What can I do about the bad treatment I received?

February 20th, 2013
Q.
I’m an Italian woman,54 years old. I made filler 4 week ago in Saudi Arabia(Jeddah)with a German doctor,that come here . The filler made me infection,the doctor don’t give me nothing for help me,only cream for herpes. So i go to another doctor that give me two antibiotic and my face now its better but not well.Its possible write to the company  for said that its better control who come in the word for don’t do the same with another person?
A.
Hello there, I’m sorry to hear of your problem.
It is very important to check the experience and qualifications of the practitioner administering the filler injection. It is also important to confirm exactly which brand of filler is being and that it has been sourced from an approved supplier. Lastly I would also advise that you choose a practitioner who offers a comprehensive follow-up service and provides you with contact details in case problems occur.
Best wishes, Dr Peter Forrester
Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

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Are there any fillers that would be good for the neck area?

February 13th, 2013
Q.
Hello Dr Forrester,
I have a problem with my neck. My face so far doesn’t look bad at 34, but my neck is starting to get quite a few lines . My question is whether you think that dermal fillers would work for my neck? Also is there anything I can do to prevent further lines? I don’t sit in the sun or use sunbeds etc. Are there any creams or serums that I could use? I normally use body lotion and also whatever moisturiser I put on my face. Also, do you perform fillers on the neck area? Thanks for your time and i look forward to reading any advice that you can give me. 
A.
Apologies for my delay in replying. I have been at IMCAS, a cosmetic conference.

The neck can be a problem area as the skin is quite sensitive. Although you don’t sit in the sun I would recommend a sunscreen on the neck and face 365 days a year. Even if it is cloudy there are still UV rays out there.

I would recommend a Vitamin C serum on the neck and face. Choose a serum that has at least 10-15% vit C; don’t rely on creams that contain vitamin C as they rarely have enough to be effective. Remember that this is not an overnight miracle but a long term strategy. I think that the new Medik8 serum called CE-Thione is excellent. In addition to a sunscreen and vit C you should consider a retinoid but because the neck is sensitive you need to choose carefully.

Fillers have a limited role in the neck but a course of something light like Restylane Vital can help. Lastly I am a big fan of INTRAcel which is a type of radio-frequency needling that is beneficial over the whole face and neck.

I hope this helps.

Kind regards,

Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

Can permanent fillers be used to treat Polands disease?

February 13th, 2013
Q.
Are permanent fillers still available to treat Polands Syndrome? I previously had the Bio Alcamid injections to mimic the missing pectoral muscle which proved satisfactory for six years until it migrated into a lump.
This was subsequently removed.
I have no fat for fat transfer and would prefer a permanent filler if one could be recommended.
The injections were given by an extremely competent professor but unfortunately he had no knowledge of the filler and managed to do his best.Since then he has retired and I am unable to ask his help again.
I have also questioned the idea of a silicone implant but have been told that this will not work as the edges can be seen.
Is there another filler other than the Bio Alcamid that could be used or would this filler work better in the hands of an expert in the field?
A.
Hello there,
Permanent fillers are slowly failing out of favour because of the high incidence of problems. I’m not sure that you should discount silicone implants. Pectoral silicone implants have been used to reconstruct Polands Syndrome. Their success depends on your degree of Poland deformity, the careful choice of implant size and doing some research to find a good surgeon. The advantage of a solid silicone implant is that they are usually much better tolerated and long lasting compared with injectable permanent fillers.
I hope this helps.
Best wishes,
Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey
Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

Can the Bio-Alcamid be removed from my pectoral area?

February 13th, 2013
Q.
Dear Dr Forrester,
in 2010 I had pectoral implants which were far from perfect, the surgeon based in the UK, then added a total of 60mls bialcomide in an attempt to even out the effects. Two years on I have since had the implants removed and corrective surgery in the US, however the US surgeon was unfamilar with the product and therefore reluctant to remove it. I now often have tenderness where the bialcomide sits and am keen to have it removed. I have three questions. 1, can it been succesfully removed? 2. can I have it done in the uk? Is it a expensive and difficult proceedure? I would welcome your comments
A.
Hello there,

Firstly let me say that I have never used Bio-Alcamid and therefore am neither an expert in its use nor its problems. As you probably know permanent fillers have become much less popular because of the side effects. I understand that removing these fillers is not easy. I do know a doctor who is very experienced in the use of Bio-alcamid. I would not want to give his name out but if you email me directly I will give you his details.

Best wishes, Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

Would Restylane be safe to put in my nose?

February 13th, 2013
Q.
Hello dr Peter, first sorry my bad english, to ten  years ago i put artecol in the wrinkle the noise to the mouth.Now I want to put something like restylane or another thing? But Doctor say that is dangerous , i don’t know what i do, please help, what can i put? im so sad to see my face like this way and i can t do something:( please answer my question and i hope you understand my bad english! thanks for your attention

A.
Thank you for your question.
The problem with all semi-permanent fillers is that they can suddenly cause problems years after they have been injected, even if everything had previously ben very settled. Restylane is a very safe hyaluronic acid filler. However, your doctor probably said that they wouldn’t inject it where Artecol had been used just in case it caused it triggered a reaction with the Artecol.
Kind Regards,
Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey
Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

Will dermal fillers wear off and make my face droop?

