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There is no best filler. It really depends on what is best for you in terms of your biology and your needs. The "best filler" will depend on many factors including:

1. The length of time the filler will last.

2. The area on the face that needs to be filled.

3. Your skin type, thick or thin, if you have sun damage or acne scarring.

4. The amount of "fill" that is required (fine wrinkles, etched wrinkles, troughs and major volume - cheeks and mid-face).

Hyaluronic acid fillers have become the "gold standard" these days. I believe the other fillers still have niche roles and I still frequently use them. The reason that hyaluronic acid fillers have become so popular is because they are softer than the other fillers, they are more forgiving (harder to feel or see bumps) in thinner skin and soft tissue, they can last up to 12 or 18 months in some locations, they are cheaper than other longer lasting fillers and they can be reversed instantly with a solution of hyaluronidase if needed.

The two major hyaluronic acid players are Juvederm (by Allergan) and Restylane (by Medicis). The major hyaluronic acid fillers can differ in the "particle size" of the hyaluronic polymer, the cross-linking of the polymers and the final concentration of the hyaluronic acid in the syringe. Juvederm has a wider range of particle sizes and Restylane has a more uniform particle size. Both have similar concentrations and cross-linking of hyaluronic acid. The variations of these products have greater concentration or cross-linking to achieve better and longer lasting correction at the expense of a thicker, less forgiving product in thinner skin.

The bottom line is that each of my patients is evaluated first, then I discussed the different filler options available for each area of concern and finally we select a filler to give the best correction for that area. I photograph each patient before and after the treatments to follow the patient's progress and document the length of time each correction lasts. I insist that patients return two weeks after a treatment so we can reevaluate the treatment area and determine if any additional corrections are necessary.

I use radiesse and evolence as well. I tend to reserve these for patients who have already experienced fillers and are comfortable with fillers in the skin and are ready for more longer lasting results.

Labels: Evolence, Fillers, Juvederm, Perlane, Radiesse, Restylane, Soft lift, Volume Loss

First, it needs to be examined thoroughly for possible cancer risks. If there is any likelihood of cancer it will have to be biopsied and taken care of.

If it is not malignant then it can be cosmetically taken care of with laser. Most commonly these pigmented brown spots tend to be in the top layer of the skin and are called Solar Lentigos. They can be easily removed with a pigment laser. Usually couple of treatments are required at the most.

Labels: Moles, Pigment Spots

Yes we can treat warts with laser.

Generally people come to us with the tough to treat resistant warts. Generally most people will have tried a variety of treatments before they have come to us. Most warts are classified as "common warts".

Common warts usually occur:

* On your hands
* On your fingers
* Near your fingernails

Warts may occur singly or in multiples. They may bleed if picked or cut and often contain one or more tiny black dots, which are sometimes called wart "seeds" but are actually small, clotted blood vessels. Common warts are usually painless. Young adults and children appear to be affected most often.

Once people come to us they are pretty frustrated and want to get rid of the warts fairly quickly as they have tried multiple treatments already. We use laser treatments to get rid of the warts and usually depending on the laser used they can take one or multiple treatments to eradicate.

Labels: warts

Yes it is possible. A few things need to be clarified.

1. You need to be treated with a q-switch laser (Alex, Ruby or Nd-yag).
2. You will require multiple treatments
3. On a few occasions, there is a paradoxical darkening that occurs with the colour of the tattoo, depending on the colour, especially if it is red. This would then require many regular treatments to get through this phase. No guarantee can be given, though, that the colour will lighten or go away completely.
4. The treatment is fast and often done with a numbing cream only, although an anesthetic can be injected to make it less uncomfortable depending on your symptoms.

Labels: Cosmetic Tattoo, Tattoo Removal