Q: Retin-A Causing Leathery Textured Skin

A: Early on, Retin A can cause dryness, but after 6 months, you should have adjusted, so I think that you need a change in your protocol. Please talk to your prescibing dermatologist ot give you a better program.

Q: I've Been on Accutane for 5 Days and my Face is Burning - Is That Normal?

A: This is very odd. I would make sure that you are not getting any sunlight on your face without adequate sunscreen. I would use a moisturizer to replenish your skin lipids and take oral vitamin E to reduce some dryness. Make sure your multi... more

Q: What is the Difference Between Levulan and Fraxel Treatments?

A: Levulan refers to a chemical (ALA= amino levulenic acid) that is used in PDT (photodynamic therapy). ALA is activated by certain wavelenghts of light and initiates a reaction in the skin to reduce bacteria and to diminish pre-cancers. It is... more

Q: Why Would Botox Cause Lasting Acne Break Outs?

A: I must admit that this is a new one for me. After 13 years and injecting thousands of times, I have never seen Botox cause acne. In fact, since there is neural stimulation of oil glands, decreasing the nerve stimulation should theoretically... more

Q: Radiesse for Nasolabial Folds - Best Methods

A: I almost always inject dermal filler into the lateral cheeks when treating the nasolabial folds. This will lift the fold more naturally and avoid over-filling the nasolabial fold and causing a monkey look to the mouth area.
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