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Recent Answers

Can IPL on One Part of the Body Cause a Cold Sore Somewhere Else?

I have had IPL on my buttocks.I have never had a cold sore in my life, but I m getting itching, tingling in a corner of my mouth and have a small red spot there.Is this just a coincidence?

A: IPL and cold sores

Cold sores can arise from IPL but only when the IPL is flashed right on that spot. You can't have a treatment on your buttocks and get a cold sore on your lips. That would be coincidence. Cold sores arise from trauma, so if you were excessively nervous about the treatment and bit or injured your lips, that could have caused it at this point. But just the flashing of the IPL on your buttocks could not cause a cold sore on your face.

F. Victor Rueckl, MD
Las Vegas Dermatologist

Could This Work if I Had a Filler 5 Years Ago Which is Still Present, and Uneven?

Hi I had restalyne 5 years ago and it has still not reduced and also it is uneven I think its wirse than when I got it done. could the hyalurondaise work to get rid of at least some of it?

A: Restylane does not last that long

I am concerned that it's been 5 years and you still think you have Restylane in there. The likelihood of this is so, so, so small, especially if you only had one syringe in one treatment. I am worried that perhaps something else was injected; something more permanent like silicone or something else. On the very off chance that you do have any HA filler left in there, hyaluronidase can be injected at any point to get rid of it. But I really, truly doubt that it was HA filler - it's just not possible for HA to last for 5 years.

F. Victor Rueckl, MD
Las Vegas Dermatologist

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?

A: Like Botox, Dysport can take 10-14 days for full effects

Dysport is just like Botox in the sense that it will continue to relax muscles for 10-14 days. You should not get more added or worry about anything until after that point. Give your muscles time to fully relax and take in the product. Then evaluate your results and how you feel.

F. Victor Rueckl, MD
Las Vegas Dermatologist
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