Jennifer Janiga, MD, FAAD

Great question.  The antibiotics with the botox is not dangerous to your health, they can be used together.  You should call your botox provider and let them know that you will be taking the antibiotics for the dental infection so they are aware.  Make sure to take the antibiotics at the full dose prescribed to clear your infection as this is way more important than the botox.  Lastly, it is possible for antibiotics to decrease the effectiveness of botox and clindamycin is one of those.  So, my advise would be to track if there is a difference for you between this and previous (or future) treatments in results and length of effect.  Then you will know it was from the clinda and not a problem with the actual botox.  Hope this helps.  

Thank you for your question.  A picture would be helpful, but in general Voluma is FDA approved for 2 years.  So, it is possible that what is left will naturally dissolve over 2 years.  It could be faster or slower, but this product is designed to last.  

Thank you for your question, ice pick acne scarring is a difficult problem.  CO2 or Erbium laser resurfacing is the standard of care but if you do not improve with the 5 treatments of fractional, you could consider a more aggressive option with full CO2 resurfacing of that area in the operating room.  This would require seeing a plastic surgeon that does this.  Another method that has worked for people is TCA Cross method.  This is a TCA peel that is placed on a sharp qtip like instrument and inserted into each of the scars to try to stimulate collagen directly inside the scar.  None of the techniques for ice pick scarring are perfect, nor is there a guarantee that any will make them go away.  All should improve them some.  I hope this helps and that you get great improvements with your treatments.  

This is a great question.  Hazel eyes are susceptible to color change with Latisse even if you are only applying it to the lash line because some will get into your eye.  The risk is likely lower with the lash line application than with the larger amount placed directly into the eye for glaucoma but it is real for patients with hazel eyes.  It is not a problem for blue eyes as blue eyes are blue because of reflection and have no pigment.  Brown eyes also do not have a problem, just the hazel.  If this is a concern for you, which is very understandable,  then lash thickeners or extensions may be a better option for you or Alpheon eyelash serum which is more like Rogaine than Latisse and does not have the same eye color change risk.  

This is a great question, thank you for asking.  The highest risk areas for blindness are near the eye and nose, but cases have been reported from injection all over the face, lips, jaw line, NL folds, etc...The best way to prevent is to do your research and get an experienced injector, which it seems like you are doing a great job of.  There is not a specific resource for non-physician providers, but you can go to American Academy of Dermatology website or American Society of Plastic Surgery website as well as your state medical board website to check credentials. Additionally, you can check the American Board of medical specialties for the board certification status of any physician.   State medical boards will list any reprimands a physician has received.  For nurses (which are allowed in some states) you can check the state nursing board for any complaints or citations.  You best bet is to go to a board certified dermatologist, plastic surgeon, or oculoplastic surgeon.  We all have our board certifications posted in our offices.  Hope this helps you find a great board certified doctor in your area.

Coolsculpting will work to decrease the fat deposit that you have in that area but will likely not give you the tightening of the overlying skin that you need and want.  To remove that excess skin a tummy tuck would be ideal but you could also try RFAL or radiofrequency assisted liposuction/BodyTite.  This procedure removes the excess fat with liposuction and tightens the skin about 30-35%.  You should see a board certified plastic surgeon in your area that provides both BodyTite and Coolsculpting for an in person consultation to see if one of those or a tummy tuck is the best way to achieve the results you are looking for.  

Thank you for providing photos.  It appears that you would benefit from Coolsculpting or Liposuction from the photos.  Both will reduce fat, but Lipo is a surgical procedure that is done in one procedure while Coolsculpting is done while you are awake in the office with no incisions.  Seeing a board certified plastic surgeon in your area will help you decide. 

Thank you for providing a photo.  From the picture it does appear you would be a good candidate for Coolsculpting.  There are other options including liposuction and RFAL (radiofrequency assisted liposuction or BodyTite).  RFAL/BodyTite will give you the added benefit of 30-35% tightening of the skin which is beneficial for most women after children or age >40.  Look for a board certified plastic surgeon in your area that performs all three, plain lipo, RFAL/BodyTite, and Coolsculping and have a consultation.  They will be able to assess your skin tone and help you decide what is best for you.  Thank you for your question.

Currently miraDry is available only for axilla (armpits), but there have been circulating rumors about hands coming for years.  As it always takes years for the FDA to approve new things I would advise looking into different options for now such as drysol, iontophoresis, and botox with your Board Certified Dermatologist.  There are options available to you while you are waiting.  Hope this helps. 

Thank you for your question.  This area is a common area for volume loss.  The lower part of the "crease" can be treated with a thicker filler like Voluma while the part of the crease closer to the eye will need a thinner filler like Volbella or Restylane.  Please see a provider with experience injecting around the eyes as this area has a very small margin for error.  That being said, my patients love having this corrected and the results usually last well past a year.