Girls With The Mostest

Carissa21674 · Posted: Wed Mar 14, 2007 4:21 pm Post subject:

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34 y/o female
PS procedures: BA, Lipo, Rhino

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Dr_Naderi · Posted: Wed Mar 14, 2007 5:57 pm Post subject:

Sounds correct.

The numbing cream is to make the treatment more tolerable. Its not painful but its not fun either! So the topical numbing lotions can help. Valium is also sometimes given to patients if they can get a ride to and from the doctor's office.

Usually, 4, 5 or even 10% Lidocaine gel is used. There are significant risks associated if not used as directed so be careful.

I like VA. Lots of nice places to ride motorcycles!

Northern Virginia is nice because its basically a suburb of DC. I grew up in Boston so this is a little less urban here than I prefer but I have gotten used to it and call it home now ;)
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www.VirginiaFacialPlasticSurgery.com

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DrNaderi@VirginiaFacialPlasticSurgery.com

[Online recommendations are not a substitute for actual live consultation and examination.]

Gail27 · Posted: Thu Mar 15, 2007 8:08 pm Post subject:

I saw that you recomended Artefill to Sue so I looked up information about it on the internet. Would this work for my horrible smile lines? I have had lines from the outside of my nose to the sides of my mouth {I guess my whole life} and now that I am almost 30 they are pretty deep and I hate them. Would Artefill work for me? How much does it usually cost? I also would like to do something about my thin top lip maybe a lip implant. I also hate my nose, I don't think it is strait. This is a picture taken with my camera phone so it isn't very good quality.

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Dr_Naderi · Posted: Fri Mar 16, 2007 10:32 am Post subject:

Dear Gail,

You are a beautiful woman and you do not need as much done as you think.

Artefill is a fantastic product if used for the right patient and your naso-labial folds would benefit from it. If you have never had a filler then you should try something temporary like Restylane or Juvederm before going to a permanent filler so you see if you like the look.

The step beyond that is to use the Coapt Surgiwire system to do a subcision and release the tethering of the line and then inject fillers beneath it.

Artefill is about $1200 per 0.8cc syringe and it takes 2 to 3 sessions to get the final result, each 3-4 weeks apart therefore the cost will be $2400-$3600.

Again, with the upper lip, you may want to consider Restylane or Juvederm to see if you like the look prior to going to an implant. Advanta implants are fantastic for the lips.

Your nose is not too bad and you can either leave it alone or if it really bothers you then rhinoplasty can give you the desired result but you would have to be seen and examined in person by a surgeon. Make sure you choose your surgeon well because your nose does not look like it needs major work and the wrong surgeon can destroy or compromise the structural integrity of your nose.

I hope this helped.
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www.VirginiaFacialPlasticSurgery.com

www.VirginiaRhinoplasty.com

DrNaderi@VirginiaFacialPlasticSurgery.com

[Online recommendations are not a substitute for actual live consultation and examination.]

Gail27 · Posted: Fri Mar 16, 2007 3:04 pm Post subject:

Thank you very much you are such a kind man. You did give me plenty of helpful information. There is a group of plastic surgeons in Shreveport LA which is near where I live that I have heard many good things about. When {one of these days} I get enough money to have something done I think the first thing will be to take care of my naso-labial folds and my top lip. I am a little afraid of rhinoplasty and my husband dosn't like the idea of me having a lot of surgery done. If I had all the money I needed and could get over the feer I would have a little work on my nose. This is the link to the PS I was talking about.
http://www.thewallcenter.com/w_simeon.html
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Dr_Naderi · Posted: Fri Mar 16, 2007 5:05 pm Post subject:

I looked at the website. Thanks. I have not heard anything about them but if you have heard good things then at least its a starting point. I am not sure where you are in relation to other cities but Dr. McCullough is a very well known Facial Plastic Surgeon in Gulf Shores, and Dr. Calvin Johnson is a very well known Facial Plastic Surgeon in New Orleans.

Good luck.
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www.VirginiaFacialPlasticSurgery.com

www.VirginiaRhinoplasty.com

DrNaderi@VirginiaFacialPlasticSurgery.com

[Online recommendations are not a substitute for actual live consultation and examination.]

Gail27 · Posted: Fri Mar 16, 2007 5:29 pm Post subject:

Thank you Dr Naderi. I do not live in Louisiana I live in East Texas right near the Texas Louisiana border and Shreveport isn't very far from here. I used a PS in Houston for my BA but that is 4 hours away and Lufkin TX has plastic surgeons but it is a small town and I just don't think I would want to have an facial work done there. I did find a nice PS in Lufkin that did my redo on my BA though.
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chelliesmom · Posted: Tue Apr 10, 2007 9:21 pm Post subject:

I am wondering if you provide any services for severe nodular/cystic ance in your practice? Mine is clearly hormonal and I have tried everything except blue light therapy (which I can only find advertising, but no consumer reviews, for) and Accutane (as the side effects are frightening). Are there any laser treatments or peels that are effective? Are you familiar with Zeno or other heat/light devices that are worth a try?

I eat a balanced diet, drink water, exercise regularly, use all the appropriate soaps and lotions. I am not on hormonal borth control (due to intolerance) and have normal bloodwork (hormonal, thyroid, etc.).

Thank you for your time and understand this may not be a topic you can really advise me on. I am on the eternal search for clearer skin...
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Dr_Naderi · Posted: Wed Apr 11, 2007 4:33 pm Post subject:

Hi,

I do treat acne and acne scarring but when it gets to severe cystic or nodular acne I defer the treatment options to dermatologists who may choose to start patients on Accutane.

