Coral Springs Dermatologists

What Is The Injection Depth of Restylane at the Lips? 3 Months Later I Still Have Vertical Lines.

Could someone please tell me what the depth of the injection of Restylane for the lips is? Would the injection be subcutaneous, or deeper? I'm currently having Restylane injections around the lip line and even 3 months after injection, I have vertical lines on the lips from the Restylane which I never had before. You can see lumps and bumps from the Restylane. Other people I see that have the Restylane injections for the lips do not have these visible lumps and bumps.

It is unfortunate that you had a side effect with Restylane. This is a a popular filler used around the lips intra--dermally. So it is injected into the middle layer of the skin called dermis. If the appropriate amount of the filler is used and injected into a correct  skin layer, then resulting complications such as lumps and bumps are very rare. Therefore, if you are seeing these problems, please see your practitioner. There are ways to reverse some of these issues with hyaluronidase injections. Take care and good luck.

Marianna Blyumin-Karasik, MD

Miami Dermatologist

Which Laser Hair Removal is Best Use for Light to Medium Golden Asian Skin with Black Hair?

The target area is upper lip and underarm. Light sheer diode or Gentlelase Alexandrite? Thank you

It is difficult to decide the best laser hair removal device without actually seeing your skin. However, with the description of your skin and hair type, the safest and effective laser would be an NdYag laser, such as Candela GentleYag. Good luck!

Marianna Blyumin-Karasik, MD

Miami Dermatologist

Itching and Tram Lines 3 Weeks After Smart Dot, How To Correct This?

had a second smartdot this time i have itching and tram lines left on my neck,also my skin feels like sandpaper ,when i look close under a good light i can see all the dots ,can someone explain why this would happen as i had no problems 1st time round, can i have a tca peel to get rid off the dots or would another laser be better.

This is not an easy question to answer without a bit more information.  I am not sure if your first treatment was also done on the neck area.  Perhaps you can gain some reassurance knowing that the dots you see are likely a good sign.  The rate at which the skin cells turnover on the neck is slower than that on the face.  What you are experiencing can be completely normal.  I would not recommend a tca peel at this time.  If you are the least bit concerned, call your doctor.  Good luck!

Lesley Clark-Loeser, MD

Miami Dermatologist