Vein Treatment Varicose Veins Laser Lipo & Vein Care Center Ask the Doctor

How long should I wait to eat after Restylane lip injections? Could eating certain things affect my results?

There is no predetermined amount of time that you need to wait after lip injections. As long as you are not putting any pressure on the lips, you can eat right away. If you want to be more conservative, then a couple hours is more than enough.

- Dr. Wright

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I’ve been using Latisse for three days, and the skin around my eyes gets very itchy after I apply it. Is this normal, or could I be having an allergic reaction?

Yes, Latisse can do that as well as other products. If it continues, then you might not be able to use it for the itchiness will intensify.

- Dr. Wright

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Does Latisse interfere with eye cream? Should I apply it before or after eye cream?

Here is what I tell my patients to do at night. After washing and drying your face, apply your eye product, but not all the way down to the lash line. Then apply the Latisse. Wait a minute for it to dry, and then you can lie down and go to sleep.

- Dr. Wright

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Can Botox be used to treat excessive sweating? Does Botox stop this?

Botox is very effective in treating excessive sweating. Botox is FDA approved for this treatment.

- Dr. Wright

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Can Dysport be used in neurological applications? Or is Botox still the only product approved for use in neurological practices?

Dysport has similar applications as Botox, as does Xeomin. Dysport is FDA approved for cervical dystonia and for aesthetic use on frown lines.

- Dr. Wright

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How can I avoid an overfilled look with Restylane? I want to have fuller lips but I don’t want that ‘duck bill’ look of overfilled lips. What is the best way to keep my results natural?

The most important thing is choosing the right provider. There is nothing that replaces experience and aesthetic judgment. Secondly, it is important to use the smaller molecule size fillers like Restylane or Juvederm and not Perlane or Juvederm Ultra Plus. Thirdly, not to put too much in.

An experienced injector avoids an overfilled look. Choose your provider carefully and make sure you are comfortable with your consultation before proceeding.

-Dr. Wright

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How would I find out if an injectable filler has gluten in it? I have celiac disease and want to make sure the product is safe for me.

No. I have spoken to several representatives from different companies (Radiesse, Restylane, Juvederm) to verify that these do not contain gluten.

- Dr. Wright

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I heard that I need to tell the specialist if I get cold sores before getting dermal filler injections in my lips. Why is this?

Any kind of trauma to the area where a cold sore has been present in the past can cause a current outbreak. If you have a history, there is a possibility that injecting into the same area of previous cold sores will lead to a new one because of the trauma caused by the needle. Just something to be aware of. Your injector may want to provide a preventative prescription if they are being very cautious.

- Dr. Wright

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Is it normal to feel some numbness in my lips after lip augmentation with Radiesse? Its been three days and I still feel a bit numb.

It is possible to feel some numbness in the lips after lip augmentation with dermal fillers. I personally do not like Radiesse as a lip filler because of its potential to be hard and not as supple as the HA based fillers such as Restylane, Juvederm, Perlane or Hydrelle.

- Dr. Wright

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I had a dermal filler by a dermatologist (Restylane) and was very unhappy with the results. I saw no results and looked the same 3 weeks later as I did before the procedure. Maybe the doctor was not experienced, not sure. Please advise me on my options.

You present an excellent question and the answer can have two scenarios: Yes, your doctor could have injected too shallow or deep and thus your result would’ve been less then expected. On the other hand, often patient outcomes are a direct result of simply not using enough product. Frequently patients who need 4 or more syringes will come in and state they have $500 to $600 budget, which is only one syringe. Putting one syringe in a patient that needs four is also performing a disservice. The patient won’t be happy with the outcome. I’d rather tell a patient to honestly go elsewhere for the one syringe then have him/her leave the office under-filled.

- Dr. Wright

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Are facial veins the same as spider veins? Or are they called broken capillaries? Does sclerotherapy work on facial veins?

Many names are used to described noticeable veins seen on the face. Spider veins and broken capillaries are some examples. The true name for these is Telangiectasia. Telangiectaisa may occur from too much sun over the years, as a component of Rosacea, from prior trauma or surgery to area, can be seen in some unusual genetic disorders, or may occur just because it was “in your genes.” Proper evaluation by an experienced specialist is the first step of treatment.

- Dr. Wright

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Could Radiesse move from one area to another after being injected?

Although it is possible for all fillers to migrate, it would be very unusual for a thick stimulatory filler like Radiesse to migrate.

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I’ve developed Melasma during my pregnancy (I’m 7 months). Is this something that will likely go away after delivery, or will I need to look into treatment options?

Unfortunately, No. Pregnancy awakens melasma and melasma unfortunately do not disappear. They may fade a little bit after pregnancy but you will find that you will need to continually treat/suppress them with lasers and/or bleaching agents. There is no known cure, only treatments to manage melasma.

- Dr. Wright

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Does the sclerotherapy treatment relieve or help vein disease symptoms?

Yes. Sclerotherapy which is an injections of a medication to close veins can help or relieve symptoms such as tenderness, aching, and burning caused by varicose veins. However, it is best to have an evaluation by a doctor with an ultrasound to know the full extent of your vein problems before starting sclerotherapy for symptomatic veins. The evaluation is important! If you have symptoms associated with your varicose or spider veins. You may have reflux in your saphenous vein which should be treated before you have sclerotherapy.

- Dr. Wright

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What is morphea?

Morphea is a skin condition that causes reddish or purplish patches on your skin. Morphea is a localized form of scleroderma, a condition that can cause a wide variety of problems, from skin discoloration to difficulty with the normal function of joints and muscles and other connective tissues. Morphea has no known cure. Treatment of morphea focuses on controlling the signs and symptoms and slowing its spread.

Because morphea may get better on its own without treatment, and most treatments have side effects, your doctor may suggest no treatment or treatment with a mild topical corticosteroid cream.

- Dr. Wright

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