Why Cheek and Chin Implants are Not Permanent
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- čas přidán 17. 05. 2024
- More on cheek implants: prasadcosmeticsurgery.com/fac...
For more on chin augmentation, please go to: prasadcosmeticsurgery.com/chi...
For more on cheek fillers/Structural Volumizing, please go to: prasadcosmeticsurgery.com/y-l...
For more about Dr. Prasad’s background training, please visit: prasadcosmeticsurgery.com/dr-...
New York facial cosmetic surgeon Amiya Prasad, M.D. talks about how the continual changes to facial volume can affect facial implants; how facial dimensions change with age, but facial implants don’t; and why injectable filler is often needed even after facial implant surgery:
0:21 - Introduction to cheek and chin implants
2:00 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as a facial rejuvenation specialist
2:46 - How silicone cheek and chin implants are not metabolized, unlike hyaluronic acid fillers
3:00 - How your underlying facial structure can affect the longevity of silicone cheek and chin implants
3:28 - How cheek implants are often anchored to the bone to maintain a desired position, and how the continually changing natural facial anatomy can affect it
4:29 - How the implants are often modified during surgery to adjust to facial contour
5:00 - How variations in soft tissue can make precise implant fit challenging, and why injectable filler is often needed after implant surgery
6:48 - Why the most significant impact of facial aging is at the bone level
7:08 - Why placement of cosmetic filler in the soft tissue level can result in a pillowy look
7:24 - How filler placement is highly dependent on technique, and the risks of repeated needle piercing through the skin
8:20 - How Structural Volumizing can create more definition by placing volume on the bone structure
8:35 - How the use of blunt cannulas can reduce the risks of bruising, swelling, and other complications
9:15 - How conservative filler placement below the skin can address subtle contour issues
9:44 - Why surgery is needed to remove or replace facial implants
9:55 - How hyaluronic acid filler can be quickly dissolved using the injectable enzyme hyaluronidase
10:80 - How facial dimensions change with age, but size of facial implants don’t
10:40 - How more recent, thicker hyaluronic acid fillers last longer than their predecessors
11:00 - The benefits of cosmetic filler placed at the bone level, as opposed to the usual placement closer to the surface of the skin
More on cheek implants: prasadcosmeticsurgery.com/fac...
For more on cheek fillers/Structural Volumizing, please go to: prasadcosmeticsurgery.com/y-l...
For more about Dr. Prasad’s background training, please visit: prasadcosmeticsurgery.com/dr-...
New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. talks about the differences between cheek implants and fat grafting when it comes to cheek volume enhancement, and how cheek fillers with a new technique called Structural Volumizing outperforms both modalities in terms of convenience for patients, recovery time, and precision and customization of results:
0:20 - Introduction
0:52 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as a facial rejuvenation specialist
1:28 - The key aspects in effective cheek volume enhancement
1:52 - How new techniques such as the Y Lift and Structural Volumizing have impacted Dr. Prasad’s approach
2:28 - How cheek implant surgery is done
3:00 - The issues that can arise after cheek implant surgery
3:54 - How facial volume will continue to change as we age
4:35 - Why fat grafting cannot achieve the appearance of defined cheekbones
5:04 - Dr. Prasad talks about his preferred tool for volume correction
5:27 - Concerns patients have about undergoing filler treatment for volume correction
5:48 - The disadvantage of placing fillers just below the skin’s surface
6:18 - Why the Structural Volumizing technique is a more effective way to place fillers in the face
7:13 - The advantage of using blunt cannulas to inject the filler
7:23 - How filler is much better in terms of customization and flexibility
7:44 - How the results of Structural Volumizing can last up to 2 years
8:08 - Other areas of the face where Structural Volumizing can be applied
8:45 - How quickly Structural Volumizing is performed, and ease of recovery afterwards
9:20 - Conclusion
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Thank you for this informative video. On a personal note, I had a chin implant about 20 years ago to replace nose fragments that continuously were infected. I immediately felt the implant was too large and had it removed. Under the anesthesia I checked on the smaller implant and decided to keep the smaller rather than remove it completely. I asked about shaving the implant down at that time and was told it wasn’t done. Probably the bigger implant fit across my chin better as I can feel the ridges of the smaller one. Esthetically I am happy. I have used filler to even out the sides of the implant as I age. Thank you again for raising this issue.
You're welcome, Lynn Kristy! Glad you found the video helpful!
