on the
Prester sometimes you can also do this especially if you're in a good
discussion I learned this very much when I was in
my first few classes in college and a lot of times even though I was doing
this they were like David don't really pick me they just you know picked
whoever they saw if the person was pointing their finger out but usually P
spoken you said professor to the yes or ponte de Beauvoir so if you can
definitely say things in a respectful way you will definitely be able to get
their attention and also at the same time be able to UM learn and be able to
say what you need to say for some professors they will ask you to raise
your hand but for other professors where most part usually would not want to do
this always um excuse me always in commute in community college and
university okay so that's one the next one is remember you're in a class you
know how when you when you're in high school middle school and elementary
school you would raise your hand or you asked a professor or teacher can I go to
a restroom or may I go to restroom now that's respectful that's something that
definitely you shouldn't exactly you know take away less para is like now
that you're in college they don't mind you getting out of the class because
you're an adult you know you need a restroom go don't ask the professor just
go and then come back because they feel that and a lot of people feel that once
you are in college you basically are in charge yourself they are not in charge
of you if you don't get your work done you get the grade that you get
if you um decide you know oh I don't really like this class or you know I I
don't want to stay in this class the whole area time then you can definitely
do that you can go to restaurant leave class go huh and I just got but don't
expect your grade be that good some professors do not like it that you have
your phone open all the time but because you're in college setting some teachers
don't mind you using it every now and then because it is a way for you to
navigate through lecture navigate through a lot of different things and
it's a good way to take notes sometimes but that's depending on those teachers
digression um I may have said that wrong but I actually just fished a 63 a 63 or
more um exam recently which recently today so
it's pretty pretty long and I also had another class so I'm pretty tired I'm so
sorry you guys anyways so yeah when you are doing that you are your own boss um
data point care about you as a student but but what I mean my they don't mind
they don't really care too much that you're going to leave is that it's not
like high school you have to ask permission if you need to go go if you
don't want to be in the class so be it but don't expect for your grades to be
good might as well if that is if you don't care about the education and you
know other things then some people some professors will say you might as well
drop because you need to be you need to be one of those people that is engaged
and really wants to try their best and work hard and actually care about your
education this is one of the reasons why from the other video that I made before
is college for everybody you have to have the great and you have the passion
to do it and all the other things that I explained in that video
um because college is not easy there is a lot of hard things that can happen a
good example is sometimes you will have a X amount of a lot of books with many
chapters sometimes 200 300 page books and usually you'll read give her a
little bit of it or all of them all through and you only have a short amount
of time to read them this is for sometimes literature classes sometimes
for English classes and at the same time you'll you'll have to analyze things and
make them into analytical lean good argumentative essays um that makes your
point valid also also along with that you will need to know how to structure
it depending on how on the way that your teacher wants you to make your essay
especially if it's your first time taking an English class in a college
setting say yes they do care about you it's not like they don't but there is
times when um when sometimes I've noticed people Dino and some different
students I know some that that sometimes they don't wrote there's like a first or
second semester but sometimes they they care they care about college but some of
them don't um particularly so then they don't come to class for maybe a week we
can have it is your responsibility as an adult to go to your classes and do what
you have to do so I don't want to waste a very much care about you but if you're
not going to give the effort back then you know it's not their fault because
you are a human being you are a person taking these classes and definitely like
I said you don't have asked the professor you got to do this this or
that you just go to the restroom we come back
you might have awesome what part of lecture but if your friends have took in
some notes maybe they'll give you some also when you are going to class they
expect you to have the books they need and to expect you to UM to understand
the requirements as a student in their class and that's definitely something
that you need to keep in mind also when you're reading books and you're doing
this in that take a good amount of time to Emma Tate make little notes in your
books or on a piece of paper to make sure that you are making the right type
of notes that will help you with your future essays I'm also taking notes so
that you can do good in your bio classes in your mathematical classes in your
chemistry classes etc um okay so what else to prepare you for college
make sure to also enjoy the college experience yes it is stressful yes it's
a lot of work guests this and that but do take a little bit of time if you can
to have a little bit of a relaxed time this is a reason being that you should
probably get a lot of your work done before the end of the week so that you
can always have a little bit of time to relax or downtown relax before you go
straight to studying for your next exam or studying for whatever it is also try
and make some friends um whether or not they'll be flown good friends depends on
you and your relationship with them but the reason I say make friends is because
you may not know anyone at the school but they will definitely help you out
with squish your schoolwork and your classes and it'll help you and them
to do well in the class on with that you need to um you need to take good notes
and sometimes depending on a few different things there are certain
programs that will help you in different things that you might need help with and
with that comes some things that accommodate certain people and help
certain people to make sure that you will do well in these classes on with
that you also want to make sure to study and repeat and reread notes so that you
will be prepared for those exams that are coming up anyways I have a lot more
I like the same but I'm going to put this as a part one and then I'm going to
add in a part two where I hope I set in the best way possible but this is the
best way that I can explain at this moment I will see you guys in the next
video please rate a K like comment and subscribe and hit that Bell button I
hope you guys enjoy this video I know it's a lot of me rambling and rambling
and rambling and look at the time right now it's almost 13 minutes long but um
this is definitely to prepare you for college and this is my part one there
will be a link to one video um from my previous video there will be another one
on this side that I'm going to be putting a random video this is actually
a video long long time ago when I was in HS and I would like for you guys to
actually look at it if you guys have a chance to it's a pretty cool one um it
was something I did in town show and also I will every now and then be
promoting different types of youtubers I really like I feel like
family needs a shout out just like they would probably shout out my channel so I
will definitely put them in the middle with my subscription picture right here
and their subscription picture right about here so anyways I will see you
guys in the next room and/or video when I have the chance to come back
this is you 1 4 0 5 5 0 will be sending out now and I hope to see you in the
next video every reader teen child Buster down yeah
-------------------------------------------
How To Cook Wafer Rolls. Recipe Tubes. #Gotovimsia - Duration: 1:44.
