Dr.Gross performed liposuction on my lower abdomen and I couldn't be happier with the results!! Dr.Gross is my go to for all things derm and cosmetic related. You can trust he will always do a great job!
I finally did Radiesse filler today. Smile lines and marionette lines. It only took one syringe because Radiesse is thicker than the other fillers. It only took 15 minutes!! It took four needle injections and I had no bruising and only a little swelling . This after picture of me is 2 1/2 hours after the procedure . Just fantastic !! Updated on 18 Jul 2015: Some of the fullness has faded overnight and I will be going back to have more Radiesse injected. Apparently this is common so I'm not too worried . My doctor only used one syringe so I kind of expected that I would be more. He said that if it happened he would only charge me half for the second syringe . Updated on 18 Jul 2015: Picture much later in the day- all swelling is gone. Updated on 20 Jul 2015: I got more radius injected today. My doctor said it is very common for people to want more added. I only had one syringe put in the first time. It looks great ! Updated on 23 Jul 2015: The second syringe seems to have been what I needed. The swelling is completely gone and it still looks really good! I will do another update in a week or so. Updated on 4 Aug 2015: Update after 2nd syringe Updated on 21 Aug 2015: Radiesse is holding up. Feels a little clumpy when i touch it but still great stuff.
There should be no problem getting Botox injections immediately after microdermabrasion. The reverse, however, is NOT safe. After injections, any procedure that creates pressure on areas treated with Botox can cause the medication to disperse, leading to unwanted muscle paralysis.
Juvederm and Restylane are two different fillers made of the same basic compound, hyaluronic acid. When used to correct the "tear troughs" under the eyes, the material must be injected very deeply . Bumps can occur if too much material is injected or the material is injected too superficially. The likelihood of developing these bumps can also be minimized by having the injector massage the area immediately after injection. Fortunately when bumps do occur, they can be dissolved away with hyaluronic acid and additional filler can be injected. There is no problem changing from Juvederm to Restylane or mixing the 2 fillers, however the risk of developing bumps is the same. Hope you have better luck this time.
The limitation in your ability to smile was most likely caused by the crow's feet injections. There is a muscle just below the muscles that surround your eye called the zygomaticus. If botox is injected or migrates into this muscle it creates a problem elevating the corners of the mouth. This effect will eventually wear off, and exercising your smile muscles may expedite this. If you want to have your crows feet treated in the future, make sure the injector stays clear of the lower portion of the squint muscles.
I typically use a simple grading system for acne severity, and an equally simple protocol for deciding on treatment. I consider patients with only blackheads and whiteheads to have mild acne, patients with papules and pustules to have moderate acne, and patients with nodules and cysts to have severe acne. Since you have at least moderate acne and are not controlled with antibiotics, oral contraceptives, and spironolactone, accutane could be the next logical step. You should certainly discuss this with your dermatologist. There are also other treatment options, such as photodynamic therapy (application of a topical medication followed by exposure to a light source). Unfortunately, Accutane is not a cure for acne. The good news is that the overwhelming majority of patients can expect 100% clearence of lesions with treatment. While many patients have a long lasting remission following cessation of treatments, others will experience recurrence at some point.
It is unlikely that your cough would be associated with Dysport treatment. This is cold and flu season, even in Miami! I would recommded checking in with your primary care provider