You r built different
Hello, Dr. Prasad. Thank you for the interesting video. After learning about filler migration and the "puffy" look effect, I was persuaded to avoid filler. However, implants are a much bigger commitment, and I was worried about the chance of not receiving the results I wanted on the first try. Your video has helped me reconsider fillers. However, one remaining concern I have is with hyaluronidase. Is it true that hyaluronidase also threatens the area's natural (original) hyaluronic acid? After using hyaluronidase multiple times, are patients left with less natural volume than they started with?
p.s. On a side note, I am currently exploring your website, and I deeply appreciate surgeons like you who respect the intelligence of their patients by putting forth more educational material than hype marketing. I have also never come across a surgeon who transparently discloses their legal history on their website rather than leaving it up to the patient's digging. Choosing a cosmetic procedure and provider is a scary undertaking, but doctors with integrity make it less so. Thank you.
Hi MsMusicalBeans,
Your body's natural hyaluronic acid is constantly being replenished, and the body does also produce its own hyaluornidase. I did make a video about this concern - czcams.com/video/a3YicyDoTZU/video.html
Thank you for taking the time to go through my website. Yes, I do aim to be as transparent as possible, and I'm happy you appreciate it :)
Another awesome video Doctor. So would it be safe to assume that you would not recommend cheek implants for a women in her 50's or 60's in the process of having a face-lift?!
Thank you so much!
Hi Lynda Bustillos,
I still perform facial implant surgery, usually at the same time as a facelift. I just had to inform people that implants are not permanent as commonly assumed, and filler may still be needed with implant surgery for precision and fine tuning of results. I hope this clarifies things for you.
Another great video doctor. I am grateful that i found your video and thankful that you choose to share your unbiased information with us! Many doctors don't care about their patients and will give the patients unsuitable treatment as long as it makes profit, it makes me lose my faith in them but you regained my faith. Thank you again!
Thank you again for your kind words, 혼패리음! I make these videos so people are more informed about cosmetic procedures before they decide to have them with any doctor. I'm really happy they have helped you.
@@AmiyaPrasadMD doctor yeah cheeks and chin implants can not be permanent due to loss of blnes unless if the implants are not tagged hard enough with steel studs am i correct?
Bones*
Hi@@samaha-9624,
No, bone mass is still lost due to aging even with implants. As facial volume loss affects the whole face, so facial dimensions change and become smaller, eventually the implants don't fit the face. I hope this clarifies things for you.
Fine Doc . I appreciate your delivery on this. Makes sense technically. Now if I didn’t have to quarantine to get in. Great to see you! Be well
You're welcome, Orwell Huxley! Good to see you on my channel again as well!
Hello Dr. Prasad, Thank you for the video, i am 23 years old and am looking at implant alternatives as I am afraid of infection and the need of taking them off. Do you recommend Porous polymer (porex) implants? Are they safe? Do they have the need to be changed? I read that they integrate into the bone tissue, is it true? Thank you for your knowlegde
Love the videos very informative. What is your opinion on microneedling? I hear it’s great and seen it turn back the clock and completely thicken skin and remove wrinkles completely, however I have heard of some people getting infected deeper in the dermis and developing a foreign body granuloma which in most cases is permanent because the inflammation is deeper it can’t come out. What are your thoughts on this?
Hi Shiloh Jetson,
While I do perform microneedling, I lean more towards different laser treatments nowadays as they are more precise and controllable collagen induction therapies than microneedling. When done judiciously, laser treatment can avoid the complications you mention, but overuse, overheating, and overexposure of lasers can lead to their own set of complications. In the end of the day, whether it's microneedling or lasers, it is the practitioner who determines results and avoids complications, not the devices themselves. I hope this clarifies things for you.
Thank you so much for this! I have a question - does Juvederm ultra plus XC last longer than Juvederm Voluma XC? I have heard conflicting things
Hi Jasmine :D,
Juvederm Voluma generally lasts longer as it is the most viscous/ thickest filler from Juvederm, but filler viscosity is chosen not for longevity, but he viscosity appropriate for the area. The most viscous fillers like Juvederm Voluma are used in areas with little to no facial movement, like the cheeks, jawline, and chin. I hope this clarifies things for you.
Very helpful video. I was considering a chin implant but after watching your explanations I think I will try out the filler route instead. Thank you so much for your work!
You're welcome, @ilovecamels4889. I'm glad you found the video helpful. Best of luck with your procedure!
Hi Dr. Prasad, I have always used Radiesse instead of HA fillers... the one time I did use HA fillers, my face became puffy from them (not sure why), also Radiesse gives me sharper angles - can you use Radiesse with cheek implants? Thanks!
