Great Dermatologist in Queens! - New York, NY
Perlane is made if hyaluronic acid, a natural substance in our skin. It is a temporary filler since our body slowly break it down. However, our skin itself does not break down and there is no limitation as to how many times you can get Perlane injections. Also, you skin also generates new collagen with repeated injection. You are at a perfect age to have filler injections and there is no problem to have face lift later if you need it.
I agree that Perlane injection lasting only 6 weeks is pretty rare. While the exact plane of the injection (i. e. upper dermis, deep dermis, upper subcutaneous, above muscle, etc) affects the longevity of the filler effects, it in general should still last more than couple of months. I suspect that the initial result you saw was exaggerated by the local swelling immediately after injection. However, it is wise to try something different next time.
While we can never best recommendation without evaluate the patient person to person, I can give you some pointers based on my experience with Asian skin. Based on your age and your description of your skin, I think a serious of glycolic acid peels will be your best start point. It will improves all your symptoms to certain degree. After that, you can decide weather you need more treatment for specific issues.
Sorry to hear what happened to you. The 3u Dysport is very small amount. However, if the Dysport or Botox is place inside the orbital rim, it could cause more baggy look for some patients. But same injection could also help certain patients with underline wrinkles. That is why the injection of Dysport or Botox is different from patient to patient. In your case, some of the side effects likely will disappear withint several weeks. If not, careful placement of Restylane by an experienced physician will reduce the baggy and wrinkly look. Good luck.
Retin-A is great for facial fine wrinkles, including areas around the eyes. As long as you do not get it into the eyelid margin, it is safe. However, since the eyelid skin is very thin and sensitive, you need to start slow to minimize irritation and dryness of the treatment area. Otherwise, the dryness and irritation will make the wrinkles more obvious. Try to start 2-3 times per week and put simple moisturizer on top of it. Once you get used to it, you can use every night. I will suggest that you start with lower strength of Retin-A, such as 0.01% or 0.025%.
