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Dear Dr. Seckel, I am 42 with major sun damage. I have fair skin, and no rosacea. I had 2 Fraxel procedures a year ago to remove sun damage. They were done 2 months apart. Now I am left with large dark brown patches on both cheekbones. They are very obvious. Even makeup cannot hide them. I am devastated. I’ve been using Tri-luma for 3 months with NO success. I am religious about applying sunscreen (Ti-Silc) and a hat for facial sun protection. Fraxel was very painful and had a long downtime. Is there any hope for me? IF IPL laser is suggested, is it painful? does it truly have no downtime? Thank you, Roxanne, NJ.

Tuesday, November 21st, 2006

It is also VERY IMPORTANT that whoever treats you have a lot of experience using IPl.

Posted in Laser, Unhappy Results | No Comments »

Dear Dr. Seckel, I hope you can help me with my problem, a year ago I had Radiesse injected into my cheeks, I now have clumps on both of my cheeks and it’s not resolving. One Dr.told me it has to be cut out. I am worried because I cant stand they way my cheeks look but at the same time I don’t want to have a permanent scar on my face. Please advise me on what to do. I cant visit you because I am from Egypt, although I really wish I could, I really trust your professional opinion… Diana, Cairo, Egypt

Sunday, November 19th, 2006

I strongly urge you not to have surgical removal of Radiesse. The scars would be worse than the bumps.

Posted in Fillers-juvederm, restylane, radiesse, Unhappy Results | No Comments »

Dr. Seckel, I have a question if you don’t mind. I had a Botox treatment several weeks ago and it made my eyelids droop. This is not my first experience with Botox, but this was the first time I used this Doctor, I warned her that in the past, the eyelid droop had happened and I did not want it to happen again! It did. I went back after two weeks to show her, and of course she was very upset and said this had never happen to her before. I have had this procedure probably 6 times over several years, it seems to happen every other time, what’s the deal, the doctor or me? One more question, the doctor felt badly so she offered a “skin tightening” procedure, I did it, it hurt! After reading your book this weekend it has made me question this procedure, (they want me to have 5 more sessions) I called today to find out what the laser is called and all she could tell me was it was a Light pulse laser. What do you think? Thank you, Christi, Boston,MA.

Tuesday, November 14th, 2006

The Botox is being injected too close to the eyelid muscle; it “drips down” into the eyelid and weakens the eyelid muscle

Posted in Botox, Unhappy Results | No Comments »

Dear Dr. Seckel, I just had evolence, a soft tissue filler like Collagen injected under my eyes because I wanted to avoid a blepharoplasty. I now have lumps and bruising. I’m sure the bruising will go away, but the lumps look worse as if I have folds under my eyes. After three days the doctor injected a slight amount of cortisone and said that it is probably swelling, he’s never seen this before. I am scared I don’t know what I did; I was hoping that my eyes would look 50% better. I had Restylane around my mouth, very slight difference, but no lumps. Shouldn’t this doctor know what to do if the lumps are actually from the evolence that he used? Thank you, L, Toronto, Canada

Thursday, November 9th, 2006

Injecting anything around the eyelid is dangerous, even board certified Ophthalmologists are very careful about injecting around the eye.

Posted in Eyelid Rejuvenation, Unhappy Results | No Comments »

Dear Dr. Seckel, I had Restylane injected under my eyes to treat dark circles under the eye 1 year ago. I had dark circles but I did not want a blepharoplasty. My eyelids got swollen + puffy + discolored like black + blue. My doctor said it would go away, it has not. Will it go away? Every 3 months I go to the doctor, she cannot figure it out. I feel like I am getting the run around. Please help me!!!!!!!!! Thank you, what should I do? Thank You, Janis, New York, NY

Monday, October 23rd, 2006

Dear Janis,
I am sorry to hear of your experience after filler injection around the eyes. Most likely the injection with the needle ruptured blood vessels and caused bleeding. The blood underneath the eyelid caused the black and blue.
Usually the black and blue goes away in 3-6 weeks. However the eyelids are so thin even tiny [...]

Posted in Bags and Dark Circles Under The Eyes, Unhappy Results | No Comments »

Dear Dr. Seckel, I believe a prior blepharoplasty has left me with “weakened” lower lids. Now my eyes have kind of a “floating” look to them. Is there anything that can be done to “tighten” up my lower eyelids? I have had a laser resurfacing done and it didn’t pull up my lower eyelids at all. Also. What can be done about a “hollowed” look under my eyes Thank you, Donna, Pekin, IL

Sunday, October 15th, 2006

Unfortunately a weakened lower eyelid is a common problem after a traditional “cold scalpel” lower blepharoplasty

Posted in Blepharoplasty, Unhappy Results | No Comments »

Dear Dr. Seckel, I have had a series of fraxel treatments for melasma.I am very faired skinned and have melasma on both sides of my cheeks and down the jawline. After 5 treatments, a study, and 2 others at a higher strength with more pass, the result is worse than what I originally had. Skin is darker and the where the laser treatments were performed, the miasma appears to have spread. What do I do now, out of money and have worse darkening than when I started this treatment. Any advice greatly appreciated, thanks, Tracy, Vancouver, BC

Friday, October 13th, 2006

Tracy,
I am surprised to hear of you difficulty following Fraxel laser treatments–Melasma has been the one condition that Fraxel laser skin rejuvenation has been most successful with. There is a reported 15% incidence of post-inflammatory hyperpigmentaion that is brown spots, after Fraxel, but that usually occurs on darker skin. Hopefully your Fraxel post-inflammatory hyperpigmentation will [...]