Hi Melissa Kane,
I generally don't recommend Radiesse as because the material calcium hydroxapatite is not metabolized by the body, so some residual material will remain after most of the volume is gone, and it requires surgical removal if something goes wrong. Hyaluronic acid fillers are generally safe since hyaluronic acid naturally exists in the body, but you may have had a reaction due to an infection that may have been caused by placement technique. I would advise that you try HA fillers again, but perhaps under sterile conditions or a different doctor to reduce risk of swelling and infection. I hope this helps you.
Excellent information well explained.
Thank you, Jenny Bilenduke! I'm glad you found the video helpful!
Just wondering what prevents the filler at the bone level from migrating and spreading out similar to how it would just under the skin?
Hi Vanessa Palma,
The muscle layer over the bone level prevents filler from migrating, and it is stronger than the fat, soft tissue, and skin layers, so it can hold a larger volume of filler without migrating, but still look defined, and not soft and doughy like when filler is placed in the superficial layers. I hope this clarifies things for you.
Hello Doctor.
what about jaw angles custom peek implants?
Hi Fran Gaitan,
Facial implants in general are not permanent because bone volume loss due to aging affects the whole face, and these implants will no longer fit properly as facial mass diminishes gradually with age. I hope this clarifies things for you.
This was very interesting, thank you
You're welcome, Xristina Rose! I'm glad you found the video informative!
For those with immune overreaction issues, which fillers are the absolute safest to use?
Also what happens to fillers in the face when sleeping. For instance, I don’t sleep on my back. I sleep mostly on one side and my cheek gets scrunched up firmly against my hand during the night. Surely that would push the filler to other parts of the face because there’s nothing really holding it in place? Same with chin filler. Does this mean you can never really lean your chin on your hand again?
Hi Hector,
Hyaluronic acid fillers are the safest to use because hyaluronic acid is naturally present in the body, so these fillers are hypoallergenic.
As explained in the video, I place filler at the deeper, foundational bone level, and the filler is held in place by the strong muscle layer, so you don't have the problem of migration, or the soft or doughy appearance that can occur when filler is placed at the more superficial dermal, fat, or soft tissue layers. I hope this clarifies things for you.
Doc I would like to ask about finasteride please ..can I use quarter of 5 mg finasteride pill for my hair growth because 1 mg is not available in my country?? Is it possible to increase side effects?? another question about shedding I have used minoxidil for 1 year and still using it and my hair shed for about 2 months but now no more shedding ..if I use finasteride, will my hair shed again??
Hi mohamed elsaye,
Finasteride is a prescription medication, so you should only be using it with a prescription. The chances of side effects from finasteride are pretty rare at about 2% of patients having them. I've had patients who were on finasteride for 20 years who didn't suffer from side effects. Of the patients I've had with side effects, they were temporary, and restored normal function after stopping the drug. Finasteride does not treat hair shedding as it slows hair thinning. Minoxidil use is prone to hair shedding, which you can refer to this video about it, but we also have another video about completely replacing minoxidil:
czcams.com/video/sv82XSpQfnI/video.html
czcams.com/video/T5iPdCfZ2Ng/video.html
So you talked about how your bone changes as you age but not the implant, so it wont look right with aging. Understandable, but cant you add filler around the areas where your bone may have resorbed due to aging. Also, most bone resorption within the face is at the maxilla and mandible. Because as you age and lose teeth, you lose alveolar bone. However losing bone within your cheek or chin in general is very mild if noticeable at all. Therefore implants are a much preferred option still especially for chin implants, as they would be alot less noticeable when your skin starts to thin and lose its elasticity. Also, what negative effects are there to injecting thick volume fillers once or twice a year for a long term? Doesn’t the filler migrate and most of it doesn’t actually dissolve?
Hi Michael,
Yes, filler can be placed at the bone level to make up for volumetric bone loss, which uses a specialized technique to place that deep in the face.
Not only will chin and cheek implants eventually not fit due to volume lost around them, but many people find chin implants uncomfortable.
When I describe fillers, I'm talking about hyaluronic acid fillers. Deeper placement between the bone and muscle prevents migration, and also adds stable definition to the face. Hyaluronic acid naturally exists in the body, so the body naturally produces hyaluronidase for normal turnover, so these fillers are easily metabolized with time and do dissolve. The instances of hyaluronic acid fillers not dissolving are due to encapsulation, and injectable hyaluronidase can dissolve it. I hope this clarifies things for you.
Hi Dr. Prasad! It's me, Nathalie! It was so nice to meet you last week!
It was nice to meet you as well, Nathalie! Please feel free to contact us if you have any questions or concerns.
Dr....by applying lip moisturiser can we reduce fine lines on upper lip?!
Hi Anjali M,
You can refer to this video about how we treat lines and wrinkles above the upper lip - czcams.com/video/ZVb57Amvt1w/video.html
Dr....will darkness of skin due to sun tan goes away completely if we stop getting exposed to sun.........or any treatments required to remove completely !!
