You're welcome, Lynn Kristy! Glad you found the video helpful!

You r built different

Hi MsMusicalBeans, Your body's natural hyaluronic acid is constantly being replenished, and the body does also produce its own hyaluornidase. I did make a video about this concern - kzfaq.info/get/bejne/l5mJnMaqqdW4iok.html Thank you for taking the time to go through my website. Yes, I do aim to be as transparent as possible, and I'm happy you appreciate it :)

Thank you again for your kind words, 혼패리음! I make these videos so people are more informed about cosmetic procedures before they decide to have them with any doctor. I'm really happy they have helped you.

@@AmiyaPrasadMD doctor yeah cheeks and chin implants can not be permanent due to loss of blnes unless if the implants are not tagged hard enough with steel studs am i correct?

Bones*

Hi@@samaha-9624, No, bone mass is still lost due to aging even with implants. As facial volume loss affects the whole face, so facial dimensions change and become smaller, eventually the implants don't fit the face. I hope this clarifies things for you.

You're welcome, @ilovecamels4889. I'm glad you found the video helpful. Best of luck with your procedure!

Hi Michael, Yes, filler can be placed at the bone level to make up for volumetric bone loss, which uses a specialized technique to place that deep in the face. Not only will chin and cheek implants eventually not fit due to volume lost around them, but many people find chin implants uncomfortable. When I describe fillers, I'm talking about hyaluronic acid fillers. Deeper placement between the bone and muscle prevents migration, and also adds stable definition to the face. Hyaluronic acid naturally exists in the body, so the body naturally produces hyaluronidase for normal turnover, so these fillers are easily metabolized with time and do dissolve. The instances of hyaluronic acid fillers not dissolving are due to encapsulation, and injectable hyaluronidase can dissolve it. I hope this clarifies things for you.

It was nice to meet you as well, Nathalie! Please feel free to contact us if you have any questions or concerns.

You're welcome, Orwell Huxley! Good to see you on my channel again as well!

Thank you, Jenny Bilenduke! I'm glad you found the video helpful!

Hi MG M, Your tan should fade with time if you minimize sun exposure, and you don't have lasting sun damage to your skin like solar lentigos, but these are spots that can be treated. I hope this clarifies things for you.

Hi MG M, I hope you understand that we can improve skin thickness and the appearance of wrinkles, but we can't prevent them because we cannot stop natural aging. I hope this helps you.

Hi anonymous boye, Maxillofacial surgeons are the type of surgeons who are more well-versed in bone grafting procedures. I hope this helps you.

Hi Miss Lee 미쓰리 , This video is about implants eventually not fitting due to bone volume loss due to aging, so the information you feel is lacking may actually be in the video. I hope this clarifies things for you.

Well that’s just horrible

Hi T-mac0192, Puffiness in the cheeks is due to how filler is placed, not the filler material itself. Also, repeat use of fillers will not stretch the skin. You can refer to these videos about the importance of filler placement technique to avoid a bloated appearance, and why filler does not stretch the skin: kzfaq.info/get/bejne/eNiSZ9iF3-CraGw.html kzfaq.info/get/bejne/nt5lZ5OiqazGoqc.html

You're welcome, Xristina Rose! I'm glad you found the video informative!

Hi Vanessa Palma, The muscle layer over the bone level prevents filler from migrating, and it is stronger than the fat, soft tissue, and skin layers, so it can hold a larger volume of filler without migrating, but still look defined, and not soft and doughy like when filler is placed in the superficial layers. I hope this clarifies things for you.

Hi MG M, Rhinoplasty is a very risky major surgery, and results cannot be reversed, only adjusted. There is non-surgical rhinoplasty that uses fillers and Botox, but results are not permanent, and less risky, but it does require maintenance of fillers and Botox periodically. I hope this clarifies things for you.

Hi Shiloh Jetson, While I do perform microneedling, I lean more towards different laser treatments nowadays as they are more precise and controllable collagen induction therapies than microneedling. When done judiciously, laser treatment can avoid the complications you mention, but overuse, overheating, and overexposure of lasers can lead to their own set of complications. In the end of the day, whether it's microneedling or lasers, it is the practitioner who determines results and avoids complications, not the devices themselves. I hope this clarifies things for you.

