A. Well, I cannot give you a specific answer to this question since I have not seen you and done a proper evaluation, so I will answer in general terms that might help you and others. First, your concerns are justified. There is a lot of chatter on the internet about this technique. It is also a top topic at meetings like my Cosmetic Boot Camp. This area should be injected conservatively, using a thinner, less viscous hyaluronic acid filler to reduce the risk of lumping and persistent swelling. While either a needle or cannula can be used, the injections should be deep to prevent see-through the skin of the HA. I like to stage the procedure over 2-3 visits, since it is easier and safer to add than to subtract. Make sure the dermatologist knows how to reverse it if is lumpy. Be prepared for bruising and do stop vitamin E, aspirin, ibuprofen, and any fish oil that is in the ethyl ester form (the triglyceride form is OK). Choose an experienced injector. A good way to know is to ask to see their before and after results. I like to tell patients I try for a base hit rather than a home run. I never want to strike out and not give great results. Good luck.
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Our mission at the Lupo Center is to provide patients with innovative, effective and ethical care to make each person look and feel their personal best. To fulfill our goal, we provide state-of-the-art medical, surgical and cosmetic treatments to all patients.
Board certified dermatologist and clinical professor of dermatology Mary P. Lupo, MD has been a leader in the field of non-surgical rejuvenation since 1983. She travels internationally to teach her innovative techniques, and her reputation brings in patients from around the country. She started the first formal residency training program for injectables and peels in 1983 at Tulane Medical School and served as past president of Women’s Dermatologic Society, adjunct professor of dermatology at Tulane and a founder of Cosmetic Boot Camp. Dr. Lupo holds membership in many prestigious dermatology associations, participates in clinical trials for approval of new drugs and devices and acts as an advisor for numerous aesthetic-minded companies.