Photo based treatments such as IPL or Blue light (UV) are also options but usually by the time the acne has gotten so severe, most dermatologists will choose to use Accutane despite its immense risks.

Chemical peels, microdermabrasion are good to prevent acne but are of limited use during active acne breakouts.

N-Lyte laser is another laser that works on some people and not others. It may be worth a try. Its a "no down time" type of laser.

I have no experience with Zeno although I have seen their ads in journals. I assume it wont be as effective with cystic acne.

Yasmine OCP works great for acne compared to the other birth control pills.

When there exists 1000 ways of treating the same problem, that just means there is no magic bullet! Its a frustrating problem and one which many people struggle with their entire lives. Trial and error is the key as long as the error is not detrimental. Even when you find something that works, your skin may adapt to it and the benefits may wear off sooner than you would like.

Find a good dermatologist and be patient. Good luck.
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www.VirginiaFacialPlasticSurgery.com

www.VirginiaRhinoplasty.com

DrNaderi@VirginiaFacialPlasticSurgery.com

[Online recommendations are not a substitute for actual live consultation and examination.]

chelliesmom · Posted: Wed Apr 11, 2007 8:30 pm Post subject:

pandi · Posted: Tue Apr 24, 2007 6:03 pm Post subject:

The wonderful Dr.Naderi, Since we spoke on mid facelifts.Ive been trying to do some internet research and am having a time trying to find a site with before and after photos and information.Im looking under midfacelift and also lifestyle lift. Is this a relatively new procedure and what else might I look under to find information? Again, thank you for all of your help,I dont know how you find the time but Im so glad that you do.

Dr_Naderi · Posted: Wed Apr 25, 2007 11:28 pm Post subject:

No problem.

Mid face lift is very different from a lifestyle lift. The mid-face lift is definitely not new but the lifestyle lift is essentially a type of a mini cheek lift or an s-lift or a j-lift and there are lots of slight variations of this. However, the mid face lift is a sub-periosteal lift that lifts the entire cheek soft tissue and suspends it higher, creating fuller cheeks and reducing the nasolabial folds.

Dr. Jacono's site has some good info ad pictures:

http://www.newyorkfacialplasticsurgery.com/EndoscopicBrowlift.html
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www.VirginiaFacialPlasticSurgery.com

www.VirginiaRhinoplasty.com

DrNaderi@VirginiaFacialPlasticSurgery.com

[Online recommendations are not a substitute for actual live consultation and examination.]

pandi · Posted: Fri May 11, 2007 12:22 pm Post subject:

Dr Naderi,I keep hearing about juvaderm.I am due for my restylane again which I get in my nasal labial area and mainly to turn up my mouth some. Ive been putting it off lately since Ive heard about juvaderm. Exactly what is the difference in juvaderm and restylane? And are they used for the same areas? What about duration, pain involved, cost and saftety? Is juvaderm also used in place of botox? Give me a rundown on juvaderm if you would .I would be very grateful.

Dr_Naderi · Posted: Fri May 11, 2007 12:52 pm Post subject:

Juvederm is as close as you can possibly get to Restylane! Its linkage is slightly different but otherwise think of it as Restylane's fraternal twin sister!

Its cost is relatively the same. The duration of results is also very similar (around 6 months). It may hurt a tad bit less but fairly equal. The places you can inject them are very similar. It may be a bit better for the tear troughs under the eyes.

I tell my patients if they like Restylane to stick with it but if they want to make it fun and try something different then try Juvederm.
_________________
www.VirginiaFacialPlasticSurgery.com

www.VirginiaRhinoplasty.com

DrNaderi@VirginiaFacialPlasticSurgery.com

[Online recommendations are not a substitute for actual live consultation and examination.]

pandi · Posted: Sat May 12, 2007 6:43 pm Post subject:

Carissa21674 · Posted: Sun May 13, 2007 12:19 am Post subject:

I could be wrong but I believe that it has the highest concentration of hyaluronic acid than the other fillers that are out on the market.

Edited to say: Also, too, when newer products are out on the market, they always get a lot of "hype" at the beginning.
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34 y/o female
PS procedures: BA, Lipo, Rhino

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Dr_Naderi · Posted: Sun May 13, 2007 3:21 pm Post subject:

Allergan is creating all the hype. They even admit themselves that the results last around 6 months.

The difference is a matter of splitting hairs. Like captique vs. hylaform.

The Juvederm syringe is also very cheaply made which makes the injection less accurate as far as "the feel" of the syringe in the doctor's hands. There have been problems with the syringe just falling apart and the material pouring out during the injection as well. Allergan says that they are about to change the syringe.

You also get 0.8cc of juvederm in the syringe vs. 1.0cc of restylane.

The fact is that they are all roughly the same (like toothpaste or shampoo!) Try one, try a few, or try them all until you find the one or two that you like.
_________________
www.VirginiaFacialPlasticSurgery.com

www.VirginiaRhinoplasty.com

DrNaderi@VirginiaFacialPlasticSurgery.com

[Online recommendations are not a substitute for actual live consultation and examination.]

pandi · Posted: Sun May 13, 2007 9:20 pm Post subject:

Thank you.Its so nice to get an unbiased educated opinion.I cant tell you how glad I am to have you on this board.Now if you would just move your practice to the Tampa Bay Fl. area all would be great