Question: Is microdermabrasion safe during pregnancy?
Answer: Yes, microdermabrasion is completely safe during pregnancy and is one of the few procedures or products that we will use on pregnant women. For the most part, I really recommend that women who are pregnant not undergo any sort of invasive procedure and I also recommend that they stay away from any pharmaceutical-grade skin care products even though there is really no scientific evidence that they would be harmful to the baby. Microdermabrasion, however, is noninvasive and uses no chemicals and, therefore, would be completely safe for a pregnant woman.
Question: Do you think Juvederm is the best option for lip augmentation? Is it better than Restylane?
Answer: I think Juvederm is an excellent option for lip augmentation since it is very smooth and soft and I can do an excellent job of contouring the lip with it. I do, however, know injectors who prefer Restylane due to the fact that it is slightly thicker and they feel they can contour better with it. In my hands, Juvederm seems to work better, but I think that your injector should be the one who recommends a preference of one over the other.
Question: I’ve been on Retin-A therapy for about a year. I’d like to know if I can undergo microdermabrasion or if I need to be off Retin-A first.
Answer: As long as the Retin-A is not irritating your skin, you can safely undergo a microdermabrasion while still using that product. In fact, the far majority of our patients that we see for skin care are on Retin-A on a virtually daily basis. If the concentration is appropriate for their skin type, they really should not have any significant irritation to the skin and, therefore, these patients can undergo routine microdermabrasion on a regular basis.
Question: How is the pulse dye laser different from the fractional laser? Is one better than the other for improving spider veins on the face?
Answer: A pulsed dye laser is not a fractionated laser, but it is a laser that is absorbed by hemoglobin or blood and, therefore, is quite effective at treating vascular lesions on the face. A fractionated laser is any sort of laser that is broken up into small tunnels or dots that treat the skin. There are non-ablative fractional lasers that simply heat up tunnels in the skin and create denaturation of collagen. This then allows the healing process to increase the collagen and improve the skin quality. Ablative fractionated lasers actually vaporize tunnels into the skin. This creates a much more intense healing process with more intense collagen deposition and, therefore, overall will be much more effective than the non-ablative modalities, but there is a downtime associated with these types of lasers. Overall, fractionated lasers are not typically used for spider veins, so I would recommend consideration of the pulsed dye laser though I personally feel that the YAG laser or even broadband light can be just as effective or even more effective than a pulsed dye laser and they seem to have a lower propensity for bruising. Ultimately though, I really think it is your provider who will be able to make recommendations since they would be the ones who have experience with the specific laser that they have available.
Question: Is laser resurfacing effective in treating crow’s feet? Is this area too sensitive for treatment?
Answer: Laser resurfacing can definitely be quite effective at treating crow’s feet, but I have found that in most cases the crow’s feet try to recur to some degree after the healing process has occurred. That is why in many of my patients, I will go ahead and treat the crow’s feet with Botox before and after their laser resurfacing so that the skin will heal as wrinkle free as possible. I then usually recommend that patients consider continued Botox in the future so that they can minimize any recurrence of the wrinkling in that area, but the laser resurfacing itself is quite effective at getting rid of deep lines and wrinkles in the crow’s feet area.
Question: Are you always able to return to work and your normal routine immediately after receiving injectable fillers, even if you get them to plump the lips?
Answer: Yes, you are virtually always able to return to work and your normal routine immediately after injectable fillers to the lips. You could, however, get some visible bruising and certainly initially in the first day or two you may have some slight swelling and you, therefore, may not look exactly the way you would like to, but it certainly should not limit your ability to do routine activities. If you bruise, you can cover this up with makeup and swelling is typically not bad enough to draw the eye or make you look strange.
Question: I have an uneven upper lip line. Would injectable fillers make it look more even?
Answer: In almost all patients that have an uneven upper lip line, injectable fillers can be customized to create a more symmetric appearance, but it really depends on the reason behind the uneven lip line as to whether or not we would actually be able to get a symmetric lip or simply make it look more symmetric.
Question: I have been getting Botox injected into my crow’s feet for the past 2 years. I am thinking about stopping because it is too expensive. Will my wrinkles end up looking worse than before once I stop the injections?
Answer: Your wrinkles will not look worse than before just because you stopped your Botox treatments and in fact your Botox has really essentially preserved the skin from becoming overly wrinkly by allowing relaxation of the muscle that has been contributing to the crow’s feet during the time that you have been getting your Botox injections. The wrinkles, however, will start to come back when the muscle function returns as the Botox wears off, but this should in no way make you worse off than you were before.
Question: I had Botox injected into my forehead last month. I love the results so I’d like to start having injections for my crow’s feet as well. Even though the injection will be in a different area, is it safe to have Botox this close to my last injection?
Answer: It is certainly safe to have Botox in another area of the face one month after you have had it in the forehead. The question really then becomes when would you get your next injection performed so that you can have these coordinate together. More than likely, I would recommend a repeat injection three months after your crow’s feet injection so that both the forehead and the crow’s feel area can be treated; however, if you feel the lines in your forehead are coming back prior to that, you could space them again but this time maybe only two weeks apart and then on your third injection time you can go ahead and treat them together.
Question: I recently heard of something called silicone microdroplets for enhancing the lips. What is this?
Answer: Silicone droplets are simply medical grade silicone that is injected into the lips. This is an FDA-approved product for treatment of retinal detachments but is not FDA approved for use as a facial filler, so this product is not only off label, but it is actually not FDA approved for this use at all, and I would highly recommend that you not have anyone inject silicone in your lips simply because of the fact that it is truly permanent and will be there for the rest of your life. Having said that, if the silicone migrates to an area where you do not like it, this will also be there for the rest of your life and be rather difficult to correct. That is the biggest reason why I try to direct my patients away from any sort of a permanent filler material.