Facial Plastic Surgeon Doctor Louis W. Apostolakis, MD in Austin, Texas

Name: Louis W. Apostolakis, MD
Last name: Apostolakis
Gender: male
Began aesthetic medicine in: 2000
Years experience: 23
Primary Specialty: Facial Plastic Surgeon
Business: Louis W. Apostolakis, MD, PA
Address: 4407 Bee Caves Rd.
Address suite: Bldg. 3, Ste. 321
Phone: +1 512-329-8989
City: Austin
State: Texas
Zip Code: 78746
Country: US
Statement: I have dedicated myself to the art of improving and maintaining the appearance of the face. I believe that natural results are of the utmost importance and that patients should never be pressured into anything. My satisfaction is measured by my patient’s satisfaction.
Consulting Fees: 50$
Consultation note: $50
Has Sponsored Offer : No

Special Offers: 
Offer #1: $50 off certificate sent in your birthday month!
Special Offer Treatments: All treatments
End Time: all the time
Detail: Get a $50 off certificate, sent annually, in your birthday month. May be used for any physician administered product or service. May use one per year but it is good for the entire year, use anytime!

Offer #2: $50 off 2nd cc of Restylane
Special Offer Treatments: All treatments
End Time: all the time
Detail: – The first 1cc of Restylane is $595. Each additional syringe is discounted by $50 when treated at the same visit.

Clinical Privileges: 
  • Hospital at Westlake
Education: 
  • Undergraduate: BS, Economics, University of Michigan
  • Medical: MD, Ohio State University College of Medicine.
Postdoc Training: 
  • Residency: Otolaryngology – Head and Neck Surgery, University of Iowa
  • Fellowship: Facial Plastic and Reconstructive Surgery, with E. Gaylon McCollough, MD
Board Certification: 
Louis William Apostolakis (ABMSUID -656878)

Viewed: 8/28/2008
Day of birth:
3/13/1969

Status: Alive
Certification: American Board of Otolaryngology
Otolaryngology – General

Status: Certified Active Lifetime Initial Certification 5/7/2001 –
Education: 1995 MD (Doctor of Medicine)
Location: 5656 Bee Caves Rd Ste E201Austin, TX 78746-5035 (United States)

GPS coordinates on map: 30.2853949,-97.8139792

Louis W. Apostolakis, MD

Primary location: 
Location name: Austin
State: TX
Country: US
Map point: 30.2687,-97.74520111
Treatments: 
  • African American Rhinoplasty
  • Asian Rhinoplasty
  • Botox
  • Botox for Gummy Smile
  • Botox for Hyperhidrosis
  • Brow Lift
  • Buccal Fat Removal
  • Cheek Augmentation
  • Cheek Lift
  • Chemical Peel
  • Chin Filler
  • Chin Implant
  • Chin Liposuction
  • CO2 Laser
  • Collagen Injection
  • Deep Plane Facelift
  • Dermabrasion
  • Dermal Fillers
  • Double Eyelid Surgery
  • Dysport
  • Ear Surgery
  • Earlobe Repair
  • eMatrix
  • Eyelid Surgery
  • Facelift
  • Facelift Revision
  • Facial Feminization Surgery
  • Facial Reconstructive Surgery
  • Forehead Reduction
  • Fractional Laser
  • Fraxel Laser
  • Genioplasty
  • Hyaluronidase
  • Juvederm
  • Laser Peel
  • Laser Resurfacing
  • Latisse
  • Lip Fillers
  • Lip Implants
  • Lip Lift
  • Lip Reduction
  • Lip Surgery
  • Liquid Facelift
  • Lower Facelift
  • Mini Facelift
  • Mole Removal
  • Neck Lift
  • Nonsurgical Facelift
  • Nonsurgical Neck Lift
  • Nonsurgical Nose Job
  • PRP Injections
  • Ptosis Surgery
  • Radiesse
  • Restylane
  • Restylane Defyne
  • Restylane Lyft
  • Restylane Refyne
  • Restylane Silk
  • Revision Rhinoplasty
  • Rhinoplasty
  • Scar Removal
  • Septoplasty
  • Skin Rejuvenation
  • Skin Tightening
  • SMAS Facelift
  • Transgender Facial Feminization Surgery
  • Voluma
  • YAG Laser

