I don't know what brand my dermatologist used, she just said tear trough filler. It was my first time getting filler in this location so she wanted to start off with a small amount. 1/4 syringe in each trough for a total of 1/2 a syringe for $450.
I'm so glad I found Dr. Souyoul. She's helped me with everything from Botox, routine skin care, skin cancer screening, and laser therapies. Her office offers the most advanced therapies and are very professional and courteous. She listens to my concerns and gives in depth and helpful recommendations. I'm so happy with the way my skin looks. I actually started getting carded AGAIN when I try to buy alcohol even though I'm in my 30s! Can't argue with results.
Platelet rich plasma (PRP) works well in patients with androgenic hairloss, especially patients with newer onset of hairloss, like yourself. However, PRP isn't the only treatment that is helpful for androgenic alopecia. I would speak to a Board Certified Dermatologist about all of your treatment options, which might include Propecia, Rogaine, or supplements like Nutrafol. As for the dandruff, you should speak with you dermatologist about adding a topical steroid to your scalp regimen.
Not all cosmetic injectors or filler products are equal. I would wonder if your experience has more to do with the injector, or the product being injected, instead of the cannula. Every injector has a preference in cannula verses a needle in the technique they use. I personally use a cannula, and have never had problems with a "bumpy" look in my patients. If you really want your tear troughs done using a needle technique. I recommend calling different Board Certified Dermatologists or Board Certified Plastic Surgeons in your area and asking if they are using a needle verses a cannula to inject under the eyes.
The Botox likely diffused into an adjacent muscle and is causing the asymmetry in your smile. I recommend waiting for the Botox in your chin to wear off. As the Botox wears off, your smile should improve.
Dryness and irritation are extremely common side effects when you first start a topical retinoid, such as Retin-A. However, dryness and irritation are uncommon with Aczone gel. For best results, I would recommend applying Aczone 7.5% gel once a day. You can apply it every morning, and continue your Retin-A cream every 3rd night. Once you feel your skin has adjusted to the Retin-A cream, I would increase your usage to every other night, and eventually work up to using it nightly.
You didn't specify which enzymes were elevated, but I assume you are referring to elevated liver enzymes. If so, it isn't want you should be eating, but what you shouldn't be. It is important to avoid alcoholic beverages while on Accutane or other oral isotretinoin medicines, as these medicines are metabolized by the liver. It is also important to avoid taking Accutane with other medicines which are metabolized by the liver, such as Tylenol. I would make sure you have disclosed all other oral medicines (including vitamins and supplements) to your dermatologist, so they can check for medication interactions.
