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Botox is a purified protein and does not have any interactions with travel vaccines or your ability to mount an immune response to vaccines,Safe Travels!

Can I get travel vaccination such as diphtheria, polio and tetanus (combined booster) typhoid. hepatitis A – including when combined with typhoid or hepatitis B. cholera. 6 days after having Botox for crows feet?&nbsp;Please I really need your help to know is it safe or not. Thank you

Can you receive travel vaccinations after Botox?

When it comes to open wounds, vaseline does a fantastic job of allowing the skin to heal or re-epithelize. &nbsp;Because it is thick and occlusive, it prevents the wound from drying up and scabbing. &nbsp;Numerous studies have shown that it is just as good as antibiotic ointment in healing wounds. &nbsp;No difference have been found in rates of infection between vaseline and antibiotic ointments. &nbsp;I only reserve antibiotic ointments if I suspect an active infection.&nbsp;

	&nbsp;

	Lubricant Jelly, on the other hand, is usually water or alcohol based, thus not thick or occlusive enough to help heal wounds. &nbsp;I would avoid using this. &nbsp;Scalps are difficult to cover in general because of the hairs around the wound. &nbsp;I would suggest either using less vaseline so the bandage can stick better OR using a lot of vaseline and avoiding the bandages all together. &nbsp;The goal is to prevent the wound from drying out!

Finding the Vaseline difficult to cover/apply to the open wound from MOHS surgery on top of my husband's head .. Is it safe to use a Personal Lubricant Jelly ??

Is It Safe to Use Lubricating Jelly in Place of Vaseline to Heal an Open Wound?

One should always have eye protection during laser treatment-- whether it is Fraxel or other lasers. &nbsp;While the risk of eye injury is low, why risk it? &nbsp;In my office, I insist that every patient receive eye protection-- either in the form of goggles (for off face treatment), laser aid eyepads, or internal corneal eye shields. &nbsp;I also insist that everyone else in the room has adequate eye protection. &nbsp;Your eyesight is too important to risk it.

HI,i had my first fraxel and the doctor he didn't use eye protection around my eyes,cause he said that i didn't need protection for my fraxel: he used the laser around my eye area,but not on the eyelid,but i'm really scared if this can cause a damage! i don't know if i'm just being paranoid,cause i saw my left eye shaking a bit after! please tell me if i need to complain to the doctor and ASK and demand in the future, fraxel EYE PROTECTION!thanks you very much

Do You Need to Wear Eye Protection for Fraxel?

V Beam or Pulsed Dye Laser is the best option for broken capillaries on the face. &nbsp;Fortunately it is perfectly safe to use in someone with AICD (pacemakers and defibrillators) as no electric current is used. &nbsp;One must be cautious though if you are on blood thinners, as these will increase your risk for bruising and complications.&nbsp;

I Have Broken Capillaries on my Face but Also Have an AICD. Is There a Procedure I Could Do with my Device? Any Suggestions?

Vein Treatment

In general, facial capillaries are best treated with a laser. &nbsp;I try to stay away from sclerotherapy on the facial areas due to the risk of complications. While one can theorectically treat veins around the eyes with Sclerotherapy, I would not recommend it. The risk for serious complications including blindness and skin necrosis far outweighs the benefits, especially when there are much better alternatives.

	Telangiectases on the face are relatively uniform in size and depth and lasers can effectively eliminate these. &nbsp;In our office, we have many different laser systems for vein treatment including a Pulsed Dye Laser (595nm), KTP (532 nm, better for smaller vessels), the Diode (940nm, best for larger vessels), Gemini, Nd:Yag, etc. &nbsp;Just as important as using the right laser is finding the right doctor who knows the correct settings for your skin. &nbsp;I would recommend seeing an experienced dermatologic surgeon.

	Best,

	Dr. Mann

Hello, I have very fair skin and lately have noticed that my capillaries are becoming increasingly noticeable. I have tried several types lasers to treat my facial veins (underlying my <a href="/Acne-scars/info">acne scars</a>, surrounding the nose) to no avail.In fact, lasers often leave additional scars and capillary matting. The bottom line is that lasers do not work as my capillaries seem to require an intensity that my skin cannot tolerate. Are there other options? Can <a href="/Spider-vein-removal/Sclerotherapy/reviews">sclerotherapy</a> target tiny facial capillaries?

Does Sclerotherapy Work on Tiny Facial Capillaries?