RealSelf Info

Awards: 
  • Achieving New Heights In Plastic Surgery 2018, 2016, 2014

Rating: 4.8
Profile views: 56214
Answer count: 534
Review count: 48
5 star count: 19
Total star count: 19
Star rating: 4.2409610943886
Anonymous votes: 168
Offer count: 2
Profile created: Dec 3, 2007
Profile modified: Apr 27, 2023
Profile promotion: No
Profile inactive: No
Premier status: Free
Tier: Pro
Linked url: https://www.dr-apo.com
RealCare Promise: No
Directory link: Board Certified Facial Plastic Surgeon
RealSelf’s PRO: No
Doctor Designation Start Time: Mar 6, 2019
Doctor Designation End Time: Jan 1, 2033

Locations

  • Austin, TX, US. GPS coordinates: 30.2687,-97.74520111

Latest ratings of treatments

  • Eyelid Surgery (Oct 2013) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Eyelid Surgery (Jun 2017) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Eyelid Surgery (Apr 2017) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 3/5, Phone or email responsiveness: 4/5, Payment process: 5/5, Time spent with patient: 4/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Chin Implant (Mar 2014) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Restylane (Jun 2013) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Asian Rhinoplasty (Oct 2018) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Rhinoplasty (Feb 2019) – Overall rating: 5/5
  • Restylane (Sep 2023) – Overall rating: 5/5
  • Facelift (Sep 2023) – Overall rating: 5/5
  • Rhinoplasty (Jun 2015) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Chin Implant (Sep 2015) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Ear Surgery (Aug 2015) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 3/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 3/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Rhinoplasty (Aug 2014) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Eyelid Surgery (Oct 2014) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Rhinoplasty (Jan 2014) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Restylane (Sep 2023) – Overall rating: 1/5Doctor’s bedside manner: 1/5, Payment process: 1/5, Time spent with patient: 1/5, Staff professionalism & courtesy: 1/5, Answered questions: 1/5)
  • Dysport (Dec 2013) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Facelift (Oct 2013) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Eyelid Surgery (Aug 2015) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Eyelid Surgery (Jun 2013) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Restylane (May 2013) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 4/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Dysport (Jul 2013) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Restylane (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Juvederm (Sep 2023) – Overall rating: 5/5
  • Eyelid Surgery (May 2017) – Overall rating: 5/5
  • Facelift (Sep 2023) – Overall rating: 1/5
  • Eyelid Surgery (Jun 2013) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)

Latest Prices

Eyelid Surgery Prices

  • $3500 – Oct 8, 2013 – Austin, TX
  • $3800 – Jun 21, 2017 – Austin Tx
  • $4300 – Apr 24, 2017 – Austin, TX
  • $3501 – Oct 28, 2014 – Austin, TX
  • $2100 – Jun 13, 2013 – Austin, TX
  • $2000 – Jun 11, 2013 – Austin, TX
  • $3300 – Dec 29, 2015 – Austin, TX
  • $3300 – Dec 29, 2015 – Austin, TX
  • $3800 – Sep 13, 2016 – Austin, TX
  • $2100 – Jun 13, 2013 – Austin, TX
  • $2000 – Jun 11, 2013 – Austin, TX
  • $3800 – Jun 21, 2017 – Austin Tx
  • $3800 – Jun 21, 2017 – Austin Tx
  • $3800 – Jun 21, 2017 – Austin Tx
  • $4300 – Apr 24, 2017 – Austin, TX
  • $3501 – Oct 28, 2014 – Austin, TX
  • $3800 – Sep 13, 2016 – Austin, TX
  • $3800 – Sep 13, 2016 – Austin, TX
  • $3800 – Sep 13, 2016 – Austin, TX
  • $3300 – Dec 29, 2015 – Austin, TX
  • $3300 – Dec 29, 2015 – Austin, TX
  • $12850 – Jan 15, 2015 – Austin, TX
  • $12850 – Jan 15, 2015 – Austin, TX
  • $2100 – Jun 13, 2013 – Austin, TX
  • $2000 – Jun 11, 2013 – Austin, TX
  • $2000 – Jun 11, 2013 – Austin, TX
  • $2000 – Jun 11, 2013 – Austin, TX
  • $2000 – Apr 2011 – Austin, TX
  • $2000 – Apr 2011 – Austin, TX

