Sarath K. Palakodeti, DO, FACS, FAACS

Great question. Regarding bruising, most of the time it is the technique and experience of the practitioner as well as patient factors such as blood thinners or alcohol use. Not the product itself. Be sure to avoid blood thinners and alcohol prior to receiving injectables as well as visit a provider who is well trained.

There are two main issues to discuss before undergoing any injectable product, both deal with your safety, and your optimal cosmetic result. The actual product being used, and the person doing the injecting. There are several products on the market that contain botulinum toxin (Botox, Xeomin, Dysport) each have different dilution requirements/guidelines. The products themselves are slightly confusing in that saying "Botox" when discussing injectable botulinum toxin is like saying "Kleenex" for a tissue. I have injected all three FDA approved products and have had good results with all of them. 

The other important question to ask is who is doing the injecting. Credentials are important, however I believe experience is more important. Experienced injectors may be physicians or nurses. The better questions to ask instead of specific credentials, are "How long have you been injecting?" "What is your complication rate?" and "What do you do if a complication occurs?"

Thanks for the question! Dr. P

JLynn, thank you for your question. I'm sorry you've had a bad experience with your original injector/your results. There are no home remedies that "dissolve" Juvederm or any other hyaluronic acid (HA) product. Unfortunately I've heard this myth many times, specifically regarding Stevia. So let me repeat, there is nothing you can place topically that will "dissolve" an HA. Misplaced or overly placed Juvederm can be treated with injectable hyaluronidase. You should only go to a very experienced injector to undergo this treatment, as hyaluronidase not injected properly can make you look worse than before. Thanks for your question, and good luck!

Thanks for the question. Botox is an injectable toxin that's injected into muscles to relax/paralyze them. Botox has many uses but is not used to lift breasts. Only surgery can be used to lift/reduce breast tissue. If you are truly having medical issues such as back and neck pain a breast reduction may be able to be performed. In general you should let your breasts fully develop before deciding to undergo any type of surgery. 

Marieke, 

Thank you for your question. I agree with the other physicians in that without a picture, it's hard to discern what exactly is going on. The main question I would ask is this: What area of your face was treated? Sometimes after treatment of the Frontalis only (forehead horizontal lines) the Glabellar muscles (muscles in between your eyebrows) can become accentuated if those were not treated with Botox. These muscles cause the "11's" when you "look mad." The two sets of muscles oppose each other, and sometimes with treatment of only one group, the other gets accentuated. Thanks for the question.

Dr. P