Yes, African-Americans do get lip injections with fillers such as Juvederm and Restalyne. The common ratio of the face, including the lips, is called the "Golden ratio" or "Phi" which is approximately 1 to 1.6…..which means your lower lip is usually a little bit larger then the upper lip to maintain this ratio in theory. But it also depends on other factors since you want the overall appearance of your face to be similar and fit together well. See a specialist who is experienced in using fillers in the lips.
Sometimes patients do have a mild headache after Botox, but usually it goes away within a day, not common for it to last for days so…. hopefully that resolves. As far as the dropping of the eyebrows, it really depends on the injection areas, how deep injected and the amount injected. Since only 2 days, you really need to give it some more time to determine how it will look. I will have patients wait 2 weeks before injecting more, since by then you have the maximum effect, and you do not add more where it is not needed. Finally, if you want to use Botox for tension headaches, you will typically need more Botox that is spread around the forehead and scalp areas to likely get a good result.
The common fillers are injected into the deeper part of the skin called the dermis. Depending on the filler and type, it may be injected superficial or deep into the dermis. Also some fillers are injected deeper than the skin and are placed close to the bone and below the muscle. In the nose, you would want someone who is comfortable injected there since it is not a common area to inject with fillers and you have risks in that area due to blood vessels and the eye very close by. The fillers will last anywhere from 6-12 months usually in that area. See a specialist and they can discuss the best fillers based on the depression and your best options.
If you have a history of cold sores, various factors can cause them to recur; such as injections for fillers around the mouth, lasers, sunlight, stress, illness, etc. So there is the risk with fillers and lasers that a cold sore may occur. Discuss with your provider, and they will likely have you continue the anti-viral medication before and after the Genesis; or they may have you take a higher dose depending on your prescription.
It is not uncommon to get swelling and puffiness after fillers, such as Voluma. If almost a week after the injection the swelling should be resolving, unless you had some other issue where the injection possible caused some bleeding, touching a nerve, etc. I recommend if not improving then go back to your provider to ensure nothing more serious is going on. If any issues, there are was to help alleviate or even dissolve the Voluma.
