Should I get Botox or fillers?

I am in my mid-30s and have just noticed some new wrinkles on my forehead as I tend to raise my eyebrows a lot. If they are new, slight wrinkles and not deep do you think I will need a filler or should Botox be enough?

It sounds like you are only just starting to see expressive lines on your forehead. This is a perfect time to start with Botox because you can really have a good preventative effect. My recommendation is small doses of Botox (8 to 12 units) -- enough to weaken the muscles and reduce the lines but not so much that you are paralyzed. Over time, if you do a little Botox regularly, you will delay new lines from coming up.

Board certification in plastic surgery is important for facelifts and in dermatology for skin cancer. For Botox, however, experience is what counts. You can tell who is an experienced injector from the Allergan (Botox company) website and go there. And try to have the most experienced injector in the office do the injections. If that's the doctor, great. If he operates all the time and his nurse injects every day, however, have her do it.

Web reference: http://www.westsidemedicalspa.com/botox.html

Rosacea, Fine Lines and Skin Tightening

Hi, I'm 45 years old, the clinic I go to has recommended 3 treatments because I have complained about slight rosacea, vertical lines on cheeks and above lip and some loose skin on the lower sides of my cheeks and chin..................
the machine they use is called Fractional Non-Ablative Skin Resurfacing with the Palomar Starlux System, the treatments are $900.00 a piece.
Would this help these problems, is it worth the expense....Would 3 treatments do it?
Thanks so much.

Although I don't have this device, I do have the Starlux. I have been happy with the Fraxel Fractional Laser, however, I am somewhat skeptical that a fractional device will help you with rosacea and skin tightening. Honestly, I have a hard enough time seeing good results with Thermage (whose very purpose is skin tightening!). I simply don't think that this device will do all three things. It's an Erbium laser, which is good for helping the fine lines a bit, but I don't think that it's powerful enough to make that much of a difference. In my opinion, IPL/photofacial would be a better modality for your rosacea.

Make sure that you speak to a doctor at the clinic - if you're going to shell out that kind of money, you want an MD telling you that yes, this is the right procedure for you.

For the best results, I would target treatments, offering IPL for the rosacea, Thermage for the skin tightening and Juvederm for the lines. Sometimes one size does not fit all!