-------------------------------------------
Baby Shark Halloween Song Faster | Baby Red Little Bob Car Wash | Scary Songs by Fun For Kids TV - Duration: 22:47.
You are watching Fun For Kids TV
Lets learn and have FUN :)
Baby Shark doo doo doo
Baby Shark
Mamma shark do do do do do
Mama shark
Daddy Shark doo doo doo doo
Daddy shark
Grandma shark doo do doo do doo
Grandma Shark
Grandpa Shark do do do do do do do
Grandpa Shark
Scary Sharks doo doo do do do do
Scary sharks
Halloween do do do do do do do
Halloween!!!
Baby Car pom pom pom
Baby car
Sister car pom pom
Sister Car
Brother Car pom pom pom pom
Brother Car
Mamma car pom pom pom pom
Momma car
Daddy Car pom pom pom pom
Daddy Car pom pom pom pom
Daddy Car
Monster Trucks pom pom pom pom
Monster Trucks pom pom pom pom
Monster Trucks pom pom pom pom
Monster Trucks
We are safe pom pom pom pom
We are safe pom pom pom pom
We are safe
Ohh yes, we are
Baby Shark doo doo doo doo
Baby Shark doo doo doo doo
Momma Shark doo doo doo doo
Mamma Shark doo doo doo doo
Mamma Shark
Daddy Shark doo doo doo doo
Daddy Shark doo doo doo doo
Daddy Shark
Hey look here comes Grandma
Grandma Shark doo doo doo doo
Grandma Shark
Grandpa Shark doo doo doo doo
Grandpa Shark
Hungry Sharks doo doo doo doo
Hungry Sharks
Tasty Fish doo doo doo doo
Tasty Fish
Humm It's Yummy
Let's go hunt doo doo doo doo
Let's swim away doo doo doo doo
We are safe doo doo doo doo
End is happy doo doo doo
-------------------------------------------
Misiu Mój Obróć Się! | Polskie Piosenki Dla Dzieci | Przedszkolnym Muzyki | Kołysanki | Rymowane - Duration: 1:04:58.
Teddy bear, teddy bear,
Turn around!
Teddy bear, teddy bear,
Touch the ground!
Teddy bear, teddy bear,
Jump up high!
Teddy bear, teddy bear,
Touch the sky!
Teddy bear, teddy bear,
Bend down low!
Teddy bear, teddy bear,
Touch your toes!
Teddy bear, teddy bear,
Turn out the light!
Teddy bear, teddy bear,
Say good night!
-------------------------------------------
Creative DIY Ways To Reuse Old Jeans. Recycled Old Denim Crafts Ideas - Duration: 5:43.
Creative DIY Ways To Reuse Old Jeans. Recycled Old Denim Crafts Ideas
Watch more videos! Subscribe to the channel!
-------------------------------------------
NIVEA SUN UV- 6 stvari koje bi trebalo da znate o zaštiti od sunca - Duration: 3:13.
-------------------------------------------
How To Multi Acc Lineage 2 Revolution - Duration: 4:24.
How to play Multi account Lineage 2 Revolution
-------------------------------------------
8 Ball Pool - LOW LEAGUE ON MY GIVEAWAY ACCOUNT TOPPING LEAGUE GET CASH$ [100%] REAL 2017 - Duration: 5:12.
-------------------------------------------
8 Ball Pool - NEW 6 AWESOME AVATARS UPDATES WITH NEW CUES FREE GET AVATARS AFTER PURCHASING CUE 2017 - Duration: 3:15.
-------------------------------------------
Peugeot 308 GTI 250 1.6 E-THP 300PK EXCLUSIEVE AUTO. - Duration: 0:54.
-------------------------------------------
craft yapımı #5 ❤ tabela - tablo - kapı - yatak - Duration: 3:10.
-------------------------------------------
I Fell Off The Wall At Kirkwood Resort Lake Tahoe_S02E07 - Duration: 14:10.
-------------------------------------------
Citroën Berlingo 1.6 I 16V MULTISPACE Multispace 1 ste eigenaar - Duration: 0:54.
-------------------------------------------
Toyota Verso 1.8 VVT-I PANORAMIC 7P. Naviagtie Trekhaak - Duration: 0:54.
-------------------------------------------
Honda CR-Z 1.5 I-VTEC IMA SPORT - Duration: 1:01.
