Miami Beach Dermatologists

Day 6 After Dysport To Glabellar Lines, Still Able to Frown and See Lines, is That Normal?

Day 6 after dysport to glabellar lines, I see a huge improvement with the lines fading but when I frown I still see muscles movement and lines ...is that normal?

It takes 7-10 days to fully evaluate the effects of Dysport, Botox, or Xeomin.  After that time, a touch up treatment may be required if there is movement. 

Donna Bilu Martin, MD

Miami Beach Dermatologist

Is There an OTC Cream That's Effect in Removing Brown Spots from Years of Sun Bathing?

I am 51 years old and noticed that I have some small to medium size brown spots on arms, chest and legs’. My face has 2 very small spots. I have sun bathed mostly the past 10 yrs…not in my early years. I am currently trying alpha hydrox spot lightener bought OTC but I haven’t seen any results from this product. Due to the economy right now, I can't afford to see a dr.for this so I was wondering if there an OTC cream that's very effective in removing brown spots from arms, chest and legs?

It's important to have brown spots evaluated by a board certified dermatologist, especially if there is a history of sun exposure. 

Donna Bilu Martin, MD

Miami Beach Dermatologist

Sculptra for Sunken Cheeks

I am 70 years old and I've had two facelifts previously. My cheeks are sunken, as my skin is very thin. I am very healthy, but my cheeks look damaged. Is Sculptra for me? How many injections does it usually take, and how much does it cost?

Sculptra was originally FDA-approved for HIV-lipoatrophy (fat and volume loss in the face resulting from HIV).  It does such a great job that dermatologists used it off-label for volume replacement in their cosmetic patients as well.  It received its FDA approval for cosmetic use in 2009.  Sculptra works by stimulating the production of collagen.  It is usually done in a series of treatment sessions spaced 4-6 weeks apart.  The beauty of Sculptra is that it results in a natural, refreshed look over a period of time.  Be sure to have a board-certified physician with experience in facial rejuvination perform your treatments. 

Donna Bilu Martin, MD

Miami Beach Dermatologist