Hello Alexandra98,
My name is Jeanine, and I am a Master Medical Esthetician and Laser Technician with over 25 years of experience. I have been working with IPL systems since the very start of my career in aesthetics.
  Looking at your photos, I do see a bit of inflammation in that area. Since you’ve had IPL treatments before without any issues, it’s possible that this new practitioner is using a different type of machine. In the plastic surgery office where I work, we have two IPL devices from different companies, and I’ve noticed that one consistently creates more post-treatment inflammation than the other. 
  From what I can see, your response looks normal for either a stronger machine or a more intense treatment. If you had red marks that matched the exact shape of the IPL crystal on the handpiece, I would be more concerned. This is why we do not recommend treating with IPL if you have a tan or have had recent sun exposure. It will increase the skin sensitivity because the IPL is attracted to melanin and tan is an elevated level of melanin all over.
  What you’re experiencing looks like a typical inflammatory response—something you might not be used to if your past treatments were gentler. Mild redness and slight puffiness for 24–48 hours post-procedure is actually a good sign that the treatment worked. Your body is simply responding to the light energy and using lymphatic activity to repair the tissue. Cool compresses may alleviate the discomfort and puffiness more quickly. 
 I often tell my patients not to be surprised if they notice some puffiness the next day, especially around the eye area—it’s very common and should resolve on its own.  I hope this helps!
Best of luck! Jeanine Oteri, LME, CLT answering on behalf of Anna Petropoulos, MD FRCS Center for Classic Beauty Boston & Danvers, MA

Hi, i am skin type 3 and have had about 10 total IPLs with good results, and redness always subsided after 1 hour. I recently started seeing someone new who told me welts are normal but i never had them with the last practitioner. Should I be concerned? The welt is just below the tear trough area and looks similar to raised 1st degree burn. It burns still 24 hours later. Like i said, the practitioner said it is normal but I am seeking additional recommendations since I am in mild pain. Thanks!

Are welts after IPL a normal side effect? (Photo)

Hello Nice768997,

There are many non-surgical options available to treat under-eye skin laxity. In our office, our go-to treatments are Morpheus8, SylfirmX, and Scarlet RF—all of which use radiofrequency microneedling (RFMN) technology. These treatments stimulate new skin cell production, boost collagen regeneration, and firm existing collagen for smoother, tighter skin.

Each session involves minimal downtime—typically 12 to 48 hours. You may experience redness and puffiness, which often resolve within a few hours. The next morning, the treated area may appear blotchy or slightly swollen, but this typically improves throughout the day.

For best results, we recommend a series of 3 treatments spaced 4–6 weeks apart, followed by annual maintenance sessions.

Radiofrequency energy can also help tighten dilated lymphatic channels, reducing fluid retention and tightening loose skin—without melting the natural fat pads that provide volume under the eyes.

As always, it's important to choose a provider with the proper experience and professional training. Being in skilled, knowledgeable hands is key to achieving safe, effective results!
I hope this helps! Best of Luck! Jeanine Oteri, LME, LT answering on behalf of Anna Petropoulos, MD FRCS Center for Classic Beauty Boston & Danvers, MA 

So I had under eye botox 11 units under each eye. Results were terrible bags under each now. 4 and a half months later I'm still left with them. I'm Doing EmFace treatments which cost a lot but am not seeing results. Filler scares me. Surgery is expensive. What are my options I can't live another day looking like this is their any hope or is surgery my only option?

Botox caused under eye bags. Emface treatments are not helping. Can I improve this without surgery? (Photo)

Botox

Dear An, 
Thank you for your questions.  Yes absolutely,  Morpheus is definitely a good solution for this problem along with other forms of RFMN (Rediofrequency micro needling) such as Sylfirm or Scarlet. Problems like this are routinely sent to our office from other providers and we have successfully been dealing with them  for at least 9 years using RFMN - my technician has 22 years experience and knows what depths and settings to use to melt the existing filler causing the edema, tighten the dilated lymphatic channels that are collecting the fluid, and also tighten the loose skin, all without melting the existing fat. Every patient is different and good clinical judgment is necessary to evaluate their tissues and determine the right treatments settings so it is very important for you to go to a proper establishment under the guidance of an experienced board certified facial plastic surgeon or dermatologist. RFMN is not only good for filler induced water balloons or fluid retention under the eyes, but also good for keeping our eyelids appearing youthful with annual maintenance treatments since our eyelid skin sags at least 1 mm per year as we age. I hope this information was helpful for you An and wishing you best of luck in your quest !  

Sincerely, 
Anna Petropoulos, MD, FRCS
BoardCertified Facial Plastic Surgeon, 
Boston Back Bay and North Shore
IG @centerforclassicbeauty

61 year old now. Thin. In 2010 had a doctor inject sculptra above orbital bone under both eyes during a training session when l volunteered as a model. Ever since then have dealt with this "swelling" under both eyes. Some days worse than others. He tried 5 fu to correct (no luck). Had some filler a couple of times through the years (restylane, belotero) to lessen their appearance. Now it seems at my age skin is too lax and l can't get any improvement, plus l worry about filler migrating and making the condition worse. I have had hylaronidase used on them with no change. It has been suggested moroheus 8 treatments may help (at which needle depth?) Opinions? Advice?

