Hello, I have been getting botox routinely since June 2020. I also get monthly microneedling at 1mm depth on my forehead (had about 4 times). I have also have one treatment with Vivace Rf in august 2020. However, I still have a deep wrinkle in my forehead. Strangely, it is only present in certain lightings. Up close, the wrinkle looks very fine. But, the shadowing makes the line very prominent if the light source is above my head. Anyone have any suggestions? I also use tretinoin .05.
Answer: A resurfacing laser such as Clear & Brilliant as well as Venus viva RF can help reduce appearance of fine lines and wrinkles. Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery. Best, Dr. Karamanoukian Realself100 Surgeon
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Answer: A resurfacing laser such as Clear & Brilliant as well as Venus viva RF can help reduce appearance of fine lines and wrinkles. Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery. Best, Dr. Karamanoukian Realself100 Surgeon
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February 28, 2022
Answer: Filler Hi, you may require some filler in the area. Please feel free to book in for a complimentary consultations with one of our experienced nurses to address your concern and properly advise the best treatment plan for you. Thank you, warm regards, The Absolute Cosmetic Medicine team.
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February 28, 2022
Answer: Filler Hi, you may require some filler in the area. Please feel free to book in for a complimentary consultations with one of our experienced nurses to address your concern and properly advise the best treatment plan for you. Thank you, warm regards, The Absolute Cosmetic Medicine team.
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October 31, 2021
Answer: Treatment options to minimize forehead crease Thank you for your question and I am sorry you have not seen satisfactory results from your procedures thus far. This stubborn crease may be best addressed using a combination of Botox to relax the facial muscle and filler to minimize the appearance of the line further. Placing filler in the forehead requires a great deal of precision and skill, so please make sure the injector you choose has the expertise necessary to ensure a safe and successful procedure.
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October 31, 2021
Answer: Treatment options to minimize forehead crease Thank you for your question and I am sorry you have not seen satisfactory results from your procedures thus far. This stubborn crease may be best addressed using a combination of Botox to relax the facial muscle and filler to minimize the appearance of the line further. Placing filler in the forehead requires a great deal of precision and skill, so please make sure the injector you choose has the expertise necessary to ensure a safe and successful procedure.
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September 30, 2021
Answer: Forehead line Hello and thank you for your question. It is always best to see you face to face for a consult and examination however in this case it sounds as though you have tried a lot of options. One that you haven't is a very fine skin booster injected very superficially in the line helping lift it directly and hopefully give you a smoother result. I hope that helps answer your question. Always seek an experienced and qualified medical professional for these treatments. Very best wishes
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September 30, 2021
Answer: Forehead line Hello and thank you for your question. It is always best to see you face to face for a consult and examination however in this case it sounds as though you have tried a lot of options. One that you haven't is a very fine skin booster injected very superficially in the line helping lift it directly and hopefully give you a smoother result. I hope that helps answer your question. Always seek an experienced and qualified medical professional for these treatments. Very best wishes
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September 19, 2021
Answer: Facial Rejuv -- PRP, Laser (Fraxel/Halo/Co2/moxi), emeragecosmetics COSMELAN ENLIGHTEN/ EMERAGESKIN AERIFY at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) should be started now to prevent further aging. in office you need more than MNRF, everyone should be getting laser every 3-4 months, botox every 2-3 months ,and peels monthly with facials. botox doesnt get rid of all lines it prevents them from coming long term. For facial rejuvenation, I would suggest a combination approach of 1) skin care with products and PRP/microneedling 2) PDT light therapy few times a month with growth factors 3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium 4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill 5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting 6) botox every 2-3 months to stop movement lines and prevent lines at rest 7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin 8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months) Best, Dr. Emer.
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September 19, 2021
Answer: Facial Rejuv -- PRP, Laser (Fraxel/Halo/Co2/moxi), emeragecosmetics COSMELAN ENLIGHTEN/ EMERAGESKIN AERIFY at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) should be started now to prevent further aging. in office you need more than MNRF, everyone should be getting laser every 3-4 months, botox every 2-3 months ,and peels monthly with facials. botox doesnt get rid of all lines it prevents them from coming long term. For facial rejuvenation, I would suggest a combination approach of 1) skin care with products and PRP/microneedling 2) PDT light therapy few times a month with growth factors 3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium 4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill 5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting 6) botox every 2-3 months to stop movement lines and prevent lines at rest 7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin 8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months) Best, Dr. Emer.
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