46 year old female with crows feet, loss of lip volume with smokers lines, heaviness of upper eye lids

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Before: Deep forehead lines, heaviness upper eye lids due to brow drooping, puffiness lower lids, thin lips with smokers lines, deep marionette folds. After: Botox injections to her forehead and around the eyes. Note lifted eye brows and less heaviness in the upper lids due to the Botox injections. Juvederm injections in her lips and lip lines, marionette folds, and around her lower eye lids to camouflage the puffiness.