-------------------------------------------
Minecraft | Capture The Flag | pt 2 | I KILLED SOMEONE 2 TIMES! - Duration: 2:15.
-------------------------------------------
Toyota Prius 1.5 VVT-I COMFORT Cruise control, climate control - Duration: 0:59.
-------------------------------------------
Toyota Verso 1.8 VVT-I Executive | Navi | Leder - Duration: 0:41.
-------------------------------------------
Hyundai ix20 1.4I I-CATCHER - Duration: 0:54.
-------------------------------------------
Hyundai ix35 2.0 CRDi HP i-Catch. Rijklaarprijs - Duration: 0:59.
-------------------------------------------
[CC] SKT T1 Faker : Faker activates his Ultimate Rage mode because of Sky [ Full Game ] - Duration: 27:05.
-------------------------------------------
Mitsubishi Colt 1.3i INFORM AIRCO ELECTROPAKKET CD LMV16 - Duration: 0:59.
-------------------------------------------
Jaguar MK 2 3.4i AUTOMAAT 1966 OLDTIMER 43000 km . - Duration: 1:01.
-------------------------------------------
Volkswagen Polo 1.4i 16V ATHENE AIRCO BLUETOOTH CRUISE ELECTROPAKKET . - Duration: 1:00.
-------------------------------------------
Citroën C4 1.6i 16V 5-DRS IMAGE AIRCO ECC CRUISE PDC TREKHAAK . - Duration: 1:02.
-------------------------------------------
Subaru Outback 2.5i 4WD AIRCO ECC OPEN DAK CRUISE BLUETOOTH LMV TREKHAAK . - Duration: 0:59.
-------------------------------------------
Volvo S60 2.4i 140PK AUTOMAAT MOMENTUM NAVIGATIE LEDER ECC CRUISE PDC LMV16 . - Duration: 0:59.
-------------------------------------------
Renault Scénic 1.6i 16V BUSINESS LINE AUTOMAAT ECC CRUISE LMV 79.000KM!!! . - Duration: 0:54.
-------------------------------------------
Audi TT 1.8i 5V TURBO AUTOMAAT ECC LEDER SPORTSTOELEN CRUISE LMV17 103.000KM!!! - Duration: 1:00.
-------------------------------------------
Fiat Bravo 1.4i 120PK T-JET DYNAMIC AIRCO SPORTSTOELEN ELECTROPAKKET LMV16 TREKHAAK * 2 JAAR GARANTI - Duration: 1:01.
-------------------------------------------
Suzuki Splash 1.2i EXCLUSIVE AUTOMAAT AIRCO TREKHAAK LMV 15'' 1e EIGENAAR * 2 JAAR GARANTIE! * . - Duration: 1:01.
-------------------------------------------
Test BADyG - aplicación o administración online - Duration: 17:58.
-------------------------------------------
O duplo sistema de saúde cubano: um para o povo e outro para os estrangeiros - Duration: 0:59.
-------------------------------------------
NIVEA SUN UV- 6 stvari koje bi trebalo da znate o zaštiti od sunca - Duration: 3:13.
-------------------------------------------
How to pronounce the /ʌ/ sound | American English Pronunciation - Duration: 1:36.
Hi! Today we're talking about the short "u"
vowel sound. So there are different spelling patterns for this sound but
often it's just the letter "U". But the thing that's confusing is that in French
and Spanish in many languages, the "U" letter always sounds like "u" or "oo" but
in English sometimes it sounds like "a". Like in the word "sun". Not "soon" where the
lips are going out "oo". It's "sun" where the jaw is dropping and it's a somewhat low
sound: "sun" "sun", "soon" and "sun". Some other examples of the short "u" are in the
word "love". So you notice that has an "O" in it so it's not always a "U" but it could
be in the word "run" or "gun". So it's usually the letter "U" and involves that
jaw dropping "a": "Sun". Great! So now you know so you don't get confused in
English that the letter "U" is not always "u" or "oo", sometimes it's "a" like in "sun".
Now's the time for you to practice on your own! And thank you for watching.
-------------------------------------------
Point England Development Enabling Bill - Third Reading - Video 7 - Duration: 9:35.
-------------------------------------------
Creative DIY Ways To Reuse Old Jeans. Recycled Old Denim Crafts Ideas - Duration: 5:43.
Creative DIY Ways To Reuse Old Jeans. Recycled Old Denim Crafts Ideas
Watch more videos! Subscribe to the channel!
-------------------------------------------
Misiu Mój Obróć Się! | Polskie Piosenki Dla Dzieci | Przedszkolnym Muzyki | Kołysanki | Rymowane - Duration: 1:04:58.
Teddy bear, teddy bear,
Turn around!
Teddy bear, teddy bear,
Touch the ground!
Teddy bear, teddy bear,
Jump up high!
Teddy bear, teddy bear,
Touch the sky!
Teddy bear, teddy bear,
Bend down low!
Teddy bear, teddy bear,
Touch your toes!
Teddy bear, teddy bear,
Turn out the light!
Teddy bear, teddy bear,
Say good night!
No comments:
Post a Comment