I've had Botox treatments from a variety of providers over the years. Dr. Balogun is outstanding! She performs the best Botox injections. No frown lines, no discomfort. Plus, it lasts for several months! She only uses the highest quality Botox. And, the price is right. I highly recommend Dr. Balogun for any non invasive procedure.
The theoretical advantage of getting Botox (other neuromodulators) at a relatively young age in the face of dynamic forehead wrinkles is to reduce the constant muscle contraction that distorts and destroys collagen in the area that leads to wrinkles and etched lines. I would add daily application of antioxidant-fortified broad spectrum sunscreen to slow UV-related skin aging changes and a peptide based formulation to help with collagen to your daily skin care regimen.
The reality is that there is no one single best chemical peel. For best choice of peel to fit your need, consult with an aesthetic specialist with special expertise in treating hyperpigmentation. There are many peel formulations and some can be tuned or customized for patient tolerance. Be careful with "aggressive" peels as they could make hyperpigmentation worse. Good luck!!
Botox alone is not the best treatment for upper lip (smoker's lines).  Depending on the extent of lines and patient comfort level, I use dermal fillers, fractional laser resurfacing and/or PDO threads in addition to Botox (or Xeomin) for robust, long-lasting improvement of lip lines.
Daily massage to the areas should be helpful. Recommend applying Cellutone or Z-wave (acoustic wave therapy) to the areas on a prescribed schedule, to significantly reduce the knots.
Tattoos in treatment area are not a contraindication when using Vanquish ME. Vanquish ME is not a means of weight loss. Make sure you to combine your Vanquish ME treatments with healthy eating, regular exercise or a formal weight loss program to help you lose the 20 pounds. Good Luck!
