Differences of Juvederm Voluma and Sculptra in Time of Results, Predictability and Treatment Areas

[@joamalin3516]

Sculptra is amazing if you suffer from overall volume loss. I'm 33 (haven't found a lot of comments from people in their 30s, so I hope it will be helpful), but I have always been very thin + I practise sports. I was initially considering fat transfer, but I don't have enough of it. Like many people mention, I was scared about the risk of nodules, but my doctor prepared it 7 days before the procedure to let it "sit". I have had absolutely no side effects, no pain, bruising, swelling, nothing. I felt 100% normal immediatelty after the injection. Different people react in a different way, but many of the comments online are so exaggerated... My only regret is that it can't be injected under the eyes.

[@AmiyaPrasadMD]

I'm glad it worked out well for you, Joa Malin.

[@petrichor100]

I am in my 30s too and have global volume loss as well. how is it going for you? Have you noticed any results so far? did you get one or two vials? thanks a lot

[@cguerrero1080]

So informative, better then most doctors in an actual visit. All your patients look like a healthier version of themselves and not as if they had something done. Very tempting to go to New York from Chicago to get this done.

[@AmiyaPrasadMD]

Thank you, Christina G! I make these videos so people are more informed about cosmetic procedures, regardless of the doctors the end up choosing. You are always welcome to come visit us!

[@maureenkelm108]

Wow! The before and after photos really show great results! Thank you for sharing this video, very informative!

[@AmiyaPrasadMD]

You're welcome, Maureen Kelm! Glad you found the video informative! And thanks for your kind words!

[@pinkconfessions]

If using sluptra how many treatments before the skin repairs itself I heard that the sluptra has an ingredient that helps collagen grow or is just a filler type for the face?

[@AmiyaPrasadMD]

Hi Angelic Princess, Sculptra does not actually repair skin, and the collagen it can possibly stimulate isn't much. Sculptra creates volume due to inflammation from the foreign body reaction to poly-L-lactic acid, so volume is unpredictable. Hyaluronic acid fillers on the other hand, do create volume more predictably, and do not cause a foreign body reaction since hyaluronic acid is naturally present in the skin and throughout the body. I hope this clarifies things for you.

[@honeybadgernasty]

Dr. Prasad, maybe you help... I had Sculptra injected into my temples that left me with big nodules that look like horns. My doctor flushed them with saline 3 times with no improvement. Recently she treated them again with a cocktail of hyaluronidase and steroid with no improvement. Can you please recommend anything else to dissolve them? I'm desperate and crying daily from this deformity 😭😭😭

[@AnitasLoveify]

Thank you so much for your great explanation of several of the dermal fillers & giving us your opinion on the different ones that are more widely used.

[@AmiyaPrasadMD]

You're welcome, Anita Kusler. I'm glad you found the video helpful.

[@barbaraott407]

Would a similar video comparing sculptra vs. prp/prf be possible? I'd love to hear the Doc's take on it.

[@AmiyaPrasadMD]

Hi Barbara Ott, Sculptra is for creating volume as a bodily reaction to poly-L-lactic acid; while PRP or PRFM is for improving skin quality and stimulating collagen, not for adding significant volume. The two can't really compared as they are used for different issues. I hope this clarifies things for you.

[@fatiq8297]

Hi doctor, would you say that Sculptra has the same predictability as a fat transfer? I had a fat transfer 5 years ago when I was 35, and I loved the results, eventhough it was not very predictable and a few areas like my temples and nasolabials ended up not ‘taking’ the fat, my doctor did ‘fine-tune’ and touch up those areas with just abit of HA filler after a few months of waiting for the fat transfer results to settle…but the fat transfer got the bulk of the job done, and overall made my face look fresher more youthful (I literally looked 10 years younger after getting the procedure and my skin looked amazing for a good 2-2.5 years)…I don’t really need ‘structure’ as I already have good facial bone structure, it’s just the overall volume loss that’s making me look tired, so the doctor injected a layer of fat evenly and everywhere on my face (even the forehead) without over-filling or augmenting any specific area. If Sculptra will give me similar results to a fat transfer, that’s very good news for me! because I really don’t want to undergo surgery again, and I really don’t like the look of excessive HA fillers in the face (I’ve seen it on many women), it doesn’t look as natural as filling up the face with fat…it’s much better for fine-tuning imo.