Hi MG M,
Your tan should fade with time if you minimize sun exposure, and you don't have lasting sun damage to your skin like solar lentigos, but these are spots that can be treated. I hope this clarifies things for you.
Great video as always ❤
I am 22 years old I'm going to have chin and jaw implants will the results last at least to the age of 35 or more?
Do I have to worry about the aging process from now !
Hi MA,
While they will likely last, I would have to see you before they can be recommended in the first place. At your young age it's volume augmentation, which is only recommended if there is a genetic volume deficiency. I hope this clarifies things for you.
Hello did you get your chin and jaw done ? Did you like it ?
Hi doctor, I have a question. Its commun after a chin augmentation the loss of sensation by a damage on a nerve. I have a thin chin but i'm fear of losing my lips sensation or having my smile changed. I am 19 years old.
Hi Jaider Andres Cruz Rodriguez,
I suggest you wait until you consider any facial enhancements as you are still very young, so your face will still be growing and maturing until your early 20s. I hope this helps you.
I know this is an older video but I’m thinking about temporal implants as I’m scared to get filler due to having to repeat injections every 2yrs in the temples and it’s a dander zone. I’m scared of blocking blood flow/headaches and other issues I’ve seen people mention! would a subtle implant be a good idea to help my temple area? As I can take it out if needed in future. Thankyouuu
Hi @1989Channy,
Temporal implants are an option, but I would have to physically examine your face before I make any specific treatment recommendations for your case. I hope you understand.
Can you still do the structural volumizing under implants? Or are people with cheek implants just doomed to having them removed?
Hi Kaththee,
It is possible as often cheek implants do require additional filler treatment to fine tune implant results, but I would have to examine your situation if it's the right treatment for your case. I hope this clarifies things for you.
Is it a good trade off to use implants if you have a recessed jaw?
Hi A P,
I'm not sure what you are asking, but a physical examination can determine if you are a good candidate for implants to address a recessed jaw. I hope this helps you.
What if I want to get something like a custom jaw implant and I get it in my mid 20s? How long do you think that would last?
Hi Not So Cool Dude,
It should last quite long as you are still very young, and age-related volume loss is not an issue in your 20s, and usually becomes more significant starting in your late 30s and older. I hope this clarifies things for you
@@AmiyaPrasadMD I see. Thank you for explaining
You're welcome, @@notsocooldude7720!
What about using Goretex over silicone implants? I scar easily, so I cannot have dermal fillers in my cheeks.
Hi Megan Hensel,
While Goretex implants are a possibility, I prefer silicone implants as the standard, as do most surgeons. A physical evaluation is needed to determine the best approach for you. I hope this helps you.
Dr....how can we prevent face skin thinning and also wrinkles dr?!
Hi MG M,
I hope you understand that we can improve skin thickness and the appearance of wrinkles, but we can't prevent them because we cannot stop natural aging. I hope this helps you.
I want my chin to be broad and downward so should I go for genioplasty ? Is genioplasty better than chin implants ? And is genioplasty the best and permanent solution for my problem ?
Hi Giga Chad,
If you are considering a sliding genioplasty, you can refer to an oral surgeon as it's not a procedure I perform. I hope this helps you.
Hi doctor, I have been wanting a chin augmentation since my 13th (I am 23 now), I have an auto immune disease (rheumatoid arthritis) and I am afraid getting an implant or filler may cause a reaction from my body and make the disease worse. Which option is more safe for me?
Hi Mocha B,
We have treated patients with rheumatoid arthritis, but since their immunologic status is unique them, there may be a need for skin testing with filler, and coordination with their rheumatologist for their recommendation for filler treatment, or a surgical implant. I hope this clarifies things for you.
What about removing the cheek implants? While they are in there you are stretching the skin when removing wont that skin be saggy? Is it worth considering them in order to deal with nasolabial folds caused by flat midface?
Hi 9999ty,
Cheek implants won't stretch the skin, but the face may appear to sag if they are removed because the volume that gave structure to the cheeks is now gone. As explained in the video, cheek implants do need to be changed eventually as they won't fit the face eventually due to volume loss, consisting mostly of bone loss, due to aging.
Volume enhancement can treat nasolobial folds, but it doesn't necessarily have to be implants. You can refer to these videos on how we treat nasolabial folds:
czcams.com/video/B1IBbQH3HAQ/video.html
czcams.com/video/rCjuUAofEFU/video.html
Loved it, I learned alot this makes me understand my aging face I'm 62. Everyone says I dont even look like I'm even close to my 60's.
