Dan Ilkovitch, MD, PhD, FAAD

It’s dofficult to tell from your photo, but most lip lines may require a combination of filler and small amounts of Botox.  Only have that performed by a board certified core doctor (plastics, Dermatology,..).  Also we don’t recommend that musicians have Botox to this area as it can affect lip movements temporarily.  

We believe the product stays locally where injected until it is metabolized.   Some people have 200units injected when treating hyperhidrosis of the palms of the hands, and there does not seem to be any systemic effects from that 

Botox can be used to lower eyebrows, but there is a fine line as it may lead to eyelid drooping.   Go with low amounts and add more later if needed.  Make sure a board certified physician in the core specialties attempts this for you.

The number of vials of kybella needed varies from person to person due to size of neck and shape of neck.  Overall using less vials with more sessions may take longer but in the end may be a better option to target remaining fat deposits.   Defiantly only go to a core board certified doctor for such treatment (plastics, Dermatology) to avoid complications. 

Different areas of lip can swell differently after a needle passes thru, so wait 2 weeks before having the area re evaluated!