Hi Anjali Mohan, The longevity of non-surgical rhinoplasty is reliant on the materials used, say Botox lasts 4-6 months, and cosmetic fillers last about a year. I hope this clarifies things for you.

Hi Maria, Nice to hear from you again! 1) dental implants are in the inside of the jaw, while placement of filler is in the outside of the jawbone, so it should be fine if you have dental implants before having filler treatment. You should note that if you need dental implants, it is a result of bone volume loss, so the timing for both treatments sounds about right. 2) Voluma is the thickest hyaluronic acid filler, which lasts about 2 years. Since it is placed at the bone level, and in between the muscle layer, this level does not have natural hyaluronidase which metabolizes hyaluronic acid, so it should last a little longer than usual, but the filler material still breaks down from normal wear and tear. 3) I'm happy to tell you that we have been open for awhile now, but with added health precautions such as the use of face shields and dividers, and now our patients also wear masks, but we've always worn masks in our offices. New York State and New York City are doing much better with keeping infections down as compared to most of the US, especially since we were hit first. I hope all this clarifies things for you.

@@AmiyaPrasadMD Thank you, Dr Prasad!

You're welcome,@@dammar117!

Hi julesjules, Filler treatment does come with its own risks, so like any procedure, risks are reduced by the experience and execution of the doctor, such as sterility to ensure that filler treatment does not cause infection. I hope this clarifies things for you.

Hi Jaider Andres Cruz Rodriguez, I suggest you wait until you consider any facial enhancements as you are still very young, so your face will still be growing and maturing until your early 20s. I hope this helps you.

Hi @hamzbana6336 , Fillers will not cause your skin to stretch after they are metabolized, or after several separate filler treatments. I actually made a video about it - kzfaq.info/get/bejne/nt5lZ5OiqazGoqc.html Even with chin, or jawline implants, filler is often needed for fine tuning of results are they are more precise than implants. Implants are still an option, but keep in mind many patients find them uncomfortable after they've had them placed. Filler in general does feel more natural, and they are more easily removed if you change your mind, or want to change the appearance. I hope this clarifies things for you.

Hi Anjali Mohan, The cause of your hair thinning needs to be diagnosed first before you consider any treatment. You can refer to this video about it - kzfaq.info/get/bejne/gq2Tm7WWlteVg40.html

Hi Joe black, You are still in the border of your face still growing, so I wouldn't recommend a chin implant done at this time. An examination is needed to determine what you want to achieve with a chin implant, and how it would it fit your face. I hope this helps you.

Hi thelovelyt1, You can look through the Y Lift network of doctors to find one closer to you who can do deeper filler placement, but keep in mind that different doctors do have differing aesthetic styles, so it's important to see if their results resonate with you. I hope this helps you.

Hi Hector, Hyaluronic acid fillers are the safest to use because hyaluronic acid is naturally present in the body, so these fillers are hypoallergenic. As explained in the video, I place filler at the deeper, foundational bone level, and the filler is held in place by the strong muscle layer, so you don't have the problem of migration, or the soft or doughy appearance that can occur when filler is placed at the more superficial dermal, fat, or soft tissue layers. I hope this clarifies things for you.

Hi Giga Chad, If you are considering a sliding genioplasty, you can refer to an oral surgeon as it's not a procedure I perform. I hope this helps you.

I'm glad you found the video informative, Debi Jo!

What did you do to improve your look ? And I am happy for you 👍

Hi MA, While they will likely last, I would have to see you before they can be recommended in the first place. At your young age it's volume augmentation, which is only recommended if there is a genetic volume deficiency. I hope this clarifies things for you.

Hello did you get your chin and jaw done ? Did you like it ?

Hi Jasmine :D, Juvederm Voluma generally lasts longer as it is the most viscous/ thickest filler from Juvederm, but filler viscosity is chosen not for longevity, but he viscosity appropriate for the area. The most viscous fillers like Juvederm Voluma are used in areas with little to no facial movement, like the cheeks, jawline, and chin. I hope this clarifies things for you.

