I am now 25 years old with texture on my chin and hyperpigmentation from hormonal acne I get monthly. I tried Retin A which helps immensely with clogged pores but doesn’t do much for textured scars. So, I decided to take a break and try out more aggressive treatment and came across dr. Z in Tustin who perform Microneedling with PRP. He recommended me to get the Micro PRP 3 times with 3 week in between and also TCA Cross peel to help with the pitted scar that looks like large pore on my left cheek and to help smooth out the texture on my chin I got from laser damage I did 10 years ago for acne. My skin didn’t heal properly and now my chin has uneven and rough texture that looks like permanent milia that cannot be extracted. My goal is to achieve clear and even skin tone and texture before this summer and reduce the amount of foundation use to allow my skin to breath and glow naturally. Updated on 30 Apr 2019: The procedure was nowhere near painless like some YouTubers describe. First the nurse drew my blood and separates the plasma in a centrifuge. She then applied numbing cream on my face. I waited about 35-40 mins. Then the doctor extracted some active pimple out and began microneedling. At the beginning it was a scale of 4/10 then as soon as he go over the cheekbone and the textures area he went a a lot harder. The pain level became a 8.4/10 real quick. Then when he objected the plasma on to my face at the end that’s when I started moaning in pain even with my numbness LOL. I hope that all these pain is worth it. I am scheduled for a Radio Frequency Treatment this Tuesday and in 2 week after that I am scheduled for TCA Cross Peel. Updated on 30 Apr 2019: I look like Freddy Krueger before his wound healed up. I can’t wait til 7 pm to wash off the blood and apply some of my plasma the doctor gave me then follow with bacitracin ointment. I was also told to avoid putting anything on my face for 48 hours except mineral sunscreen. Updated on 1 May 2019: I’m not going to lie that I’m extremely nervous about how my skin will turn out. I did a lot of research online and saw various progress photos and it seems like mine is one of the most red looking. The doctor definitely went really deep and quite aggressive with the needles. I’m super anxious. Updated on 2 May 2019: The redness has subsided. I’m getting little white heads on my cheeks. I washed my face with Cetaphil and apply plasma. Then, I followed with Skinceuticals B5 Gel. Updated on 3 May 2019: My face is still red but does not feel as raw as yesterday. Skin feels dry with minimal peeling. I’m still trying to avoid going out. I have work tomorrow so I’m not sure how I’m going to cover this up. Any recommendations for make up brand? Thank you Updated on 4 May 2019: Stop red and breaking out. I got one huge cyst on my chin and some smaller pimples on my left cheek. My right cheek has scabs forming after applying salicylic peel solution to spot treat (doctors order) I’m going to go into the office today to get extracted. So far very self conscious and nervous because it’s almost day 5 and I’m still red with break outs. Also I have work today so I’m going to have to wear make up to cover this up:( Updated on 17 May 2019: I still have texture and acne scars. I’m not sure if my large pore like scars on my cheeks are becoming more visible. I am taking spironolactone 100 mg and using Retin A. 2 days ago I got RF skin tightening treatment to stimulate collage production. Overall, I’m not sure if this one session improves my skin. I still have 2 more sessions left and 1 TCA Cross. Updated on 17 May 2019: Photos from different lighting
Great question. In order to accomplish a lateral eyebrow lift it is important the injector does not paralyze the frontalis muscle too far medially or the lift will either not occur, or worse, the lift will take on an abrupt angle as the medial portion of the eyebrow will drop. It's best to inject within the top 1/3rd of the forehead, approximately 6 units per side, and 2 units at the lateral margin of the temporalis muscle to achieve a lift. Not everyone can achieve a lift, it really depends on the muscle structure. The younger and stronger the frontalis muscle is, the more likely the forehead muscles can be manipulated with Botox, Dysport or Xeomin to achieve a lateral lift.