Chin Implant Prices

  • $3100 – Mar 12, 2014 – Austin, TX
  • $3100 – Sep 24, 2015 – Austin, TX
  • $7000 – May 16, 2019
  • $7000 – May 16, 2019
  • $7000 – May 16, 2019
  • $7000 – May 16, 2019
  • $7000 – May 16, 2019
  • $7000 – May 16, 2019
  • $7000 – May 16, 2019
  • $7000 – May 16, 2019
  • $3100 – Mar 12, 2014 – Austin, TX
  • $3100 – Sep 24, 2015 – Austin, TX
  • $3100 – Mar 12, 2014 – Austin, TX
  • $3100 – Mar 12, 2014 – 4407 Bee Caves Rd #321, West Lake Hills, TX, TX 78746

Restylane Prices

  • $850 – Jun 20, 2013 – Austin, TX
  • $500 – Sep 2023 – Austin, TX
  • $495 – May 15, 2013 – Austin, TX
  • $1130 – Sep 2023 – Austin, TX
  • $500 – Jul 2022 – Austin, TX
  • $495 – May 15, 2013 – Austin, TX
  • $960 – Jan 12, 2018 – Austin, TX
  • $1130 – Oct 2018 – Austin, TX
  • $960 – Jan 12, 2018 – Austin, TX
  • $850 – Jun 20, 2013 – Austin, TX
  • $500 – Sep 2013 – Austin, TX
  • $500 – Sep 2013 – Texas, AU
  • $850 – Jun 20, 2013 – Austin, TX
  • $495 – May 15, 2013 – Austin, TX
  • $495 – May 15, 2013 – Austin, TX
  • $1130 – Dec 2011 – Austin, TX
  • $1130 – Dec 2011 – Austin, TX

Asian Rhinoplasty Prices

  • $6900 – Apr 24, 2017 – Austin, TX
  • $6800 – May 2020 – Austin, TX
  • $6900 – Apr 24, 2017 – Austin, TX

Rhinoplasty Prices

  • $6400 – Aug 18, 2014 – Austin, TX
  • $6400 – Jan 22, 2014 – Austin, TX
  • $3500 – Apr 10, 2015 – Austin, TX
  • $6400 – Jan 22, 2014 – Austin, TX
  • $12850 – Jan 15, 2015 – Austin, TX
  • $3500 – Apr 10, 2015 – Austin, TX
  • $3500 – Apr 10, 2015 – Austin, TX
  • $3500 – Apr 10, 2015 – Austin, TX
  • $3500 – Apr 10, 2015 – Austin, TX
  • $3500 – Apr 10, 2015 – Austin, TX
  • $12850 – Jan 15, 2015 – Austin, TX
  • $12850 – Jan 15, 2015 – Austin, TX
  • $6400 – Aug 18, 2014 – Austin, TX
  • $6400 – Jan 22, 2014 – Austin, TX
  • $6100 – Sep 11, 2012 – Austin, TX
  • $7000 – Sep 12, 2012 – Austin, TX
  • $7000 – Sep 12, 2012 – Austin, TX
  • $6100 – Sep 11, 2012 – Austin, TX
  • $6100 – Sep 11, 2012 – Austin, TX
  • $6100 – Sep 11, 2012 – Austin, TX
  • $6100 – Sep 11, 2012 – Austin, TX
  • $6100 – Sep 11, 2012 – Austin, TX
  • $6100 – Sep 11, 2012 – Austin, TX
  • $6100 – Sep 11, 2012 – Austin, TX
  • $7000 – Sep 12, 2012 – Austin, TX
  • $6800 – Feb 2011 – Austin, TX
  • $6800 – Feb 2011 – Austin, TX
  • $6800 – Mar 2010 – Austin, TX

Facelift Prices

  • $10500 – Oct 14, 2013 – Austin, TX
  • $10500 – Oct 14, 2013 – Austin, TX
  • $10500 – Oct 14, 2013 – Westlake, Austin,Texas

Ear Surgery Prices

  • $3350 – Aug 24, 2015 – Austin, TX
  • $3350 – Aug 24, 2015 – Austin, TX
  • $3350 – Aug 24, 2015 – Austin, TX
  • $3350 – Aug 24, 2015 – Austin, TX

