
This Boise woman came to me with extra fat around her knees. After removing the fat using Vaser & Smartlipo laser liposuction her knees look like those of a younger woman.
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Updates on cosmetic and aesthetic procedures and treatments at Silk Touch Medspa in Eagle Idaho, including liposuction, smartlipo, skin,acne,wrinkle and hair removal treatments.

The AFFIRM Multiplex laser is the only one of its' kind to treat acne scarring and stretch marks. It's a 2 for 1!

Good evening doctor!
I am writing from Europe and I know you do not have to answer my question, but I would be really happy for a short information.
"I have seen a photo of a great job you did on lip augmentation with juvederm at your blog. As I live in Europe, unfortunately I can't go to the US just to get lip augmentation done by you, but if I could I certainly would :).
Nevertheless I'd like to ask my surgeon here, to get the same effect that is visible in your photos as I have exactly same lips as the patient photographed. Therefore I kindly ask for an information on how much of the filler was injected to gain such an effect." -Megan from Europe
Dr. Kerr's answer:
These lips were treated with Juvederm Ultra. As you can tell from the "before" picture this patient already had a very nice bottom lip, however she was very self conscious about her upper lip.
Generally I use about 0.4-0.5 ml in the upper lip and 0.3-0.4 in the lower lip primarily along the vermilion border starting about 2-3 mm from the corner of the mouth and let the Juvederm track medially under slow steady pressure. Often it will track along the vermilion border all the way to the mid line or across to the other side. Occasionally it will stop tracking and I will advance to the point where it has been impeded and begin injecting from that point. In this particular patient I used the entire unit (0.8ml) in the upper lip with about 0.5-0.6mls along the vermilion border and the balance into medial body of the lip to enhance the volume.
This patient continues to return to my Medspa about once a year for touch up of her lips.
Thanks for your inquiry,
Brian Kerr MD
And then a follow up email to Susie, Dr. Kerr's wife.
Boise's Idaho Statesman's Healthy Advice Page can be found in Thursday's Paper. Dr. Brian Kerr is a contributor.