Mitchell J. Ross, MD

This evaluation is based on the photos submitted, but it is still best to be seen in office for an accurate treatment plan. To balance out your facial features, a small amount of volume can be added to your temples which will help elevate your lateral brow. You can also benefit from lateral cheek filler which will help lift the lower face. Your bottom lip has great shape and volume, so we would want to add more volume and definition to the upper lip. Also, by adding more projection to your chin we can elongate your face to give a more feminine facial structure.

Best of luck,

Dr. Mitchell Ross

The cause of your perioral mouth lines is due to repetitive muscle movement, that leads to etched lines in the skin. Botox can be used to prevent the lines from worsening with a single treatment, but to improve the lines even more it will take several consecutive treatments that are done 3-4 months apart. 

Your first time getting lip injections is a learning experience. It is normal to have mild swelling and bruising after injections. Typically I have my patients ice and keep their head elevated for 24hrs post treatment to help subside swelling. The swelling and bruises that you have are most likely contributing to the asymmetry seen in your lips. Give yourself a full 2 weeks before truly assessing the appearance. Then at your follow up appointment, be sure to address any concerns if the asymmetry still persists. 

Great Question! Botox is used to reduce muscle contraction that causes expression lines, such as the crow’s feet. It can also be used more superficially under the eye to help reduce the “crepiness” of the skin there. It is not the answer for everyone, because in some individuals it can make the lower eyelid sag. For this reason, be sure to go to an expert injector who knows their anatomy. I hope this helps.

Dr. Mitchell Ross

Greenwich Medical Spa 

Greenwich-Westport-Scarsdale

I would recommend getting approval from your orthopedic surgeon. As long as the Voluma is injected with sterile technique before placement, it should not be a problem. However, there is always a small risk of infection with any filler placement and if your filler was to become infected, it could prevent you from getting your hip replacement until the infection is resolved.