It will not be surprising if we sooner or later see patients coming to the surgery carrying their own bottles of facial cosmetic filler, asking the doctor to to the job for them.  They expect that the cost to them will be much lower, as they will usually have obtained the fillers from some unknown online vendor.  Definitely the price of fillers that people obtain online will be considerably cheaper.  However nobody knows the source of these fillers, what composition they are, whether they are sterile or even if they were meant to be used as cosmetic or facial fillers in the first place.  Most of these facial fillers or cosmetic fillers are non-registered products from some third-world countries.

The right thing for the doctor to do if they are asked by the patients to do work for them using facial or cosmetic fillers of dubious origin is to reject this outright.  The medico-legal implication of using unregistered unknown fillers is indeed great.  Should any mistakes or complications arise, the doctor will only have himself to blame.

The degree of comfort that comes with the injection of Juvederm Ultra is considered to be the most important consideration when choosing the injection. This gives this preparation a very great advantage over existing fillers of other brands such as Restylane, Perlane, Surgiderm, and the like. Of course, the fact that the injection results last up to 12 months after administration gives it an added advantage of this preparation over the other, shorter-acting hyaluronic acid fillers in the market. The formulation is also designed to allow a smooth flow of the gel upon injection, a very important consideration on the part of the doctor.

The solution to the above problems was once only surgery. The insertion of a silastic prosthesis solved the problem of flat noses. However with surgery there were disadvantages. Among these were anesthetic risks, infection, bleeding and the like.

A more recent solution is the injection of facial fillers, also called non-surgical nose reshaping. Juvaderm (more commonly called Juvederm) is one of them. In skilled hands and under local anesthesia, the contents of less than one 0.8cc syringe was often enough to form a thin narrow high nasal bridge for the typical Asian nose, enough to make her look good. Similarly, the Caucasian bump could be smoothed out with Juvaderm.

The modified cross-linked hyaluronic acid that is Juvaderm is able to stay 9 to 12 months before being broken down and reabsorbed into the body. After that the patient can decide for herself whether she wants to continue having a higher nasal bridge. Most women will, having got to like the extra attention given by men to her since this simple procedure.

The advantage of Juvaderm is that there is no surgical risk. The risk of local infection due to unhygienic conditions is minimal in skilled hands and reputable settings.

Price for a surgical rhinoplasty (nose reshaping): $3,000 to $8,000
Price for a non-surgical rhinoplasty (nose reshaping): less than $1,000 to $1,500

Prices vary from place to place, so consult your doctor.

A very accurate perception.

With age and good living, women have a tendency to put on weight all over the body, including the cheeks, belly and buttocks. Big buttocks are not the in thing these days, and in an effort to reduce fat, women will go through severe dieting and exercise regimens. And they succeed very often in reducing the buttock size to reasonable levels. Unfortunately, however, when the body loses its fat it loses it all over, and in places that cannot afford this fat loss. Thus we find the once plump cheeks on the face which does give one the appearance of youth become gaunt and hollow-looking, as the fat is gone, and the woman ends up with a nice firm butt and an old haggard face.

On the other hand, to maintain the youthful plump cheeks on the face naturally, one just cannot afford to exercise and diet, with the result that a fat butt has to go with plump cheeks.

Solutions have come in the form of surgical face lifts. With the clever use of the knife, the plastic surgeon stretches the old wrinkled skin of the face backwards behind the ears and the temple and snips off the excess, leaving behind a smooth unwrinkled skin on the cheeks to complement the well-toned buttock.

A less extreme form of facelift comes in the form of the threadlift, where a barbed thread is inserted into the scalp of the temple, and is threaded under the skin and subcutaneous layer down to the cheek bones and back in a loop to the temple. The thread is tightened and the skin is lifted against gravity.

Both the above efforts work in theory to reduce the wrinkled facial skin of the lower face. However while the skin is smooth, facelifts sometimes enhance the flat bony structure of the cheeks, and the effect is not a restoration of the original looks, as the fat under the skin has been lost due to dieting and exercise.

The solution is a non-surgical cheek augmentation or cheek lift. Facial fillers such as Juvaderm or Restalyne are injected in skilled hands under the skin of the cheeks to fill up the hollowness that gives one the aged half-starved look. The end effect is a restoration of the plump cheeks and an instant recovery of the youth that was lost due to dieting. Juvaderm lasts up to 1 year after injection, and so for this one year one can enjoy the combination of plump youthful cheeks, a slim body and nice butt before the next cheek augmentation session!