This is a common issue and I totally understand what you are saying. My patients want to look normal and good at all times; no ups and downs. Our motto is "did she or didn't she". Therefore, I do not overfill the lips when using fillers. I make it look perfect in the office; the patient comes back to touch it up just when the fullness starts to decrease. This approach requires more office visits for the patient but they look great all the time. Also, I use Juvederm, which seems to last the longest. Hope this helps.
Tracy M. Pfeifer, MD



