Can Botox help with excessive drooling (sialorrhea)?
Yes. Botox injected into the salivary glands reduces saliva production and is an established treatment for sialorrhea, the excessive drooling that accompanies conditions such as Parkinson's disease, ALS, cerebral palsy and stroke. Injections are quick and often guided by anatomy or ultrasound. Results begin within one to two weeks and last three to four months. It is FDA-approved for this use in adults.
Drooling can be socially isolating and can cause skin breakdown and aspiration risk. Neuromodulator treatment is one of the most effective interventions and avoids the dry-mouth side effects of oral anticholinergic medications.
What to expect
- Small injections into the parotid and submandibular glands on each side
- About 15 minutes; minimal discomfort
- Reduced saliva within one to two weeks
- Repeat every three to four months
Dr. Darvish treats sialorrhea in both offices and coordinates with your neurologist or primary physician.
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Melasma is best treated with a combination: daily broad-spectrum mineral sunscreen, prescription brightening creams such as hydroquinone, tretinoin and azelaic acid, gentle chemical peels, and in some cases oral tranexamic acid. Aggressive lasers and IPL can make melasma worse and are used cautiously if at all. Melasma is controlled rather than cured, so maintenance matters. Read more
How do you get rid of adult acne?
Adult acne is treated with prescription topicals such as retinoids, benzoyl peroxide and antibiotics, oral medications including spironolactone for hormonal acne in women, antibiotics or isotretinoin for severe cases, and in-office treatments like chemical peels, photodynamic therapy and extractions. Because adult acne is usually hormonal and persistent, a physician-directed plan works far better than over-the-counter products. Read more
What is the best treatment for rosacea?
Rosacea is managed with trigger avoidance, gentle skincare and daily sunscreen, prescription topicals such as metronidazole, azelaic acid and ivermectin for bumps, oral low-dose doxycycline for flares, and IPL or vascular laser for persistent redness and visible vessels, which medications do not treat. A series of three to five IPL sessions can reduce background redness dramatically. Read more
How are skin tags removed?
Skin tags are removed in the office in minutes by snipping with sterile scissors, cauterizing with an electric needle, or freezing with liquid nitrogen. A small amount of local anesthetic is used for larger tags. There is minimal discomfort, no stitches, and the spot heals within a week or two. Removal is permanent for that tag, though new ones can form elsewhere. Read more
Can moles be removed without scarring?
Moles can be removed with minimal scarring, but never with no mark at all. Raised moles are often shaved flush with the skin and heal with a flat, faint mark. Flat or suspicious moles are excised and closed with fine sutures, leaving a thin line that fades over a year. Every removed mole should be sent for pathology to rule out melanoma, which is why removal belongs with a physician, not a laser spa. Read more
How do you get rid of brown spots on the face?
Brown spots from sun are removed with IPL photofacials or pigment lasers, which target melanin so the spots darken and flake away in one to two weeks, and with chemical peels and prescription brightening creams for a gentler, gradual approach. Daily sunscreen prevents new ones. A dermatologist should examine any spot that is new, changing or irregular before it is treated. Read more
How do you treat spider veins on the legs?
Spider veins on the legs are treated primarily with sclerotherapy, an injection that collapses the vein so it fades over several weeks, and with laser for very fine veins and for patients who prefer no needles. Most people need two to four sessions. Compression stockings and walking afterward improve results. Larger varicose veins may need evaluation of the underlying vein first. Read more
Does Latisse really work to grow eyelashes?
Yes. Latisse (bimatoprost) is the only FDA-approved treatment for inadequate eyelashes. Applied nightly along the upper lash line, it lengthens the growth phase of the lashes, making them longer, thicker and darker. Results begin at about four weeks and peak at sixteen. It must be continued to maintain the effect, and it is prescription-only, available at Skinpeccable. Read more