Hi cassiesr, Sorry to hear about your problem. Having an uncomfortable chin implant is a common issue. You should appear as you did before the implant, but you also may have had some facial growth since then, which is why I usually don't recommend volume augmentation at your age while the face is still growing and maturing. The bone should not have been manipulated when your implant is placed. If comfort is an issue with you, you could consider a thicker hyaluronic acid filler, which I would wait to do in your early 20s when your face has stopped growing. I hope this clarifies things for you.

Hello did your chin go back to normal ?

Hi Kaththee, It is possible as often cheek implants do require additional filler treatment to fine tune implant results, but I would have to examine your situation if it's the right treatment for your case. I hope this clarifies things for you.

Hi Not So Cool Dude, It should last quite long as you are still very young, and age-related volume loss is not an issue in your 20s, and usually becomes more significant starting in your late 30s and older. I hope this clarifies things for you

@@AmiyaPrasadMD I see. Thank you for explaining

You're welcome, @@notsocooldude7720!

Hi Wyngaard Marlene, I will defer to your doctor's judgment as they have performed surgery on you, and knows your needs better than I do as they know your facial conditions, and I have never seen or examined your face. I hope this helps you, and thank you for watching!

Hi Anjali Mohan, Sodium lauryl sulphate is generally well-tolerated by most people, and shouldn't have and adverse effect on your skin. I hope this clarifies things for you.

@@AmiyaPrasadMD yes Doc....

Hi Anjali M, You can refer to this video about how we treat lines and wrinkles above the upper lip - kzfaq.info/get/bejne/kLySaJpy0tzYYas.html

Hi @lisaaustin4561, You can look for certified Y Lift doctors who are trained at placing filler at the bone level of the face. It's important to keep in mind that a doctor's aesthetic style should also be taken in to consideration, as we all have different styles, even if we place filler with the same technique. I hope this clarifies things for you.

Hi Melissa Kane, I generally don't recommend Radiesse as because the material calcium hydroxapatite is not metabolized by the body, so some residual material will remain after most of the volume is gone, and it requires surgical removal if something goes wrong. Hyaluronic acid fillers are generally safe since hyaluronic acid naturally exists in the body, but you may have had a reaction due to an infection that may have been caused by placement technique. I would advise that you try HA fillers again, but perhaps under sterile conditions or a different doctor to reduce risk of swelling and infection. I hope this helps you.

Hi 9999ty, Cheek implants won't stretch the skin, but the face may appear to sag if they are removed because the volume that gave structure to the cheeks is now gone. As explained in the video, cheek implants do need to be changed eventually as they won't fit the face eventually due to volume loss, consisting mostly of bone loss, due to aging. Volume enhancement can treat nasolobial folds, but it doesn't necessarily have to be implants. You can refer to these videos on how we treat nasolabial folds: kzfaq.info/get/bejne/eJd5dcWCrZmscYU.html kzfaq.info/get/bejne/qKmaqLhy1Mypdok.html

Hi @1989Channy, Temporal implants are an option, but I would have to physically examine your face before I make any specific treatment recommendations for your case. I hope you understand.

Hi Anjali Mohan, Non-surgical rhinoplasty is not permanent because it uses Botox and injectable fillers, which are temporary. Semi-permanent and permanent fillers are not recommended because they can cause complications from staying in the body for too long. There few to no permanent treatments as facial volume changes with age, so our bodies and features are not permanent. I hope this clarifies things for you.

Hi mohamed elsaye, Finasteride is a prescription medication, so you should only be using it with a prescription. The chances of side effects from finasteride are pretty rare at about 2% of patients having them. I've had patients who were on finasteride for 20 years who didn't suffer from side effects. Of the patients I've had with side effects, they were temporary, and restored normal function after stopping the drug. Finasteride does not treat hair shedding as it slows hair thinning. Minoxidil use is prone to hair shedding, which you can refer to this video about it, but we also have another video about completely replacing minoxidil: kzfaq.info/get/bejne/qdxoZbuE1bfKnn0.html kzfaq.info/get/bejne/ipuZg8d0y8CWfps.html

Hi Anjali Mohan, No they don't because steroids and corticosteroids can only be used in prescription medications. I hope this clarifies things for you.