I'm glad you found the video informative, Debi Jo!
What did you do to improve your look ?
And I am happy for you 👍
Hi doctor. What I'm wondering is this. You said that it is generally more beneficial for fillers, but as far as I can see, fillers applied to the chin leave a sagging or, how should I say, frog-like appearance on the chin after a few uses? Your colleagues say? Do you think this is true? What are your thoughts on this? And if a patient comes to you and says, I don't have a budget problem. I want to make both my jaw and chin more masculine. In this case, would you recommend implants or fillers to your patient?
Hi @hamzbana6336 ,
Fillers will not cause your skin to stretch after they are metabolized, or after several separate filler treatments. I actually made a video about it - czcams.com/video/hx540qDFbrs/video.html
Even with chin, or jawline implants, filler is often needed for fine tuning of results are they are more precise than implants. Implants are still an option, but keep in mind many patients find them uncomfortable after they've had them placed. Filler in general does feel more natural, and they are more easily removed if you change your mind, or want to change the appearance. I hope this clarifies things for you.
Doctor.....Is SLS ingredient harmful for the skin if it is present in skincare products??.....Will it damages the face skin or irritation?!
Hi Anjali Mohan,
Sodium lauryl sulphate is generally well-tolerated by most people, and shouldn't have and adverse effect on your skin. I hope this clarifies things for you.
@@AmiyaPrasadMD yes Doc....
Hi doctor! I'm 29 and would like to remove my silicone chin implant placed 6 months ago. Will the chin go back to normal or will the soft tissues fail?
Hi Giovanna Tauro,
I can't say for certain without a physical examination because chin implants can affect the soft tissue where they are placed. You can have an examination done by the surgeon who placed it. I hope this helps you.
I live in Southern California and surgeons you can suggest that are equally skilled at this method?
Hi @lisaaustin4561,
You can look for certified Y Lift doctors who are trained at placing filler at the bone level of the face. It's important to keep in mind that a doctor's aesthetic style should also be taken in to consideration, as we all have different styles, even if we place filler with the same technique. I hope this clarifies things for you.
DR amiya what is the difference between the hayluronic acid and fat transfer to face
Amean what is the long term fat transfer and hyaluronic acid
Hi Maryamruun Maxamud,
The differences between the two treatments are explained in the other video you just commented on, so you can watch it more closely for the comparisons - czcams.com/video/b3-_N1a9WQ8/video.html
Hi, I’m 19 yrs old and have had my chin implant for 5 months. I have a procedure scheduled to get it removed in March. Will my chin look like how it was before I got the surgery? Also during the chin implant procedure do they do any manipulation to your natural chin bone? I’m nervous that my chin will be even smaller than it was before I got my implant. I am removing my implant because it is uncomfortable and also it has made my front profile too wide and vertical for my liking.
Hi cassiesr,
Sorry to hear about your problem. Having an uncomfortable chin implant is a common issue. You should appear as you did before the implant, but you also may have had some facial growth since then, which is why I usually don't recommend volume augmentation at your age while the face is still growing and maturing. The bone should not have been manipulated when your implant is placed.
If comfort is an issue with you, you could consider a thicker hyaluronic acid filler, which I would wait to do in your early 20s when your face has stopped growing. I hope this clarifies things for you.
Hello did your chin go back to normal ?
Wow, is there any plastic surgeons of your high caliber in the Chicago area?
Hi TheCoolOwen,
I'm sure there are, but it's important to know that we all have different aesthetic styles with our work. Y Lift doctors are trained to place facial filler at the bone level, but the fine points of results are determined by the doctor's aesthetic style. It's important to find a doctor whose style resonates with you. I hope this helps you.
@@AmiyaPrasadMD Thank you so much. Ever since I was a kid I was made fun of for the dark circles under my eyes. I never felt attractive as an adult, and now I feel like I can finally augment my face to become attractive for the first time in my life.
Hi@@TheCoolOwen,
Dark circles may not require filler treatment, unless you also have hollowing under the eyes. While a physical examination is needed before making specific recommendations for you, these videos feature the ways I treat under eye dark circles in my practice:
czcams.com/video/QBvjjvxPt2g/video.html
czcams.com/video/S6_nTRr1tio/video.html
czcams.com/video/jQUb67RpaAM/video.html
czcams.com/video/RHJodb437o4/video.html
Dr....Is rhinoplasty a very safe option?....are the results permanent?...and also is it major surgery or!!!...........Dr...Is there any surgery for small corrections in nose shape other than rhinoplasty which is permanent with not a single side effects!?
