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90mg isotretinoin, isotroin, accutane, roaccutane. When can I expect improvement at this dosage?
accutane dose
Oct 24, 2015
My starting dose is usually 1/2mg/kg. I don"t know how much you weigh but that is a high starting dose and i would be concerned that you may have a flare. In general, I start at the lower dose for the first month and if tolerated as far as side effects and labs then I increase to the full 1mg/kg which is usually between 60-80mg depending on weight. The important factor is to calculate the total mg dosage of the entire course rather than the daily dose so that the...
Pain Relief from CoolSculpting, Exhausted and Frustrated. Any other recommendations?
pain after coolsculpt
Oct 21, 2015
See if your doctor or any of the doctors in your area have the Z Wave by Zimmer. It is a device that is based on energy pulses. and this can be helpful with the pain. It is non invasive an will only take about 10 minutes. We use this right after the treatment for the external massage as well as the week following if someone has pain.
It is acne or something else?
photo is this acne
Oct 19, 2015
Yes this looks like what is called comedonal acne It is mostly white heads and can be treated. It often does best with a combination of topical medication (esp Retinoids) as well as with physical treatments such as extractions and peels.
I am 28 years old. I have acne, pimples and pigmentation on my face
acne and pigmentation
Oct 19, 2015
This is a very common problem and something that most Dermatologists see daily.. Treatments can include topical as well as oral medicine for the acne and once that clears then there are many options for the pigmentation including creams and devices such as lasers or chemical peels. See a board certified dermatologist
Cool sculpting bulges 3 months after treatment. Is this normal?
bulging after CoolSculpt
Oct 19, 2015
This looks like paradoxical hyperplasia. This has been well described and is in the consent that you signed. I would go back and show your doctor and let them examine. My understanding is that the company will take care of this for you and they will recommend liposuction. Talk to your doctor.
What is this bump/lump on my forehead?
bumps at one day post injection
Oct 19, 2015
This looks like an acne cyst in the photo. I agree that seeing a Board certified Dermatologist in your area is a good idea.
After having coolsculpting will taking a laxative speed up the flushing of the dead fat cells?
Laxative with coolsculpt
Oct 17, 2015
Not likely. The cells will be metabolized by your system naturally . Also results may take 3 months so patience is important
Juvederm and a little botox for a 72 yr old who hardly has any wrinkles just around lips upper part,
safe to use botox and filler in a 72 year old
Oct 2, 2015
Yes this should be fine. I have a patient who gets these treatments in her 90s. The results may not be dramatic so I would worry more about disappointment than I would worry about side effects/safety . Often at this age there are a lot of details that can be treated and by treating one small area, the others can become more noticeable.
What shall I do? Was given Botox in crows feet without permission. I was having my brow and forehead
crows feet treated without permission
Oct 2, 2015
The number of units that you had was within normal standards. Some people with saggy eyelids can get a strange appearance after that area is treated, however , most are fine. Best news is that this will wear of in 3-4 months.. I would try to communicate more clearly with your doctor so that next time he is aware of exactly where and how you want the injections.
I day post juvederm in upper lip, I have a lot of inflammation, but also little hard bumps. When can
bumps at one day post injection
Oct 2, 2015
It looks like these are bruises at the site of the puncture i would use cold compresses to help with the swelling and be patient. It is too early to have the hyaluronidase. Re check in a week with the injector. Steroids can help with the swelling but I wouldn't go there right away
I had 2ml of Juvederm put into my lips. I noticed my lips are uneven and lumpy. Any suggestions?
Lumps at 24 hours
Sep 26, 2015
I would let your provider know but I suspect it will be ok. If there is a bruise on that side you may be uneven until that resolves. Lips are very prone to swelling and you need to plan ahead for that
Botox & Groupon, legal?
Botox and groupon
Sep 26, 2015
My response is not a legal one but an ethical and practical one. Why would you go to the cheapest person foe something that could affect your appearence for 4 months. ? Also, if your provider is skilled they will be confident enough to charge an appropriate fee for their services. If it is too low of a price, they may be using a lesser quality in some other area. Integrity and trust is worth a lot
I am a 50 yo female. I have a red spot on my face. I think it is broken capillaries, but now a brown
Red capillaries and new brown spot
Sep 23, 2015
This sounds like benign sun damage however the brown spot should be examined by a dermatologist. If it is atypical,they will want to remove it and evaluate it under the microscope. If it looks harmless then they will be able to offer you laser or peels to improve the appearance.
Botox, Dysport, Xeomin. Nothing works. Resistent to botulinum?
resistant to toxins
Sep 22, 2015
It would be useful to see how strong your muscles are and to determine if enough toxin was used. Also, sometimes the movement in the glabella is coming from far lateral and this part of the muscle may not have been adequately treated.
Should I be able to create this many wrinkles when squinting after having botox? Do I need more? (Ph
persistant wrinkles
Sep 20, 2015
You could get more toxin if you want to have a more complete result. However, I would use more if you feel like you make that scrunch face frequently enough to warrant the additional cost. You may ask your doctor how many units were used this time and ask for more at your 3-4 month visit. Then you will be able to tell if it is worth the additional costs.