Joshua Wall, MBBS

I don’t believe we can confidently predict what has occurred here. It would be unusually for the pimple to last 2.5 months. It is true the pimple could have been injected into and created a layer of scar tissue that the body will remove however the removal process will take time. Up to 3-4 months would usually be enough. The bump could be a lump of filler that did not integrate properly into the tissues. The only true way to tell what is happening is to find an injector who does ultrasound injecting and they can have a look and tell you if its filler, some residual scar tissue, a blocked duct or a pimple.

Yes getting Chin and Jawline Filler would really help the appearance of your side profile. It would bring better balance and harmony to the lower face helping to feminise your profile. We need to put a little bit of filler into your chin for projection. This will also help reduce the appearance of an overbite. You need to make sure you also get your pre jowl area injected with filler. This will help lift the jawline here creates more definition and shape for your profile. Depending on the results from that we may look at a small amount of filler at the back of your jawline but the most important area would be your chin and pre jowl area.

Whilst it does look like your cupids bow has a little too much injected we really need to fix the whole perioral and lip area of your mouth. Firstly as you can see from your profile image your top lip protrudes more than your bottom lip. This ratio should be the other way. The ideal size ratio is 1 for the top lip to 1.6 times for the bottom lip. So you Bottom Lip needs to be injected with filler to get closer to this ratio. Next you can see that the corners of your mouth face downwards and the marionette lines (lines from the corner of the mouth to your chin/jawline) are quite strong with you. We need to use some filler in this area to strengthen and support the lower part of you mouth and potentially use some Botox to do either a lip flip or to treat your DAO’s (depressor anguli oris muscle) This would lift the corners of your mouth upwards and help widen your lips. My recommendation would be to do all of this first and then reassess whether your cupids bow needs to be dissolved. My thoughts are it most likely will be but I would leave this till the end.

Dysport does take on average around 3 days before it starts to work and up to 2 weeks for the full results to appear. So you should assume that the results will continue to improve in the forehead and frown lines. Should they not be what you expected most clinic will be more than happy to give you a small top up to achieve the result you were after. Please just wait the full 2 weeks before requesting this as many studies have shown maximal results do not appear until 10-14 days after injection.

I would recommend starting with 0.5mls of filler. It is true if you do have small lips and too much product is placed in them they can become overfilled and the product may migrate outside the lip border. In your case your lips have a beautiful shape and even though a little small I would recommend slowly building them up. This creates two positive effects. It lets you see how lip filler works for you and the results you like. It also lets the filler naturally integrate into the lip tissue and slowly get bigger. This is the best way to build larger lips. Build the product in slowly every 4-6 weeks until you get to the size you are happy with. A good thing to keep in mind is immediately after having your lips injected their will be some swelling. If you prefer the shape of your lips at this stage more than 2-3 days post filler it is a good sign you need to come back and have a top up.