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Cosmetic and Plastic Surgery-SanFrancisco Bay Area|Marin County

HA Fillers are Great but They Have Their Limitations

August 30th, 2012 Miguel A. Delgado Jr, MD

Many San Francisco Bay Area patients have expressed confusion over the many types of facial fillers that are on the market. Two of the most popular are Restylane and Juvederm, both are made of a clear gel of hyaluronic acid (HA). HA is not derived from animal sources, making it compatible with the human body and, therefore, it does not require a skin test.

HA is a naturally occurring sugar found in all living organisms. Before use as a cosmetic treatment, it has been used for several decades for medical treatment for joint pain, treating wounds and eye surgery.

Injecting the nasal labial fold

The benefit is immediate and results last about 9 months or more. To keep the desired result, continued injections will be necessary.

Fat injections from one’s own fat (usually taken from the tummy) have proven to be the best natural filler with a good percentage of it becoming permanent. Fat injections are especially good for filling in large amounts, such as during a facelift for patients who have hollow looking cheeks from aging or weight loss. For the patient who is not sure how they will like the result, using a temporary filler first will allow them to see what the result can be. If the patient does not like the look of the HA filler, hyaluronidase can be injected to the site and it will disolve the filler.

The best way to determine which dermal filler is best for you would be to schedule a consultation with Dr. Delgado who has been an expert injector for many years. Dr. Delgado will be able to discuss all the different aspects of each product and help you reach your facial rejuvenation goals.

How to Avoid the “Windswept” Look

August 24th, 2012 Miguel A. Delgado Jr, MD


The “windswept” look that many Sonoma County women refer to is the look some women have after facelift surgery where their facial skin is pulled too tight toward their ears. A trained Board Certified Plastic Surgeon knows how to avoid this look. This was a common result back in the 1920’s when a face lift consisted of just tightening loose skin of the face and pulling it in only one direction.

The SMAS facelift is bidirectional where the deep layers and skin are pulled along different vectors or directions. The latest trend is adding fat grafts to replace lost fat due to aging.

If one sees a woman with the windswept look today, it may mean the deeper structures and skin have not been addressed correctly.

The best way to avoid the “over pulled” look is to study before and after pictures of the surgeon to determine if he/she gets the results you want.