Bishr Al Dabagh, MD

Hello,

There are currently no oral treatments to whiten the skin that have been tested for long term safety or approved by the FDA. I always suggest that individuals be careful and not to ingest any supplements or pills that have not been approved by their doctor. 

Hi!

Yes birthmark removal may be achieved with a variety of lasers. The type of laser depends on the individual's skin type, how dark and how deep the birthmark is. More than one treatment is usually necessary and it is advisable that the laser surgeon do a test spot to see how the skin responds to the laser. 

If the swelling is due to Boletero, then it may be reversed by an enzyme that breaks up the filler without affecting the rest of your skin or tissue. The other reason of swelling may be due to lymphatic drainage being obstructed, which will improve over time. Lastly, under eye fat pads may cause the eyelids to bulge and can be corrected surgically by an operation called blepharoplasty. I recommend you see your doctor for evaluation. 

The 'scratches' may represent product that has been superficially placed. This may be blue in color and is called the Tyndall effect due to light scatter. If the problem persists, make sure to see your doctor. The doctor may be able to help reverse the area of superficial filler. The "scratches" may also represent stubborn bruising which may be treated with laser. 

Hi! The most common side-effects of injections are bruising and swelling. Factors that may affect bruising are intake of certain supplements  (Vitamin E, fish oil, ginko, garlic, ginseng), blood thinners (aspirin, ibuprofen, NSAIDS, Plavix etc), thin or sun-damaged skin, nutritional deficiency. Sometimes veins and capillaries are injured during injection. 

Laser treatment or suppelements (Arnica, pineapple) and Vitamin K definitely help. Icing before and after the procedure helps as well as avoiding vigorous activity that elevates blood pressure.

Acne around the lip area may represent perioral dermatitis but is not a common side-effect of injection. If it worsens, see your dermatologist and they can prescribe medications to help.