Injectable Fillers in Dallas

The procedure is pretty fast and takes generally a little over an hour to perform. All procedures are performed in Dr. Lam’s Joint Commission-accredited surgical facility with his handpicked board-certified anesthesiologists. After the procedure, you will have some mild to moderate swelling that can make it socially unattractive for a few days to a week in most cases. He says the first few days you will look like Jay Leno. Also, you will feel as if you have a foreign object in your chin for the first week or so, but your body rapidly acclimates to the presence of the chin implant and you will then not notice its presence. Also, for the first week, you will feel as if your smile is not fully present. The reason for this is that the implant is placed underneath the mentalis muscle, so initially the muscle must heal before it fully functions. Typically, other people will not notice that when they look at you, but only you may notice it in yourself. That limitation of movement will last about a week but could last up to 2 to 3 weeks in rare cases. The incision underneath the chin heals quickly but you may need to have an injectable scar dissolver and/or laser treatment one to several times in the following months to ensure that the wound heals perfectly. Men are not allowed to shave over the incision for the first 15 days then can use an electric razor for the next 15 days. After the first month, a normal shaving routine may be resumed.

So, this ambiguous question may have two meanings. The first meaning would be whether you would feel a foreign-body sensation in your chin and the answer is a temporary yes. For a week or so, you may feel as if a foreign object is in your chin but your brain should erase that feeling after a week or so, so you no longer feel anything in your chin. The second meaning would be whether you would be able to actually feel the implant when you touch it with your finger. The answer is a qualified no. In general, the implant is placed very deep under multiple layers of tissue. However, some patients have reported that if they rub the edge of the implant, they could feel the edge of it but it doesn’t bother them. Dr. Lam always says he treats the way something looks not the way it feels.

No, Dr. Lam always says “the two sides of the body are not the same and can never be made the same.” It is important to understand your own asymmetries before having a procedure because afterward you may think Dr. Lam caused it when it was there all along. Dr. Lam always emphasizes what he calls right-brain results meaning that you should look a lot better but he may not fix every micro detail of your face (left-brain result) since that is simply impossible to do.

If the scar is not perfect, how will Dr. Lam fix it?” In general, the incision heals well and is tucked away under the chin in an area that is known as the “submental crease”. In other words, it is roughly where a crease or fold would exist. There will be an incisional scar there but the goal is to make that scar very hard to see from any social distance, that is, only someone very close up trying to find the scar may be able to see it after everything heals. Dr. Lam uses SuperTox/MesoTox to permanently and safely manage scar tissue in all skin types. He may use other methods to finesse a scar as well that he will tailor to you only if you need those services, obviously at no extra cost.

As mentioned above, in the past Dr. Lam would perform limited neck liposuction but in most cases this procedure really fails to deliver much improvement, as the majority of fullness in the neck does not reside in the superficial tissues but instead in the deep neck compartment. Please see the deep neck lift video to understand what he performs when he truly sculpts the neck and also visit his facelift page. Please refer to his page on why he no longer performs neck liposuction.

No. There are several reasons he does not. First, chin implants have a higher risk of infection going through the mouth. Second, the implant is an extended anatomic design, which is more safely placed away from the nerves from the bottom up, i.e., from the neck side. Finally, Dr. Lam oftentimes works in the neck to tighten the platysma muscles and/or remove fat, which he would otherwise have to do from the incision under the chin.

Yes. The most common procedures that Dr. Lam performs at the same time with a chin implant would be a rhinoplasty and/or a facelift. However, he can combine almost any other procedure at the same time with a chin implant like otoplasty, fat grafting, blepharoplasty, etc.

No. He believes that cheek implants are a flawed procedure for many reasons. First, aesthetically Dr. Lam does not like the appearance of cheek implants. Second, cheek implants that may initially look good over time begin to become visible as one age and the overlying fat pad regresses. Third, there is about a 10-12% chance of infection and asymmetry, so he likes what a colleague of his stated during one of his lectures that he believes that cheek implants are a flawed procedure.

Does it need to be replaced? In short, no. They are not like breast implants that may need replacing. Chin implants should be good for your lifetime. There should be no need to replace them, as the infection is incredibly rare and is about the only reason for the need to remove them. Further, to displace its position would require a major accident that may break your jawbone.