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artefill risks

Ask Dr. Rivkin questions on all non-surgical cosmetic procedures, laser treatments, and injection fillers, including Botox, Juvederm, Restylane, Radiesss, Sculptra, IPL, Fraxel, Thermage, Mesotherapy, Non-surgical nose job, chin/cheek augmentation, and many other procedures.

artefill risks

Postby johnnysmitty » Tue Sep 09, 2008 8:44 pm

Dr. Rivkin,
Ive done a lot of research on artefill and other than the minor possible side effects (like redness, bruising), is granulomas the only recorded adverse side effect in artefill and artecoll?

Also, as u will know a lot of doctors oppose artefill because of the possibility of granulomas. But are granulomas that bad? cant you get rid of them with just an injection or is it more complicated than that?

Thank You
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Postby AlexanderRivkinM.D. » Thu Sep 11, 2008 2:29 pm

hi,
i've been using artefill daily for over a year now and i've treated a significant number of patients.
i have never seen a granuloma, which supports the company claim that it was the old version - artecoll - that gave granulomas. the new formulation is better.
i think its safe and effective. i disagree with those doctors, and i do so from personal experience, not theoretic fears.
Alexander Rivkin, M.D.

11645 Wilshire Blvd. Suite 800 Los Angeles, CA 90025
www.westsideaesthetics.com
Telephone: 310 443 5273

Online recommendations are not a substitute for live consultation and examination and should not be considered as medical advice.
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Postby watchthemoon » Mon Sep 22, 2008 6:50 pm

Can you use artefill on the lines between the eyebrows?
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Postby AlexanderRivkinM.D. » Tue Sep 23, 2008 8:59 am

yes, but very carefully and over several visits
Alexander Rivkin, M.D.

11645 Wilshire Blvd. Suite 800 Los Angeles, CA 90025
www.westsideaesthetics.com
Telephone: 310 443 5273

Online recommendations are not a substitute for live consultation and examination and should not be considered as medical advice.
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artifil

Postby frank_mass » Fri Nov 14, 2008 5:45 am

Hi
I had had 2 injections (.8cc) for NFs. it doesnt quite seem that the Artifil fills the actual fold, it is on the cheek side is this right? Also 2 treatments doesnt really get you much?
thanks
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Postby AlexanderRivkinM.D. » Fri Nov 21, 2008 4:48 pm

hi,
well, no, it should be in the fold, not in the cheek.
artefill is variable in terms of how much it sticks around, but you should certainly see significant improvement after 2 sessions.
make sure your doc is experienced with artefill.
Alexander Rivkin, M.D.

11645 Wilshire Blvd. Suite 800 Los Angeles, CA 90025
www.westsideaesthetics.com
Telephone: 310 443 5273

Online recommendations are not a substitute for live consultation and examination and should not be considered as medical advice.
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Postby t0kyo » Sun May 10, 2009 12:04 pm

Hi Dr. Rivkin.
I too read some of the risks of using artefill. I have heard that since aretefill is fairly new, some doctors will not use it until they can see the long term effects (5-10 years down the line).
I have heard some people having great results with you with the semi-permanent fillers for their non surgical nose job. I had a rhinoplasty done, and although I like my results, there are a few minor changes I would like to make in the areas close to the tip. I as considering artefill to achieve permanent results.

Just a few questions:
Do you still use artefill for the non surgical nose job?
Over how many patients have you used aretefill on for the non surgical nose job?
Are they really permanent, or only permanent for up to 5-10 years. (If they do last only 5-10 years.. that means they do eventually dissolve correct?)
Will aretefill migrate?
If I don't like the result, what can be done to remove/correct this?
What is the price range for this procedure?

Thank you in advance for your help!
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Postby AlexanderRivkinM.D. » Tue May 12, 2009 4:10 pm

hi,
yes, i use artefill with a great success rate for the non surgical nose job procedure. the only trouble is that people have to come in for multiple touch up procedure, as the artefill does tend to settle down after the injection.
i have done about 100 artefill nose procedures and everyhting has gone really well - the only frustration has been the multiple (3 to 5) touch ups needed before permanent results are achieved.
the material does not dissolve, so the results should really be permanent. i do not think that it is a 5 year procedure, but i can't tell you for sure that you would not need a small touch up after a few years. however, i have not had to do these long term touch ups and i've been using artefill for 3 years now.
artefill will not migrate.
$2000 - no charge for touch ups.
hope that helps,
Alexander Rivkin, M.D.

11645 Wilshire Blvd. Suite 800 Los Angeles, CA 90025
www.westsideaesthetics.com
Telephone: 310 443 5273

Online recommendations are not a substitute for live consultation and examination and should not be considered as medical advice.
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Postby t0kyo » Thu May 14, 2009 12:24 pm

thanks Dr. Rivkin. i really appreciate your feedback. is it true that the risks with fillers, especially permanent fillers, is that if i ever wanted to undergo a surgical rhinoplasty again in the future, the fillers will make it difficult to do so? is there also a new permanent filler coming out that will be able to be used for the non surgical nose job? if so, when do you think this will be?

thanks again
t0kyo
 
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Re: artefill risks

Postby dibocarmona » Sun May 02, 2010 3:21 pm

Dr Rivkin

Would the artefill filler make it hard to perform a rib cartilage augmentation surgery in the future?
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Re: artefill risks

Postby AlexanderRivkinM.D. » Sun May 02, 2010 3:38 pm

yes, i think that surgical rhinoplasty after putting a permanent filler like artefill in the nose is not a good idea. the filler will make the procedure more complicated and riskier. that is why i tell people who are considering artefill non surgical rhinoplasty that getting this procedure pretty much rules out a surgical nose job in the future. at this point, artefill is the only FDA approved permanent filler, but i know that others are pending FDA approval. none of these is reversible, however, so surgery after injection of any of these permanent fillers is a bad idea.
Alexander Rivkin, M.D.

11645 Wilshire Blvd. Suite 800 Los Angeles, CA 90025
www.westsideaesthetics.com
Telephone: 310 443 5273

Online recommendations are not a substitute for live consultation and examination and should not be considered as medical advice.
User avatar
AlexanderRivkinM.D.
 
Posts: 497
Joined: Mon Nov 19, 2007 3:40 pm
Location: Los Angeles, CA




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