Juvederm is a little different than Botox. Botox is sold by the unit and that can vary from $10-$16 typically. Juvederm is sold by syringe and that price can vary based on the provider. Juvederm here in the Hattiesburg area is priced around $550 for the first syringe used. If a 2nd syringe is necessary, those are typically discounted. Safe answer is that the price of Juvederm around here costs between $500-$600.
Nationally, most providers will charge anywhere between $10-16 per unit of Botox, with the national average being around $13 per unit. The price of Botox is contingent really on two factors: 1) the price per unit of Botox; and 2) the number of units required to achieve the look you want. Different areas of the face require varying amounts of units be used. For example, a simple forehead injection may require between 15-20 units of Botox, so your procedure can add up very quickly. With all of that being said, there are two clinics in the greater Hattiesburg, Mississippi area that offer Botox: Hattiesburg Clinic and Pine Belt Dermatology & Skin Cancer Center. Both offer Botox injections at $12 a unit. So the short answer to "what does Botox cost in Hattiesburg" would be $12 a unit. Something to keep an eye out for is when either clinic hosts a special for Botox. Both providers do have reocurring specials. HC sells Botox at $10 a unit every 6 weeks, whereas Pine Belt Dermatology & Skin Cancer Center hosts a special every 8 weeks with the price of a unit of Botox being $9. One last note on the price of Botox is that most providers, no matter where you go, will charge you a Botox/cosmetic consultation fee. It is important to ask the provider you visit whether or not that consultation fee will be attributed towards your Botox services (if you end up purchasing them post-consultation). It is usually not much, but will still lower the amount you spend on the injectable. Hope this answer helps!
There are several reasons a scar tissue may develop and raise up after a surgery. As your question points out, a recurrence is always a concern. Most recurrences of SCC do not look "scar-like." That being said, a recurrence of the deep margin- especially in the subcutaneous tissue- could push up and the scar above, giving the appearance that the scar was raised. I feel this is unlikely, but if there is concern, the physician/surgeon who performed the procedure does need to lay eyes on it and evaluate for the possibility of a recurrence. More likely, the reason for the raised area is a hypertrophic scar. A hypertrophic scar is extra scar tissue that forms and builds up at the site of a procedure. Some patients are prone to developing this extra scar tissue, and certain areas, such as the chest, are more prone to forming hypertrophic scars. Keloids are similar but they are characterized by growth of excess scar tissue beyond the site of original trauma. Hypertrophic scars develop only at the site of the surgery and do not spread beyond those borders. IF you have developed a hypertrophic scar, early intervention is key and your physician can offer treatment options such as injection a steroid based medication to thin out the scar tissue.
Low dose isotretinoin therapy is an option for the treatment of acne, but there are pros and cons to consider. On the plus side, low dose treatment can decrease the severity of common side effects of the medication such as dryness and joint pain. A down side of the 10mg dose is that in order to achieve a "cure" you would have to stay on the medication for an extended period of time and there is a possibility that you never reach that goal. In the US, you must be enrolled in the iPLEDGE program and must have a pregnancy test monthly in order to receive the medication. In order to achieve a level of improvement that most would consider a "cure" a total cumulative dose should be reached and this is typically achieved at higher doses for shorter periods of time. The use of low dose chronic therapy is not a bad idea, but creates certain obstacles that must be overcome. Hope this helps, Dr. David Roy
