I am on day 11 of fraxel re pair. I have flown to Los Angles to see a leading dermatologist with one of the 2 machines here. My smile became non existent on Monday. Like a thin line, no lips, like a freak show. There is no movement in my cheeks, it is hard to eat properly. On Tuesday the Dr. told me it was just the edema fluid and that it would go away but it seems to be getting tighter and more lopsided. Do you have any idea what is going on and what I should do?
19 posts
18 Jul 2008
Thank you ever so much for your comments. I traveled from Europe to see this particular doctor. He is quite well known and a dean at UCLA and has been at Cedar's Sinai for over 20 years and very well versed in Laser, though no one it seems has much experience with fraxel re:pair. I am his fourth patient as the machine is so new. I would never ever go to a "budget doctor" and fully appreciate your warnings. i am deeply concerned that I jumped the gun by trying this new technology so soon but everything I read made it seem very safe. There has been no improvement in my face and I do have a little bit of a problem eating, perhaps this is because the skin is tight. One side droops hideously and the other side is a bit higher. The problem came on day six, completely out of the blue. I believe neither side turned up at all then. I have feeling everywhere on my skin. Perhaps the slight problem with eating is, as my doctor says, caused by the ederma fluid, maybe there's imperceptable swelling still and it hasn't drained. I spoke with my doctor today who said that unless I had a stroke or suffered from viral Bell's palsy, then, as you say, the laser is most definitely not the problem. He said every person takes a different amount of time to heal and has different reactions and that I will make a full recovery. ( The botox was injected between my eyebrows and a bit at the side of the eyes, no where near the cheeks or mouth. He says this is absolutely not a problem) He stresses the ederma fluid is causing this and just to give it time. I do not understand why the ederma fluid drained so quickly from my eyes and is now doing this to the lower half of my face? He says it's a more complicated area. Do you think this is an accurate assessment? Kind regards, Anoushka
1 post
27 Aug 2008
Anoushka--I am having similar problems although not as dramatic; however, my friend has almost identical complications after a fraxel and botox. Have yu seen any improvement? Do you have any recommendations for me? I do hope you are recovering and I look forward to your response.
1 post
7 Jan 2009
Doesn't it just make sense to have laser treatments done before Botox, or better yet, as a separate treatment? Botox migrates if you lie down, right? I would advise patients to separate the treatments.
465 posts
9 Jan 2009
Anoushka How have you healed? Did you find out what the complication was?
465 posts
25 Jan 2009
With even the slightest chance I would not do fillers or botox until skin is Healed for months..Your skin is in an inflamed condition even if its not visible....And Botox and fillers warn against it..
unregistered guest
6 Jan 2009
It sounds like you may have a benign condition called "Bell's Palsy." It affects the facial nerve below the forehead (these direct the muscles of the face to move). A virus can temporarily infect the nerve, usually just on one side, making it swell in the bony window through which it passes. When the nerve sheath swells, the pressure on the nreve makes it malfunction, resulting in drooping on one side of the face. I have seen patients before who had one or another procedure done, and coincidentally developed Bell's Palsy, totally unrelated to the procedure. See your doctor to diagnose this, the doctor may or may not prescribe medications for it, there is not uniform agreement in the medical community about the best treatment for Bell's Palsy, and some doctors let it get better on it's own. Here is a link you can look at concerning Bell's Palsy: http://www.ninds.nih.gov/disorders/bells/detail_bells.htm
1432 posts
1 Jan 2009
Hi Anoushka,
Sorry to hear about your complication after the procedure. It is most difficult to diagnose what is going on without knowing your history, what settings you were treated at, how much Botox and where and when you received it, and then examining you. Certainly this is a complication that we have not heard of. It is possible to have a viral Bell's palsy. I have never heard of Botox migrating after laser treatment, and we have injected patients for years with Botox before the traditional CO2 laser treatments. I am confident that the laser cannot penetrate deep enough to damage your nerves as the maximum depth is 1.7mm. Antiviral medicines and steroids are possible treatment options to be discussed with your physicians. Please let us know about your progress. I have to believe that this is a temporary nerve problem that will hopefully resolve quickly.
Be well Anoushka. Dr. P