Q: I don't like my under eye area. I want your advice how I can improve that part of my face? (photo)
In your pictures, you appear to have a combination of under eye darkness and hollowness. For the hollowness, I recommend treatment with fillers. Depending on how much of the pigmentation remains/bothers you after filler treatment (since fillers can improve some degree of the dark appearance), I would then potentially recommend treatment of the pigmentation with topical creams and microneedling.
Q: Do you think I have ptosis? Upper blepharoplasty needed? (Photos)
Your pictures demonstrate mild dermatochalasis (hooding of the upper eyelid skin) and lash ptosis (eyelashes directed downward). This can be corrected with a blepharoplasty with or without lash ptosis correction. When looking for a surgeon to possibly perform your surgery, it's important to see a trained oculofacial plastic surgeon. Asian eyelids present specific challenges and if done by an inexperienced surgeon, your results can be undesirable.
Q: After having Dysport almost 3 months ago, is it okay to use ophthalmic suspensions that contain an aminoglycoside?
Please consult with your prescribing ophthalmologist, however there should be no interaction between the aminoglycoside eye drops and your Dysport injections.
Q: What is a safe procedure to use when Botox does not work to reduce the glabella lines?
In some patients the glabellar lines are so deep that simple relaxation with neurotoxins (Botox, Dysport, Xeomin) is not efficient. If these cases, a combination of neurotoxin and filler may be useful to get the desired effect. It's important to keep in mind that zinc deficiency can cause neurotoxins to be ineffective. Also, repeated injections of neurotoxins in a short period of time can cause antibody production that can also cause the neurotoxin to be ineffective. In these patients, I ask them to take a break from neurotoxins for 6 months before they receive further treatments.
Q: What next after blepharoplasty? (Photo)
Aggressive removal of skin with blepharoplasty can result in lagophthalmos, or an inability to close your eyes. This can lead to detrimental effects to your corneal health and to your vision. For this reason, only a certain amount of skin can be removed during a blepharoplasty procedure. I do agree that your eyebrows are ptotic or droopy and you could potentially benefit from a brow lift in the future. You can achieve a modest elevation in your brows with Botox. I agree with your surgeons recommendations. Also, remember, you can always go back and remove more skin if needed after a blepharoplasty, however, if too much skin is removed, it is much more difficult to repair or replace the damage that could be done.