Thank you for the question! You will experience no side effects or increased risks when receiving a Nuerotoxin such as Botox or Dysport. You should not however receive Nuerotoxins while pregnant or breastfeeding.
Great question! Botox is a wonderful option for wrinkles caused by movement. Think of when you make an angry or excited face, those wrinkles on your forehead and in between your eyebrows (the 11's) are called dynamic wrinkles. However, Botox won't give you the results you are looking for concerning smoker lines, your Nasolabial Folds, or Marionette lines (the lines created when you smile that make a triangle from the bottom of your nose to the edge of your lips and can cause a droopy looking lip). For these kinds of wrinkles you may want to consider filler. Filler will help to reduce the lines by replacing lost mass in the area giving you a more youthful look! There are many wonderful injectors out there who can expertly do this for you with a natural look, the best suggestion is to always vet your injector beforehand and ensure they are certified regardless of if you are going for solely Botox, filler, or both.
Lumps. bumps, and asymmetric swelling are very common after lip injections. It is best to wait approximately two weeks for the filler to have integrated and the swelling to have dissipated so the lips can be properly addressed. This is when if any corrections need to be made, they can be properly addressed. With any cosmetic service, especially injectables, it is very important to do your due diligence on your provider to ensure that they are properly trained, qualified, and credentialed before your treatment.
Thanks for the question. In my personal opinion you may have been under dosed. Generally in the 11's the average is 20 units in comparison to the 14 you had. In the photo it appears you still have movement. It would be helpful to see the before picture to better assess how strong the movement was prior (which correlates to how much Botox is needed to treat the area).
Of course! It is your personal goal, the provider may give you their input or personal input, but at the end of the day it is your personal goals that should be respected. As a provider, we do approach treating the overall face as a whole, however again it is still your personal choice that is most important when receiving cosmetic treatments.