Lisa Airan, MD

Yes - Accutane should help with your Rosacea and it can potentially improve the KP. It's hard to evaluate the facial swelling you are mentioning here so an in-person assessment is recommended. Accutane is a great medication but requires close monitoring. Please follow-up with a board-certified dermatologist. Best of luck!

Accutane will make you more photosensitive - meaning an increased sensitivity to UV light. I advise all of my patients taking Accutane that they have an increased risk for experiencing bad sun burns. Proper sun protection is strongly recommended. In general, tanning beds are NEVER a good option! Tanning beds emit 3-6 times the amount of radiation given off by the sun. They greatly increase your risk for all skin cancers (including melanoma) and age your skin faster. Spray tans are a good alternative here. best of luck and enjoy your trip to Mexico.

Patients who experience headaches after Botox injections usually will experience relief with Tylenol or Advil. Check with your cosmetic provider before your next appointment to see what he or she recommends to mitigate discomfort. Remember to avoid Advil prior to injections for 1-2 weeks to decrease risk of bruising.

Adding lip filler would be a great option for you before doing a Botox "lip flip." You can start by adding a syringe of filler to add volume to the upper lip which would help improve the shape and balance the upper lip with the lower lip fullness. Adding lip filler can also correct minor asymmetries of the lip and improve hydration. Please make sure to have an in-person consultation with an experienced injector!

As long as you are not getting tattooed where the Botox is being injected, then there is no contraindication for having these procedures performed independently of one another. You can have Botox injected the same day as getting your forearm tattoo. Best of luck!