Jeffrey B. Wise, MD, FACS

A Licensed Medical Esthetician is more than capable of performing this treatment successfully. However, it is important to make sure that your provider has ample experience and knowledge of the device and the treatment. At our facility, our licensed medical esthetician has over 10 years of experience with this device and is the only provider who performs the treatment.

Microneedling or CoolPeel CO2 Laser will both address the acne scarring and pore size / fine lines, depending on how much down time you're comfortable with. PRP injections under the eyes will address the under-eye bags, skin tightening, and discoloration. However, you might be a candidate for a lower blepharoplasty procedure. The discoloration can be addressed and maintained with medical-grade home perscriptives.

QuantumRF tightens the skin while reducing fat by 25%. Pairing this with 6 sessions of Emsculpt will give you the skin tightening, fat reduction, and abdominal definition that you are seeking.

The best thing to do would be a combination treatment of QuantumRF for skin tightening followed by a session of CoolSculpting to debulk.

CoolSculpting is an excellent option for treating the area pictured. You may also want to consider CoolSculpting treatments above the belly button to achieve an overall cohesive look and maximize results. The treatment is typically performed in two sessions, spaced 6 to 8 weeks apart. The number of applicators required will be determined during your consultation with your provider.

One option is the Enlighten RX Peel, designed specifically for melasma and hyperpigmentation, and safe for all skin types. If you're focusing on treating just your upper lip, a series of laser treatments recommended by your local aesthetic provider could be a great choice.

So sorry to hear about your bad experience! We've seen some beautiful under-eye results with the Morpheus8 radiofrequency microneedling treatment. Not exactly a laser, and it can go pretty close to the lash line. Radhika, the nurse practitioner at my plastic surgery center recently recorded a video explaining the treatment. I added the link below.

Although it's highly unlikely the headaches are caused by the implant itself, it would be prudent to find out more about the implant itself. The provider should be able to tell you the chin implant manufacturer and they in turn can give you information about whether there are any recorded instances of this. Your best bet is to check in with your board certified facial plastic surgeon. Best of luck in your journey and hope you find some answers!

Based on the provided photo, you would be a great candidate for a lip lift surgery. Best of luck in your journey!

It's quite difficult to tell from the picture whether there's excess skin on the upper lid (making the eyes appear more closed) or whether it's simply a concern of dark circles under eyes. For dark circles, a lot of times, something as simple as tear trough filler can do the trick. If the upper eye lids are a concern as well, you might want to consider blepharoplasty. I offer complimentary consultations at my Wayne, NJ office -- feel free to reach out if you'd like to discuss more in depth!