Other Prices

  • $600 – Aug 27, 2013 – Austin, TX
  • $4000 – Nov 5, 2018
  • $6000 – May 30, 2019
  • $4000 – May 14, 2019
  • $6800 – Apr 2022
  • $4000 – Nov 5, 2018
  • $3850 – Sep 21, 2017 – Austin, TX
  • $600 – Aug 27, 2013 – Austin, TX
  • $3500 – Oct 28, 2014 – Austin, TX
  • $3500 – Oct 28, 2014 – Austin, TX
  • $6400 – Aug 18, 2014 – Austin, TX
  • $10500 – Oct 14, 2013 – Austin, TX
  • $200 – Jan 17, 2013 – Austin, TX
  • $200 – Jan 17, 2013 – Austin, TX
  • $200 – Jan 17, 2013 – Austin, TX
  • $600 – Aug 27, 2013 – Austin, TX

Dysport Prices

  • $290 – Dec 4, 2013 – Austin, TX
  • $599 – Jul 15, 2013 – Austin, TX
  • $290 – Dec 4, 2013 – Austin, TX
  • $599 – Jul 15, 2013 – Austin, TX
  • $290 – Dec 4, 2013 – Austin, TX
  • $599 – Jul 15, 2013 – Austin, TX

Juvederm Prices

  • $800 – Sep 2023 – Austin, TX
  • $800 – Jul 2022 – Austin, TX
  • $200 – Jan 17, 2013 – Austin, TX
  • $800 – Dec 2009 – Austin, Texas

Brow Lift Prices

  • $3999 – Jul 6, 2011 – Austin, TX
  • $15000 – May 8, 2017 – Austin, TX
  • $15000 – May 8, 2017 – Austin, TX
  • $15000 – May 8, 2017 – Austin, TX
  • $15000 – May 8, 2017 – Austin, TX
  • $4216 – May 8, 2017 – Austin, TX
  • $4216 – May 8, 2017 – Austin, TX
  • $4216 – May 8, 2017 – Austin, TX
  • $4216 – May 8, 2017 – Austin, TX
  • $4216 – May 8, 2017 – Austin, TX
  • $3999 – Jul 6, 2011 – Austin, TX
  • $4000 – Jul 6, 2011 – Austin, TX
  • $4000 – Jul 6, 2011 – Austin, TX

Eye Bags Treatment Prices

  • $6000 – May 30, 2019
  • $4000 – Nov 5, 2018
  • $4000 – May 14, 2019
  • $4000 – May 14, 2019
  • $4000 – May 14, 2019
  • $4000 – May 14, 2019
  • $6800 – Aug 2018
  • $6800 – Jun 21, 2018
  • $3850 – Sep 21, 2017 – Austin, TX

Lower Facelift Prices

  • $10250 – Jul 2, 2015 – Austin, TX
  • $10250 – Jul 2, 2015 – Austin, TX

Acne Scars Treatment Prices

  • $1200 – Oct 2018 – Austin, TX
  • $1200 – Oct 2011 – Austin, TX

Lip Implants Prices

  • $2200 – Jun 2018 – Austin, TX
  • $2200 – Feb 2011 – Austin, TX
  • $2200 – Apr 2010 – Austin, TX

Restylane Silk Prices

  • $950 – Jan 12, 2018 – Austin, TX
  • $950 – Jan 12, 2018 – Austin, TX
  • $950 – Jan 12, 2018 – Austin, TX
  • $950 – Jan 12, 2018 – Austin, TX
  • $950 – Jan 12, 2018

Mommy Makeover Prices

  • $12850 – Jan 15, 2015 – Austin, TX

Revision Rhinoplasty Prices

  • $7000 – Sep 12, 2012 – Austin, TX

Acne Surgery Prices

  • $600 – Aug 27, 2013 – Austin, TX

Special Offers

Heading
Start Time / End Time
Detail
Treatments

$50 off 2nd cc of Restylane
Nov 20, 2019 /
May 17, 2033
– The first 1cc of Restylane is $595. Each additional syringe is discounted by $50 when treated at the same visit.
Specific treatments

$50 off certificate sent in your birthday month!
Nov 20, 2019 /
May 17, 2033
Get a $50 off certificate, sent annually, in your birthday month. May be used for any physician administered product or service. May use one per year but it is good for the entire year, use anytime!
Any treatment

Free MD Elta with any Dysport, Botox or Filler
Sep 24, 2019 /
Oct 24, 2019
Please mention this offer when making your appointment. Book your appointment by 10/24/2019 and have your treatment by 12/23/19 to be eligible.

