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Dysport and Botox&nbsp;are both&nbsp;derived from botulinum toxin and are used to treat lines and wrinkles created from muscle movement. Both last 3-4 months for most patients. Dysport has a faster onset of action. For someone with an event in a couple of days that want a faster result, I would chose Dysport. Dysport units are different than Botox units. You have to use 2.5-3 times more Dysport to equate to 1 Botox unit. Most offices price Dysport at a lower price per unit, so to treat the area with Dysport or Botox should be similar price-wise.&nbsp;

How is Dysport different from Botox? Is it cheaper? Is it better?

Dysport vs. Botox: what's the difference?

Fractora is a great treatment for under the&nbsp;eyes. I typically&nbsp;use&nbsp;the 60 tip in this area,&nbsp;which is great for superficial lines. As others have stated,&nbsp;a series of treatments is recommended (usually 3 treatments-but depends on severity of lines)&nbsp;and it is best to continue Botox, creams, and other modalities to keep that area looking its best.&nbsp;

I am getting lots of lines(although I do botox), lack of firmness and crepiness around the eyes and I am trying to understand if Fractora is the best laser to deal with it.

Is Fractora laser any good for lines, crepiness and lack of firmness around the eyes ?

There are many options for laser hair removal. We have been using Diolaze by InMode, which is a diode laser.&nbsp; It is a very fast treatment, safe for most skin tones, and&nbsp;I have seen excellent patient results.&nbsp; Like all laser types for hair removal, it will take a series of treatments to have adequate reduction.&nbsp;

The clinics near me offer a number of different laser machines. names like Light Sheer, IPL, Yag, Duet, Cool Glide. &nbsp;What do the medical expert here think works best in <a href='/reviews/laser-hair-removal'>laser hair removal</a>? &nbsp;--Julie

What's the Best Laser Hair Removal Machine?

Botox works on the underlying muscles, while Retin-A works in the dermis so they can be used together to soften wrinkles. You can continue using Retin-A nightly. Make sure to apply sun protection everyday, but especially when using a product like Retin-A the night before.&nbsp;

My frown lines (the 11s) were very bad a few months ago, but since recently starting Retin-A .1% (applying a good dab on these 11s nightly), I started noticing a big improvement with these lines. They’re softening up greatly, although not quite completely gone. Question: When I do get Botox in the glabella area, can I continue using Retin-A as my nightly regime? I’d like to continue my successful skincare maintenance. Please advise. Also, will using Retin-A the night before Botox affect the injection?

Botox and Retin-A? When I do get Botox in the glabella area, can I continue using Retin-A as my nightly regime?

Melasma is a chronic condition that can be difficult to treat. Treatment usually consists of bleaching creams, such as the Tri-Luma that you mentioned and other treatments (lasers, peels) and lifestyle changes (sun-protective behaviors).&nbsp; It is important to remember that bleaching creams should be monitored by your provider as you should not be on them long-term and must transition off and back on again throughout your management of this condition. Aside from creams, there are some lasers and peels that can help to minimize the appearance of melasma, but the single greatest thing you can do to help prevent it from getting worse is practicing sun-protective behaviors.&nbsp; This means wearing high-quality sunscreen (and reapplying), wearing hats, and seeking shade. Inflammation, heat, and hormones also play a role in melasma, so remember activities that cause heat and inflammation (such as waxing, sitting in saunas) may make the pigment appear worse.&nbsp; Because of its chronic nature, it is easy to be discouraged, but by seeing a provider experienced in treating melasma, you can have a management plan that it easy to follow.&nbsp;

Aside from Triluma, is there a <a href='http://www.realself.com/reviews/melasma-treatment'>treatment for melasma</a> that works?

Alternative Treatment for Melasma?

Melasma Treatment

Nasolabial folds will deepen with the aging process and dermal fillers are a great way to treat this area and improve the appearance. It is important to consider that nasolabial folds are often made worse by volume loss and decent of the cheek- Therefore, I recommend you see an experienced injector that understands this, as additional filler to the cheek may be necessary to achieve desired look.

I am 32 and have nasolabial folds. What is the best way to a) improve these; and b) prevent them from getting worse?

What is the best treatment for nasolabial folds?

Great questions. Botox usually settles in 2-7 days, but for some patients it can take up to 2 weeks to settle. I usually recommend having a follow-up visit 2 weeks after the injection to give it time to work completely. 10 units to treat the forehead and glabella region is a very small amount. The glabella complex can be very strong and take 10-20+ Botox units alone. This may explain why you are still having movement to this area.&nbsp; Regarding your question about indents above the brow arch that look like "devil's horns"- there is something called "Mr. Spock" or Mephisto sign" that can occur in some patients. Without seeing your photos, I am assuming this is what you are talking about. This is usually caused when the provider injects in the central area only- this means the center of the brow drops, but leaves the lateral aspect of the brow to lift-resulting in the devil's horn appearance. I would recommend going back to the injector for a touch-up. Sometimes a 1/2-1 unit can be placed to soften this.

I received Botox 6 days ago. 5 units across my forehead and 5 units at the glabella. The wrinkles in my forehead have extremely softened. The glabella still looks the same though. My concern is that today I noticed that if I raise my eyebrows (which have more movement now) I have what looks like indents above the arch of my eyebrows. My boyfriend describes it has devil horns. Is the Botox still settling? I go back in a week. If there are still there can my doctor do more to make them go away?

Dents above eyebrows, 6 days post Botox, will this go away?

Great question! As others have said below-it looks like the line may appear more noticable after botox because now the surrounding areas are smoother and it is more obvious. This can happen when we have strong frowning muscles that have created deep lines over time. I would recommend following up with the treatment provider 2 weeks after botox in case any touch-up is needed. There are other ways to smooth that line including topical creams and lasers.

I never had a line there before. Thanks

I had botox in between my eyebrows and now I have this line on my forehead, it’s almost like a dent. Why has this happened?

Joseph Cerni, DO

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