1. Hyaluronic acid fillers which can be reversed using an enzyme called hyaluronidase. Potential side effects here include short-term swelling/redness/pain at the injection sites. Usually, very short-lived side effects and the results will require top-ups every few months to one year. Infection, bruising, and asymmetry may also be potential side effects that would require intervention.
2. Collagen boosters - these include materials such as Radiesse which is made from a different material. These fillers have the advantage of boosting more of the body's own collagen and lasting a little longer, but carry the risk of forming nodules that are difficult to treat and may last for up to one year or longer. There is no known enzyme to break down this material, but in experienced hands, it is safe and effective. Sculptra and Ellanse are other options in this class.
3. Fat from your own body. This has the advantage of being natural, very long-lasting, and effective but the down-side is that it's more invasive, requiring anesthesia and more instrumentation and has a longer down-time.
As always, the best approach is to seek out the services of a board-certified, experienced practitioner.
Botox is a naturally occurring protein that, when used in small amounts, paralyzes the muscles of the face, leading to a reduction in wrinkles. It is safe and effective when used in the upper face muscles, the ones that lead to horizontal forehead lines, frown lines, and crow's feet wrinkles around the eye. There are several other uses for it as well, but these are the standard treatment areas.
Once this is established and depending on the type of hair loss several options can be discussed. These include medications (Minoxidil, Finasteride) that may help reduce your hair loss and increase the quantity of hair. PRP and several other newer treatments are also available. A hair restoration session is definitely another good option if there are no contraindications in your case.
You state in your question that you'd like to learn more about the options for reconstructive surgery or treatments for improving the appearance of scars. I can give you some insight as scar revision is a big part of my practice. Scars come in many different forms including those that result from acne, and there are several types there or ones that come from trauma, burns, or previous surgery. They all share one thing in common - some insult has caused the skin to deposit collagen in a disorganized way leading to the scar appearance.
Two particular scars deserve their own mention, "hypertrophic scars" and "keloids." Both of these are the result of abnormal collagen deposition, but the process has gone haywire. In the case of hypertrophic scars, the lesion or scar looks like a high mountain, but it remains within the borders of the original injury. In the case of a keloid, the scar can grow outside of the original borders. Color changes may also be common. As you can see, it is already getting quite complicated.
So, the best thing for you is to get your scar assessed by someone with a lot of experience dealing with this kind of problem. Depending on the findings, several treatment modalities may be employed...these can range from some peels, laser, something called subcision, where the scar's attachments are released, hyaluronic acid fillers which may elevate a depressed scar, or in extreme cases a surgical revision. It is rarely possible to eliminate a scar, but significant improvements in their appearance can be achieved.
I'm very sorry to hear about your daughter's burn injury. I hope that she was able to receive the necessary care in a timely fashion and that she is now well.
The marks or scars left over from such an occurrence can vary widely in their appearance, shape, depth, color, and amount of space on the body that is impacted. The treatments will vary greatly depending on the exact situation but may involve a series of injections of a steroid called Triamcinolone to flatten out ridgy or elevated scars, a series of peels to try to improve the texture or color of the scar, laser or another energy-based resurfacing to try to blend the scars into their surrounding tissues, or even surgery to reconstruct the area and use different skin substitutes of skin tissue from elsewhere in the body. I think it best that you see a board-certified doctor with lots of experience treating scars in your area in order to receive the best care possible.
There are indeed many options for sculpting this area, both surgical (liposuction and/or autologous fat transfer - this is whereby your own fat is used to fill and contour certain areas) and nonsurgical (Coolsculpt whereby the fat is frozen or Radiofrequency technology whereby the energy delivered breaks down and eliminates stubborn fat pockets).
I would recommend you seek out a Board-Certified Plastic Surgeon in your area, preferably someone with lots of body sculpting experience, to get a good assessment and discuss your options.
Botox, or botulinum toxin, is a naturally occurring molecule that can reduce muscle activity in the area that it is injected. As a result of the decrease in muscle tone, the wrinkles that usually form with our strong expression are temporarily eliminated. It has proven to be a safe and efficient treatment for reducing wrinkles even with long-term use. The important things to be careful about are:
1. Ensure you are receiving your treatment from someone well trained. Plastic Surgeons and Dermatologists usually have the most experience administering this treatment
2. Ensure that you are receiving your botox injections in the context of a comprehensive anti-aging plan - that means a good moisturizer, a good anti-wrinkle cream, and a schedule for the injections.
3. Depending on the depth of your wrinkles, you may need to have the injections repeated every 6-9 months.
4. Several studies have shown that although the lines do recur in the short-term as the Botox wears off, in the long-term you can maintain a noticeable reduction in the depth of wrinkles.
5. Potential side effects include droopy eyelid (often the result of poor injection technique, asymmetric results, or mild irritation at the site of injection).
6. If you do not like the idea of repeated injections, then you can discuss longer-term options such as plasma helium resurfacing or CO2 laser resurfacing depending on your skin type.
Stretch marks, also known as striae distensae, result from the stretching of the skin that occurs as a result of the weight gain in pregnancy. Your beautiful baby boy was definitely on the bigger side, so this probably contributed to the stretch marks.
There are several options you can consider:
1. Combination therapy utilizing injections of a gas called carbon dioxide (Carboxytherapy) along with injections of a mesotherapy specifically formulated for stretch marks (I prefer RRS Strimatrix) followed by microneedling. This treatment is almost guaranteed to significantly reduce the stretchmarks but will require 6-8 sessions spaced about 1 month apart.
2. Another option is to utilize laser resurfacing or Infini (microneedling + radiofrequency technology) to reduce them.
3. Both options work very well but I prefer the first one because I have found the results to be slightly better.