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Hi Art. It's more common to look for visible signs of occlusion rather than a temperature change. As Dr. Elmer points out, the area usually blanches white or dusky grey and this is the main indicator of the loss of blood flow. If you have had changes in color after injections (lightening of the skin immediately afterward and persisting) it would be imperative to have it looked at immediately.
Occlusion can be immediate and delayed and have various symptoms including change in color, pain, warmth, or cold. If the skin looks dusky in color or blanched (white) then you should have it looked at. Best, Dr. Emer.
You are too young to need a lifting procedure. There are plenty of noninvasive lasers that can help scars even in combination with microneedling that work fantastically (such as fraxel, clear and brilliant, and sublative, to name a few). As for lines with smiling, botox/neurotoxins...
Hi @Samanthawalker. Based on your photos, you have some flattening of the cheeks. Adding volume to your cheeks will help soften the nasolabial folds as well. Best of luck, Dr. Nima!
This does look like those Dennis morgie lines which per the picture looks like could be allergic or atopic dermatitis...I would advise to see if the patient is using any creams of lotions that make (the redness on the skin) worse and stop that offending agent, start the patient on low dose...