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Alexander Rivkin, MD
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Alexander Rivkin, MD
Plastic surgeon | Views: 243923


Friendname: AlexanderRivkinM.D.
Business Name: Westside Aesthetics
Website: www.westsideaesthetics.com
 
Location: 1033 Gayley Ave #104
los angeles, CA 90024
United States
Telephone: 310 443 5273
Languages Spoken: English




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Ask An Expert > Alexander Rivkin Message Board > questions regarding injecting restylane in nose
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frenchy88
San Francisco, CA
questions regarding injecting restylane in nose
Dr said he would fix dent in tip of nose with restylane. He then injected nose in 4 different places, while standing at arm?s length from the me. Why would dr. inject on sides of nose and top when only needed in tip. Also, is it proper to stand arms length away for injection.


 



docblinski
Plastic surgeon
Miami, FL
United States
View My Professional Profile
  March 9, 2011 5:58 AM

Unusual question and very hard to address. I think you might be correct but need more info. From MIAMI Dr. B


frenchy88
further explanation  March 9, 2011 12:54 PM

dent was in tip only. Dr injected tip once - did not do small injections to tip. He then injected both sides of nose in above nostril. 4th injection was top of nose in the middle. He said it would soften the nose, but the skin broke open and the nose was real swollen.


Why would dr. inject on sides of nose and top when only needed in tip. Also, is it proper to stand arms length away for injection. How can he see if there is blanching.

Please advise



docblinski
Plastic surgeon
Miami, FL
United States
View My Professional Profile
  March 9, 2011 1:09 PM

frenchy88; Your e/mail is undeliverable. Dr. B


AlexanderRivkinM.D.
Plastic surgeon
los angeles, CA
United States
View My Professional Profile
  March 10, 2011 10:00 AM

From what you describe, it is unclear as to why the injections would have been performed in that way. When I do non surgical rhinoplasty, I stand right next to the patient and I inject directly into the area if I want to fill an indentation. Perhaps your doc wanted to improve other areas as well, but in that case you guys should have discussed it ahead of time. It sounds like there are some communication issues going on.


beautidoc
Facial plastic surgeon
Encino, CA
United States
View My Professional Profile
Injectable filler in Nose  March 13, 2011 10:00 PM

Hi Frenchy,

The nose is 3 dimensional and augmenting one area may affect the adjacent area, which may be why your injector filled multiple areas.

As to standing arms length away, that is rather unorthodox. Your injector may be getting older and suffering from far-sightedness (check out people trying to read menus in restaurants), or are you sure that you showered recently before your appointment? If you are satisfied with your results, no problem, if not, I personally would try to choose your next injector most carefully. Good luck and be well.

Dr. P


richardgalitz
Facial plastic surgeon
Miami, FL
United States
View My Professional Profile
nasal injections  March 14, 2011 10:43 AM

Difficult question to address without directly examining you. However a few thoughts....I stand close to the patient when injecting even if I later move back to ascess the result. You should be close to the patient to see the way the skin reacts and rises. It also sounds like the injection over the top that broke down may have been a steroid for supratip fullness. Also restalyne is a bad choice for nose skin as it has a very short duration of correction. Usually its gone in 3 months and then needs to be repeated. Best I can tell you without seeing you.




 



 

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