Arlington Dermatologists

What Do I Do with This Syringe of Juvederm?

A plastic surgeon injected my top lip with Juvederm a month ago. He only used .3 of the CC. I went back for more yesterday but the doctor refused to do it and GAVE me the syringe. So now I don't know what to do with this CC. I have called numerous doctors and they all said they wouldn't do it, and that what this doctor did is ILLEGAL. I paid 700$ for this CC and i dont want to waste it, where can I find someone to inject me? My friends are offering to do it for me but I dont trust them. Help!

Safety is of the utmost importance!  Safely discard the used syringe.  The risk of infection is too high.

Kenneth W. Neal, MD

Arlington Dermatologic Surgeon

Can You Build a Resistance to Botox?

I have had botox for several years and love it but I am debating on having dysport as I think botox doesnt work as well now - can you build up a resistance to Botox?

It is possible to develop a resistance to Botox.  Although it is uncommon, individuals that are resistant to Botox will form antibodies against it.  With that said, you may not be resistant to it at all.  It is likely possible that you may just need a little more Botox in that particular area.  You could also give Dysport a try instead to see if you prefer the results over Botox.   

Kenneth W. Neal, MD

Arlington Dermatologic Surgeon

Dissolving Restylane

Can someone please advise me of what is the best gentle and natural way to make it disappear faster with giving it another hyaluronidase injection, and can someone tell me while it is worn off, do your lips get sagging after it is gone? I am really worrying about it now.

Currently, the only natural way to dissolve restylane is time.  Hyaluronidase, the enzyme that breaks down hyaluronic acid, will decrease the amount of restylane in a faster time period.  However, it is best to let the body breakdown the restylane on it's own if you are experiencing any side effects from the hyaluronidase injections. 

Lastly, you should not experience any sagging of the lips after the restylane has worn off.

Kenneth W. Neal, MD

Arlington Dermatologic Surgeon