Hi MG M,
Rhinoplasty is a very risky major surgery, and results cannot be reversed, only adjusted. There is non-surgical rhinoplasty that uses fillers and Botox, but results are not permanent, and less risky, but it does require maintenance of fillers and Botox periodically. I hope this clarifies things for you.
Can't you put real bone grafts on cheekbones and maybe withtime it becomes part of the original cheekbones . ? Sorry if i sound dumb
Hi anonymous boye,
Maxillofacial surgeons are the type of surgeons who are more well-versed in bone grafting procedures. I hope this helps you.
How about jaw angling implants? Do you see them as not permanent as well?
Hi Aji Taro,
The jawbone loses mass with aging, so similar to cheek and chin implants, implants on the jawbone will have to be replaced eventually when they no longer fit the jaw. I hope this clarifies things for you.
Dr...I have little wrinkles on lips....will Botox help....will it give permanent results
Hi Valsala m,
You can review this video about lip lines, but it's not permanent as the materials are not permanent, and we can't stop the aging process - czcams.com/video/ZVb57Amvt1w/video.html
Dr....how many months/years can non surgical rhinoplasty lasts!
Hi Anjali Mohan,
The longevity of non-surgical rhinoplasty is reliant on the materials used, say Botox lasts 4-6 months, and cosmetic fillers last about a year. I hope this clarifies things for you.
Is it safe for me to get a chin impact done at the age of 21 to have sort of a jaw/chin like Brad Pitt or a sharper face?
Hi Joe black,
You are still in the border of your face still growing, so I wouldn't recommend a chin implant done at this time. An examination is needed to determine what you want to achieve with a chin implant, and how it would it fit your face. I hope this helps you.
Hello Doctor, I told you you I had a blebharoplasty done my eyes are beautiful and big the President of platic surgery in Geneva is going to do a botox lift between my eyebrows and at the tail on my eyebrows. OK my eyelids is still a bit swollen but it's only 2 months. What do you think Doctor I look awake now. My eyes are changing every week. Keep up the good work doctor. Marlene from Geneva, Switzerland
Hi Wyngaard Marlene,
I will defer to your doctor's judgment as they have performed surgery on you, and knows your needs better than I do as they know your facial conditions, and I have never seen or examined your face. I hope this helps you, and thank you for watching!
Doctor, how long typically is the volumizing structure going to last? I'm considering coming to you to get this procedure done.
Hi Biz888,
Juvederm Voluma, which is the thickest hyaluronic acid filler available, lasts about 2 years. I use this and Juvederm Ultra Plus, which lasts about a year, when I perform Structural Volumizing. I hope this clarifies things for you.
Doctor.....branded moisturisers like cetaphil etc....contains corticosteroids and steroids etc? ....which can damage the face skin in long run if used?!
Hi Anjali Mohan,
No they don't because steroids and corticosteroids can only be used in prescription medications. I hope this clarifies things for you.
Dr...results from non surgical rhinoplasty is fully permanent?!
Hi Anjali Mohan,
Non-surgical rhinoplasty is not permanent because it uses Botox and injectable fillers, which are temporary. Semi-permanent and permanent fillers are not recommended because they can cause complications from staying in the body for too long. There few to no permanent treatments as facial volume changes with age, so our bodies and features are not permanent. I hope this clarifies things for you.
Good video. But wouldn't the repeated use of fillers over and over again cause the face to be more puffy? Or is that myth?
Hi T-mac0192,
Puffiness in the cheeks is due to how filler is placed, not the filler material itself. Also, repeat use of fillers will not stretch the skin. You can refer to these videos about the importance of filler placement technique to avoid a bloated appearance, and why filler does not stretch the skin:
czcams.com/video/Brb4uTzzG88/video.html
czcams.com/video/hx540qDFbrs/video.html
Dr.....I had very thick hair......but now it is only half of its thickness,.....Will my hair grows back to its original thickness ?....what treatments can I take Dr?!.....I am 23 yrs.
Hi Anjali Mohan,
The cause of your hair thinning needs to be diagnosed first before you consider any treatment. You can refer to this video about it - czcams.com/video/LGchRe1q1SY/video.html
Hello Dr Prasad. Former blepharoplasty patient of yours here, still happy with results.
I have been watching your videos on structural volumizing, and I have 3 questions:
1) I need to get dental implants in the back. Should I wait until I have completely recovered from that? Asking not just from a healing perpective, but an esthetic one, as the implants may affect my jawline?
2) How long does this procedure last?
3) How is the pandemic affecting your clinic operations? I'm in Canada, cannot travel right now, but would like to know how the situation is. I'm not going to any other doctor!
Thank you. Maria
Hi Maria,
Nice to hear from you again!