[@AmiyaPrasadMD]

Hi @fatiq8297, Facial fat transfer has predictability issues because 30-70% of grafted fat is quickly absorbed by the body, so usually at least two procedures are needed. Sculptra or poly-L-lactic acid relies on a biochemical reaction within the body to induce collagen, and volume so how the body reacts is also unpredictable. Hyaluronic acid filler is the most predictable as it can be customized by the doctor, but this is very reliant on technique. Placing hyaluronic acid filler at the bone level avoids the look you are describing, as it''s not excessive filler, but placing filler at a stronger space than the fat and soft tissue level most doctors put it in. With the bone level technique we call Structural Volumizing, the muscle layer prevents the filler from migrating, and results look more natural, and defined, without surgery, and the procedure takes minutes. You can refer to these videos about it, and see the results: kzbin.info/www/bejne/oaHOeqiFjdCfpas kzbin.info/www/bejne/aJPLipaEe9d7pqc

[@miriamiqbal2316]

Thank you so much Doctor for this information ! I have been treated multiple times and under educated about what my options are. I feel much better knowing what the expected results are from your very clear and concise description of the products. I wish I would have seen this years ago, could have prevented issues, if I would have better informed myself. I now have better information before my next treatment, and hope if I am ever in NYC that I could be your patient.

[@AmiyaPrasadMD]

You're welcome, Miriam Iqbal! Glad you found the video helpful! Hope you can come see us soon, and best of luck with your next treatment!

[@3ofus135]

Very informative video. Dr.Prasad, what is the best way to treat(surgery, fillers, co2 laser, retin-a) pre auricular lines? Mine are mild...I'd say 4/10 on a sliding scale. I have been dermastamping twice a week for about 6 months at home. It seems to have helped a little.

[@jsmlfamily]

Can you recommend someone in San Diego area?

[@AmiyaPrasadMD]

Hi @jsmlfamily, I'm not sure which doctors perform deep filler placement in your area, but you can look up a doctor in the Y Lift Network of doctors. Also, keep in mind that different doctors performing this technique do have different aesthetic styles. I hope this clarifies things for you.

[@telmaneitzke6739]

Gostaria de uma resposta em português pretendo fazer Sculpra e ajuda para saber se é indicado

[@AmiyaPrasadMD]

Hi Telma Neitzke, Isso é do Google Tradutor. Sculptra cria um volume com a no corpo, então os resultados não são previsíveis. Eu geralmente prefiro usar preenchedores de ácido hialurônico para resultados mais precisos e previsíveis. Espero que isso esclareça as coisas para você.

[@allegri9cl]

It was really helpful.. i am a 26 year old woman and i am looking sadder and thinner in my face compared to the 2-3 year old me, where my skin was plumper and full of colour. Lifted... i was thinking of doing sculptra anywhere n everywhere i think that ive lost volume.. so definitely cheeks, side of cheeks, temples, even forehead over eyebrows, cheekbone under the eye and nasolabial.. now i am wondering whether or not i should do it. One of the reasons i wanted to do Sculptra was how naturally it produces collagen and lasts longer. But the graph in the video showed voluma lasts longer, however sculptra usually needs 3 sessions if im not wrong. Please answer my question if possible, will sculptra make skin look healthier, plumper wherever injected and give some volume back? I have lost some fat/ volume from my face and skin looks thinner and sagging. If sculptra reverses that, and slightly lifts everything up, Id love to go for Sculptra if Injectable in those areas. Appreciate 🙏🏻

[@AmiyaPrasadMD]

Hi allegri9cl, 26 is still very young for facial filler treatment. I wouldn't recommend treatment at this age unless there is a genetic condition that caused volume loss. I do prefer hyaluronic acid fillers like Voluma because adding volume and shape is more controllable than Sculptra, which relies on an anatomic reaction to create volume, but in a less predictable way. I hope this clarifies things for you.

[@alexandra9985]

I had diluted radiesse for horizontal neck lines with no results...can i try sculptra fir neck lines?

[@AmiyaPrasadMD]

Hi Alexandra, While a physical examination is needed before I make specific recommendations for you, you can refer to this video on the non-surgical treatment options for neck lines - kzbin.info/www/bejne/iWOUYZJuZtl7oqc

[@lampros1983]

Amiya Prasad, M.D. Sir, about hiv positive people who experience moderate facial loss do you recommend voluma ? Thank you in advance

[@AmiyaPrasadMD]

Hi LAMPROS PAMPRIS, I would have to do a physical exam to determine what is best for you as HIV may result in more global facial volume loss. Sculptra was developed specifically for global facial volume loss experienced by HIV-positive people. I would need to see your situation before giving a specific recommendation. I hope this helps you.

