Victor Pallares, MD

From what you have stated, it appears that you are a great candidate for laser hair removal with IPL. Laser and IPL hair removal both work on the same principle. That is that light energy is absorbed by areas of high pigment (hair follicle) which are therefore heated up, damaging the follicle, slowing hair growth and even preventing it completely. The main difference between IPL and laser hair removal devices is the light source used. IPL uses broad-spectrum visible light whereas laser hair removal utilizes the properties of a laser. Both have great long term reduction of hair. If you stop your treatment of scheduled IPL treatments by your provider you will not capture the remaining active hair follicles and those will continue to grow hair. On average, patients need 6 sessions of IPL.

Thank you for sharing your experience after recently having your lips injected with dermal filler. Normally, dermal filler injected into the lips are made from hyaluronic acid, like Juvederm or Restylane products, however depending on the technology chosen for your treatment will dictate how the product responds in your lips. Swelling is also normal after injections and is perhaps why your injector asked you to wait 2 week before deciding to dissolve your lips.  Dermal filler depending on how it was injected can change the shape of your lips. If you are not satisfied with your lip shape after swelling has resolved completely, you can return to your injector to have them dissolved with hyluronidase and they will return back to their normal shape prior to injection.

In-office microneedling or (collagen induction therapy) can vary in price depending on your area and market where you live. Basic microneedling without micro infusion of platelet rich plasma usually will range from $300-600.  As microneedling continues to gain popularity, a number of at-home microneedling devices are available for consumers however there is no substitution for medical grade microneedling you will receive under the direct supervision of your provider. At home dermarollers also pose risk of possible infection to the skin, shearing of skin and possible skin scarring if not performed correctly. If you are considering this treatment, don't take matters into your hands with an at-home microneedling device, please have a consultation with a qualified and experienced medical office.

In my opinion,Botox can certainly help you.However its effect is limited to 3 to 4 months.After this period of time,in all likelihood your brow will have to be reinjected with Botox to prevent the lines from coming back.I would definitely recommend trying Botox.