*Full size MD Elta Daily facial moisturizer SPF 40, tinted or untinted

Specific treatments

Xeomin $199 introductory price per area
Feb 1, 2012 /
Feb 29, 2012
While supplies last, patients who purchase two areas of Xeomin will receive a voucher for a $50 pre-paid Visa card from Merz Aesthetics.
Specific treatments

$50 Rebate on Dysport
Feb 1, 2012 /
Mar 31, 2012
Patient can not have participated in any other Medicis sponsored Dysport Rebate within the last 90 days.
Specific treatments

Doctor's answers

Question
Answer Header & Date
Answer Snippet
Am I a good candidate for tear trough fillers?
Filling Lower Eyelid Tear-Troughs
Mar 2, 2020
You have what I would call moderate tear-troughs.  Injections of Restylane work very well for mild tear-troughs and in fact is generally all that I suggest.  Moderate tear-troughs typically experience a nice improvement that is well worth the effort, but rarely is considered a complete correction.  Severe tear-troughs typically just don't get a worth-while result from injections.  Moderate and severe tear-troughs both do well with surgery.  Between 1/2 and 1 cc is appropriate for each eye....
Why's going on with my eyes? The lids are totally different. Is this a lazy eye? How can this
Eyelid Ptosis
Jan 22, 2020
Hello,You appear to have levator ptosis on the left upper eyelid.  The root cause of this is a poor connection between the eyelid opening muscle and the eyelid structure.  With this stretched connection, the muscle "tries harder" to open the eye pulling back deeper into your eye socket, drawing fat and skin deep into the eye socket along with it.  That causes the long, hollow eyelid seen on that side.  I can not see your eyebrow on the left, but commonly that eyebrow will try to "help ou...
What is better for flat cheekbones: Radiesse or Sculptra? Can they be combined?
Cheekbone Filling Radiesse, Sculptra, or Hyaluronic Acid
Jan 22, 2020
When it comes to facial volume injections, it is my opinion that the best option is a hyaluronic acid product.  These include many brands and "thicknesses", I use Voluma and Lyft for cheeks.  I am not in favor of using Sculptra.  Serious complications are vastly more common and very difficult to treat.  A well known complication is granuloma formation which may need to be surgically removed and can last decades.  Scultpra relies on your body reacting to the product to produce any result. ...
Do fillers migrate but never fully go away?
Do fillers never go away and migrate?
Dec 16, 2019
This all depends on what filler is used.  The vast majority of fillers used are made of something called hyaluronic acid (HA).  Juvederm and Restylane are the two most common brands of HA.  These products will dissolve in time and will not lead to jowling or sagging.  HA doesn't migrate, you can "push out" the edges with massage early on, but it won't altogether move to a different location.  HA fillers can be dissolved on purpose when using a product to dissolved it (hyluronidase).  The dis...
Wide, Bulbous Nose - I want to narrow the bridge and reshape and narrow the tip. What techniqu
Soft Bulbous Nose Rhinoplasty
Dec 16, 2019
Hello,An exam is needed to really define what needs to be done, but based on your photos and my experience, I am expecting that your nose is very soft and has thick skin.  To provide a narrower, more refined nose, I'll need to strengthen your nose.  Narrowing techniques by themselves won't work when applied to a soft framework.  The thick skin can't really be changed, but a good underlying structure can largely compensate for the loss of definition that thick skin imbues upon your nose.  ...
I'm 21 years old. I've had insomnia since childhood. Should I get fillers or blepharoplasty? (
Asian Lower Eyelid
Oct 29, 2019
Hello,The photos are tight to your eyes, so I can't be certain of your facial expression.  Focusing on the second two pictures where you appear to not be smiling I see a flat, hollow, long lower eyelid.  The front of the cheek bone is commonly flat like this in people of Asian genetics.  Regardless, the long hollow lower eyelid often makes one look tired and/or sad.  Augmenting that under eye portion of the cheek bone with a tear-trough implant will produce a fuller more convex shape to th...
Is it possible to perform an otoplasty on someone whose bones protrude above the ear?
Protruding Ears and Otoplasty
Oct 29, 2019
Hello,It is hard to know without photos and an exam.  If your ears are currently tight up against the bone, then probably not much can be done.  I can not rule out the possibility that bone could be removed to allow for more space to bring the ear back, but probably not.  The bone behind the ear is referred to as the mastoid bone.  This bone contains a honeycomb like network of air pockets in it.  If you grind down the bone you would enter into these air pockets opening up all sorts of issue...
Are my cheeks asymmetrical? If yes, are fillers an option?
