Ask Dr. Jeff Popp

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  1. I had a facelift and now my hands don’t match the age of my face. What can I do?

This can happen not just to your hands but also to your arms or neck. That’s because we don’t age in one spot, Dr. Jeffrey Popp said

There are three major aesthetic concerns that can happen to hands. According to Dr. Popp, each can be treated:

Issue 1: The surface of your hands shows brown spots, sun damage or pre-cancerous lesions.

Treatment: You can use laser resurfacing to get rid of sun damage.

Issue 2: Your hand tendons are so prominent that your hands appear bony.

Treatment: Prominent tendons may be fixed with injections of fillers, preferably with the patient’s own fat

Issue 3: The veins are very pronounced.

Treatment: To treat overly prominent veins, we inject a substance to destroy the vein.

  1. After repeated Botox injections, will facial muscles be unable to frown?

“I would love for this to be true, but it’s not the case,” Dr. Popp said.

Long-term studies of people with facial twitching disorders prove this. Such twitching leaves muscles in a poor state of function. For example, they may not be able to keep their eyelids open.

“These people have had Botox injections every three months for 10 or 20 or 30 years,” Dr. Popp said. “The hope was that if you kept the muscle paralyzed, it would atrophy and wouldn’t work as much, but that didn’t happen. Since the muscles don’t atrophy, if you stop Botox, eventually you’re able to frown.”

  1. Why are silicone breast implants still used when they’re prone to leak?

“All breast implants eventually leak. The shell, which is made of silicone rubber similar to a balloon, may pop or leak over time,” Dr. Popp said. “Implants will do the same whether they’re silicone or saline.”

So it’s not a question of whether they will leak, because they will. Dr. Popp said anyone with breast implants needs to understand this.

“You just have to be aware of the signs of leakage. When they leak, you take them out and have them replaced,” he said.

Got a question for Dr. Popp? Call today and set up your free consultation, 402-391-4558.

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