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"Testing"

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.

"Testing"

Postby Emii » Thu May 07, 2009 9:33 pm

Dear Dr. Rivkin,

I have seen you televised on many reputable shows, and have also followed your threads on this website. Therefore, I have decided to pose this question to you instead of other doctors. (Thank you for all your great and candid posts!)

If I am considering an injectable for hollowing of the eye area, such as Restylane or Juvederm, is it reasonable for me to ask a doctor or nurse (injector) to first inject me in an unnoticeable area (such as my hand) to guage my body's reaction to the material?

Because I have had eczema in the past, with much itching, I am concerned that I may have an allergic reaction to injectables. (Bumps are also a concern, as I have thin skin) I am thinking that this type of request would seem normal to doctors, but I have never read about anyone asking for a "test injection."

Thank you in advance for your advice,
Regards,
Emii
Emii
 
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Joined: Fri Aug 10, 2007 9:41 pm



Postby AlexanderRivkinM.D. » Tue May 12, 2009 4:31 pm

hi emii,
you can certainly ask for a test injection and i'm sure any reputable doc or injector will do it. be sure to go to someone who has a bunch of experience with the procedure, preferably that you can see with before and after pictures. i have never seen any allergic reactions to restylane or juvederm, even with eczema patients, and i've probably done about 1000 eye patients.
also, the person you go to must have be comfortable working with hyaluronidase - the enzyme that dissolves the restylane or juvederm just in case you get a bump or a bit of over injection (it happens to the best injectors)
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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Location: Los Angeles, CA



testing injectors

Postby valleyofthesun » Fri May 15, 2009 7:07 pm

Hi Dr Rivkin:
I have had restylane injected twice by a PS in tear troughs and to fill in a dent caused by steroid injection for a bag left after lower bleph (steroids didn't help the bag but the resty helped hide it) The resty helped both issues a lot but I can't help thinking it could be smoother and done better. I always think he missed spots. Also I bruise for weeks afterwards. Do you think you could have better results because you do it more often? Valley
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Postby AlexanderRivkinM.D. » Wed May 20, 2009 2:38 pm

hi,
well, tough to say, but i do do inject in the eye area every day and by now my technique is quite smooth. i am always happy to take a look if you come in or you can send me a picture to arivkin@westsideaesthetics.com.
restylane or juvederm under the eyes should last several years. if its not lasting that long, i would want to take a look at what's going on.
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 valleyofthesun » Fri May 22, 2009 7:36 pm

Thank you for your reply. I am thinking of coming to L.A. to see you in July. How far in advance is it necessary to make appt? since I bruise so easily, want to make sure i can hide out for a week or two after treatment so have to plan timing of visit.

What I think the issue is, apart from maybe my PS doesn't do it every day, is that he underfills. I had to go back a couple of months after first one for that reason plus I wanted some on the other side in tear trough. The root cause though is that steroids made the minor fat left behind after bleph into a worse issue. In your experience does the body eventually regenerate tissue that steroids have atrophied? Or is Resty now my friend for life? LOL

Regards,
Valley
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