Post procedure the skin is inflamed and irritated due to the resurfacing. In darker skin types including Asian skin, inflammation can appear dark or hyperpigmented. When treating dark spots such as freckles and even melasma, an immediate darkening can be noticed before healing is complete. Also, there can even be post-inflammatory hyperpigmentation where tanning can be noticed after wound healing but will go away with time. Sun protection and bleaching agents such as hydroquinone can help shorten the course. Hope this helped.
When evaluating around the around, there are different options. Botox is usually used between the brows or around the eyes to soften fine lines or prevent lines creating with movement from staying at rest. Underneath the eyes when dealing with shadowing especially due to weight loss, a filler can be used in the tear trough area to help soften the area of fat loss and camouflage the difference between the eyelid and cheek skin. Surgery is used for removal of fat pads when they enlarge with age often combined with skin tightening procedures but often for an older patient. From your photos, you seem to be concerned with some of the natural fat loss in your cheeks and under your eyes causing that shadow and line to be accentuated, and use of a filler (such as Restylane) can be helpful. It is always better to go to a board-certified dermatologist or plastic surgeon. Having an in-person evaluation would better be able to determine your needs. I hope this helps. All the best, Dr. Bacigalupi
This is a great procedure for subtle, gradual change to reshape the face. It helps soften a boxed appearance of the jaw or a widened lower face. Performed correctly there should be no alteration of smile or a sunken appearance of the cheeks. It is best to start of with smaller doses depending on how strong you are and can gradually add. Smaller doses at repeat visits will slowly atrophy the muscle. Effects of botox tend to remain around 3 months but repeat injections with softening of the muscle will appear for much longer. It is always best to see a board certified dermatologist or plastic surgeon when seeking advanced techniques for botox injections in special locations such as these. There should not be issues with facial nerve injury for placement in the masseter.All the best,Robert Bacigalupi
Yes this can be done! Botox can be used in the masseter muscles in the cheeks to soften the appearance of a square jaw. This may take more than one treatment as the muscles get smaller and may require more units than used in other areas. This may also be combined with fillers in the upper lateral cheeks that may give a more contoured appearance of the face and the desired V shape instead of a more square appearance.Botox of the lower face when dealing with muscles that coordinate movements of the mouth/lips and chewing should only be done by experienced injectors since diffusion can cause asymmetry. I would recommend going to only a board-certified dermatologist or plastic surgeon in your area who deals with many cosmetic patients for best results.All the best,Dr. Bacigalupi
Botox works by blocking release of neurotransmitters that affect muscle movement. It wouldn't have an effect on sensory nerves so would not be causing irritation to your sclera. Also diffusion into the eye from intradermal placement isn't likely. I would say these two are unrelated. I am glad the sjogren's test was negative, but am sorry you are dealing with this. I would recommend following up with a board-certified ophthalmologist who may better lead you in the right direction.Best wishes,