[@lampros1983]

Amiya Prasad, M.D. dear sir, first I really thank you for your comment, as I am in Greece it would be quite difficult for physical exam, would be ideal to send you some photos of my face by different angles by email , I understand it is not the proper way but just to have a little bit more specific idea, it would be really helpful to me! I really thank you in advance

[@AmiyaPrasadMD]

Hi LAMPROS PAMPRIS, You're welcome! While pictures help, they don't replace a three-dimensional exam. I suggest meeting with cosmetic surgeons who use both materials who are closer to you.

[@zibtihaj3213]

So Sculptra really does increase collagen … which stays lot longer in face ?

[@AmiyaPrasadMD]

Hi @zibtihaj3213, While Sculptra does stimulate collagen, and results can possibly last longer than filler, the collagen and volume stimulated by Sculptra are due to a biological reaction. However, this makes the results of Sculptra unpredictable, while the results of filler are more customizable, and precise. I hope this clarifies things for you.

[@letsglowuptogether7778]

Hi what filler would you recommend for hip dip?

[@vidalskinship9821]

Is the volume shown in the face by Sculptra actual collagen or scar tissue due to the inflammation response to the main ingredient found in Sculptra?

[@AmiyaPrasadMD]

Hi VidalsKinship, The body's reaction to poly-L-lactic acid is to stimulate collagen, not scar tissue or inflammation. However, since it's a reaction by the body, the volume effect, and shape can be more unpredictable than a moldable hyaluronic acid filler that can be custom shaped. I hope this clarifies things for you.

[@lindaconstantine1844]

Haven't seen anyone to explain in depth without being boring your knowledge is helpful thankyou pity you don't practice in england

[@AmiyaPrasadMD]

Thank you for your kind words, Linda Constantine! And thanks for watching!

[@hammypie]

In your experience with your patients on average how long does the Voluma last before the results start to noticeably fade when you do structural filling to plump up the face

[@AmiyaPrasadMD]

Hi hammypie, With deep placement of Volume through Structural Volumizing, we can expect 1-2 years of effectiveness. However, volume from a filler like Voluma diminishes gradually, and not suddenly, so results can last even longer, depending on the metabolism of the patient. I hope this clarifies things for you.

[@bnnrose]

I just got Juvederm for my chin today!

[@AmiyaPrasadMD]

I hope it works out well for you, bnnrose!

[@kimboeskeim397]

Does voluma shift after placement in the cheek or under eye area. I’m concerned that because I sleep on my side that it will negatively impact my potential results (I’ve been unsuccessful in sleeping on my back!)...my practitioner is recommending 1 per cheek & 1/2 per under eye areas to correct volume loss, sagging & tear trough troubles...🤔🤷🏼‍♀️

[@AmiyaPrasadMD]

Hi Kim Böes Keim, I place Voluma in the cheeks deeper than most doctors, between the bone and the muscle in a procedure called Structural Volumizing/ Y Lift, where it won't shift. If it's placed at the soft tissue level, there is more risk of shifting, but not necessarily caused by your sleeping position. I wouldn't recommend Voluma under the eyes as it's a thicker filler recommended for the cheeks, chin, and jawline. I would apply a softer filler under the eyes like Restylane or Juvederm. I hope this clarifies things for you.

[@mariawootton8970]

Kim Böes Kei

[@Texasgirl2023]

When you say collagen is it real collagen being created by the body? Or is this from the sculptra filler? Is it permanent?

[@AmiyaPrasadMD]

Hi Slim Kat, Collagen is generated by the body, and treatments like Sculptra can induce a collagen response. The material in Sculptra is poly-L-lactic acid doesn't actually contain collagen, but it stimulates the body create volume, and collagen. I hope this clarifies things for you.

[@sonamnarayan5417]

Dear doctor can u tell me if fillers are a better option for sagging neck?