There are several solutions that are commonly used in sclerotherapy. However, none are&nbsp;perfect and all have certain drawbacks. Sotradecol and more recently, Asclera (polidocanol), are both&nbsp;FDA approved for sclerotherapy. &nbsp;I chose to use these agents in my procedures because they are&nbsp;safe, effective, and cause the least amount of side effects. These agents produce better&nbsp;results and do not have the cramping or pain commonly associated with hypertonic saline (salt water). &nbsp;Some physicians also use glycerin for tiny vessels.

	Best,

	Dr. Mann

What are the different agents that make up the solution used for <a href="/Spider-vein-removal/Sclerotherapy/reviews">sclerotherapy</a> vein treatment?

What is in Sclerotherapy Solution?

As a vein specialist who does a lot of sclerotherapy in my office, I have unfortunately seen this type of reaction before. &nbsp;Fortunately it rarely occurs and tends to happen in my patients who are very active after sclerotherapy treatments. &nbsp;It results from friction of the skin against the tape and compression wrapping. &nbsp;Much like wearing a misfitted pair of shoes that causes blisters, friction from the compression rubs against the skin to cause blisters after sclerotherapy, especially if you do a lot of movement on the legs. &nbsp;It is usually not a true allergy to the tape or adhesive (that usually appears as a rectangular mark exactly the shape of the tape). &nbsp;And it is unlikely due to the actual injections themselves. &nbsp;

	The good news is that this should resolve without leaving any marks, but be sure to take good care of the blisters (keep it moist with vaseline). &nbsp;And if the veins were properly treated, they should go away as well!

	Best,

	Dr. Mann

I have some long thin blisters at the injection site as well as large bean shaped blisters. They are painful. The doctor tried to tell me they came from tape, I find this hard to believe. I think he missed the veins and instead injected the solution into my skin. What caused this reaction, and should I expect that the veins will still be there when the bruising and blisters heal?

What caused blisters after sclerotherapy?

Every state is a little different in terms of the scope of practice medical assistants may perform. &nbsp;In the state of California, MAs can administer medications such as simple injections, oral, and inhaled medicines-- this must be done after verification by a physician. &nbsp;They are not allowed to inject &nbsp;products such as collagen- because these are highly specialized procedures. &nbsp;

	In some states, MAs may be allowed to do sclerotherapy, but just because they can inject, it doesn&#39;t mean they should! &nbsp;When properly done, sclerotherapy is safe and effective. &nbsp;But complications can arise including skin ulcers, blood clots, dark pigmentation, etc. &nbsp;In my practice I train many physicians how to do proper sclerotherapy. &nbsp;While it may look easy, it is really harder than it looks-- specific techniques, concentrations, etc are important to maximize results and minimize side effects.

	Don&#39;t skim on costs by going to an MA. &nbsp;See a vein specialist who will do the treatment themselves.

Can a Medical Assistant Administer Sclerotherapy?

If your veins are not bothering you (not painful, itchy, tender, achy, etc), then it is unlikely that insurance will cover for treatment of these veins. &nbsp;I have had good success in getting my patients&#39; varicose veins treatment covered by insurance ompanies as long as they satisfy the insurance company&#39;s criteria. &nbsp;Every insurance varies but generally they include:

	1) have moderate to severe symptoms;

	2) failing a trial of conservative therapy for 1-3 months (pain medication, compression stockings, weight loss and exercise);

	3) documented ultrasound study showing venous reflux (blood flowing in the wrong direction causing the varicose veins).

	Good Luck!

	-Dr. Mann

They do not bother me, aside from the fact that I hate having them on my legs. They&#39;ve gotten really bad since I had a baby six months ago.

Are Procedures to Remove Vericose Veins Covered by Most Insurance Providers?

Botox is great at reducing muscle contractions around the mouth-- which is the cause of those vertical lip lines. &nbsp;Unlike fillers which are injected into the lines themselves, Botox is injected into the muscles. &nbsp;I am always very careful around the lips, a little botox goes a long way. &nbsp;

	Sounds like you have some assymmetry as a result of the treatment. &nbsp;You may just need 1-2 units more to one side to even out the effects. &nbsp;I suggest you see the doctor again to see if it can be corrected.

	Best,

	Dr. Margaret Mann

I had this done once and was extremely pleased with results, then the second time(last week) had it done at the same place but by the NP instead of Dr. One side of my mouth doesn&#39;t turn up and the other does! Help.

When a Doctor Injects Botox Around Mouth for Smokers Lines, Are They Injecting into the Lips or the Muscles Around the Mouth? 

Margaret Mann, MD

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