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General Category => Aesthetics => Topic started by: earl25 on January 17, 2017, 09:15:21 PM

Title: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: earl25 on January 17, 2017, 09:15:21 PM
http://journals.lww.com/plasreconsurg/Abstract/2006/05000/Improved_Malar_Projection_with_Transconjunctival.39.aspx
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: Lazlo on January 17, 2017, 09:23:41 PM
it's very promising that kawamoto put his name to this. but am i to understand the HA granules are suspended in pockets in the flesh or muscles and not placed directly on the bone? Is that how HA implants work? I always thought they were somehow attached and fused directly on the bone?
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: Lestat on January 17, 2017, 10:38:32 PM
"Two surgeons in the USA have major experience with this product, Dr Steve Byrd in Dallas and Dr Henry Kawamoto in Los Angeles." - Mendelson

https://www.realself.com/question/hydroxyapatite-implants-zygomatic-bone-augumentation

Does anyone know if Sinn does also jaw angle augmentation with Ha?
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: David_D on January 17, 2017, 11:45:03 PM
it's very promising that kawamoto put his name to this. but am i to understand the HA granules are suspended in pockets in the flesh or muscles and not placed directly on the bone? Is that how HA implants work? I always thought they were somehow attached and fused directly on the bone?

I think it goes on the bone. The quoted article references subperiosteal placement.
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: Lazlo on January 18, 2017, 01:20:33 AM
I think it goes on the bone. The quoted article references subperiosteal placement.

thanks
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: earl25 on January 18, 2017, 07:59:35 AM
This is the guy's before and after:




(http://i.imgur.com/uDv4u0u.png)

Not much difference. But kwamoto is a big deal
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: Lord-of-the-Cartilage on January 18, 2017, 08:57:47 AM
Well I would be very demoralised if I was that man, I mean what was the bloody point!?
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: earl25 on January 18, 2017, 09:14:44 AM
Well I would be very demoralised if I was that man, I mean what was the bloody point!?

It backs up wha eppley said that ha is limited.

I think i see a small diff in fullness but the angles of the photo are diff so that throw it off. In terms of safety imo kwmoto woulld .ot use ha if he hought it would destroy bone
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: Lestat on January 18, 2017, 10:02:09 AM
It backs up wha eppley said that ha is limited.

I think i see a small diff in fullness but the angles of the photo are diff so that throw it off. In terms of safety imo kwmoto woulld .ot use ha if he hought it would destroy bone

Has Kawamoto not retired? He is without any doubt one of the best surgeons ever. He did the most Lefort 3 after P. Tessier (A. Wolfe is on the third place). He is a true legend.
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: earl25 on January 18, 2017, 12:34:01 PM
Has Kawamoto not retired? He is without any doubt one of the best surgeons ever. He did the most Lefort 3 after P. Tessier (A. Wolfe is on the third place). He is a true legend.

He retired. I met wolfe. The man loves to break bones. He should be on ppls consult list
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: Lazlo on January 18, 2017, 04:24:03 PM
He retired. I met wolfe. The man loves to break bones. He should be on ppls consult list

okay do you know if wolfe would do modified lefort 3? And yeah the above malar HA result is worthless --and also yeah I heard Byrd is the guy so if he taught Sinn boom that's awesome.
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: earl25 on January 18, 2017, 07:38:50 PM
okay do you know if wolfe would do modified lefort 3? And yeah the above malar HA result is worthless --and also yeah I heard Byrd is the guy so if he taught Sinn boom that's awesome.

i beleive wolfe does
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: earl25 on January 18, 2017, 07:39:32 PM
This is the guy's before and after:

(http://i.imgur.com/uDv4u0u.png)

i do see  some improvement but its subtle
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: ditterbo on January 18, 2017, 07:50:17 PM
This is the same area of HA augmentation Gunson does on his bimax patients right? I definitely see a difference but the value in that change is totally negligable.  I'd think more volume in that upper cheek region would bring back some youthfulness but it didn't appear to do that, just looks different.
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: earl25 on January 18, 2017, 08:01:31 PM
does look he got a lift from it
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: Lazlo on January 18, 2017, 08:05:40 PM
does look he got a lift from it

Gotta respectfully disagree on that. His face is actually higher in the after, the contrast is different and the hair makes a HUGE difference. I'm not sure there's any improvement and if you read the paper it actually indicates average increase was 2mm (on the bone) it takes 3 mm to make 1mm of difference under soft tissue, especially thick soft tissue. Just cause Kawamoto is famous doesn't mean he's not susceptible to grafting for extra cash .Arnett and Gunson literally pad their bills in the TENS OF THOUSANDS with their charges for HA. yeah yeah it's expensive but it's not THAT expensive.

I bet HA is just a cash cow for tons of surgeons. And Kawamoto was part of that cartel clearly. These pictures are dishonest smoke and mirrors. Of course his cheekbone looks slightly higher in the second, his head is cropped higher!

Anyway, anyone with any sense can see not much was accomplished here.
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: David_D on January 18, 2017, 09:23:20 PM
Sometimes a small amount of apparent change is best, in my opinion. I think this is particularly the case when things are very apparently deficient to begin with.
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: Lord-of-the-Cartilage on January 21, 2017, 03:24:09 AM
I think it looks fake due to how rounded it is, you can just tell that isn't what a natural bone shape would look like. That's why it looks so obvious when celebrities try to replace bone structure with fillers
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: ppsk on January 21, 2017, 05:34:21 AM
I think it looks better on his jaw than it does on his cheeks where the malar prominence is clearly oversized.
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: Lazlo on January 21, 2017, 02:53:02 PM
He looks like a straight up deformed freak.

Bad aesthetic judgement from the doctor. Probably more filler than is normally advised. And just not meant for his face. What a f**king freak. I shudder to think I ever look like that.
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: Lazlo on January 21, 2017, 02:55:01 PM
when i say bad aesthetics i mean the jaw is totally asymmetrical and the cheekbones too low, which is osteotomy is all that can help now these f**king stupid fillers. Fillers just to give a bit of accent, a touch up. Not to build up the bones.

f**k this is so scary when I see s**t like this. Also, HORRIBLE rhinoplasty on this guy. His nose is falling apart. I bet the cheekbones sit really low which is why he's taken that picture from that horrible angle.
Title: Re: found and HA study/article written by dr. kwamoto on HA paste to malar
Post by: earl25 on January 21, 2017, 03:03:00 PM
Apparently this guy had repeated HA and fillers:

(http://i.imgur.com/9hpg5np.jpg)

Not good on the jaw.

What do you think of his cheekbones?

which doctor did he use