1) dental implants are in the inside of the jaw, while placement of filler is in the outside of the jawbone, so it should be fine if you have dental implants before having filler treatment. You should note that if you need dental implants, it is a result of bone volume loss, so the timing for both treatments sounds about right.
2) Voluma is the thickest hyaluronic acid filler, which lasts about 2 years. Since it is placed at the bone level, and in between the muscle layer, this level does not have natural hyaluronidase which metabolizes hyaluronic acid, so it should last a little longer than usual, but the filler material still breaks down from normal wear and tear.
3) I'm happy to tell you that we have been open for awhile now, but with added health precautions such as the use of face shields and dividers, and now our patients also wear masks, but we've always worn masks in our offices. New York State and New York City are doing much better with keeping infections down as compared to most of the US, especially since we were hit first. I hope all this clarifies things for you.
@@AmiyaPrasadMD Thank you, Dr Prasad!
You're welcome,@@dammar117!
I wish I knew of someone who provides this technique for fillers.
I am in MN and I bet they do it the traditional way here.
Hi thelovelyt1,
You can look through the Y Lift network of doctors to find one closer to you who can do deeper filler placement, but keep in mind that different doctors do have differing aesthetic styles, so it's important to see if their results resonate with you. I hope this helps you.
Dr. I had a chin implant 17 years. Does chin implant.cause erosion? If I don't have any complications, do I still.need.to.take it out?
Hi Snow,
If you have no complications, and no issues with the implant, I don't recommend you remove it right now. An MRI would be needed to determine if the implant caused you bone erosion, but if the implant hasn't bothered you, then it's unlikely it caused bone erosion. I hope this clarifies things for you.
@@AmiyaPrasadMD I have taken facial x-rays, can clearly tell from them. CT scan won't show the erosion?
1. If I want explant, what happened to the erosion area (emptied bone loss are)? The time goes by, will lose bone be filled?
2. Does explant makes front teeth collapse?
3. Will I have persistant nerve pain after the surgery?
Hi@@Happy.Snowwhite,
Persistent nerve pain is unlikely, but the risk does increase with extensive surgery. Bone volume does not increase with time as it does decrease due to aging. As for your front teeth, without an examination I can't answer that question. I hope this helps you.
Hello sir,I have small and receding chin and jawline too...should I go for chin implant it jaw implant I am confused..I want big chin and jawline..which can give me confidence while growing beard...pls suggest me...thankyou.
Hi pratyush panigrahi,
I would have to examine your face before recommending chin and jawline implants, but you can refer to these videos about opting for temporary chin and jawline fillers if you are not sure about the look, and fillers can still be maintained for the long-term:
czcams.com/video/dP5gLXQ9ECc/video.html
czcams.com/video/HhfGvHFWQZA/video.html
@@AmiyaPrasadMD sure sir thbkxx..cn I send a pic so that u cn suggest me .... actually my chin and jawline small..my nose is big....so its gets imbalanced...
Hi@@pratyushpanigrahi830,
You can send your pictures through prasadcosmeticsurgery.com/virtual-consultation/ but this is not a formal consultation. A formal, one-on-one Skype of Facelift video consultation with me can arranged through prasadcosmeticsurgery.com/skype-and-facetime-virtual-consultations/ I hope to hear from you soon.
I like this procedure. I think it's a lot safer than surgery.
Hi julesjules,
Filler treatment does come with its own risks, so like any procedure, risks are reduced by the experience and execution of the doctor, such as sterility to ensure that filler treatment does not cause infection. I hope this clarifies things for you.
Dr have you written any books?
Hi Mel T,
Yes, the cover of the book I wrote called, "The Fine Art of Looking Younger" is shown towards the end of the video.
Amiya Prasad, M.D. Great, thanks 😊
You're welcome, @@melt7891!
Does injecting filler just over the bone cause erosion?
Hi Anya,
Hyaluronic acid fillers don't cause bone erosion. However, bone mass does diminish due to normal facial aging. I hope this clarifies things for you.
What’s the best option for a long term chin augmentation then?
Hi NMEofdaST8,
You can refer to this video about the factors that are considered when choosing a chin implant or chin filler - czcams.com/video/dP5gLXQ9ECc/video.html
Sliding genioplasty if you qualify for it! They cut and shift forward your own bone and it heals and your chin looks good!
@@Bn22133that's sound like painful
If the implant were to show more with age, could it be taken out and repositioned to no longer show?
Hi Carol,
If the implant started to show with progressive facial aging, then the implant likely doesn't fit the smaller facial proportions due to volumetric loss due to aging. The implant would likely need to be changed to fit a smaller face, as repositioning doesn't affect the size of the implant. I hope this clarifies things for you.
