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What treatment would you recommend for fine lines and wrinkled skin under my eyes, in my tear duct area and my upper eyelids?

H
HeidiPenSep 12, 2018

I’m 48 years old. I get Botox for crows feet and also had filler in the apples of my cheeks. I have a history of melasma but seem to have that fairly under control. Fraxel seems to worsen my melasma so I would like to avoid that.

Answers (21)

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Dr. Raffy Karamanoukian, MD, FACS
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Dr. Raffy Karamanoukian, MD, FACS
Board Certified Plastic Surgeon
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Answered on Jul 17, 2024
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Dr. Matthew Richardson, MD
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Dr. Matthew Richardson, MD
Board Certified Facial Plastic Surgeon
5.0 | 176 Reviews
Answered on Sep 26, 2018
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Dr. Muhammad Mirza, MD (license suspended)
Dr. Muhammad Mirza, MD (license suspended)
Physician
Answered on Sep 18, 2018
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Dr. Scott Trimas, MD
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Dr. Scott Trimas, MD
Board Certified Facial Plastic Surgeon
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Answered on Sep 13, 2018
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Dr. Jason Emer, MD
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Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Sep 13, 2018
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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
4.9 | 1738 Reviews
Answered on Sep 13, 2018
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Dr. Reza Rod, MD
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Dr. Reza Rod, MD
Board Certified Plastic Surgeon
4.9 | 57 Reviews
Answered on Sep 12, 2018
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Dr. Brenda LaTowsky, MD
Dr. Brenda LaTowsky, MD
Dermatologic Surgeon, Board Certified in Dermatology
Answered on Sep 26, 2018
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Dr. Michele S. Green, MD
Dr. Michele S. Green, MD
Board Certified Dermatologist
Answered on Sep 19, 2018
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Dr. Lisa Kang, MD
Dr. Lisa Kang, MD
Physician
Answered on Sep 17, 2018
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Itzhak Nir, MD, FACS

It is very odd that you had a reaction after 2.5 years of treatment. Were you using the same physician?Did they use the same product and mix it in the correct manner?What did they use to dilute the product?Before you claim an allergy to Botox make sure you confirm these items.

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Matthew Richardson, MD

Sometimes people do metabolize Botox faster than others, but in most cases, patients simply are getting under-dosed. For the forehead, glabella, crow's feet, and bunny lines, I use 60-70 units for most patients. Without the bunny lines being treated, I would generally use 50-60 units. Patients...

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Matthew Richardson, MD

It would be very unlikely for Botox to contribute to hearing loss. The most likely scenario would be an ear infection or viral inflammation causing ear problems that happened to start around the same time as the Botox injections. While anything is possible, it's most likely not related to Botox...

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Matthew Richardson, MD

To know the exact amount, you will need to see a physician injector to discuss the look you are going for, what particular areas you would like treated, and what types of results you've seen from previous injections. I generally will use 10-20 units in the forehead, 20-30 units in the g...

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Ron Shelton, MD

You may get similar relief as a patient who receives Botox injections to lower their upper lip not to show their gum line when they smile. If you have had lip filler and this issue with incisors showing only occurred after lips were filled then hold off on Botox injections to allow the filler to...

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Christopher J. Davidson, MD, FACS

Thank you for your question.  Sorry to see you had an unwanted outcome following your Botox treatment.  If the Botox was administered too low around the crows feet, or too heavily dosed, it is possible to experience an mask-like, balled cheek appearance.  You don't mention how many days have pas...

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