January 23rd, 2013
Q.
Hi, I am wondering if you can help. I was having a chat with friends regarding dermal fillers, Botox etc as I am considering having both done for forehead lines and nose to month lines. However they were against it saying that once it wore off the face would just drop and the lines would be worse! However I am thinking having it earlier rather than later would help as it would stop the wrinkles constantly contracting as the face wouldn’t move the same so they’d actually be less noticeable once it wore off compared to a woman the same age who had never had treatment am I right? Thanks 
A.
There is no evidence that things will be worse when Botox or fillers wear off. Equally, there is not a lot of evidence that they have a long term benefit, although I suspect that they do. There is some evidence that hyaluronic acid (HA) fillers such as Restylane or Emervel improve the texture and hydration of the overlying skin. Also HA fillers have been shown to stimulate the body’s natural collagen production.

Certainly having them earlier rather than later means that you wold probably need smaller amounts and the results are likely to be more subtle and natural.

Best wishes,

Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

How can I sort out the problems with my fillers?

January 23rd, 2013
Q.
I had fillers (I think restalyne or a generic version thereof actually) injected under my eyes to reduce the bags of wrinkles I have there. This was done on the 14th of December 2012. Since having the fillers done, I look absolutely worse every day.I have swelling and a bad ‘shift’ of the wrinkles under my eyes which is the area where the filler was injected.My wrinkles were previously partially hidden under my glasses, but now this area seems to have ‘dropped’ to below the frames of my glasses. I look and feel horrible. I, and those who know me, say I look worse for having done fillers, even though I obviosly had it done to look somewhat ‘fresher’.Is there a remedy for the swelling and ‘drop’ of myn wrinkles? Have you heard of this happening before? I am desperate as the fillers were done a month ago and my eyes look worse every day with swelling.I am worried sick.
A.
Fillers in the under-eye and Tear Trough area can be problematic and can take weeks to properly settle down.
It is difficult to give a useful opinion via email. However, one of the advantages of HA fillers is that they can be reduced by injecting the enzyme hyalase. You need to see an experienced Cosmetic Doctor to discuss the options for resolving this issue.
Sorry I can’t be of more help. I would be happy to see you if you were local to Surrey.
Best wishes,

Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

Would it be possible to reshape my nose with dermal fillers?

January 7th, 2013
Q.
Hiya, I’ve been looking into possibly undergoing a non surgical nose reshape, I’ve got a slight bump on the bridge of my nose that I’d just like flattened, to create a more flat nose shape from a profile view. I’ve been researching different non surgical treatments, including Radiesse and Aquamid, I wanted something that was as long lasting as possible so I can avoid having to have the procedure re-done. I’m a 19 year old male, I was wondering what options I have, obviously trying to keep the costs to a minimum but still keeping a great and long lasting result. I look forward to hearing from you.
A.
Hello,
To be honest right from the start; I have no personal experience of nasal reshaping with fillers and it is not something that I would do. I would suggest however, that before you allow someone to inject a long-lasing filler such as Aquamid into your nose it might be a good idea to try a HA filler first. Although this is not a long term solution it would allow you to see whether you like the effect. If it wasn’t quite what you were hoping for then at least it would slowly disappear or you could have hyalase injected to disperse it.
You are obviously doing some research, which is good. Be very careful and good luck.
Kind regards,
Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey
Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

Is it possible to refill lips which have been treated with Aquamid?

January 7th, 2013
Q.
Hi Dr,
Can one who has had lip augmentation with Aquamid 2 years ago , now refill her lip with a shorter lasting gel such as a hialloronic acid filler over it ? It seems that the previous gel has been maximally disappeared unless a few palpable micronodules in lip contour . and in general what could we do with the remaining gel nodules in treated areas ? what is your opinion about ALAYNA fillers ? Thank you so much
Best regards.
A.
Hello there,
I am very conservative when it comes to fillers and particularly lip fillers where I would only use a hyaluronic acid (HA) filler. Although not long-lasting they are very safe and rarely cause problems. In addition they can be dispersed with hyalase.
The question about injecting HA over Aquamid is a difficult one. All I can say is that if the Aquamid has been very settled for a number of years then it might be OK. There is always a risk of the HA triggering problems with the underlying permanent filler.
If the Aquamid nodules are not causing you any bother then I would leave them alone.
I hope this is of some help.
Kind regards,
Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey
Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

Can dermal fillers help me to look my age again?

January 3rd, 2013
Q.
I’m 46 years old and have a busy and stressful job and three kids, which has all taken its toll on my face and I look about 100! I have wrinkles everywhere! Around my eyes, on my head, there are millions around my lips which really age me. And my cheeks have sunk and lost their plumpness, again adding to my aged appearance. Can dermal fillers help me with this? I want to look my age again! Thank you, I look forward to hearing your response
A.
Thank you for your question.
I am always relieved when someone says they want to look good for their age rather than wanting to look 20 years younger. The answer to looking the best you can, for your age, usually comes from a combination of treatments. Dermal fillers can immediately restore lost volume but only have a limited effect on superficial lines and poor skin tone/texture. These are often best addressed by prescription-strength skin care and collagen stimulating techniques – my personal favourite being INTRAcel.
If you live in the South-East I would be happy to see you for an assessment.

with best wishes,

Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester
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