Jon E. Mendelsohn, MD, FACS

Hi there, Great question. The grid marks you have mentioned typically occur as a result of improper depth placement during a Microneedling with Radiofrequency, or RF microneedling treatment. If they do occur following treatment, they should diminish over time with proper follow up care. Plain microneedling does not usually carry the same risks, although improper treatment depth or needle placement can cause damage to the delicate layers of the skin with plain microneedling as well. We strongly recommend seeking providers who have ample experience in these procedures and that the services are provided in a certified medical office. This will reduce the risks associated with these procedures and ensure you have proper follow up and management in case complications arise.

Hi, thank you for the question and photos. Lip filler may take multiple vials to dissolve, depending on the type of filler and how it was placed. Additionally, the tissue may not completely return to its "pre-filled" state as the lip tissue has stretched to accommodate the filler. If you are still feeling lumps of filler after dissolving, it may require more directed dissolution. Some providers offer dissolving with ultrasound guidance, in order to directly target & dissolve the residual filler. Hope that helps!

Hi, thanks for your question and photo. From the photo, it appears the muscles of the forehead are contracting to make that line. The lines that form here come from repetitive muscle action of the brow and forehead muscles, and are impacted by one's genetics, side sleeping, and repetitive expression movements like furrowing or squinting. Botox would be a great option to relax the size and the activity of the muscle in this complex. This area is known as the "11s", or the glabella. Hope that helps!

Thank you for the question & photo. The indentations you are seeing are from the lip muscle contracting during a pucker or pursing of the lips. This is a normal function of this muscle, that can be mildly relaxed with Botox. Sometimes, these muscles compensate when a lip flip is performed and you may notice the pulling or indentation in other areas than you are used to. If there are lines or indentations visible when the muscle is not contracting, or at rest, these can be treated with volume replacement of injectable HA filler in the lip and/or peri-oral region. I am attaching a video that discusses treatment options for lips and lip lines. Hope that helps!

Under eye Botox or “jelly roll” botox can decrease the ability of your eye muscle to mobilize lymphatic fluid, and can lead to increased puffiness in that area. Good news is, once the Botox wears off, the muscle should strengthen again and return to normal. I recommend that those who deal with fluctuating under eye puffiness avoid getting Botox in this area. I am attaching a video discussing the under eye area and best treatments for that region. Thanks for your question!

Thank you for your question and photo. I am puzzled by your question because a 532 laser is a good wavelength for red ink. Due to the intensity of the color, I would start with a lower setting. This tattoo is too large to be excised because the skin cannot be stretched tightly enough to bring the edges together. You would need a ski graft. Hopefully you can find a provider willing to treat you. Good luck!

Thank you for your question and photo. We use the PicoSure laser for tattoo removal. You are seeing hyperpigmentation of the skin in response to your tattoo removal. This occurs as a protective mechanism of the skin after injury, such as tattoo removal. It is best avoided by having little to no UV exposure to the treated area for at least 3 weeks, and I prefer 6 weeks. In many cases, the pigmentation will fade as time goes by. IPL or a skin lightening product could also be used. Good luck and congratulation on your successful tattoo removal.

Thank you for your question and photos. What you are experiencing is pink "flushing" of the skin associated with healing and ink reaborption following laser. I have seen this occur, especially on the lower extremities. I have always seen this clear with the passage of time as the healing continues. In our practice, we will space treatments farther apart than the usual 6-8 weeks when this occurs, and even take a significantly longer break till the redness fades, even up to 6 months, such as over the warmer months. Good luck!

With your injections of Volbella being in February, any signs of vascular occlusion would occur within a few to several day time period. I doubt that this is filler related, but more likely to be tiny milia associated with acne breakouts. I hope this resolved without incident for you.

Hello, helping to define a jawline is a common request we receive. It helps immensely to add Juvederm Vollux to the jawline and chin to provide definition. This alone may be enough to achieve the result that you would like, some choose to do liposuction in the submental area as well.