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Question: I have an uneven upper lip line that’s gotten worse with age. Would injectable fillers make it look more even?
Question: A friend of mine got Botox injections and she looks awful. The sides of her eyebrows are raised unnaturally high, sort of like the Joker from Batman. Why would this happen and how do you avoid it?
Answer: There is a lot of misunderstanding about brow elevation with Botox. Patients need to understand that the immediate area where Botox is injected will not elevate. In fact, it may slightly depress. The elevation of brow that comes from Botox use has to do with compensatory lifting done by forehead muscles that are not injected with Botox. You avoid this by not leaving too much area in the outer part of the forehead unbotoxed.
Question: I'd like to get a smoother texture to my skin and also improve some pigmentation issues and acne scars. Does a chemical peel seem like a good choice for this?
Answer: Chemical peels may help with pigment and texture issues, but are not a good choice for acne scars. For acne scars, dermabrasion or certain lasers will produce better results.
Question: I'm African American and I'd like to get a nose job. Is closed rhinoplasty an option for me or do African Americans typically need an open approach?
Answer: It really depends on what you need. A small dorsal hump can be removed with a closed approach, but any work on the tip of the nose usually requires an open approach.
Question: If I am prone to cold sores, would it be safe for me to have a chemical peel on my whole face, or should I just have spot treatment?
Answer: Patients who are prone to cold sores may get them while healing from chemical peels and this can cause scars. The theory behind it is that chemical peel or laser treatment can reactivate dormant virus in your nerve ganglions. One way to prevent this from happening is to have your provider prescribe Valtrex few days prior to your treatment.
Question: I'm interested in undergoing ultherapy at your Virginia Beach office. How long after treatment will I see results? Will there be any visible results right away?
Answer: Ultherapy uses ultrasound energy to stimulate your collagen to tone and lift your skin. This process takes anywhere from 3-6 months. Only some patients see results right away and most patients need 4-6 months. It is gradual.
Question: I love the results I've seen online with chemical peels. I've got some sun damage and minor wrinkling. Can this be improved with a chemical and would I need to have repeat treatments to maintain the results?
Answer: A chemical peel is an excellent option to help remove sun damaged spots and fine lines from the face and neck. I often perform a medium to deep chemical peel for face and neck and achieve very nice results. It requires 5-7 days of downtime. It is not for every skin type and you will need a consultation to decide if chemical peel is right for you.
Question: I'm Asian and interested in ethnic blepharoplasty. Will this change the shape of my eye at all?
Answer: It depends on the type of blepharoplasty. If you are having blepharoplasty to create a fold (eye crease) then your eye shape will change to a more oval shape and may appear larger in size. On the other hand, if you already have a fold and the surgery is to remove the excess skin, then it should not change the shape of your eye. View the Choe Center's blepharoplasty photo gallery here.
Question: The other day I was getting my hair done at the salon when I saw an ad for Botox injections. I thought that only a certified medical provider could do them; what's the deal?
Answer: Every state has its own unique laws and regulations about Botox injections. I would check with your local medical board about the issue. Remember to always have your botox injected by a trained/experienced injector. It is still a medical procedure.
Question: Can injectable fillers be performed at the same time as a facelift or do you need to wait? If you need to wait, how long? And is this true of all fillers?
Answer: It depends where on the face you want to have it injected. I often inject fillers for the smile lines and lips during a facelift procedure. Patients like this since they don't feel the needle at all under anesthesia.