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Frequently Asked Questions Skin Care


Congratulations! You have found the best way to learn about skin care. Most of the freequently asked skin care questions you might be interested in are already here, organized by categories. If you come up with a really good question that we missed, we will be happy to post it here. We will even give you a coupon that you can use to get discounts on products and services. Enjoy!

Michael Sinclair, MD



Q. Which method is better for treating spider veins, sclerotherapy or YAG laser therapy?

Both methods are effective. In our experience, spider veins that are one to four millimeters in diameter are best treated with sclerotherapy, and spider veins that are smaller than one millimeter are best treated with the YAG Laser. To get the best possible results, a combination of both treatments works best.

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Q. What kind of side effects can I get from treatment with Sculptra?

Sculptra® injections, just like any other injection, can cause some bruising and swelling. The swelling and bruising usually lasts for a few days. We have some special techniques that we use to minimize the swelling and bruising associated with Sculptra® injections. More serious side effects such are possible but very rare.

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Q. Why is squeezing pimples a bad idea?

When you squeeze a pimple you tend to spread at least some of the bacteria under the skin which can lead to an acne cyst and a permanent scar. If you want to try to treat a single pimple at home we can teach you how to do it safely without squeezing!

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Q. Which treatment for spider veins hurts more, sclerotherapy or YAG laser therapy?

Neither treatment is very painful. The needles we use are extremely small, and the liquid we inject is designed to minimize discomfort. The YAG laser we use chills the skin before during and after each pulse, which also minimizes discomfort. As a rule, larger veins are a bit more painful to treat than smaller veins. Most patients who've had both forms of treatment describe the sclerotherapy as less painful.

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Q. How do I know if I am getting enough BOTOX® vs. diluted BOTOX®?

You should be paying for the number of units of BOTOX® used in your treatment. Charging by the area or by the volume of BOTOX® does not make much sense and it is not very fair. The doctor decides when he is mixing the BOTOX® how much water to put in the vial. Since the water (called saline) costs almost nothing, the volume of the BOTOX® can be very misleading. Some areas take only a few units of BOTOX® to treat, other areas take many more units of BOTOX® to treat. We typically use 50 units of BOTOX® to treat 3-4 areas on a woman's face, and 75 units of BOTOX® to treat 3-4 areas on a man's face.

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