Steven Pedro, MD

consider instead Voluma into the cheekbone area to provide more volume and hence, forward (anterior) projection of the upper mid-face; another option is Sculptra injected into the deep medial and Zygomatic fat pads accomplishing the same correction with less expense as the cost/volume ratio favors Sculptra because of the dilution/volume/vial metrics of Sculpta vs. Voluma.

Also, ask the PA how many surgeries they have performed in this area actually visualizing the anatomy.  I always recommend a surgical dermatologist, plastic surgeon-both varieties, and some Ophthalmic plastic surgeons with this expertise.  Everyone else is just a "rookie".  Some "rookies" can win some of the time but the odds for a meaningful, cost effective result favor us that have "paid our dues" with our education.

do not panic! healing in this area takes time and is individually and biologically variable for a thorough wound healing and repairing response. For now apply Aquaphor Healing Ointment sparingly to this site daily UNTIL all redness has vanished. Also, to enhance this wound repairing response, purchase the Scar recovery Gel from Skin Medica and also use once a day.

My goodness-Botox Cosmetic is the number one WORLDWIDE cosmetic procedure.  Having done Botox for 14 years on numerous patients and having been trained by the people who developed Botox i.e. the Doctors Carruthers, our data is reproducible!  We constantly learn from each other- that is the experienced injectors by scientific meeting exchanges, published scientific data and certainly the risks of Botox cosmetic injections have been well defined.  In the hands of an experienced injector most likely a Dermatologic, Plastic, Facial Plastic or Oculoplastic Surgeon, your immediate risk and long term risk is quite negligible.  Remember, the experience of the injector will make your Botox experience safe and rewarding!

Just as their are chefs and then real chefs, there are injectors and then Real INJECTORS that understand facial dynamics, symmetries, muscle normalcy, anatomy and technical skills.  Not all injectors, doctors, specialists are created equal.  Generally, those of us that have a few gray hairs have "been there and done that" and especially if the injectors has a surgical practice: for example, a Dermatologic Surgeon, a Plastic Surgeon, a Faical Plastic Surgeon, a Oculoplastic Surgeon.  We are the Physicians that "handle" tissue and are able to think on our feet so to speak because of our surgical training.You, the consumer, will be in a better place if you adhere to my advice and not try to find the best "deal".  To get consistent results you need a consistent technical professional.  You get what you pay for! 

really most of these irregularities are increased pigmentation without loss of tissue; medically this is called residual post-inflamatory hyperpigmentation.  Most of what you have can be managed easily by a dermatologist to lighten the eliminate the majority of your marks over time.  You MUST be patient and consistent with the treatment which would consist of topical repairing and antiinflamatory creams and lotions.  Please remember to use insect repellents when outdoors to PREVENT future mishaps!