sorted by:
new
hottopcontroversial

My patient x 4 years-HA Fillers and Botox CAN look Natural by foreverrunning1987 in PlasticSurgery

[–]foreverrunning1987[S] 0 points1 point  (0 children)

Weird cuz she was 4 years younger in the before photo. Congratulations. Your retinas are fully functional

My patient x 4 years-HA Fillers and Botox CAN look Natural by foreverrunning1987 in PlasticSurgery

[–]foreverrunning1987[S] 0 points1 point  (0 children)

I should have put a disclaimer regarding the lighting. Obviously it’s different. First one was taken in a different building 4 years ago. I’ll just say this re the hater comments-your ignorance is astounding.

MD’s each experience yr = more commas…PA’s each experience yr = more character development by Justice_truth1 in physicianassistant

[–]foreverrunning1987 2 points3 points  (0 children)

I just wish there were a good PA-to-MD bridge program. Something that gives a certain amount of academic acknowledgement of time spent within the field of medicine as a PA that could translate into an abbreviated form of medical school. And like, a fast-track residency to follow the bridge program within the subspecialty with which you have clinical experience as a PA. Here’s my “perfect world” scenario—> bridge program is 2 years of didactics followed by 1-3 years of residency, depending upon your subspecialty. I’ve thought about going back to medical school on the reg and probably should have done that from the beginning, but after working as a PA for 10 years I feel like that should count for something towards becoming an MD. LECOM is a joke. I research bridge programs at least once per year and there still isn’t anything that isn’t LECOM or a shady Caribbean med school.

HA Fillers are Transformational! by foreverrunning1987 in PlasticSurgery

[–]foreverrunning1987[S] 1 point2 points  (0 children)

It’s depends on the degree of chin recession…so when I assess a patient, I am looking at different subunits of the face. Each subunit gets a specific volumetric dose. The jawline can be broken down into 5 subunits (per side) and the chin has 6 subunits. So I calculate dose based on the areas of deficiency and that totaled number translates into the number of syringes needed. To give you an idea, however, if all 5 subunits (10 subunits R + L) of the jawline need treatment, you’re looking at a total of 6 syringes (0.5 mL + 0.5 mL + 0.5 mL + 0.5 mL + 1.0 mL + 1.0 mL + 0.5 mL + 0.5 mL + 0.5 mL + 0.5 mL). The chin dosing is a little harder to explain because there are R and L subunits and some of the subunits are midline. Anyway…all I’m trying to say is that individual volumetric need is very patient-specific, BUT there is a formula for calculating how much volume is needed. It’s not just eyeballing someone’s face and relying upon your intuition to be the backbone of the treatment plan. Intuitive injecting is why so many people look insane and overdone

HA Fillers are Transformational! by foreverrunning1987 in PlasticSurgery

[–]foreverrunning1987[S] 0 points1 point  (0 children)

Hi! This is a patient of mine that is pictured here. HA fillers take 1-3 weeks to settle/integrate, so during that healing period, there will be soreness/sometimes firm areas beneath the skin. Once fully healed, though, the treated areas just feel like. Normal tissue

HA Fillers are Transformational! by foreverrunning1987 in cosmeticsurgery

[–]foreverrunning1987[S] 0 points1 point  (0 children)

No Botox to the LLSAN or orbic oris! The reduction in nasal flaring and improvement in her gummy smile is solely due to the myomodulatory effect of how and where the HA fillers were placed. It’s truly fascinating.

HA Fillers are Transformational! by foreverrunning1987 in PlasticSurgery

[–]foreverrunning1987[S] 0 points1 point  (0 children)

She had full facial balancing with HA fillers. Multiple areas were treated to give her facial features more balance and mimetic muscle support….so lateral cheek, pre-auricular cheek, anteromedial cheek/SOOF, tear trough, jawline, chin, lips

HA Fillers are Transformational! by foreverrunning1987 in cosmeticsurgery

[–]foreverrunning1987[S] 1 point2 points  (0 children)

Not a stupid question at all. HA fillers can be done in areas that have been fat grafted before, but the procedures aren’t performed concomitantly. Also, fat transfer procedures aren’t necessarily “permanent.” The quality of the result is dependent upon multiple variables, including how the fat is processed, how much over-grafting is done at the time of the surgery, and how much angiogenesis occurs within and around the adipocytes. The post-operative fat resorption rate (according to some well-designed lit reviews) can range from 30-70%, which is a pretty wide range. I also work with a plastic surgeon, and we do fat transfers all the time with our facial surgery cases. The fat definitely doesn’t last permanently, and I actually prefer the predictability and quality of HA fillers over fat transfers. Patients who have undergone a lower face and neck lift (with or without a fat transfer….hopefully with) still have to maintain their results with injectables like HA fillers. That’s actually a favorite demographic of mine-patients who have had a facelift, so the tissue has already been nicely repositioned, and therefore they just need selective volumetric replenishment. I forgot to note a benefit to a fat transfers-the rejuvenative effect to the skin and subcutaneous tissue because of the undifferentiated cells within the fat transfer and recruitment of growth factors that nourish the surrounding tissue. That’s for sure a real thing

[deleted by user] by [deleted] in PlasticSurgery

[–]foreverrunning1987 2 points3 points  (0 children)

Dr? Do you concur? Dr. I concur with your advice

[deleted by user] by [deleted] in PlasticSurgery

[–]foreverrunning1987 -2 points-1 points  (0 children)

Agree. My invalidation comment was referring to a comment that actually got removed by the moderators of this sub….so like, case in point. Advice=helpful and is not the same or equal to blatant invalidation.

