Many of the dermal fillers used in the U.S. are partially dependent upon their water attracting properties to provide their effects. All the hyaluronic or HA gel fillers like the Restylanes and Juvederms work by attracting water and “expanding”. They carry the most vulnerability to heat-based treatments because the heat can diminish the water content in both the skin and the filler if the heat reaches the filler. Other fillers like Radiesse are calcium based and are injected deeper in the skin and are less likely to be affected. The depth of the filler placement and the depth of the heat generated by a laser can affect how long the filler might normally last for you. Also the type of technology will impact fillers. Deeper-reaching heat would pass through some fillers. For instance, a superficial placement of a filler would be extremely vulnerable to a laser like Fraxel and you would likely see less correction of treated wrinkles right away. So to summarize, it is always advisable to have the Fractional procedure then do the dermal fillers a few days later. If this is not an option then wait towards the end of your filler’s life cycle to have your fractional CO2.
Botox results will last up to 4 months or so. Botox is normally injected in the masseter or chew muscle to give you more of a V shape or oval looking face. Since you had the Botox injected in the crow's feet, I am not sure how this could have impacted your cheeks unless you had a very strong dose that caused it. I advise that you visit your provider and have them take a look at you again. You can possibly have this corrected with dermal fillers. Best of luck!
The number of units needed will depend on the extent of the fine lines and wrinkles and hence the need for a consult. 54 units of Botox is a good amount but i am hesitant to give you a definite answer without an in person consult.
For aging hands, filler is injected on the back of the hands. Botox cannot be injected on the back of hands. In my opinion the Restylane Lyft which consists mainly of hyaluronic acid or HA and is better suited for the back of the hands injections as opposed to Radiesse which is calcium based. Botox is normally injected in the palms for treating excessive sweating or hyperhidrosis. Hope this answers your question.
As a general rule of thumb, it’s ok to be treated with Botox while taking antibiotics (or indeed any brand of botulinum toxin) but there are considerations worth thinking about before booking yourself in for an appointment with the aesthetic medical practitioner. Also people typically worry that antibiotics may work to kill off the Botox molecules which may in turn limit the results of their treatment. Antibiotics, however, are designed to tackle bacterial infections whereas Botox is actually a protein and so taking these medications are not expected to have any kind of impact on the duration of your Botox treatment or produce any unexpected results. As far as Claritin, any antihistamine medication and do not compromise the outcome of your Botox so you're OK there.