I think it will be so cool when we’re able to integrate a bio implant into the bone.
Hello doctor I m19 yrs old having face of only18 cm and want to increase face size vertcally and horizontal. Which is best solution to increase. Plz I mean depressed
Hi Paras Joshi,
Your face will still be growing and maturing until your early 20s, so I don't recommend any treatment for someone at your age whose face is still maturing. I hope this clarifies things for you.
@@AmiyaPrasadMD thank u doctor u r great. Can u plz tell me solution for growing lower face ?
Hi@@parasjoshi7018,
You need to let your face grow on its own right now as there is no treatment to "grow" your face, but in older people we can augment volume. I hope this clarifies things for you.
What about infraorbital implants?
Hi Tyra creer,
Infraorbital implants will also need to be changed eventually due to bone volume loss due to aging at the orbital rim. I hope this clarifies things for you.
Sir I want to do cheek implants surgery nd how many cost for cheek implants sir now I am 24 years old
Hi Rakhi Rajput,
I don't normally recommend cheek enhancement for people as young as you are, unless you have a genetic volume deficiency, which I would need to confirm in consultation.
We don’t have set costs for treatment as each patient has different needs, and some treatments are more extensive than others. You can contact our offices or our websites for a price range.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Doctor... By weight loss can we reduce face fat?!
Hi Valsala m,
Yes, you can reduce facial fat volume with weight loss, but not the fat under the eyes as this is different kind of fat called orbital fat, which is not affected by body weight. I hope this clarifies things for you.
Doctor...can PCOS be completely cured and controlled by very good lifestyle changes?!
Hi Anjali Mohan,
Lifestyle changes are part of PCOS management, but it still requires other treatments like hormone therapy. This is best discussed with your gynecologist as this is not my area of focus, although I do treat PCOS-related hair loss on case-by-case basis. I hope this helps you.
I still didnt get it .. should we get it or not cz i really want to get cheek implants
Hi saba khan,
You have the option of surgical cheek implants, which many people find uncomfortable, and may still need filler for finer points; and cheek filler, which when done correctly can have great results, without surgery, but don't last as long. I hope this clarifies things for you.
@@AmiyaPrasadMD why do some find it uncomfortable
Hi@@Pk-wu9tl,
It is not hard to imagine that some people will find a solid foreign object in their face to be uncomfortable. I hope this clarifies things for you.
@@AmiyaPrasadMD I’ve heard that using filler for a long time, when you stop, there is sagging from where you had the filler, is this correct?
Hi@@Cathhhhhh____35897,
I actually made a video about why that doesn't happen, for your reference - czcams.com/video/hx540qDFbrs/video.html
I don't understand why doctors will not discuss about the very very very likely scenario of bone resorption at site of facial implants. The bones will cave in underneath implants, and you will be left with boney ridges surrounding the implant if you decided to get it taken out.
Hi Miss Lee 미쓰리 ,
This video is about implants eventually not fitting due to bone volume loss due to aging, so the information you feel is lacking may actually be in the video. I hope this clarifies things for you.
Well that’s just horrible
I will come to you when finding the money, you gave me hope
I'm glad the video gave you hope, Kate Kate!
What about fat grafting?
Hi Rachel Hughes,
While grafted fat that survives the surgical procedure can last long-term, 30-70% of grafted fat doesn't survive in the short-term as it needs to take to a new blood supply. This need for a blood supply makes results of fat grafting unpredictable, and it usually requires at least two surgical fat graft grafting procedures. Also, fat cannot be placed at the bone level because there is no blood supply at that level. I hope this clarifies things for you.
Mine are made from actual bone and my bone has grown into them.. Basically they are "Me"...
Hi Richard Beman,
It's great that it worked out for you.
The video is actually about volumetric bone loss due to aging, that can affect volume that's the foundation of the implant, as well as bone loss in the surrounding areas of the face. I hope this clarifies things for you.
The Bogdanoff twins. 😰 it doesn’t look like they were briefed with this information.’
Are jaw implant permanenr
Hi Paras Joshi,
The concept is the same for jaw implants as it is for cheek and chin implants - volume loss due to aging can result in the implant not fitting into your facial structure eventually. I hope this clarifies things for you.
I want to look like handsome squidward
Do cheek implant causes cancer??
Hi Sangita Borah,
No, cheek implants are made of silicone, which is not a carcinogenic material. I hope this clarifies things for you.
Thanks sir
You're welcome,@@sangitaborah6172
I ain’t trynna sound too thirsty but you cute and smart
Thank you for the compliment, Makia M! Very flattered, and much appreciated!