Hi Megan Hensel, While Goretex implants are a possibility, I prefer silicone implants as the standard, as do most surgeons. A physical evaluation is needed to determine the best approach for you. I hope this helps you.

Hi Mocha B, We have treated patients with rheumatoid arthritis, but since their immunologic status is unique them, there may be a need for skin testing with filler, and coordination with their rheumatologist for their recommendation for filler treatment, or a surgical implant. I hope this clarifies things for you.

Hi @nickgerr1991, As explained in the video, facial dimensions change with aging because of volumetric loss of mostly bone, but also muscle, fat, and soft tissue. While it is possible for you to have filler for the chin first, having an implant at an older age doesn't mean it will be permanent. Also as featured in the video, many people who have chin implant surgery done don't find the implant comfortable, and filler feels more natural for them. I hope this clarifies things for you.

Hi NMEofdaST8, You can refer to this video about the factors that are considered when choosing a chin implant or chin filler - kzfaq.info/get/bejne/mrZlmq-Jtp-pc5c.html

Sliding genioplasty if you qualify for it! They cut and shift forward your own bone and it heals and your chin looks good!

​@@Bn22133that's sound like painful

Hi Carol, If the implant started to show with progressive facial aging, then the implant likely doesn't fit the smaller facial proportions due to volumetric loss due to aging. The implant would likely need to be changed to fit a smaller face, as repositioning doesn't affect the size of the implant. I hope this clarifies things for you.

Hi Valsala m, You can review this video about lip lines, but it's not permanent as the materials are not permanent, and we can't stop the aging process - kzfaq.info/get/bejne/kLySaJpy0tzYYas.html

Hi Anjali Mohan, Lifestyle changes are part of PCOS management, but it still requires other treatments like hormone therapy. This is best discussed with your gynecologist as this is not my area of focus, although I do treat PCOS-related hair loss on case-by-case basis. I hope this helps you.

Hi Giovanna Tauro, I can't say for certain without a physical examination because chin implants can affect the soft tissue where they are placed. You can have an examination done by the surgeon who placed it. I hope this helps you.

Hi Biz888, Juvederm Voluma, which is the thickest hyaluronic acid filler available, lasts about 2 years. I use this and Juvederm Ultra Plus, which lasts about a year, when I perform Structural Volumizing. I hope this clarifies things for you.

Hi A P, I'm not sure what you are asking, but a physical examination can determine if you are a good candidate for implants to address a recessed jaw. I hope this helps you.

Hi saba khan, You have the option of surgical cheek implants, which many people find uncomfortable, and may still need filler for finer points; and cheek filler, which when done correctly can have great results, without surgery, but don't last as long. I hope this clarifies things for you.

@@AmiyaPrasadMD why do some find it uncomfortable

Hi@@Pk-wu9tl, It is not hard to imagine that some people will find a solid foreign object in their face to be uncomfortable. I hope this clarifies things for you.

@@AmiyaPrasadMD I’ve heard that using filler for a long time, when you stop, there is sagging from where you had the filler, is this correct?

Hi@@Cathhhhhh____35897, I actually made a video about why that doesn't happen, for your reference - kzfaq.info/get/bejne/nt5lZ5OiqazGoqc.html

Hi Aji Taro, The jawbone loses mass with aging, so similar to cheek and chin implants, implants on the jawbone will have to be replaced eventually when they no longer fit the jaw. I hope this clarifies things for you.

Hi TheCoolOwen, I'm sure there are, but it's important to know that we all have different aesthetic styles with our work. Y Lift doctors are trained to place facial filler at the bone level, but the fine points of results are determined by the doctor's aesthetic style. It's important to find a doctor whose style resonates with you. I hope this helps you.

@@AmiyaPrasadMD Thank you so much. Ever since I was a kid I was made fun of for the dark circles under my eyes. I never felt attractive as an adult, and now I feel like I can finally augment my face to become attractive for the first time in my life.

