Was the Recommendations During My Consult for Botox/filler Correct? (photo) Doctor Answers, Tips
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Was the Recommendations During My Consult for Botox/filler Correct? (photo)

Hello! I'm 36 yrs old, olive skinned, 5'3" 110 lbs that has never had anything done. No wrinkles when resting, however over the past year, have noticed creasing under my eyes when I smile. I had my consult today and he recommended two syringes Perlane along cheekbone and one injection site Botox crows feet area. I don't want anybody to tell I've had anything done. I just want to look like I've had a nice long nap and have awoken refreshed. What are your thoughts?

4 Doctor Answers | Asked by Natural2011
+2

Dermal Filler Recommendations

Hi Natural. We do not agree with the recommendations. First, there is not much contraction at the outer eye (crow's feet) area. If you did have any Botox there, it would likely be a very small amount because there are almost no smile lines even when you are smiling. As for the cheek and under eye area, we would suggest 1-2 mL's (syringes) of Restylane. Perlane is a great product and works very wll fo rthe cheeks, but the issue that is most visible to us is the... more
+2

Was the Recommendations During My Consult for Botox/filler Correct

I think it's a good recommendation as long as you are seeing someone who is a good, board certified physician injector. Under the eyes and upper cheekbones can be an area that is poorly done by inexperienced injectors. I tend to be more conservative and would have you start with the Botox and one syringe. Then come back a few weeks later and assess if you need a second syringe there. Also, if you wear daily sunscreen it will help tremendously!
+1

Treating the area under the eyes

In general, an appropriate skincare regimen, resurfacing procedures such as peels and lasers, and finally Botox or Dysport injections can address fine wrinkles under the eyes. I would recommend starting here and seeing how you respond. I hope this helps, and I wish you the best of luck.

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+1

Botox and fillers

If you're looking for a more "natural" look, I think you're best to start conservatively. It's not absolutely necessary to get all areas treated at the same time - start slow and see how you like the progression.
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Comments (4)

Lydia in NJ 8 Feb 2013
Hi. First, wondering if you ever had the Botox and Perlane injections you were considering--? If so, how much and what areas? I'm 5'2" and 105 lbs, so very similar body type to you. But I'm now 10 years older than you. And I also had naturally full cheekbones. Over the past five years, I've gotten Botox and tried both Perlane (along my upper/outer cheek bones) as well as some Radiesse for mid face. In the beginning, I only had small amounts of Botox for my forehead lines, glabellar lines and a wee amount for early crows feet. I looked great. And so I continued the Botox every 5 months or so. What happened to me was that my then fuller cheeks would push-up the skin right under my eyes when I smiled. After only a little more than a year, I noticed a significant increase in the creases directly beneath my eyes. This really bugged me. So what did I do? I asked my PS to please inject Botox more so under my eyes. I finally realized I was making a bad situation worse. I had the two reactions (more common than doctors like to admit) that may happen when using Botox under one's eyes: immediately after and continuing for the first two months or so after injections, every morning I would have mild, but certainly noticeable, puffs (bags) where beneath where I got my shots. I found out from doctors "in-the-know" that Botox may temporarily prevent normal lymphatic action -- think of windshield wipers clearing away water. Well, this fluid wasn't being properly whisked away while I slept. As the Botox would begin to wear off, the bags would diminish. It took me quite a while to research and make the connection. Also, Botox injected under the eyes and into the crows feet can subtlety change the way your eyes "smile." Just not quite right! I haven't had any Botox since last May and I'm dying to get my forehead done. And I will soon. But no where near my eyes--even though over the last several years, I developed undereye creases when I smile, though smooth at rest. A couple of doctors explained to me (and I finally also read so from doctors on this site) that by "paralyzingly" some muscles under the eye, other muscles have to pick-up the slack. And after a couple of years doing so, the skin covering the muscles does get tired. Result? Undereye creases that just don't stay smooth when I smile. I had smooth skin when I smiled prior to beginning all this. And being a youthful looking type, this now forever part of my smile, really is a bummer. I'm so considering and researching small amounts of Restylane injected into my tear troughs as a way to give some volume to the area, hopefully decreasing a bit. One more thing: the last time I had Perlane (1/2 syringe each side) injected to sort of bring back my once more heart-shape face, I did think it did just that. It was a bit swollen for a few weeks, then calmed down nicely. But, in honesty, it did nothing for my smile creases. That's why I'm looking into the Restylane. If you haven't already gotten any filler, remember your username -- and keep it light and natural. Over-filled cheekbones just push up those undereye creases more, every time you smile! If you've discovered some way other than Botox to blur your creases, do share! Good luck.
Natural2011 8 Nov 2012
Thank you,Dr. He said 2 syringes total so one on each side. So do you mean you would do 1 syringe total, half syringe each side? Maybe I should just to Botox first and then go back for filler if I need.
Megan P (Community Manager) 8 Nov 2012

Just wanted to let you know that it is unlikely that the doctors will see your comments in this section, as this section is meant as a place for the community to discuss the question. You are always welcome to post another Q&A though.

Also, we are almost the exact same age, height, and weight! Not easy seeing those wrinkles form, is it? Oh well, we're fortunate to have laughed and smiled enough to have formed them. :)

Natural2011 8 Nov 2012
where do I post the question? I just joined the site so have no clue! Lol! Sorry.

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