Jimmy C. Sung, MD

In the right hands, this is a top notch RF micro-needling device. RF stands for radio-frequency which is a form of electric current. The insulated gold micro-needles deliver this energy to different levels of the skin. Sounds painful? It could be if the machine is designed to staple your face and deliver large amount of heat in a poorly controlled fashion. Vivace is made and designed in South Korea where RF micro needling is very popular. This device allows the surgeon to have complete control of level of where the energy is delivered and how much. The delivery of the needles to patient is gentle and controlled. Most importantly, my patients who had RF microneedling before with other devices found a much more comfortable experience with much better results.

This is completely normal experience. The sunspot is supposed to turn dark and flake off the skin with IPL. The pigment was worked up to the surface and now your skin will begin to slough it away. The scab that you have right now is that pigment going away. If you feel you have more concerns please visit your dermatologist to help guide you. 

Hello Andrea, To do a chemical TCA peel on your skin at home can be very dangerous if not done correctly. The pH of the peel is important to know the depth it will go into the skin & the % of the peel is how much the strength of how much it will irritate your skin. It is never recommended to do a peel yourself (unless the pH is higher and percentage is lower, therefore safe enough for you to do. I recommend that you see a professional as soon as possible to ensure your skin will heal correctly. Go ahead and start using SPF to protect your skin and use more of an emollient moisturizer

Hello! Through the photos you have posted I would suggest you either try ResurFX Laser OR CO2. ResurFX laser is a non ablative fractional laser, while CO2 is a fractional more aggressive laser completely making the a new layer of skin cells. With CO2 laser you only need 1 treatment but you will have downtime to heal, with ResurFX you have zero downtime but you do need more than 1 treatment to get the best results. Both are noticeably amazing results. I would suggest consulting with your dermatologist, or doctor to see which one would be best for you. sending you the kindest regards. 

It is highly unlikely that you should experience laxity in your skin. I am very unsure as for how you feel that is the cause or that your skin is already "loose". Microneedling stimulates collagen growth in the skin for tighting, evening out skin texture, and helps with hyperpigmentation in the skin. Following right after the treatment your pores are more open in your skin making you more dehydrated from lack of water because your skin is more exposed. It is important to follow up with a treatment serum and products that can give the skin back hydration because you may experience some dryness. Hydrate your skin more and use the best products after the treatment such as ZO, Skin Ceuticals, etc. Your skin after microneedling will bring white blood cells to fix, and stimulate more collagen growth to from. Thus you shouldn't have any laxity at all. Sending you the kindest regards. 

Looking at this 3/4 view, you will benefit from asian blepharoplasty. Please find an experience surgeon because this operation requires special skill sets.  In a recent conference attended by top plastics surgeons in New York City, the consensus was that asian belpharoplasty is one of the most challenging cosmetic operations. Removal of too much skin and fat will result in unnatural appearance, multiple folds and hollowness of the orbit. Good Luck!

Sometimes a deep enriched exfoliating/cleansing facial may make you break out. This can be common IF you haven't had a facial in a very long time. The reason for this is because there is bacteria trapped underneath your skin and a facial can make the bacteria come out of your skin. Thus, you experience a few minor breakouts. An experienced esthetician can usually predict if you'll be getting some slight post-facial breakouts. But once those heal up, the pores should be much clearer to prevent future breakouts. The experience of facials shouldn't make you always have a breakout if you take good care of your skin. What isn't normal is itching, rash-like skin. An allergic reaction, or a severe breakout. A severe breakout indicates after a facial that the product was too heavy or comedogenic for the skin. If acne-prone skin it is important to use products more lightweight. The important factor is to keep using a toner or astringent to balance the pH of your skin-- this can prevent some breakouts and make your skin much healthier. The recommended products a skilled esthetician, dermatologist, or doctor recommends should help correct the issue. 

No.  Silicone and Goretex are not the only materials.  Due to the risk of complications associated with artificial materials, I recommend my patients to use rib cartilage graft.  It is true that some patient do not have enough septal cartilage either naturally or due to previous surgery, but everyone has enough ribs.Another very important factor in creating a refined tip in Asian skin is managing the soft tissues.  Asian skins are thicker with require more attention.Most importantly, you must willing to deal with the recovery which could last 1-2 years.  Post-operative management is an important part of any surgery, especially in Asian Rhinoplasty.Best Wishes.

Looking at the photo you provided, you already have a "double eyelid" crease.  I understand that you want the fold to be more dramatic.  This can be done by keeping your current crease height which is about 5mm, reposition the fatty tissue to improve the hollowness which is more pronounced in the left upper peri-orbital region. Keep the tissue resection to a minimum. You will be fine.

If you are a good candidate and proper technique was used, you should see some result in 3 months.  Do not expect a result like facelift because it is not meant to be.