Why Fillers Go Wrong

Marble sculpture of a woman's face with clear gel droplets, illustrating dermal filler

Nobody walks out of a consultation asking to look overfilled. And yet a great many people end up there, having said yes to something reasonable at every individual step. That is the part worth understanding. Overfilled faces are rarely the product of one bad decision. They are the product of ten sensible ones, taken in sequence, by someone who was only ever looking at one area at a time. I […]

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Is Your Ultherapy Working?

Doctor performing an Ultherapy ultrasound treatment on a woman's jawline

Somewhere around week two, a patient looks in the mirror, sees exactly the face she had before, and concludes she has been robbed. I understand the feeling. You have paid a meaningful sum, sat through a treatment that was not especially comfortable, and been told to expect a lift. Two weeks later the jawline is precisely where you left it. Here is what is actually happening, and when you should […]

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Ultherapy vs Thermage

It is the question I am asked more than any other, usually within the first five minutes of a consultation: should I do Ultherapy or Thermage? The honest answer is that the question is slightly wrong. These two treatments are not competitors in the way the marketing implies. They work at different depths, on different tissue, and they solve different problems. Asking which is better is a little like asking […]

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