Alexander Z. Rivkin M.D. is a Yale trained facial cosmetic surgeon and UCLA faculty member who has focused his practice exclusively on providing his patients with the latest in non-invasive, non-ablative cosmetic treatments in Southern California. He understands that no one relishes the thought of “going under the knife,” and believes modern medical technology can provide today's patients with superior alternatives to invasive, painful surgery that requires a long recovery time.

Thursday, October 16, 2008

Juvederm in Glabellar Lines

I've been told there's some risk with using filler between the eyebrows for the lines there. I've botoxed there but it doesn't do anything for the lines.I've also used a small amount of Juvederm but not enough to see a difference as we used most of the vial of my marionette lines. What would you suggest and could you address any risk associated with fillers there. Thx.


hi,
you're right - injecting the glabella takes some skill and, if overdone, can lead to some complications. it is an area where the skin is not as well supplied with blood vessels as in other areas of the face.
if too much filler is injected, it can interfere with blood supply to the skin and some temporary redness swelling or even a skin infection. i had one case of this about 4 years ago and it taught me to be very conservative in this area.
however, if you choose an experienced injector and he or she is careful, you should get a great result. i use juvederm for this area - that way if there's any problem, i can dissolve the juvederm with an enzyme called hyaluronidase.

2 Comments:

Blogger Unknown said...

How much filler do you generally inject in the glabellar lines?

November 11, 2008 at 2:47 PM

 
Blogger Dr. Alexander Rivkin said...

usually about 1/2 a cc of juvederm, depending on the depth and size of the lines.

November 24, 2008 at 10:52 AM

 

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