[@AmiyaPrasadMD]

Hi Sonam Narayan, Fillers are for treating volume loss, so I would need to examine the cause of your sagging neck before making an exact recommendation for you. You can refer to these videos for guidance about the neck: kzbin.info/www/bejne/iqCWioN-iJugjtk kzbin.info/www/bejne/ZpSXdoSvfMyhiZI kzbin.info/www/bejne/fnywaIB9nZ1jiK8

[@kathyyoest4085]

I love your videos - very educational. I am 67 , look good for my age and am very fit - but recently lost weight ( 12 lbs ) due to stopping all sugar. I lost volume in my face and have vertical wrinkles on the sides of my mouth area. also my eye lids sag. I have been investigating treatments as I would prefer not to do a facelift. what do you think of : cool laser and microneedling RF for skin improvement due to sun damage and tightening - botox on the sides of eyes for a slight lift and around crows feet - hylauronic acid filler ( voluma ) in cheek areas to raise the volume there ? thanks.

[@AmiyaPrasadMD]

Hi Kathy Yoest, Thanks for watching! I hope you understand that I can't recommend specific treatments for you without examining your face first. At your age, it's important to know that devices for skin tightening cannot replace surgical lifting, and can make things worse. Meeting with a surgeon who can do surgical lifting, as well as perform non-surgical treatments is important for unbiased evaluation, and for best recommended treatments. You can refer to this video about why devices cannot replace surgical lifting procedures - kzbin.info/www/bejne/kGbPqWZvYshjqac

[@Jkrawlings12]

Would sculptra be a good product for someone in there mid 20s with volume loss due to acne scarring and recent weight loss. I can stretch the skin on my cheeks and neck like 2 inches away from my face.

[@AmiyaPrasadMD]

Hi Leroy Jenkins, An examination is needed before recommending specific treatments, especially for someone as young as you who would not normally need filler treatment. Sculptra is tricky because volume is created by biological reaction to poly-L-lactic acid, so results are unpredictable. Filler used for tissue loss due to acne scars for people your age is usually very precise. I hope this clarifies things for you.

[@eliadvo]

can you reverse sculptra and is it ok to use in the tear trough?

[@AmiyaPrasadMD]

Hi Elizabeth Schaible, Poly-L-lactic acid in Sculptra triggers the body to create its own volume, so it's not reversible. I don't advise Sculptra to be used in the tear trough because the volume effects are unpredictable. A softer hyaluronic acid filler for the tear trough is what I would advise for my patients. I hope this clarifies things for you.

[@eliadvo]

@@AmiyaPrasadMD Hello Dr. Prasad, unfortunately, I was asking bc I have already had it done. I am so worried about what's going to happen especially bc there is no reversing it. I guess I was hoping for a different answer. Thank u so much for ur reply anyhow. I appreciate the information. Now I just need to figure out a solution, Im guessing surgery is the only way out of this.

[@AmiyaPrasadMD]

Hi@@eliadvo, Even surgery won't do it because poly-L-lactic acid causes diffuse inflammation all over the face to create volume. All you can do is wait for the material to metabolize, and effects to dissipate. I hope this clarifies things further for you.

[@Luckyiam888]

You didn’t like sculptra? I’m thinking to do sculptra please advise 🙏

[@AmiyaPrasadMD]

Hi@@Luckyiam888, The results of Sculptra are unpredictable since it relies on a foreign body reaction to its main ingredient poly-L-lactic acid to create inflammation and volume. I prefer hyaluronic acid fillers as volume is predictable, can be customized for the patient, and with no foreign body reaction as hyaluronic acid is already naturally in the body. I hope this clarifies things for you.

[@aliakhan5050]

Sir, if someone is using filler for volume, what does she need to do while pregnant and breastfeeding? Any alternative? Prp injection? Or anything?

[@KenocaOcarina]

Thank you very much for this informative video! I hope you could help with a question - as a male in my early 30s, I am a runner and have very low body fat, which means my face is very gaunt and I have sunken cheeks which I am not happy about. I look similar to Hugo Weaving from the old Matrix movies if you want a reference - with a "protruding" looking mouth area. Would you recommend Juvederm or Sculptra in this case, to get full cheeks when I won't be able to achieve any volume from natural fat gain?

[@AmiyaPrasadMD]

Hi Raedsel, I would have to examine your face before making a specific recommendation, especially since you are still very young, and not affected by age-related facial volume loss. I hope this helps you.

[@supnazaidi8228]

Hi Dr. Prasad - Do you find patients of different ethnic backgrounds aging differently, and thus, needing different recommendations generally? I may be wrong, but I feel South Asian women, like myself, sag around the jawline more noticeably first, than wrinkle as we age. Are fillers the way to go?

