Adebola Dele-Michael, MD, FAAD

The best way to avoid side effects is to get the treatment from an expert injector. All expert injectors are either board-certified dermatologists, plastic surgeons, facial plastic surgeons, or oculopastic surgeons. There are more than 1.2 million doctors who are legally allowed to administer injectables in the United States, but less than 7 percent qualify to be an expert injector. For more information on expert injectors in your area you can visit: expertinjector.org.

Droopy eyelids are a side effect that can be induced by the injector performing the treatment. An expert injector such as a board certified dermatologist has gone through years of training and practice. They will educate you on what to do before and after your treatment to achieve the best results. Consult a board certified dermatologist in your area to receive the best results. 

Botox is best for areas such as the forehead, glabella, and crow’s feet. In order to treat the other wrinkles around your face you may need fillers such as Restylane or Juvederm. To look your best you should consult a board certified dermatologist in your area. The dermatologist will be able to tell you which treatments will get you the look you are trying to achieve. Botox is both safe and effective if you have a highly trained professional performing the treatment.

Yes Botox can be injected into the DAO muscle to achieve this goal. This is a high-risk area so this procedure must be performed by a board-certified physician with lots of experience.

Laser hair removal treatment will not treat the hyperpigmentation that you already have, but it will reduce the risk of developing dark spots in the future. Speak to your board-certified dermatologist for treatment options to safely lighten the dark spots and even-out your complexion. 

The fullness in your tear trough areas/cheeks may be due to "too much filler" or filler blocking lymphatic drainage in the area. Consider hyaluronidase treatment to dissolve the filler; this works very quickly too.