Question
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Answer Snippet
I am looking for a non invasive way to get rid of fat on my thighs. Do you have any other sugg
Thigh Rx with Coolsculpting
Oct 11, 2017
I would suggest a repeat Coolsculpting treatment. It usually takes at least two treatments. You did not say how long it has been since your treatment. It takes 2-3 + months to get the final results. Best Wishes, Maurice Vick MD
How safe is it to get fillers in the eye trough?
Eye Trough Fillers
Oct 11, 2017
Go to an experienced injector to treat this area. I treat the eye troughs frequently several times a day. I like Vollure microdots deeply injected in small quantities. This area must not be over injected to avoid puffiness. I like to use a two treatment approach waiting 2 weeks between treatments. Vollure is said to last a year or so. Best Wishes, Maurice Vick MD
Hard lip line border after filler, does it need to be dissolved?
Hard Lip line Rx
Oct 11, 2017
Go back to your injector for evaluation. Hyaluronic Acid filllers can be removed with Hyaluronidase if they bother you. You might benefit from waiting another week or two to see if it softens. Next time use Volbella as your filler. It is very soft and natural feeling. Best Wishes, Maurice Vick MD
This year I developed two long vertical forehead lines. Is filler possible or is there anythin
Forehead lines
Oct 11, 2017
From your pictures your lines appear to be outside the area supplied by the muscles that cause the 11 lines. That is why Botox has not helped. Hyaluronic Acid fillers can be used to smooth out the forehead. However this is a very vascular area where you should be treated by an expert to diminish the chances of accidental injection into a vessel. Best Wishes, Maurice Vick MD
I’m 5’3″, 240 lbs. Doctor suggested sleeve but I want to know if CoolSculpting will work befor
Coolsculpting is not for weight reduction
Oct 11, 2017
You need to lose your excess weight before considering Coolsculpting. A surgical procedure such as a gastric sleeve, or a good dietary program are what you need. After reducing to about your ideal weight, Coolsculpting can help remove unwanted residual fat deposits. Best Wishes, Maurice Vick MD
What is the best treatment for upper lip lines?
Upper Lip Line RX
Oct 11, 2017
Treatment in this area depends on your ability to take down time. Laser treatment with a fractional laser and Micro Laser Peel (Sciton Laser) will give a longer lasting benefit but you may have redness around your lips for several weeks. Today most of my patients choose no down time treatment with fillers and small doses of Botox. I like Volbella the best. Micro needling with or without PRP is also an option, but I think fillers work the best. Best Wishes, Maurice Vick MD
How many cycles of CoolSculpting would you recommend in one session? Should I be concerned tha
Sub Mental Treatments
Oct 11, 2017
I agree that your pictures seem to show more loose skin than fat. There may be a small pocket of fat in the mid line below your chin. See an experienced Coolsculpting provider for an exam. You will probably benefit most from a skin tightening procedure, but the exam can determine if significant fat also needs Coolsculpting. Best Wishes, Maurice Vick MD
How many units for forehead and mouth/chin (smoker lines)?
Botox Dose
Sep 27, 2017
Dosage of Botox is dependent on your degree of muscular development and severity of the lines. (How long they have been there.) If present for a long time they will need more units to control. Usually in a woman with moderate severity I start with 10 units in forehead, 4 units in upper lip, and 3-5 units in the chin. More can be added in 2 weeks if necessary. Best wishes, Maurice Vick MD
My smile lines are so uneven. When I smile, one side is different to the other and it makes me
Smile Line Rx
Sep 27, 2017
Yes fillers can be used to even out facial imperfections. I like Hyaluronic Acid fillers. That is not a Botox area. Best Wishes, Maurice Vick MD
Help my face is sagging I don’t know what to, would cheek fillers be a good solution?
Candidate for Fillers
Sep 27, 2017
I agree that fillers would help. I would recommend Voluma in the cheeks, and Vollure in the tear trough area. Good acne care is important, and in the future Laser or micro needling with PRP would help. Best Wishes, Maurice Vick MD
Best way to improve all over facial volume?
Fillers
Sep 25, 2017
I like Hyaluronic Acid fillers the best. The Juvederm group (Voluma, Vollure and Volbella) give a good assortment of fillers that are suitable for most patients. They are also removable if you do not like what you see. Best Wishes, Maurice Vick MD
What treatment can I get to remove the line under the inner corner of my eyes when I smile? (P
Under Eye Lines
Sep 25, 2017
I would suggest a small amount of Botox. I start with 2 units under each eye. It usually lasts about 3-4 months. Best Wishes, Maurice Vick MD
Is ALMI to add volume to my hands a good/safe option?
Hand Treatment
Sep 20, 2017
I prefer Fillers like Voluma or Radiesse in the hands. I have seen patients who have been over injected elsewhere with fat. Since this is permanent, the fatty hands never go away. Fillers only last 1 1/2 to 2 years and HA fillers like Voluma can be removed if you don’t like them. I think they are a safer choice. Best Wishes, Maurice Vick MD
What fillers will help with the loose skin I see when I smile?
Loss of volume in the face
Sep 20, 2017
I recommend fillers to replace volume we lose with aging. This usually starts at about 40 years of age after that it has been estimated that about 5cc”s (5 one cc syringes of filler) needs to be replaced every year or so. I add Peleve treatments (Radio frequency) to tighten the skin. Best Wishes, Maurice Vick MD
What kind of laser treatment can I do to soften the skin on my buttocks , lighten dark spots a
Spots on Darker Skin
Sep 20, 2017
Most lasers are not kind to darker skin. Do you have keloids or scarring problems? I would suggest Hydroquinone cream for the spots, and Tretinoin cream plus Benzyl Peroxide for the acne. The first two require prescriptions. Best Wishes, Maurice Vick MD