Richard Strecker, MD

A treatment alternative to Botox and Fillers that is not animal tested and natural is RF microneedling. This treatment involves tiny gold needles that penetrate the skin then deliver Radio Frequency energy below the skin surface in the dermis. This treats wrinkles/scars and tightens saggy face and neck.  The radio frequency energy is delivered below the skin surface so there is minimal downtime (redness for a few days) and can treat all skin types from light to dark. This treatment tightens tissue plus stimulates your own collagen, elastin, and hyaluronic acid.  

The device used matters. My choice is the Lutronic Genius which monitors the energy delivered allowing more intensive, safe treatments.  Topical anesthesia supplemented with local anesthesia is usually all that is needed.

Hello, A better option for you may be to use an HA filler because this will last much longer, about a year, as opposed to Botox, which typically lasts 3 months. You would get more bang for your buck if it's just one deep wrinkle you are looking to treat.

It could be that another syringe would benefit you or on the other hand it may have been where and how the injector used the Radiesse. If the product is injected too deep, you may not see any results. I typically inject the Radiesse along the cheek bones, which lifts everything up (gives a "liquid face lift" effect).

Hello, the Botox should have worn off within 3-4 months. If you are still experiencing droopy lids, I would recommend an ophthalmic evaluation to rule out any other conditions that could be causing this.

Your uneven eyebrows can be treated to be made symmetric with Botox. We could lower the right brow with Botox to match the left brow.