[@AmiyaPrasadMD]

Hi Supna Zaidi, There are some ethnic differences in aging, such as darker skin less prone to photoaging/sun exposure does remain thicker than lighter skin. However, I would need examine what you describe before giving you a specific recommendation for treatment. You can refer to this video about appropriate treatments for people in their 40s - kzbin.info/www/bejne/mHPLgmehi892e6c

[@supnazaidi8228]

@@AmiyaPrasadMD Thanks. Appreciated.

[@AmiyaPrasadMD]

You're welcome, @@supnazaidi8228!

[@MP-dz2ki]

Hi Dr. Prasad. Very informative Videos. I was thinking of getting Ellanse, as it is also supoposed to boosr the collagen and eventually lead to an overall natural look. What is your opinion on it? I heard that apparently nodules can appear as as side effect.

[@AmiyaPrasadMD]

Hi M F, Ellanse is not FDA-approved in the US, where I practice. I do prefer separate collagen stimulation for improving skin quality, and hyaluronic acid fillers for enhancing volume as this treatment combination is more predictable than relying on a reaction to the filler material to create volume. I hope this clarifies things for you.

[@jonmalkowvich6967]

What filler do you reccommend for deep acne scarring ?

[@AmiyaPrasadMD]

Hi Jon Malkowvich, There are many treatments for deep acne scars, so I would have to examine your situation before making any recommendation. However, it's important to know that acne scar treatment does take several sessions, so it's important to stick to one doctor and follow their treatment plan, instead of starting from scratch each time with a different doctor. I hope this helps you.

[@wandas8209]

The last diagram is very helpful Many of the medspas warned of Sculptra due to the side effect of generating noodles or granulomas that can either go by massaging or can Never go away. What's your intake about it? and from the diagram Voluma is the longest and (thicker? mean more volume, right?) What if you have high motabolisam is sculptra better? Thanks so much

[@AmiyaPrasadMD]

Hi Wan Das, I do prefer hyaluronic acid fillers like Voluma as they are more predictable in terms of results. Sculptra is a different kind of filler as it relies on biological reactions with your body to create volume, and is more for global facial volume loss due to illness rather than a cosmetic treatment for facial volume loss due to aging. Voluma is the thickest and longest lasting hyaluronic acid filler. It doesn't mean more volume, but different fillers are used on different areas. For example, Voluma is a thicker filler for bone loss in the cheeks or chin, but is not appropriate for the under eye area or lips where you need a softer filler for movement. I hope this clarifies things for you.

[@nutech1810]

@@AmiyaPrasadMD I got Sculptra. It lasted me years. It was my favorite filler. I have a high metabolism. I used voluma & it did not last very long. Recommendations? I am a binkini competitor & face looks thin now.

[@AmiyaPrasadMD]

Hi@@nutech1810, Sculptra or poly-L-lactic acid causes metabolic reactions to create volume, so it's not just a filler. However, since these are caused by reactions within the body, the volume it creates is not as predictable, but the volume can last longer since it's not hyaluronic acid like Voluma which metabolizes in about 2 years. I would have to examine your face and discuss your goals with you before I can make specific recommendations for you. I hope this helps you.

[@gabriellanoelle1606]

Hi so I've already done Subcision (x2) + TCA Cross (x2) + PRFM (x2) + RF Infini (x3) + Focus Picosure (x3) and now my dermatologist says I'll have to do 1 session of Sculptra. I have severe atrophy loss due to acne scars on both my cheeks. Do you think Sculptra is the best filler for me and also is there anything else I should know about Sculptra? Please reply thank you so much! :)

[@AmiyaPrasadMD]

Hi Eddie Zarate, As explained in the video, Sculptra relies on the body's reaction to poly-L-lactic acid to create volume, so results are less predictable. This is in comparison to hyaluronic acid fillers which are moldable and don't rely on systemic reactions to add volume, so results are more predictable and precise, but also may not last as long as the material is gradually and safely metabolized by the body. I hope this clarifies things for you.

[@gabriellanoelle1606]

@@AmiyaPrasadMD Hi thanks for replying! Will keeping a healthy diet and lifestyle increase the chances for Sculptra to give better results? Also would you still consider Sculptra a good option for myself since I already completed the procedures mentioned in my previous comment? I think the Sculptra will mainly be used just in my cheeks since that's where I have atrophy due to acne scaring. Thank you Sir!

