Craig Koniver, MD

In addition to Botox, you should consider an Ultherapy Brow Lift. It's a quick 15 minute treatment that lifts and tightens the tissue in that area. We've had several patients who have gotten great correction when one brow is higher than the other. The downside is, you have to wait about 3-6 months for your final result. 

There are quite a few dermal fillers on the market today and they vary in terms of longevity. However, there are none whose effects dissipate in as quick as a month and certainly not in a few days or weeks. It's true that following your treatment you could have some immediate swelling and some patients do love that "happy swelling" look. However, once the product settles and migrates into the skin, the swelling naturally goes down which is ideal for most patients who desire a more natural look.  If you are looking for a more pronounced (strong and sharp) look that mimics the initial swelling you might get, you will simply need more product from the onset. You should also consider a product like Radiesse that is made of calcium and tends to last longer. It is great for providing structure and support to the jaw, chin, and cheek. 

The Blu-U light is very effective for acne when used with or without Levulan. Many patients who do the PDT treatment for acne will then maintain the results with just the Blu-U treatment. The Blu-U targets the p.acne bacteria in the skin and can be used several times a week if you have a special event coming up or can be used once a week/twice a month/whatever works for your needs and budget. It's a super safe and easy treatment and works to reduce inflammation. If acne is not the primary concern, there are better treatment options available. 

Ultherapy wont hurt the situation as it lifts and tightens the skin. The question is just how much benefit you will derive. Depending on how much cellulite you have and how badly it bothers you, there are better options for treating it in our opinion. Check out Cellfina. We offer Ultherapy and do not offer Cellfina so hopefully you can appreciate this non-biased response for what it is. 

Given your age and sun damage you reference, we would suggest you start with a .025% Retin-A (Tretinoin). A Retinol will be much milder but has to convert twice to become a retinoic acid thus is considerably less potent. Having said that, the best retinoid strength for you is the one you are able to use consistently. We tell patients that it really takes a solid 12-16 weeks for their skin to fully adjust to a product like this so you just need to be patient and consistent. You can always buffer Retin-A with a moisturizer if you can't seem to get past the initial irritation.