Micro-needling may help with scaring, depending on what the scar looks like on examination, excision and revision may be a better option. Laser treatments may help as well. Consult with a facial Plastic Surgeon in you area. It may be helpful to get 2-3 opinions before settling on a treatment plan. All the best.
You may or may not notice any difference in your hair in stopping the Spironolactone however, you may notice changes in your skin as you mention that you have had improvement in your skin. It may be helpful to seek other treatments for the hair issue while continuing the spironolactone. Platelet rich plasma, steroid injections, Biotin, Viviscal, Nutrafol or light therapy may help. Sometimes supplements and other medications that help hair can aggravate acne and skin problems. Some people notice worsening acne when taking Biotin, or Viviscal for instance. Best of luck to you.
Micro-needling helps with collagen production and skin turn over so it can be helpful in treating Melasma. Melasma in general is challenging to treat and control hence often, combination treatment utilizing different modalities is can help. Hydroquinone one of the best treatment available for pigmentation issues however, care must be taking to avoid unwanted side effects such as PIH (post inflammatory hyper-pigmentation). Hydroquinone can be applied before and after micro-needling. It’s important to use a formulation or brand that will not irritate your skin. Generally you want to use hydroquinone for a short period of time 6-12 weeks and then switch to other products that contain vitamin C, Arbutin, Azelaic acid, to maintain and prevent recurrence. Most important with problems like Melasma is sunscreen and avoiding excessive sun exposure to the area. It’s best to see a specialist in the field for evaluation and treatment and get recommendations for maintenance tailored toward your skin type and needs. All the best.
Great question. Using a sauna after Botox or fillers is okay. I would advise waiting 24-48 hours after the initial treatment before using the sauna as you mentioned. Sauna use is unlikely to affect fillers. All the best. Enjoy your sauna.
Good question. Yo look great by the way. Microneedling with radiofrequency, and threadlift can help. Personally I think treatment that build collagen overtime will be better in your case. All the best.
