Issaquah Dermatologic Surgeons

	Daniel Levy, MD Bellevue Dermatologic Surgeon 4455 148th Ave NE, Bellevue		25 answers
	Victor Michalak, MD Issaquah Dermatologic Surgeon 295 NE Gilman Blvd Ste 101, Issaquah		8 answers

Recent Answers

Botox to Correct Wrinkled Eyelid?

I am 47 and am getting a vertical wrinkle in my eyelids (from the brow area to lid). Is botox an appropriate corrective measure for this or is surgery required to correct?

A: Total FX is a good option for eyelid laxity

The type of crease you describe is more likely due to a depletion of collagen and elastin rather than chronic muscle movements. Neither Botox nor surgery will build collagen, and the location of your crease is not suitable for filler, so I recommend fractionated CO2 laser resurfacing with Total FX.

Daniel Levy, MD

Bellevue Dermatologic Surgeon

Advice for Smartlipo Bumps - Massage? Ultrasound?

hi. i had smart lipo done about two weeks ago and everything seems to be healing fine, and i kow its still quite early and that im still a bit swollen but there are these bumps that are beginning to form where the tissue is harder/denser. im wondering what the best way to resolve these quick would be. i have a beach vacation approaching, at 6 wks post op, and i really really dont want to still be showing signs of my surgery. any advice? should i get a lymphatic drainage massage? ultrasound?

A: Shiatsu improves post-Smartlipo swelling

At 2 to 4 weeks post-Smartlipo, the swelling you describe is normal. During this phase your tissue may still be too sensitive for Velashape (radiofrequency and infrared) or even ultrasound. I recommend a shiatsu-type of lymphatic drainage massage. Good luck!

Daniel Levy, MD

Bellevue Dermatologic Surgeon

Accutane Makes my Rosacea Redness Worse. What Can I Do?

I've been battling Acne for some time, and I'm seeing great results from Accutane. However, it makes my Rosacea redness significantly worse. I understand I won't be able to get any laser help for some time, but is there any hope for me? My nose is bright red all the time!

A: SPF 50 and Skinmedica "Redness Relief Calmplex" for Redness

In addition to avoiding all of the known triggers for rosacea, I suggest diligent use of sunscreen (SPF 50) as well as the new Skinmedica "redness relief calmplex." This topical product works by inhibiting a prostaglandin (PGE2) which causes inflammation and vasodilation. It also moisturizes the skin with niacinamide and ceramides which is essential while on Accutane.

Daniel Levy, MD

Bellevue Dermatologic Surgeon