61, swelling under both eyes from previous Sculptra injections. Am l a candidate for Morpheus 8 under eyes? (Photos)

Morpheus8

Hello and thank you for your question! At 43 and in the middle of weight loss, it’s totally normal to worry about loose skin — and you do have safe options!

-Microneedling (no RF): Safe for all skin tones, no light/heat, improves texture and firmness.
-RF Microneedling (e.g., Morpheus8): Possible with caution — your ankle metal likely won’t interfere, but a provider should screen you carefully.
-Topicals & supplements: Retinol-based firming creams and collagen peptides can help improve skin tone gradually.
-Massage & lymphatic drainage: Gentle, natural ways to improve skin appearance and support circulation.
-Surgery (if needed): A tummy tuck is an option for more significant laxity post-weight loss.

Avoid for now:
-Lasers, IPL, and light-based devices (due to photosensitive meds and risk of hyperpigmentation).

You’ll get the best results with a provider experienced in treating skin of color and sensitive cases.

Best of luck in your journey!
Genie Alexander, RN BSN 
for Anna Petropoulos, MD FRCS
Center for Classic Beauty
Boston & Danvers, MA

Hi… I am female, mixed race and 43 years old. I am losing weight and worry that I have no options to tighten the skin on my stomach. I take photosensitive causing medicine and have metal in my ankle. What are my safe options?

Safe options for skin tightening when I take photosensitive causing medicine and have metal in my ankle?

Skin Tightening

Hello and thank you for your great question! At 33, it’s common to start noticing changes like marionette lines, lower face volume loss, and early jowling. Based on the history you have provided, we’d likely want to focus on longer-lasting or regenerative options.

Biostimulators like Sculptra or Radiesse can stimulate collagen production for more structural support and subtle volume improvement that lasts longer than traditional filler.

Thread lifts (especially around the marionette and pre-jowl area) can help reposition tissue and soften early sagging.

Microneedling with RF (like Morpheus8, SylfirmX) can tighten skin and improve texture in the lower face with minimal downtime.

Fat transfer may be an option if you're looking for something permanent and are open to a surgical route.

Best results often come from combining treatments—especially when fillers alone aren’t giving you the longevity or lift you're after. 

Best of luck in your journey!
Genie Alexander, RN BSN 
for Anna Petropoulos, MD FRCS 
Center for Classic Beauty
Boston & Danvers, MA

I’m 33 years old and I have some lower face fat &amp; marionette lines &amp; pre-jowl sulcus. I’ve tried Ultraformer for my cheeks but it doesn't seem to help. How would you treat this erea? Take in mind that fillers are resolved very quickly for me

How to treat my lower face fat, marionette lines and pre-jowl sulcus? (photo)

Botox for Gummy Smile

Brow Lift

Contour Thread Lift

CoolSculpting

Clear + Brilliant Badge

Anna Petropoulos, MD, FRCS

The New England Facial & Cosmetic Surgery Center

The only place for me! 
 
I have an ongoing medical condition and medications that make me nervous when incorporating ANY procedure into my self care routine - even peels and facials! 
 
So, I was thrilled when Nurse Genie was recommended to help with some Botox (much needed). She understood my concerns due to my condition, walked through each step, and provided reassurance when needed. The procedure was quick with little to no pain. I have a tiny bruise, but that is because of my medication, not something she did. 
 
During my last visit the topic of lip filler came up. She walked me through where and how and at no point did I feel pressure to proceed. Based on my experience with Botox and the end result, I decided to give the filler a try! The topical numbing cream helped, though I don’t think it’s absolutely necessary. Then I let her work her magic! As any true artist does, she stepped back from her work to ensure it was exactly what she wanted. Based on this, minor tweaks were made. It was a breeze thanks to her - the time it took for the topical to work was longer than the actual injections! 
 
All this to paint the true picture. Genie should be your go to for injectables! Best I’ve had (as compared to facilities on the west coast…where there are med spas and injectors on every corner)! 
 
Special shout out to practice manager Lisa. She uses her extensive knowledge during the consultation process and will provide honest recommendations! 
 
Know, like, trust!!! Thank you Genie and Lisa!

Nurse Genie - Look No Further!

Lip Fillers

Genie Alexander, RN BSN

When seeking medical skincare advice, I believe it is of utmost importance to have a proper consultation with a board certified facial plastic surgeon like Dr. Anna Petropoulos and her talented staff whom she has trained so well! Jeanine, her medical aesthetician and laser technician made me feel comfortable and at ease during my lower eyelid tightening Thermage treatment. The procedure was quick and easy with no down time. It drastically improved the stubborn under eye “bags” and dark circles that had been bothering me. What a difference this has made! I am sooo happy! I highly recommend this treatment and Jeanine’s many years of experience and clinical knowledge sets this office apart from the rest. Thank you Jeanine!

Thank You Jeanine!

