Westside Aesthetics

Radiesse and Face Lifts

Dear Dr. Rivkin,

I got Radiesse in my mid face four months ago to relief the nasabial folds.
The effect has not yet worn off. I heard it last 1-2 years.
But now I inherited money and want a midface lift and permanent fat grafting to my mid face.
Can a plastic surgeon remove the Radiesse from my face or do I have to wait till it has worn off?
In other words: how long do I have to wait till I can get a real mid face lift or cheek lift surgery?
I am afraid that if the Radiesse is still in my face when the PS does the surgery that he might not lift the area where the Radiesse is in and then the face will suck when the Raddiesse wears off 6 months later…

Thanks you for answering.

hi
i agree with you – i would wait until the radiesse wears off before going for a surgical lift. unfortunately, there is no way to take it out. your best bet is to wait about a year after the procedure was done.
hope that helps

Active Fx to Correct Texture after Chemical Peel

I am much too young for a facelift of any kind. But in March I had a chemical peel done to my face that left my skin with a rough texture/orange peel look. Do you know about this side effect? I have tried many other procedures such as micro-dermabrasion, smoothbeam and creams to fix or help my skin but nothing is working.

When I take my skin and stretch it back a little, my skin looks smooth again though. So this is my I am considering a facelift. I am most interested in focusing on the apples of my cheeks and a bit below that, towards my mouth. What are your thoughts on this?

I was also considering a rhinoplasty as a have a bulbous nose and would possibly like to thin it out very, very slightly. My main concern is the facelift, but the reason I mention this is because I was curious whether having a rhinoplasty along with the face lift, would allow you to tighten the skin better in the areas I desire.

Thank you for your time.

I do not think that a facelift will help you.

The problem that you are describing has more to do with the texture of your skin than with overall skin laxity. I have heard of this kind of thing happening, but I do not really use chemical peels, so I have not experienced it among my patients.
It takes a lot of energy to change the texture of your skin once this kind of thing has happened. Microdermabrasion and creams will not help. Smoothbeam is an okay choice, but even that is not potent enough, in my opinion, to change the topography of your facial skin. The only laser that I have seen to really have an effect is the active fx. I would suggest that you do a bit of research on that laser – it should help tighten your skin a bit and smooth out the orange peel effect.

Regarding your nose, it sounds like you would be a candidate for non surgical rhinoplasty. It would be a shame to undergo surgery for a subtle effect such as the one you’re talking about. It can be achieved with a few steroid injections.

http://www.westsidemedicalspa.com/activefxlaser.html

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