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Dr. Gal Aharonov Facial Plastic Surgery Blog

Facial Plastic Surgery Blog by Dr. Gal Aharonov

Archive for September, 2009

Botox to the neck: I have these bands in my neck. Does botox really work for improving them?

Friday, September 25th, 2009

Neck bands are in reality the medial edges of the platysma muscle--the muscle that is right underneath the neck skin. Some people, especially those with longer necks, can form these bands as the muscle is either tense or starts to droop with age. So does botox help? Depends. In bands that feel firm and tight botox can help. In neck bands that are loose and droopy botox rarely helps and might be a total waste of money. How do you know if it's worth doing? First, start off by going to a person who is experienced in dealing with this issue. He or she can use their best judgement to figure out whether botox is right for you. My rule of thumb is that if the bands are present at rest or with facial animation but the skin seems pretty firm, then botox will generally help. It will also help for people who have had a facelift or necklift in the past and the bands started showing up again.

I had restylane placed in my laugh lines by a nurse at this med spa. I have these little bumps on my skin now. Its been 4 weeks and they still haven’t gone away! What can I do to make them go away?

Friday, September 25th, 2009

Restylane, as well as other products such as juvederm, is made up of hyaluronic acid. Fortunately, there is an enzyme that can be used to dissolve it and make it go away completely, need be. Sometimes with gently massage you can make the bumps go away. If this doesn't work, the enzyme can be injected into the areas and the restylane will melt away in a day or two.

You should go back to the med spa where you had it done and see if they are willing and able to inject the enzyme to dissolve it. It goes by many names, such as wydase, vitrase, or hyaluronidase.

My friend had under eye collagen injections performed in Arizona. She has these obvious lumps and this weird bluish color under her eyes now from the injections. I think the doctor used juvederm or restylane. Is that a common thing to happen from these injections?

Tuesday, September 8th, 2009

The skin around the eye is very thin. Injecting fillers such as restylane and juvederm around the eye needs to be done by someone with plenty of experience. When done properly, injections of these "collagen" type products can be very beautiful and natural looking, but when done incorrectly can cause the issues you mentioned your friend having.

Your friend's lumps and issues can be reversed and fixed using a dissolving agent to melt away the filler. If she would like, she can have the procedure redone properly to have a more natural result without any of these issues.