So…I recommend hyaluronic acid [Juvederm, Restylane or for quick fixes;Prevelle silk] for the superficial wrinkles of the lip area, mid forehead area, and the slight hollow of the naso-labial fold where there is a wrinkle and possible depression from the nose to the corner of the mouth, and very carefully at a level deep near the bone at the hollow of the lower lid tear-trough.
Dr. Richard Clark of Sacramento, California
In the area below the lower lid I would recommend that it be done by an MD [only a Plastic Surgeon, ENT or dermatologist ...well-trained and experienced in this subtle area]. My nurse does injections of the other areas and augments the lip better than I …well, at least “almost better.” I have also recently augmented a narrow chin for a patient who will eventually have a chin implant but wants a temporary improvement now before her wedding which is coming up too soon for her to have an operation.
In regard to fat injection, I want to add that it is great for augmentation of many areas from the lip to the buttock…if done according to the principle of narrow injection tunnels to allow each fat cell to get a good blood supply. It can be a solution to long-lasting filler to the lower lid tear-trough rather than repeat injections of Restylane. Too important considerations with fat: 1] avoid over filling…tell your doctor you would rather have to return for a touch up than to have a lip that is forever too big! 2] It is a surgery which requires an operating room and a recovery and that is why I have some patients opt for midface/cheek augmentation with Radiesse.
So, to summarize: Temporary treatment of Wrinkles and minor superficial hollow and flat lips= Juviderm or Restylane or [Prevelle] ; Temporary treatment of Deeper Depressions of Cheek = Radiesse ; permanent treatment of Deeper Depressions of face and elsewhere and lip or butt augmentation = Fat injection. (I may blog on lip augmentation in future, because better than fat injection in the lip is a dermal/fat graft, but that is another story.)
Gail
May 31, 2010
Dr. Clark
thanks for the great information. Love the video.
Michelle
May 20, 2010
Dr. Clark,
I went to you for breast augmentation a few years ago- they still are amazing! You are a wonderful doctor and I have to agree with some of the other posts your staff is terrific too!
I really am curious as to what can be done permanently for the lips. I have fine lines around the lip area and have had fillers which work great but its a temporary fix. I hope you write about lip augmentation. Not sure if lip augmentation alleviates the fine lines around the lips like the filler does. You have nice lips any filler in those?????
Michelle
SJ
May 18, 2010
Dr. Clark,
I really like your blog. I have been to your office a couple times for Botox and Restylane. Your nurses are terrific. I am always very pleased with my results. I would also like to let you know just how terrific the rest of your staff is too. Always friendly,pleasant and professional.
I do hope you blog about breast augmentation sometime soon. I am thinking about having this done and I am curious as to why some women that have their breast done get great cleavage and others it looks like the grand canyon between their breast? Does this have to do with the patients shape before the surgery???
lexy
May 2, 2010
Dr. Clark-
If a person did not like the way the Restylane filler looked,perhaps they got a bad job,is there anything that can be done to correct it or do you just have to wait til it goes away?
I would like to know the same as Angelina, can injecting this filler under the eye alleviate the dark circles too? If not what can because as I age it’s my eyes that give my age away. Hope you blog about this soon. Any thoughts on Latisse?Great website.
Lexy
Angelina
April 30, 2010
Dr. Clark-if I had filler put in my lower lid, I think I refer to what your writing as the bags under my eyes, does this help the dark circle as well as the hallow look???
Angelina