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First, you need to be on a regimen of skin lighteners, such as hydroquinone, for several weeks prior to any treatment.&nbsp; Although there are numerous treatments for hyperpigmentation, I tend to avoid lasers, since the heat generated by the laser could incite more hyperpigmentation.&nbsp; However, picosecond lasers are theoretically less likely to have this problem.&nbsp; I tend to recommend chemical peels, ideally containing skin lighteners, followed by a light steroid cream to reduce inflammation.&nbsp; Remember that any modality will likely require several treatments.

Hello, I am an african american female with severe scarring on buttocks due to complications with folliculitis and picking. In the past I have used hydroquinone 3 % and hydroquinone 4% and it didnt lighten the marks much. I have heard getting a laser treatment would help, but I know it can be difficult finding the right laser for someone of my complexion. I would like to know what is the best laser for people of color . What other treatments should I try chemical peels and or microdermabrasion?

Best laser/treatment for scarring on African American skin? (Photo)

Continue to apply ice as tolerated.&nbsp; It may take several days for the swelling to subside.&nbsp; Of course, follow up with your injector if you have any concerns.

Tomorrow will be day 3 (around 5pm) since I had my first time Juvederm ultra plus in my top lip around the edge a tad in bottom edge...I know I'm still swollen...so should I keep icing through tmrw? The top left corner seems like it didn't come up as much as the right top corner?

Goin on day 3 Juvederm lips, should I still ice to decrease swelling? (Photo)

Usually, intravascular injection will result in blanching of the tissues due to lack of blood supply.&nbsp; Your photos suggest typical bruising and swelling that might be anticipated from an injection.&nbsp; Apply ice to the area as tolerated and follow up with your injector to ensure that you are healing appropriately.

I did take Aleve within the last two weeks The upper right of my lip is so swollen I’ve had fillers before and didn’t have this problem Used juvaderm

I’m very concerned with the amount of swelling and bruising I have. Do I need to worry about it being in an artery?

To my knowledge there have been no studies to validate the safety of botox in pregnancy and there is no reason to take that risk.

I'm going to start another round of ivf in october. I know I can't get botox when im pregnant and I know I'm not going to be pregnant in the next month and a half to two months. So is it ok to have it now as I'm not pregnant?

Is it okay to get Botox while waiting for IVF? I'm starting another round in October.

You should make your injector aware of your concerns.&nbsp; If they cannot address your concerns, consider a second opinion.

I had one syringe of Juvederm placed in my top lip 6 months ago. Idk if I should use my same injector or go somewhere else? I have two lumps on both sides of my top lip. Is this bad technique or did I just have a bad reaction? I'm wanting the lumps dissolved and two syringes this time. Also, I have to say that it didn't hurt at all when I thought it would?

Should I see my same injector or go somewhere else? (Photos)

Consider icing the lip to reduce swelling.&nbsp; Once the swelling has subsided, reassess the filler.&nbsp; Filler placed too superficially may be palpable&nbsp;and, if it bothers you,&nbsp;might be reversed with hyaluronidase.&nbsp;&nbsp;

Got 1ml filler of juverderm 7 1/2 hours ago and was wondering if this was normal. I feel very lumpy on the inside of my lip as if the filler is hanging down and has created a slit. I have had fillers before but haven’t had this type of filler.

Is lumpiness after Juvederm normal? (Photos)

It is possible that a nerve was traumatized or is being impinged upon by the filler, a known risk of facial fillers.&nbsp; If there is palpable filler near the nerve foramen HA fillers might be reversed with hyaluronidase.&nbsp; If the nerve was traumatized by the needle, it may take time for it to heal.&nbsp; If the injection was recent, icing the area might reduce the local swelling, and medications like prednisone might be helpful to reduce inflammation around the nerve.&nbsp; If the pain persists,&nbsp;medications like neurontin could be considered.&nbsp;&nbsp;

Had fillers in cheeks and under eyes one side numb from under eye to mouth numb then severe pain at nite time injector said she could have hit a nerve or the filler could be pressing on the nerve please help the pain is bad

What can I do about the pain and numbness in one side of face after fillers? (Photo)

Fillers have been used for lipoatrophy associated with HIV medications for over 15 years.&nbsp; Sculptra obtained FDA&nbsp;approval for this use in 2004.&nbsp; Of course, realize that this is a medical procedure and has some inherent risk.

I am HIV positive and on medication (Truimeq). It is safe to have Juvederm filler on my cheeks without complications?

Anthony Bentley, DO

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