James Okamoto, MD

Picosure lasers are safe for all skin types, and ideal for PIH treatment. You may experience some redness following treatment, however I have NEVER seen blisters form from this treatment. My two concerns would be if there is something wrong with their laser, or if there is something unique to your skin making it hypersensitive to pressure. After Picosure treatment the spots will initially become darker as the pigment comes up to the surface, but then it flakes off making the spot lighter than before.

The good news is drinking alcohol will not dissolve lip filler so you can enjoy your event, however I usually don’t recommend attending an important event right after lip filler in case there is bruising or excessive swelling. Lips typically look more filled/swollen right after they are injected. Avoid kissing on the lips for 48-72 hrs after filler also. Icing the lips gently 10-15 minutes at a time can help reduce swelling as can arnica gel (available without a prescription).

You "can" do Sculpsure on your belly when you are on your period, however it may be more uncomfortable during your period, so I would recommend waiting till after. Many women compare the feeling of Sculpsure to menstrual cramps, so having menstrual cramps on top of menstrual cramps is not ideal.

Paradoxical Adipose Hyperplasia is a rare phenomenon that can occur with Coolsculpting/Cryolipolysis. One of the benefits of Sculpsure is that there is no such risk for this.

I would recommend using a filler to correct this. Both neuromodulators or fillers can correct a down-turned lip, however using fillers will give you longer lasting results and there is better control when correcting the problem because the injector can see the results immediately. Same goes for the sleep wrinkles you mentioned! :)