Facial Asymmetry - One Side of Face Smaller Than Other
Oct 29, 2019
Hello,Everyone has some facial asymmetry, it is only how much asymmetry that separates one person from the next.  The asymmetry can be primarily the result of differences in the bone, soft tissue, or both.  Often times I see people where one side of the face is overall smaller than the other.  In these people the smaller side of the face will demonstrate a lower eye position, a deviated chin to that side and a nose that curves toward the smaller side.  This is the most common cause of crook...
What incision is the best decision for my lower eyelid?
Lower Eyelid Incision
Sep 24, 2019
Hello,To access the fat of the lower eyelid it is best to make an incision behind the eyelid.  The vast majority of people should not have skin removed from the lower eyelid.  In the rare patient that needs skin removed, then a skin incision is needed.  It is important to understand that removing wrinkles from the lower eyelid is not done with skin removal.  Skin removal is only needed for people with folds/flaps of skin at rest.  Wrinkles in the lower eyelid skin are treated with resu...
Unsure what makes my face asymmetrical and what procedure would help?
Facial Asymmetry - One Side of Face Smaller Than Other
Sep 19, 2019
Hello,Your situation is VERY common.  No one has perfect symmetry, the question is not if you are asymmetric, but rather how asymmetric are you.  There are lots of ways to be asymmetric, but I would say the most common asymmetry for which patients request evaluation is where one side of the face is smaller than the other.  In your case, the right side of your face is smaller than the left.  The smaller side of the face will have a lower eye and eyebrow position, a higher angle of jaw, the n...
Can I get Botox/Dysport during my period/menstrual cycle?
Botox/Dysport/Jeuveu or any botulinum product relationship to your menstrual cycle
Sep 17, 2019
Hello,There is no interaction between any of the botulinum products and their use with regard to the female monthly cycle.  There is also no interaction with regards to any of the methods to modify that cycle such as oral contraceptives, IUD, hormonal implants, hormonal patches, hormonal injections, hormonal ring, or other similar methods. You may choose to time your treatment in your cycle if you find it to be more tolerable at certain points, but that choice will not affect the resu...
What are these dents under my eyes, on my inner cheeks? How can I fix them when filler hasn't?
Tear-Troughs
Sep 17, 2019
Hello,You have tear-troughs.  Tear-troughs are primarily a bone shape issue and secondarily a soft-tissue problem.  Tear-Trough implants are an excellent way to effectively produce a change to the shape of the bone.  They are permanent (but removable).  They look and feel like normal, you can not move them or tell they are there (except when comparing to pre-op photos).  Soft tissue fillers can help, but not nearly so much as an implant.  If you are going to continue using injection...
Is deep temporal fascia a good augmenting material for increasing tip projection and lengtheni
Increasing Nasal Projection
Aug 20, 2019
Hello,Increasing nasal projection is challenging and requires the use of strong materials.  People who need projection usually have naturally soft "squishy" tip cartilage.  Stacking more soft material (like DTF) over the tip of this weak structure just squeezes down those weak underlying tissues instead of adding projection or length.  I use structural cartilage grafts that reinforce the natural tip cartilages allowing for additional cartilage grafts to then be placed over the top of the n...
Will a half of syringe of filler for cheeks make a difference?
Volume Restoration in Cheeks
Aug 20, 2019
Hello,Generally speaking, 1/2 cc of any filler in the cheeks is going to produce very little change, though there are exceptions.  Basically, if you are putting the filler in a bony area that doesn't have a lot of overlying soft tissue, 1/2 cc will produce a result.  Imagine putting a marble on a hard table and then laying a silk sheet over it, that marble will be obvious.  Now imagine putting that marble inside a pillow, you won't see it at all.  The areas where small quantities are mos...
What can I do to improve the appearance of my under eye fillers? Is this Tyndall and edema? (p
Lower Eyelid Filler vs Surgery
Jul 29, 2019
Hello,Based on your before pictures, I would not have recommended HA filler (Restylane).  Simply put, you have very deep tear-troughs.  Restylane (or similar) is very good at treating mild tear-troughs.  Though it is an area that only a very skilled injector will consistently get good results.  Between 1/2 and 1 cc into each tear-trough should be the maximum used.  If you need more, then you need something else.  The results on mild tear-troughs are usually excellent and usually last at le...

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Last updated on 11/23/2023