Posted in Laser Skin Rejuvenation, Unhappy Results | Comments Off

Dear Dr. Seckel, I had the Contour Thread Lift procedure 2 days ago. During the procedure after I had received the Lidocaine and Epinephrine, and just after the last thread was placed, I fainted on the table. just before this happened, I started to feel like I was going to fall asleep but could not keep myself awake and told the Dr that I felt like I was going to faint. Just at that moment my arms and hands started to heat up and sweat and then the next thing I remember is waking up with an oxygen mask on my face, my feet being held up in the air, a pulse meter on my finger and my blood pressure being taken. The doctor told me I had fainted and that my pulse rate had also dropped. I was SO FRIGHTENED! The Dr said it was due to the epinephrine, and that I have to be careful to tell any Dr or dentist the next time lidocaine or novacaine is used, to be careful using epinephrine as well. Question 1) Are you familiar with anything like this happening to anyone? My recovery so far has been ok, but it’s only been a couple of days so far. I can tell you that it is not what I expected so far, as there is no way I could return to normal activities right now. I have no bruising, but my entire face is swollen like a pumpkin and I can’t talk or eat easily. I have to keep my head up at all times (even when sleeping, sort of in a sitting up position) I’m taking antibiotics, and a pain medication as needed, and I have a bandage over my head and face along with some steri-strips on my cheeks. I could never walk into work looking or feeling like this, and I doubt many people could. I don’t know why this surgery is presented as one that is a “lunchtime” procedure. Now, because I had swelled up so badly during the procedure, the Dr gave me a choice of having the contouring done right then, or after the swelling went down in one week. I asked her what she thought would give me the best results, and she said that if I waited, the results would be slightly better than doing it right then. So, I opted to wait a week, but am worried if the contouring aspect should actually be done a whole week after the barbs have already been inserted and my face somewhat healed. Question #2) Do you have an opinion on waiting till the swelling goes down? Ms Concerned about my Contour Thread Lift, FLA.

Monday, October 9th, 2006

epinephrine would speed your heart rate-I am surprised your doctor didn’t know that—is he/she a surgeon?

Posted in Face Lift, Unhappy Results | Comments Off

Dear Dr. Seckel, Approximately five months ago, I accepted the recommendation of a (board certified, reputable) plastic surgeon to use Radiesse® to correct an extremely minor concavity in my naso-jugal folds (dark circles under the eyes). I accept responsibility for the disastrous result because I failed to research the product before I agreed to this procedure. As you may know, Bio-Form does not recommend that this product be used for this purpose because they are receiving reports that it can exacerbate the problem rather than resolve it. Like many other unfortunate people — as I am coming to learn from my research — I have been left with huge bags beneath my eyes that are bright red and purple in color. My surgeon agrees that I have been “significantly disfigured” by this injection, but he claims there is no remedy for the dilemma except to wait for the material to dissolve in two years. He has been training other physicians in the use of since it was first developed and states that he has never seen as terrible a result as this. I am 35, and while I do not suffer from skin laxity, my surgeon concurs with my estimate that my lower eyelid tissue has been so dramatically stretched that it will require excision when the material finally dissolves. In the meantime, I am wearing dark glasses all day, every day because it is not uncommon for people to gasp aloud when they see me and because I myself cannot bear even accidental encounters with my own reflection. I am sure that others who read your blog find themselves in a similar situation. Is there any procedure that you can recommend to us to repair this kind of damage? My primary care physician has suggested that I consult another plastic surgeon about the possibility of a blepharoplasty, since my own tissue has, by now, built around the material that was injected. Honestly, after my recent experience, I have been frightened that another plastic surgeon might only make my predicament worse. You are renowned for your expertise with blepharoplasty, so your opinion would be most valuable. Would you recommend a blepharoplasty, or another procedure, to those of us who are suffering from this kind of damage? Thank you for any guidance you are able to offer, Dr. Seckel, Sincerely, Jamie, New York, NY

Tuesday, September 19th, 2006

I am terribly sorry to hear of your unfortunate experience. Unfortunately board certification in Plastic Surgery is no guarantee.

Posted in Fillers-juvederm, restylane, radiesse, Unhappy Results | No Comments »

Dear Dr. Seckel, I had lower blepharoplasty in February 2006. There was asymmetry from the beginning-the left eye was rounded at the corner and the right eye more extended than the left. I wanted the left lid to extend outwards not upwards. The plastic surgeon performed a revision at 3 1/2 months post-op but there was no change in my lid position, only more scarring and a smaller eyehole. What procedure can be done to lower the lid position and prevent the corner from slanting upwards? Thank you, Susan, Seattle, WA

Tuesday, September 12th, 2006

Eyelid malposition, the sweeping up of the eyelid you have experienced is usually temporary unless a canthoplasty was performed.

Posted in Blepharoplasty, Unhappy Results | No Comments »

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