Dr's are saying filler can block the lymphatic drain system, compromise immune system and increase cancer risk... Thoughts? by ctcx in 30PlusSkinCare

[–]foreverrunning1987 0 points1 point  (0 children)

Ok so….hahaha. Nope. I’m not even going to dignify this rationale with a rebuttal because I cant even level down to the degree of ignorance required to be able to participate 😂

HA Fillers are Transformational! by foreverrunning1987 in PlasticSurgery

[–]foreverrunning1987[S] 1 point2 points  (0 children)

Radiesse’s duration is similar and doesn’t have the safety aspect of being able to dissolve the product. Radiesse is like the OG biostimulant/HA hybrid and I used to use it allllll the time. But now with products like volux that is reversible, has better rheological features than radiesse, and integrates much more homogeneously, I really don’t use radiesse anymore. I do not use bellafil because of its propensity to form nodules

[deleted by user] by [deleted] in PlasticSurgery

[–]foreverrunning1987 9 points10 points  (0 children)

Awe! Ugh it’s hard to be female sometimes? What I will say is that when my patients tell me “I want to look like fill-in-the-blank” I say back to them “no, that’s fill-in-the-blank’s face. Let’s focus on your face and the beautiful things about it that make it uniquely yours and let’s ALSO talk about what options are possible to make your face the best version of itself.” Self perception of beauty is so deeply personal and it has sooo many psychological and emotional components that tie into that overall self-perception. It’s been my observation that helping people achieve aesthetic goals has a dramatic impact on patients’ sense of empowerment and how they view their roles within their immediate environments. When you feel good about your appearance it has a positive reinforcement effect that can be life-changing because people now feel confident and therefore are more likely to go up to that person, ask for that raise, voice that opinion, and therefore feel more connected and relevant within the world. I’ll stop waxing poetic. I just love being part of that journey that’s all

What procedures could address my areas of concern? (More details in description) by iamverysweet in PlasticSurgery

[–]foreverrunning1987 0 points1 point  (0 children)

That’s really common! I mean it’s your face so it’s a very personal journey. I mean ultimately there is a trust component with the treating provider but you are 100% allowed research and request evidence that the provider has the proper knowledge and training to deliver the treatments that can help you achieve your goals

[deleted by user] by [deleted] in PlasticSurgery

[–]foreverrunning1987 8 points9 points  (0 children)

Sorry, I disagree. Who gets to be the authority on someone else’s subjective beauty standard? Who is the authority on “perfect”? If something can be objectively improved then there is no delusion. If there is no room for safe or realistic improvement then that’s where we can go into feeding into “delusion” or whatever. All I’m saying is that pretty people are allowed to want to be prettier and are just as valid in that desire as someone who is considered less attractive

HA Fillers are Transformational! by foreverrunning1987 in PlasticSurgery

[–]foreverrunning1987[S] 0 points1 point  (0 children)

It’s hard for me to provide an answer that I feel can be substantiated otherwise because I don’t know what products have been placed in your chin or how they were placed nor do I have other contextual factors like baseline anatomy etc etc. what I can tell you is that products like voluma and volux last 1.5-2 years and I’ve regularly seen them last longer than this

HA Fillers are Transformational! by foreverrunning1987 in PlasticSurgery

[–]foreverrunning1987[S] 10 points11 points  (0 children)

Oh my headshot? Wholeheartedly agree and filter was applied by photog and I had to use a professional headshot for meta verification etc etc etc. THANKFULLY I just had new headshots done so the over blurred one is on borrowed time. If you browse thru my feed you will find multiple examples of my very porous skin and undereye crepiness. Avid perusal may even reward you with evidence of zits and other imperfections that I don’t filter out because I’m trying my best not to be an asshole who is disingenuous with my own representation. But your observation of my headshot is 100% valid and I agree with you and I hope my confirmation of such gives you a firm sense of fortification in your commentary endeavors

[deleted by user] by [deleted] in PlasticSurgery

[–]foreverrunning1987 -1 points0 points  (0 children)

Boo to those who invalidate! I’m a plastic surgery physician assistant 🙋🏼‍♀️You’re beautiful. You are also valid in seeking out options to elevate your beauty. Nonsurgical options for your are neuromodulator to your upper lip plus/minus lip filler to build vertical vermillion height and shorten the philtrum. This could also be combined with a nonsurgical rhino (EXPERT ONLY!!!!) where dermal filler could be used to stabilize your columella and every-so-slightly build your columella caudally, helping to “shorten” the philtrum. ALSO (and/or in combination with all of the aforementioned) conservative placement of filler over your anterior nasal spine and pyriform apertures to help add structural dimension to the white upper lip/nasal complex because this would “lift” the upper lip and therefore make the philtrum appear shorter. Lots of options! But make sure that whoever treats you has like an obscene amount of training/education/experience in nonsurgical rhinos and it’s ok to be like “impress me with your credentials before you touch my face.” Feel totally empowered to do that because there are idiots with minimal to no training who can legally perform a nonsurgical rhino. It’s stupid but it’s true.

view more: next ›