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Lip Wrinkles in Women: Anatomy and Treatment Approaches

  There are many physical signs that can give away one’s age. Women know these signs very well and they include such areas as the back of one’s hands, the neck at the sternal notch area, and the mouth. The mouth area is a particularly bothersome area for many women. As a plastic surgeon, the Read More…

Foreign Body Reactions (Granulomas) from Injectable Fillers

  Injectable fillers are one of the most popular in-office aesthetic facial treatments. Used primarily to fill nasolabial and marionette lines as well as lips, they provide an instantaneous result. As of today, there are over a dozen commercially-available injectable fillers of various compositions. Patients frequently ask about what is different between them and which Read More…

Common Questions about Rejuvenation of the Aging Mouth

What happens to the mouth area with aging? Like the rest of the face, aging affects the mouth by atrophy and sagging. This is manifest by lips that get thinner, the development of vertical lip wrinkles, corners of the mouth that turn down, and the appearance of marionette lines or folds. These changes collectively can Read More…

Plastic Surgery Product Review: Juvederm Injectable Filler

  There are over a dozen available injectable fillers for facial use. While all can safely add volume, how long they last and for what indications they may be useful for does vary. In my Indianapolis plastic surgery practice, I find that all of them can be effective in different situations. But the one that Read More…

Common Questions about Facial Injectable Fillers

  1.      What is the difference between Botox and fillers since both are injected?   Because both Botox and fillers are ‘injectable’ and are used for cosmetic facial folds and wrinkles, they are often confused. But their chemistry and modes of action are completely different. They are best understood in appreciating the difference between static Read More…

The Next Wave of Injectable Fillers – More or Better?

The use of injectable fillers as an in-office procedure has become a mainstay of contemporary aesthetic facial treatments. Millions of such procedures are performed per year. Between 2002 and 2008, a dozen injectable filler products have become commercially available. While the pace of new product release has been brisk, ongoing development promises that more such Read More…

Another Injectable Filler Goes Away (Evolence)

  The past five years has seen numerous injectable fillers come onto the market. From just a few in 2002 to now over a dozen presently, the rush to enter the multi-billion dollar injectable anti-aging market has been near feverish. In my Indianapolis plastic surgery practice, I have seen more sales representatives for injectable fillers Read More…

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