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Questions answered by verified providers

14 patient questions with 28 answers from licensed providers trained by Empire Medical Training.

Anyone can ask here, and the people who answer are the same providers listed on this site — each answer carries their name, their credentials and the city they practise in, so you can tell who is talking. 14 of 14 questions on this page already have an answer.

Answers are general information, not a diagnosis: no provider can tell you what you need without examining you. For anything urgent, call your doctor or 911. Ask your own question ↓

All treatmentsBotoxChemical PeelsDermal FillersHair RestorationIV NutritionKybellaLip EnhancementMicroneedlingPDO Thread LiftPRP TherapyWeight Management

How many units of Botox do I need for my forehead and frown lines?

2 provider answers · asked by Danielle, 34 · Nashville, TN

Olivia Hartwell, MD

Olivia Hartwell, MD

For a first treatment on light forehead lines plus the frown area, most patients need somewhere between 20 and 30 units in total, split between the two areas. The exact number depends on how strong your muscles are, not on your age. A good…

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Is lip filler safe if I have a history of cold sores?

2 provider answers · asked by Marisol, 29 · Miami, FL

Isabella Moreno, PA-C

Isabella Moreno, PA-C

It is very manageable. Tell your provider before the appointment: we usually prescribe an antiviral such as valacyclovir starting the day before treatment and continuing for a few days after, which greatly reduces the chance of an outbreak.…

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I am 26 — is it too early to start preventive Botox?

2 provider answers · asked by Chloe, 26 · Denver, CO

Sofia Castellanos, PA-C

Sofia Castellanos, PA-C

There is no magic age. What matters is whether you have lines that are starting to stay after your face relaxes. If your lines are only there with movement, small doses can slow them from becoming permanent, and many of my patients in their…

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How long until I see results from PRP for hair loss?

2 provider answers · asked by Priscilla, 39 · Seattle, WA

Mei Tanaka, NP

Mei Tanaka, NP

Two sessions in is too early to judge. Hair grows in cycles, so most patients start noticing less shedding around month two or three and visible density between months four and six. We take standardized photos at every visit because the…

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Are GLP-1 medications safe long term for weight loss?

2 provider answers · asked by Tomás, 44 · Philadelphia, PA

Anthony DiMarco, MD

Anthony DiMarco, MD

These medications have been used for type 2 diabetes for years and have a well-documented safety profile, with nausea and constipation as the common complaints. Two things matter for the questions you are asking: protein intake and…

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What is the recovery really like after Kybella?

2 provider answers · asked by Brandon, 41 · Beverly Hills, CA

Ryan Mitchell, PA-C

Ryan Mitchell, PA-C

Be honest with yourself about the swelling: the area under the chin is visibly puffy for three to five days, sometimes longer after the first session, and it can feel firm or numb for a few weeks. That swelling is the treatment working.…

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Do I need filler under my eyes or something else?

2 provider answers · asked by Elena, 43 · Denver, CO

Sofia Castellanos, PA-C

Sofia Castellanos, PA-C

Under-eyes are the area where the wrong choice shows the fastest. If the hollow is a true loss of volume, a small amount of filler placed deep can transform it. If the problem is thin, crepey skin or pigment, filler can make it look worse,…

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Can I fly or exercise after IV therapy or injectables?

2 provider answers · asked by Devon, 38 · Las Vegas, NV

Daniel Reyes, NP

Daniel Reyes, NP

IV therapy has no real restrictions — many of my patients come in straight from the airport and train the same day. Injectables are different: after Botox, stay upright for four hours and skip hard training that day, and after filler avoid…

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