Steven H. Williams, MD

Hi, Thank you for your question. ThermiVa is an excellent option for vaginal rejuvenation and many of our patients report good improvement in vaginal tightness and sensation. The procedure is typically done in a series of 3 treatments with a yearly touch up. The primary benefit compared to other vaginal lasers/treatments is that ThermiVa has no downtime. Hope this helps! Make sure to see an experienced, board certified provider that you are comfortable with.

Hi, Thank you for your question and sharing your photos. We have had many happy patients with improvement in vaginal tightness after a series of thermiVa treatments. Patients typically report improvement in sensation as well. In regards to laxity (loose tissue) of the labia minora, I counsel patients that ThermiVa isn't the ideal modality to address this concern. To reduce excess tissue in the labia, many of our patients proceed with labiaplasty and are very happy with the long lasting results. Hope this helps. Make sure to see an experienced, board-certified provider that you are comfortable with.

Hi, Thank you for your question and sharing your photo. Cheek filler would be a good start to help give the face a more heart shape appearance. It's difficult to evaluate without a profile/45 view, but you may also be a candidate for chin filler to balance the profile and lower face. Hope this helps. Make sure to see an experienced, board-certified provider.

Hi, Thank you for your question and sharing your photo. Botox can be used to shape the brows and "botox browlift" doesn't always mean lifting the medial (inner) part of the eyebrows. Botox can be strategically placed in the muscles that control brow movement to give a more arched appearance to the tail of the brow. Hope this helps! Make sure to see an experienced, board-certified provider.

Hi, Thank you for your question. Yes, botox and fillers can be done on the same day. Just be aware that the slimming effect of masseter botox won't be noticeable until about 6 weeks after treatment. Hope this helps!

Hi, Thank you for your question. Botox can be confusing in how it works. It's function is to relax the muscle so depending on whether the muscle's action is as a brow depressor or elevator, will determine whether botox will cause the brows to lift or fall. Botox in the glabella (depressor) will result in elevation of the medial brow when the depressor action is relaxed. Botox in the frontalis (elevator) will result in a lowering of the brows due to reduced ability to lift. Hope that makes sense. Make sure to see an experienced, board certified provider.

Hi,Thank you for your question and sharing your photo.Restylane and Juvederm are both HA products manufactured by competitor companies. The ingredients are the same but processed differently, which results in differences in product density, thickness, longevity, hydrophilicity, cohesiveness, etc.I would suggest selecting a provider that you share a similar aesthetic taste and allowing them to guide you with product selection. In my experience, it's best to gradually increase lip volume if your goal is very full lips while maintaining a natural result.Hope this helps!

Hi,Thank you for your question.It's difficult to say without more information about where the botox is being injected (e.g. gummy smile vs. lip flip). Botox does result in muscle relaxation so theoretically, depending on the area treated, there might be a "stuck" feeling. Typically, when done properly, Botox should look natural.Hope this helps. Make sure to consult with an experienced, board-certified provider.

Hi,Thank you for your question. Theoretically, yes. Botox can be used in specific muscles to create a chemical brow lift focused on the side you have a lower brow; however, it's difficult to give an exact answer without seeing the muscles in movement with an in person consultation.Hope this helps!

Hi,Thank you for your questions.Botox and Dysport work by disrupting the communication between nerve cells and muscle cells. This is an irreversible process at the neuromuscular junction but eventually new nerve terminals will develop over the next few months.By preventing/reducing muscular movement, this reduces the pull on the overlying skin resulting in decreased wrinkles. Hope this helps!