Question: On average, how many laser treatments are needed to eliminate a black tattoo?
Answer: We do not currently treat tattoos, but I do know that it does take multiple treatments spaced about a month apart to get adequate reduction of the tattoo even if it is black. This typically ranges from four to eight treatments but can sometimes take more depending on the color of your skin in comparison to the black tattoo.
Question: Are there any laser treatments in which I could go back to work the next day? I am 60-years-old and can’t really take any time off.
Answer: There are lights and laser treatments that are considered nonablative that have absolutely no downtime and this would include intense pulsed light or broadband light treatment. They are very good for improving skin discolorations and can also improve some mild textural irregularities. If you get into the lasers that create wrinkle reduction the far majority of those are going to give you at least a few days of downtime, but the results are going to be much more significant for wrinkle reduction and textural character.
Question: I have fine lines above my lip. What’s a good filler for this area?
Answer: I think the hyaluronic acid fillers Juvederm ULTRA and Restylane are the best options for fine lines of the upper lip. They can be used to fill small lines. They are very well tolerated and last a relatively long time and are overall a good value. They are also extremely safe and should any sort of an unexpected bumpiness or fullness occur, they can be reversible.
Question: Does Radiesse provide permanent or temporary relief of facial wrinkles?
Answer: Radiesse provides a temporary solution to facial wrinkles and folds and can last one to two years though in multiple patients I have seen them return within six months needing more volumetric enhancement. Due to this fact, we typically use the hyaluronic acid fillers Restylane and Juvederm over Radiesse, but occasionally someone will desire a significant amount of cheek enhancement and I will oftentimes discuss cheek implants, fat grafting, and Radiesse to those particular patients.
Question: People seem to use injectable fillers more than fat transfer but I don’t understand why. Doesn’t fat transfer last longer? Isn’t it possibly permanent?
Answer: I think the main reason that fillers are so popular is two-fold. One is that they are right off the shelf, so there is no need to harvest fat and, therefore, individuals who are not trained in aesthetic medicine and, therefore, would not feel comfortable harvesting fat can just grab a filler off the shelf and use this product in place of fat grafting. The second issue is that it does involve liposuction from another area and the collection and purification of the fat prior to reinjecting it and is, therefore, much more costly than fillers and requires expertise in this technique. Ultimately, if someone requires a large volume of facial augmentation, I certainly will discuss fat grafting with them since the fat grafting becomes very economical in that circumstance since multiple syringes of filler can get quite pricey. If a patient just needs a small amount of volumetric enhancement then most likely it would just be easier to use filler since the higher cost of fat transfer for just a small amount of fat would most likely outweigh its benefit.