I recently relocated to Southern California from Atlanta 6 months ago. Finding a Doctor an experienced Doctor that you trust can be extremely overwhelming. I recently had Restylane silk injected into my lips on 12/30/2015. Dr. Andrew Breithaupt is extremely knowledgable about the product itself and the proper placement. I am so greatful to have found both him and his practice. The kindness and professional manner of both him and his staff has made become a loyal client ! Thank you so much
It's difficult to fully say without photos, but wrinkles remaining after CO2 is perfectly normal. I assume you had the CO2 intending to treat wrinkles and dyspigmentation (brown spots) that were present prior to the treatment. While CO2 laser is an excellent option in improving both wrinkles and spots, it is by no means 100% curative. It is completely normal to have wrinkles and spots remaining after only one treatment, especially on the arms where the wound healing response (what you rely upon for that improved appearance after CO2; it is after all a controlled injury) is not as strong as on the face. You may need to consider an additional CO2 treatment or perhaps an alternative like IPL, dilute Sculptra, or radiofrequency tightening.
CO2 laser treatment is an excellent option for improving the appearance of some scars, but not all scars are the same. Your scar should be seen by an expert in lasers to evaluate if it is appropriate for CO2 or may be better treated with something like a pulsed-dye laser (PDL) or even a surgical revision.
While a filler like Juvederm Ultra can help add volume to the body of lip, it may not help to define the Cupid's bow, more specifically the white roll. You may want to consider having a small amount of the Juvederm dissolved (using Hyaluronidase) in the body of the lip to the sides of your Cupid's bow, and instead have a thinner filler like Belotero, Juvederm Volbella, or Restylane Silk added directly into the white roll and the philtrum of your lip. This will generally add more definition and give you a more eye-catching Cupid's bow.
Everyone's face is naturally asymmetric, but unfortunately even slight a difference around the eyes stands out easily. While surgery (more specifically, an upper eyelid blepharoplasty) may be a definitive treatment, there are obvious risks that go along with this and it is understandable to seek out less invasive options first.I think one for you to consider before surgery would be a little bit of well-placed Botox and filler on the affected side. By filling your lateral brow fat pad with a bit of filler like Juvederm or Restylane and small amount of Botox to your lateral orbicularis muscle (right around the tail of your eyebrow), you could get a slight raise on that side; which is all your really need. This would be a simple, non-invasive option to consider before surgery. The filler is easily reversible if you don't like it and the Botox would last about 3-4 months.
