Ann B. Marshall, MD

Hello!

I like to start with Botox or Dysport when treating lines between the eyebrows.  I usually bring my first-time Botox patients back after 2 weeks to see how things are looking, then we can add a tiny bit of filler if necessary...often times, even if filler is needed, we rarely need to repeat it as long as we are keeping up with the Botox!  A soft hyaluronic acid filler, such as Juvaderm, is what I would choose to soften the lines around your mouth. I think you would love the results!!

Best wishes!

Dr. Ann

Hi there!  If your examination in person showed a more active masseter muscle on the fuller side, I would definitely start by relaxing that overactive muscle with Botox.  Given your photos and your description, I think that is likely the case. I use Botox in my own masseter muscles to treat grinding and it has resulted in a less bulky appearance in my jawline as well.




Good luck!

Dr. Ann

Absolutely!  I would choose either Juvaderm or Volbella, based on the picture you shared...both would give a soft, natural-looking enhancement.




Best wishes!

Dr. Ann

Hello!  I think that filler would be a very nice way to start giving your face the balance that you desire.  Voluma would be a nice choice, because it is strong enough to lift the cheek and enhance the chin, is long-lasting, and can be dissolved if needed.  I also agree with your plan to address the lower jaw...if not with an orthodontist, then perhaps with a facial plastic surgeon or oral-maxillofacial surgeon. 




Good Luck!

Dr. Ann

Hello!




We treat vessels around the eye with the vascular (1064) laser.  By inserting intraocular eye shields, we can get very close to the lash line, while ensuring that the eye is completely protected.  I have had this procedure done myself and it was very effective!  And you are correct about fillers.  They may not make vessels less visible, as they are generally placed beneath the surface vessels.  Occasionally, under eye filler will make the vessels a little more visible if the vessels are not treated first...this is a conversation I make sure to have with my patients when making a plan for their tear trough area! 




Good luck!

Dr. Ann