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Dr. Schwartz&#39;s post is right on. &nbsp;I cannot imagine a cause for laser hair removal underneath the eye, and further, the hyaluronic acid filler does not contain any pigment that is the target of the laser for the hair removal. &nbsp;That is why blond or gray hairs cannot be treated with laser hair removal because there is not pigment for the laser to target. &nbsp;Safe, not a problem. &nbsp;Especially because they are in different locations.

I am interested in having restylane Under my eyes. However I am also having laser hair removal on my face. Is this ok or will it affect the filler.

Can I Have Restylane Injections While Having Laser Hair Removal on my Face?

Venous lakes are classically treated with surgery, but they are very well treated with one or two treatments using an 810nm hair removal device. &nbsp;A physician with some advanced knowledge may use these long-pulsed 810nm devices (i.e. Lightsheer), thus surgery, anesthesia, and time is not needed. &nbsp;I usually am able to treat it without any brusing with one treatment that does not require anesthesia or result in any downtime. &nbsp;Not sure of anyone in the UK who may be able to offer this service.

I have a venous lake on my inside lower lip and would like to have it removed successfully with no scarring. I understand the best treatment is with a laser. I wonder if you can recommend a specialist in London UK to carry out the procedure? Many thanks. Sue

Do You Know a Good Clinic in London UK That Can Remove my Venous Lake with No Scarring?

Radiesse and Scultpra stimulate the production of collagen, however, sculptra&#39;s main mechanism of action is the stimulation of collagen production. &nbsp;The poly-L-lactic acid that is the active particle in sculptra stimulated the production of collagen in the areas it is used. &nbsp;Radiesse on the other hand is a filler all by itself, but it also has some degree of collagen stimulation, but that is not its main mechanism of action.

	I hope this helps.

Which Filler Best Stimulates Collagen Production: Radiesse or Sculptra?

Think skin is not a problem at all with Botox. &nbsp;Botox will weaken the muscle so that it will not be able to contract anymore in order to relax the lines in yor glabella. &nbsp;Even though you may not furrow your brows very often, you probably have a resting state contraction of the muscle that contributes to some degree of line production. &nbsp;Botox will certianly make you happy to see these lines improve.

I am only 29 and have noticeable glabellar lines that are present even when I don't furrow my brow. I also have thin skin. I am headed for a botox consultation in a couple weeks, but am wondering - will botox take care of these lines? They're not extremely deep, but more noticeable than most before/after photos I've seen of others with "problems" in this area. I'm just wondering what to expect.

Will Botox Take Care of Glabellar Lines with Thin Skin?

There are no adverse interactions I am aware of between Botox and the flu shot. &nbsp;However, if you have any additional questions you can visit the CDC&#39;s site.

This is my second time getting Botox. The first turned out very well, but I did have a headache the second day. It it ok to get a flu shot that second day? Thanks!

I Am Scheduled to Have Botox on Monday. Is It Ok to Have a Flu Shot on Tuesday?

While the applicator will vacuum the area to be treated, cool it down, and then start a cascade of fat removing mechanisms by the body. &nbsp;Those mechanisms are only affecting the site being treated, however, there is some slight feathering out of effects from the applicator.

Or is there residual benefit a certain distance outside of where the applicator was?

Is the Fat Reduction from Zeltiq Only Where the Applicator Was Applied?

Botox effect last about 3 months. &nbsp;However, with repeated Botox injections every three months, the muscles can weaken to the point that the when the Botox wears off it will take time for them to work as well as they did before one ever had Botox, thus one could stretch out their treatments to every 4 to 4.5 months. &nbsp;However, the actual Botox only lasts for 3 months.

How Often Is Botox Needed in Order to Hide Crow's Feet?

It depends on what the white spots are caused by.&nbsp; There are many dermatologic conditions that cause white spots.

	Tinea versicolor is a yeast infection that needs to be treated with topical medications.

	Vitiligo are white spots caused by your immune system and can be worsened with Fraxel.

	Hypopigmented seborrheic keratoses can be pink or white and will not be improved with Fraxel.

	Idiopathic guttate hypomelanosis likely would not be helped by Fraxel.

	Scars that are white can be improved by Fraxel.

	My recommendation is see a dermatologist in order to determine the cause of the white spots and then consider the various options.

&nbsp;What kind of procedure would improve white spots where there appears to be no more pigment left? Are these white spots considered age spots?

Fraxel for White Spots on Arms and Shoulders?

Sculptra treatments can cause a lot of swelling and bruising and thus are to be expected regardless of the reason one is receiving the treatments.&nbsp; Ibuprofen and ice packs can often help with the swelling.&nbsp; The swelling should not last more than 5-10days.

Are there any negative side effects, such as pain or swelling, when using Sculptra to correct or conceal acne scars? If so, how long will these side effects occur?

How Common is Swelling from Sculptra for Acne Scar Treatment?

You asked a lot of questions so I will try to simplify them.

	Fraxel damages the skin in a very controlled manner so that the wound repair mechanisms are turned on and then remodel the entirety of the skin.

	It may turn back the clock a little, but your skin will then move forward through time normally.

	It may have a better, more youthful look, but as long as you had a safe, successful procedure, you should not have any negative long-term appearance problems with your skin.

	Fraxel will not affect tightness although many people advertise that it will tighten.

	Your skin will not lose elasticity more rapidly, but may in fact have some improved elasticity.

Will my skin age normally after Fraxel? Will it have a different look or feel in the years to come? Does Fraxel affect the tightness of the skin? Will the skin loose elasticity more rapidly after a Fraxel procedure?

What Does the Skin Look Like from Fraxel Years Later?

Daniel I. Wasserman, MD

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Daniel I. Wasserman, MD

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