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Alexander Rivkin, MD
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Alexander Rivkin, MD
Plastic surgeon | Views: 243942


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 > Does fat injections to the nasal folds and marionet lines have the possibility of lumping? If sonis it avoidable? How so.
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Elaine
Hilo, HI
Does fat injections to the nasal folds and marionet lines have the possibility of lumping? If sonis it avoidable? How so.



drredou
Plastic surgeon
vienna, VA
United States
View My Professional Profile
  July 4, 2011 1:53 PM

Yes. To reduce that possibility a small harvesting and injection needles is very helpfull.


docblinski
Plastic surgeon
Miami, FL
United States
View My Professional Profile
  July 5, 2011 3:40 AM

Ye and yes by using an expert injector/fat transfer PS


richardgalitz
Facial plastic surgeon
Miami, FL
United States
View My Professional Profile
fat in marionette lines  July 6, 2011 7:05 AM

Yes the possibility of lumping exists. However proper preparation of the fat and good injection technique lessens the chance of lumping. I personally use juvederm in the area, it does not lump up, it does not need a donor site, it non-reactive, and in my opinion lasts almost as long as your own harvested fat injections.


pearsonfaces.com
Facial plastic surgeon
Fleming Island, FL
United States
View My Professional Profile
Avoid fat injections.  July 8, 2011 1:53 PM

Even in the hands of very experienced surgeons, fat injections can really be hit-or-miss. Some of the fat resorbs, some gets lumpy with fibrosis (scar replacement), and some stays. Given those problems (and they're more common than you think), why use fat?

For the nasolabial folds and marionette lines I prefer to use Juvederm, Radiesse, or Artefill depending on whether the patient wants a short-term filler (Juvederm), a longer-term filler (Radiesse), or a permanent filler (Artefill). All of these have much greater predictability and control.

All the best,

--DCP
http://www.PearsonFaces.com/florida/artefill-restylane-radiesse-juvederm.html


docblinski
Plastic surgeon
Miami, FL
United States
View My Professional Profile
  July 11, 2011 3:26 AM

Yes any injection can lump in the hands of a un experienced injector.


AlexanderRivkinM.D.
Plastic surgeon
los angeles, CA
United States
View My Professional Profile
Use fillers  July 12, 2011 10:42 AM

With the abundance of FDA approved fillers available in the US, there is little reason to use fat in the nasolabial folds and marionette lines. Fat is still unpredictable, since a large percentage of the material injected gets absorbed by the body. We don't know how long a given fat injection will last. In contrast, fillers like Juvederm, Radiesse and even Artefill are safe, effective and reliable. They are also relatively inexpensive and require little, if any, downtime.


dryoung
Facial plastic surgeon
Bellevue, WA
United States
View My Professional Profile
Fat Injections  November 22, 2011 11:31 AM

Lumping can occur with both fillers and fat injections. It is best to talk to a doctor that specializes in volume procedures on a regular basis. He/She will have advance training in this field.
http://youtu.be/ANsT01Cksc8




 



 

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