Thermage

Jeanine Oteri, LME

Lisa Barnard

Brenda Egizi

Alexandra Gomes

ArteFill

Double Eyelid Surgery

Belotero

Botox for Migraines

Buccal Fat Removal

Cheek Augmentation

Cheek Lift

Chemical Peel

Chin Liposuction

Genioplasty

CO2 Laser

Dysport

Earlobe Repair

EndyMed 3Deep

Eyebrow Transplant

Eyelid Retraction Repair

Eyelid Surgery

Facelift

Facelift Revision

Facial

Facial Reconstructive Surgery

Facial Fat Transfer

Fractional Laser

Fractora RF

Fraxel Laser

Fraxel Repair

GentleLase

Hair Loss Treatment

Juvederm

Laser Hair Removal

Laser Peel

Laser Resurfacing

Latisse

Liposculpture

Liquid Facelift

Lower Facelift

MACS Facelift

Microdermabrasion

Microneedling

Mini Facelift

Neck Lift

Nonsurgical Facelift

Nonsurgical Nose Job

Nonsurgical Neck Lift

ProFractional Laser

PRP for Hair Loss

Radiesse

Restylane

Restylane Silk

Revision Rhinoplasty

Rhinoplasty

Salicylic Peel

Scar Removal

Sclerotherapy

Sculptra

Septoplasty

Skin Lightening

Skin Rejuvenation

Smart Lipo

TCA Peel

ThermiSmooth Face

ThermiTight

ThermiVa

Ultherapy

Vampire Facelift

Vanquish

Vaser Liposuction

Voluma

Beard Transplant

BodyFX

BodyTite

Botox for TMJ

BroadBand Light (BBL)

Clear and Brilliant

CoolMini

Cryolipolysis

Deep Plane Facelift

DefenAge

Derma Roller

Dermapen

diVa Vaginal Laser

Epionce

Exilis

FaceTite

Facial Feminization Surgery

Forma

FUE Hair Transplant

Glycolic Peel

Hair Transplant

Hand Rejuvenation

Hyaluronidase

Dermal Fillers

Jeuveau

I came in for SmartGraft hair restoration. From the time I came for the appointment, there was no pain involved (only mild relaxer was given). The day of the procedure was easier than going to the dentist. Only discomfort was the donor site healing process, but even then it was very tolerable. The entire team was amazing! Everyone greeted me politely and I am so grateful to have everything go so smoothly. I am now seeing hair growth! My hair looks thicker than it has for many years and I am so happy! SmartGraft really works!!!

SmartGraft Really Works!

My experience is always AMAZING! I love this place. Brenda is the BEST! She always helps me. Dr Petropolous and Jeanie are both FANTASTIC!!!! They’re magicians 
 
I drive over an hour to see them and it’s worth it every time!! I HIGHLY RECOMMEND!!!

highly recommend!!

I tried the Emsculpt-neo treatment for Abs twice and think it was really effective. You have slightly sore muscles the next days and feel your stomach is really tight. The procedure is not painful at all, in the beginning it is a bit uncomfortable but after a few minutes you get used to it. I would really recommend it as a add on to your regular exercising.

Neosculpt Treatment

Emsculpt

The office is so lovely and tranquil, the treatments are effective, and Dr. Petropoulos is a magician.  She never overdoes it, but gently makes a real difference.  A wonderful way to keep yourself looking your best!

Strongly Recommend!

Dr. Petropoulos and team were wonderful! I’ve had friends that have gone for PRP and said it was super difficult/painful, and my experience at the CCBB was the opposite. They made sure i was comfortable at all times and my results were fantastic. Could not be more pleased with the extra hairgrowth.

Amazing PRP Results

I’ve been getting tox for years. Genie’s hands are magic - not only the most painless injector but the absolute best results!! I feel like a more refined version of myself every time - she’s the best!!

Botox - I’ve been getting tox for years

I have been a patient of Dr. Petropoulos for almost 18 years, and I can honestly say she is the only person I trust for complex injections. Her expertise in Botox and fillers is truly unparalleled, especially when it comes to challenging areas like liquid rhinoplasty and treating hollow indentations that Botox alone can’t address. These intricate injections require a precise, skilled hand&mdash;services most practices don’t even offer due to their delicate nature. Dr. Petropoulos’s extensive knowledge and experience in the medical field make all the difference, delivering results that have transformed my appearance in the most natural way. She has an incredible ability to enhance your features without losing what makes you, you. You will come out looking younger but natural. Dr. Petropoulos is a true master in her field, and I am beyond grateful to have someone I trust so completely! She is truly the best and I will never be able to thank her enough. 
As an incentive for posting a review, this reviewer received an entry into RealSelf’s monthly $500 gift card giveaway.

The Most Skilled in the Field

Excellent very personal and caring. My injections are working fantastic never felt better I lost 20lbs in 2 months. I’m thrilled with continuing to my goal and almost there!!!!!!! I feel better health wise and confidence is back. Thank you everyone for your support!

I feel better health wise and confidence is back

Tirzepatide for Weight Loss

Have always had the best experience here! They are very professional and friendly and the environment is so relaxed, I always look forward to going because I know it will be quick and stress-free. They’re also great about tailoring your experience to your specific needs, would definitely recommend!

Always Great!