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Frequently Asked Questions

Here are some of my most frequent questions. If you don’t see your question below,  just contact me. I’ll try to help!

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There are a lot of fillers and neuromodulator products on the market. What are the differences?

If you are new to aesthetic medicine,  Research both dermal fillers and neuromodulators.  Reviews help, but beware of conflicting opinions from people with varying (or no) skill levels. Just a quick note that you can’t go wrong with products from major companies like Allergan, Galderma, and Revance.

For neuromodulators, BOTOX ®Cosmetic (onabotulinumtoxinA injection) is a great product. Made by Allergan, its name has become synonymous with facial aesthetics. Dysport® is another tried-and-true muscle relaxant made by Galderma. I use both and get excellent results. Keep in mind that neuromodulators are always coming on the market, so keep up with new releases!

For fillers, Galderma’s product, Sculptra®, is unbeatable for replenishing facial volume lost to aging, and stimulating collagen growth. It’s also great for what we term Brazilian Butt Lifts, (BBL’s),  which are growing in popularity.

Also, when purchasing any injectable, NEVER use a black or grey-market product from countries other than your own. Not only is it illegal, and you’ll receive no help from the manufacturer, it can be very dangerous.  

In a word, yes! From buildings to art (and faces), all beautiful objects are designed around Phi, which is named after the sculptor Phidias. He ascertained the human head, and more specifically, its face, is perfectly proportioned (and called the (Golden Ratio”). In raw numbers, this Golden Ratio is deemed “perfect” when the width times 1.618 is the height measurement. The midpoint position of the eyes, mouth, and nose locations are also figured in the 1.618 ratio. You can use this technique to get an idea of what is necessary to give your patient’s face a sense of balance, equilibrium, and what we call beauty. There are many articles on the internet with examples of the face and its features evaluated using Phi. It’s a fascinating topic!
Choosing your patients wisely can save you many sleepless nights. I’ve developed some personal guidelines that keep me from getting involved with patients I’d rather not touch. First, what are their expectations? If they are unrealistic, simply tell them you can’t really achieve what they want. Second, if they tell me a bunch of horror stories they’ve had with other Practitioners, I let them go somewhere else rather than include me in their next “tell-all.” Third and last, if they exhibit Body Dysmorphic Disorder symptoms (over-the-top abuse of too many injectables) I steer clear. It’s sad, but they need help that Aesthetic Medicine cannot give. Bottom line? If your patient is a happy and pleasant person, you are almost guaranteed to have great results. And patients with great results bring their nice friends. Life tends to work that way!
Absolutely. No exceptions. The photos are downloaded from my camera to a secure location. Each time they come in, I take another photo before injecting. This protects me and my practice. Also, sometimes a patient will come in and say “I just can’t see any real change”. So I just take another quick shot of them. Then I load today’s photo on the computer and create a “before and after” side-by-side with their original. They are almost always stunned! The strange reality is that you can see the difference, and so can their friends. But…. They have trouble seeing some changes since they look at their face daily. By the way, the same thing happens to me! And the look on their faces when they see their before and after is priceless!
Knowledge of anatomy is essential. Patients can be harmed by improperly placed injections. All my training had facial anatomy as a primary foundation. Without a good understanding of anatomy, tissue necrosis or even blindness can occur. Remember, no technique is 100% safe. Even cannulas can cause bruising, occlusions, and even blindness.

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