[@AmiyaPrasadMD]

Hi@@gabriellanoelle1606, A good diet and healthy lifestyle will always improve your overall appearance as when you are healthy, it shows in your appearance. I will have to defer to your doctor's judgment as they have examined your face, and already performed treatment, so while I can describe the differences of the two fillers, it's not my place to question their recommendations. I hope this helps you.

[@nikiawilliams5009]

Thanks for the response Dr. can I ask where your located and if you do Skype consults?

[@AmiyaPrasadMD]

Hi Nikia Williams, Our offices are located in Manhattan, New York City which you can call at [phone], and Garden City, Long Island at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. One-one-one video Skype consults can be arranged. I hope to hear from you soon.

[@tammyduke4213]

I would love to message you. I'm in Alabama and really need good expert advice. You seem very educated love your videos. Thank you

[@AmiyaPrasadMD]

Thank you tammy duke! Our offices are located in Manhattan, New York City which you can call at [phone], and Garden City, Long Island at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

[@PBSR-o3r]

Thanks a lot dr. for this useful information....🙏🙏

[@AmiyaPrasadMD]

You're welcome, barsarani palak ! I'm glad you found the video informative!

[@nikiawilliams5009]

Dr. I have a round fat face already in addition to the weight gain so it’s even fatter and more rounder. However, I have those bags and mine seem to go more outward than others like a puffy bag. I also deal with dark circles and drop in my jawls and my lips in the corner turn downward. What would be a good solution for me as I’m scared to add anymore volume I might fly away because I’ll be inflated like a balloon face. Please help! I’m in need!

[@AmiyaPrasadMD]

Hi Nikia Williams, Sorry to hear about your problems. Eye bags can be evaluated for possible surgical sculpting and removal of the fat that causes them. Dark circles under the eyes may be treated with platelet-rich plasma and possibly laser treatment. I would have to physically examine your lips and jowls before recommending treatment. I hope this helps you.

[@donnaurban4218]

thank you , you answered my concerns

[@AmiyaPrasadMD]

Glad you found the video helpful, DONNA URBAN!

[@yahyasmam]

Thanks for explaining

[@AmiyaPrasadMD]

You're welcome, randa jad krim! Glad you found the video helpful!

[@anamorales6825]

Love your videos. Thank u.

[@AmiyaPrasadMD]

Thank you Ana Morales! I'm so happy you enjoy the videos and find them helpful!

[@justchillokay7138]

Very nice smile Doctor:)

[@AmiyaPrasadMD]

Thank you for your kind words, justchill okay! I'm flattered!

[@yasminalibazoglu3424]

Thank you for the explanation and the areas where Voluma can be used 🌟😊

[@bellarose8511]

That was hugely helpful!

[@AmiyaPrasadMD]

Thanks, Bella Rose! I'm glad the video helped you!

[@giselejadore4794]

Gratitude 🙏

[@AmiyaPrasadMD]

You're welcome, gisele jadore!

[@amyjacquelineg.9541]

Thank you for your info. I’ve been on the fence on whether to use Sculptra( which my Medi-spa is currently pushing)or Voluma. I like the instant results from Voluma & not sure Sculptra would last much longer or of the results( as they show 6 weeks from the procedure).

[@AmiyaPrasadMD]

Hi Amy Galvin, I do prefer Voluma, but the results really depend on your chosen doctor's technique and experience more than the type of material. I hope this helps you.

[@ashbrauw]

why don't you warn people about the danger of injecting fillers

[@AmiyaPrasadMD]

Hi Lotfi el-Malek, I do, and even made a video about it, which you can watch here - kzbin.info/www/bejne/b3POhHh9fd-he7c

[@nannielove9737]

Very helpful! Thank you !

[@AmiyaPrasadMD]

You're welcome, Clarice McCullough! Glad you found the video helpful!

[@mocotinhaa]

Magu

[@elmerdejesus3109]

Doc are u wearing wig

[@AmiyaPrasadMD]

Hi Elmer De jesus, If you watch my different videos, you can see my hair length is always different, but always thick, and it grows very fast. You can see the difference in hair length most in the videos I did when our offices closed in lockdown last year, and when it reopened while hair salons were still closed: kzbin.info/www/bejne/jpOpdIeOdtN_mKs kzbin.info/www/bejne/bWqkmZiIesuXnc0

[@Luckyiam888]

😂

[@Luckyiam888]

@@AmiyaPrasadMD you are very handsome doctor ❤️

[@elmerdejesus3109]

Thank u doc for such a good sport on answering my question.