Deirdre O'Boyle Hooper, MD

You may have persistent redness for 6 weeks after Pulsed Dye Laser treatment, especially on the lower legs which are generally slower to heal than other body sites.  PDL works by injuring the blood vessels and can cause temporary bruising and redness. However, PDL used aggressively is a powerful tool.   Be sure you are seeing a board-certified dermatologist or plastic surgeon with extensive laser training and contact them with any issues you are having over unexpected post-laser effects. 

If you stop getting Botox, the repetitive creasing from muscle activity will allow wrinkles to form. But they won't be worse! If you already have wrinkles at rest, yes, you need to keep getting Botox so that the creased in line has time to fade. A common complaint of people who have wrinkles at rest is that Botox didn't work--this is a misconception, as Botox keeps you from creating the wrinkle, but once the wrinkle is creased into your skin, it will take both Botox and time (and skin care) to allow the wrinkle to fade. 

 

Sometimes getting Botox in one area results in recruitment, which is using previously unused  muscles to make whatever facial expression gave you the wrinkle in the first place. An expert injector can help prevent this, and correct it if it does happen, with proper dosage and placement of Botox.

Liposonix patients generally experience an inch of waistline reduction, but they do not lose weight. The best results are seen in those people with a body mass index less than 30. 

The facial musculature is very complex in the perioral region, with many small muscles that pull up, down, and outward. Be sure your injector has been trained specifically in facial anatomy and physiology.  You need to see a medical doctor who is board certified in a facial subspecialty (plastic surgeon or dermatologist). It can take up to 2 weeks for Botox to achieve its final result, so some of your asymmetry may improve or resolve by then, but it sounds like you may have had some problem with toxin placement. This may be able to be improved or corrected by a skilled injector.

Fraxel can improve the appearance of stretch marks but cannot completely eliminate them. You can expect a moderate (usually about 40%) improvement with a series of several Fraxel treatments.