Hi@@TheCoolOwen, Dark circles may not require filler treatment, unless you also have hollowing under the eyes. While a physical examination is needed before making specific recommendations for you, these videos feature the ways I treat under eye dark circles in my practice: kzfaq.info/get/bejne/h6imnc2n3bbYYps.html kzfaq.info/get/bejne/iZyPobeD15fYmaM.html kzfaq.info/get/bejne/oLeFlZlot9bFcYE.html kzfaq.info/get/bejne/iK56oseTmZmbn2g.html

Amean what is the long term fat transfer and hyaluronic acid

Hi Maryamruun Maxamud, The differences between the two treatments are explained in the other video you just commented on, so you can watch it more closely for the comparisons - kzfaq.info/get/bejne/mJldkrFixp-7gWw.html

Hi Anya, Hyaluronic acid fillers don't cause bone erosion. However, bone mass does diminish due to normal facial aging. I hope this clarifies things for you.

Hi pratyush panigrahi, I would have to examine your face before recommending chin and jawline implants, but you can refer to these videos about opting for temporary chin and jawline fillers if you are not sure about the look, and fillers can still be maintained for the long-term: kzfaq.info/get/bejne/mrZlmq-Jtp-pc5c.html kzfaq.info/get/bejne/fs6Wetl5q721inU.html

@@AmiyaPrasadMD sure sir thbkxx..cn I send a pic so that u cn suggest me .... actually my chin and jawline small..my nose is big....so its gets imbalanced...

Hi@@pratyushpanigrahi830, You can send your pictures through prasadcosmeticsurgery.com/virtual-consultation/ but this is not a formal consultation. A formal, one-on-one Skype of Facelift video consultation with me can arranged through prasadcosmeticsurgery.com/skype-and-facetime-virtual-consultations/ I hope to hear from you soon.

Hi Rakhi Rajput, I don't normally recommend cheek enhancement for people as young as you are, unless you have a genetic volume deficiency, which I would need to confirm in consultation. We don’t have set costs for treatment as each patient has different needs, and some treatments are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

Hi Fran Gaitan, Facial implants in general are not permanent because bone volume loss due to aging affects the whole face, and these implants will no longer fit properly as facial mass diminishes gradually with age. I hope this clarifies things for you.

Hi Valsala m, Yes, you can reduce facial fat volume with weight loss, but not the fat under the eyes as this is different kind of fat called orbital fat, which is not affected by body weight. I hope this clarifies things for you.

I'm glad the video gave you hope, Kate Kate!

Hi Paras Joshi, Your face will still be growing and maturing until your early 20s, so I don't recommend any treatment for someone at your age whose face is still maturing. I hope this clarifies things for you.

@@AmiyaPrasadMD thank u doctor u r great. Can u plz tell me solution for growing lower face ?

Hi@@parasjoshi7018, You need to let your face grow on its own right now as there is no treatment to "grow" your face, but in older people we can augment volume. I hope this clarifies things for you.

Hi Tyra creer, Infraorbital implants will also need to be changed eventually due to bone volume loss due to aging at the orbital rim. I hope this clarifies things for you.

Hi Richard Beman, It's great that it worked out for you. The video is actually about volumetric bone loss due to aging, that can affect volume that's the foundation of the implant, as well as bone loss in the surrounding areas of the face. I hope this clarifies things for you.

Hi Mel T, Yes, the cover of the book I wrote called, "The Fine Art of Looking Younger" is shown towards the end of the video.

Amiya Prasad, M.D. Great, thanks 😊

You're welcome, @@melt7891!

Thank you for the compliment, Makia M! Very flattered, and much appreciated!

Hi Sangita Borah, No, cheek implants are made of silicone, which is not a carcinogenic material. I hope this clarifies things for you.

Thanks sir

You're welcome,@@sangitaborah6172

Hi Rachel Hughes, While grafted fat that survives the surgical procedure can last long-term, 30-70% of grafted fat doesn't survive in the short-term as it needs to take to a new blood supply. This need for a blood supply makes results of fat grafting unpredictable, and it usually requires at least two surgical fat graft grafting procedures. Also, fat cannot be placed at the bone level because there is no blood supply at that level. I hope this clarifies things for you.

Hi Paras Joshi, The concept is the same for jaw implants as it is for cheek and chin implants - volume loss due to aging can result in the implant not fitting into your facial structure eventually. I hope this clarifies things for you.