A: Botox can be used off-label to treat nasal movement with smiling such as nostril widening and nasal tip being pulled downward towards the lip with mouth movement. It's best to see an experienced provider for this treatment who will discuss the risks. Start with low dose. It's best to return for more units if needed than putting in too many. Botox may drift or may be placed in unwanted muscle areas affecting mouth opening, smiling, eating, speech, asymmetric or unbalanced smiles, create difficulty brushing ones teeth, etc.
A: Many masks are not going to apply worrisome pressure to Botox insertion sites but it is best to avoid a strong strap that tends to be on N-95 masks and maybe some others, if the strap is putting so much pressure on the exact area of the Botox insertion, especially if it overlies a bony prominence. Those tight straps sometimes cause a temporary indentation of the skin for an hour or more after wearing the mask and that should be avoided.
A: Treating a gummy smile relaxes the muscle pull of the upper lip which lessens the exposed gum in those individuals who manifest this when smiling. I receive great results with this treatment. Your teeth however, are exposed at rest and Botox may not relax the muscles of the upper lip enough to reduce the opening of your mouth. I'm not certain why this occurred after your headgear treatment for your overbite. You may need to see a plastic surgeon or oral maxillofacial surgeon for an opinion.
A: Short term acne flares can occur after laser resurfacing and having done many Fraxel laser treatments in the last 20 years I have had patients who I have seen with short term acne breakouts but no one with long term acne in the treated areas. Fraxel laser resurfacing has been a significant part of my practice along with other treatments for acne scarring such as punch grafts and microneedling.
The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice. The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.
A: I prefer to do ultherapy first then follow it by the series of fillers or Sculptra. Although sculptra is placed in the subcutaneous tissues it is possible that Ultherapy may reach that plane in certain areas of the face, especially with the 4.5 mm. transducer, and I question if the Ultherapy does heat up the sculptra particles if that might cause an undesired reaction. So if I were to do Ultherapy after Sculptra I would choose transducers that were expected not to reach the depth of the Sculptra placement.
The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice. The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.