Boynton Beach Dermatologists

Is the Chipmunk Look a Sculptra Side Affect?

Hi, I had Sculptra 11 weeks and so far everything is going really well. I am obviously due for my second treatment but I am concerned about Sculptra growing too much and being left with the chipmunk look? How common is this? and if it didn't happen the first time round is it something I should still be worried about? I guess I am wondering if it is more of a case of getting too much too quickly or some sort of unlucky reaction that some people have no matter what they do?

You need to pick an injector with a good eye and lots of experience. In my opinion the chipmunk look happens if an injector puts too much lower in the cheek and apples and not enough along the cheekbones and temple. The cheekbone and temple are important to create a lift of the face.

Robyn D. Siperstein, MD

Boynton Beach Dermatologic Surgeon

How Long Does It Take to Remove 5 Layers in the Moh's Procedure

How Long Does It Take to Remove 5 Layers in the Moh's Procedure

After each layer of Mohs, the tissue needs to be processed and placed on slides for the Mohs surgeon to read, this process can take 30-60 minutes depending on many factorsl. Therefore 5 stages would likely take 3-5 hours. However once all the cancer is removed after 5 stages in your example,  the Mohs surgeon will then need to close the area with stitches which may take another 30-60  minutes depending on how complicated the closure is since they may need to perform a flap or graft skin from another area. 

Robyn D. Siperstein, MD

Boynton Beach Dermatologic Surgeon

When Stopping the Use of Botox, Do Wrinkles Become Worse Than Before Treatment?

NO, you will just return to how you were before the treatment. If you use it for 5 years and stop, you will likely return to how you were 5 years ago when you started IF you were using it regularly. In essence you have stopped the clock on aging for those 5 years, this is due to those muscles becoming weak and therefore unable to make the movements that worsen the lines which "age" you.

Robyn D. Siperstein, MD

Boynton Beach Dermatologic Surgeon