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.

Tuesday, August 5, 2008

Radiesse and Nasolabial Folds

For the nasal crease between the nose and mouth, how long would you say radiesse would last? And does it require a touch up a few weeks after the initial injection?

Radiesse usually lasts for about ten months to a year in the nasolabial folds. It's not appropriate for all folds, however, only deeper ones. Because of its large particle size, it's not the best idea for finer lines. Ensure that the person injecting it is experienced, as the material can cause skin to bruise and swell. Good injection technique will help minimize this.

I don't schedule a routine follow-up visit for everyone two weeks after the initial injection, but occasionally patients will encounter bumpiness and swelling or feel they need more filler, and in those cases I always encourage them to come back after two weeks.

http://www.westsidemedicalspa.com/radiesse.html

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Friday, July 18, 2008

Radiesse in the Tear Troughs

Dr. Rivkin

The middle of this past May '08, I had injections in/under my eye hollows with Radiesse. I had a lot of bruising and swelling, but was told that this would go away, some of the bruises were very deep and purple and lasted nearly two weeks. But, they DID go away.

the end of the second week, I began to swell in a different way all under my eyes, on top of the cheek bone, and got weird discoloration at the sight of the injection. A brownish/reddish color. I went to the Dr. who did the injection and was given a prescription for oral steroids, as well as an antibiotic.

The swelling went away, but even now, mid July the discoloation is there and I need makeup to cover it...it is very noticeable..

do you have any solutions, adivce, or thoughts? what could this be?

thanks so much for you time

-pepper



Hi Pepper,
This is one of the reasons that i do not use radiesse under the eyes. I think this is pigment deposited as a result of prolonged bruising. I'm not sure how to make it resolve. Perhaps hydroquinone cream? I use 8%, but it doesn't always work. steroid injections are also a possibility - I would start with kenalog 10.
Hope that helps


http://www.westsidemedicalspa.com/radiesse.html
http://www.westsidemedicalspa.com/non_surgical_bleph.html

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