New York Doctors

The Nurse Said Dont Get the Bandage Wet After Sclerotherapy, Why is That?

i did vericose vein sclerotherapy and the new told me not to get the bandage wet why is that?

A: Don't get bandages wet It's best for you to call the office who performed the procedure on you. Patients should never be embarrassed to ask questions. There are many reasons why your doctor may want you to not get the bandages wet. Wet bandages do not compress well. The wetness may irritate the skin . Wetness may make it hard to remove a bandage. It could also cause adhesive to fall off. The list goes on . Good luck.

I Have Always Used but Botox but Tried Xeomin Recently and Haven't Had Great Results. Am I Resistant?

I have always love botox but my doctor stopped offering it and said xeomin would work better. I've waited three weeks with still no results, just some twitching near my right brow. Could I be resistant? I had the same amount/units as normal, if I switch back to botox will it still work. I have heard that it isn't recommended to go back and forth. I also take olive leaf extract and read that sometimes it is a natural antitoxin( use it for acne) Thanks!

A: botox dysport and xeomin should be similar

There shouldn't be a reason that any one of the three botulinum toxins, Dysport, Botox or Xeomin, is signficantly better than the others.  One patient may like one, whereas another patient may prefer the effects of another. Some may say there product works a day or more sooner and others may say there is less free protein to cause immune reactions but I the three products may be quite similar.  The number of units for each to be equivalent, may differ and more studies may need to be done.

Is PhotoRejuvenation Good for my Severe Dark Circles ?

I've tried many products but nothing seems to work with me, I searched on line and I found out about Photorejuvenation and IPL, but I have no ideia if it would finally work. I have had this Dark circles for almost 6 yrs, and it is getting worse.

A: Several excellent treatments for dark Eye Circles There are multiple types of treatment for dark eye circles. The simplest perhaps least effective is chemical peels using various agents from salicylic acid , alphahydroxy acid, or pyretic acid , among others. A filler such as Restylene will Soften the color a little bit in this case. It there was a deep tear trough delineating the area of dark it would be even more impressive. Lasers are perhaps the most potentially helpful. I have found the fractionated Co2 laser ( ie Pixel) to be the most effective of the lasers. Ruby, nd-yag. Fraxel , and others can also be used with less effectiveness but with less downtime. Each of these treatments have different risks and benefits which require a thorough consultation. For before and after pictures you can go to the attached site. Good luck.