DoctoraVital Med Spa - Cooper City

Absolutely, I understand your concern, and it must be frustrating to have had to resort to dissolving previous fillers with hyaluronidase after several years of adjustments. Waiting for your lips to recover for at least three weeks would be the best approach, as adding more filler to already swelled lips with migration issues could exacerbate the problem.

I'd recommend our proprietary Lip Renaissance technique for cases like yours. This customized approach tailors different techniques and fillers to individual anatomy and aesthetic goals, focusing on achieving balance and harmony. For restoring your lip shape and maintaining fullness, we might use a combination of Restylane Kysse for softer, more natural fullness and Restylane Lyft or Contour for precise shaping and structure, especially effective in correcting asymmetry and addressing specific concerns like the 'shelf' appearance.

Our Lip Renaissance technique is designed to redefine the vermilion border and provide targeted enhancement to areas like your top left lip, ensuring the filler complements your natural lip structure without overwhelming it.

I see you're looking for significant enhancement with your lip fillers, focusing on balancing the volume between your upper and lower lips and achieving pronounced projection and lift. Given your goals and the rapid metabolism you mentioned, I recommend two specific products from Restylane, which won't alter the natural color of your lips—a concern with some other fillers that might leave your lips looking unnaturally pale.

At DoctoraVital Med Spa, we specialize in a customized technique known as Lip Renaissance. This approach allows us to tailor the treatment to individual needs using various techniques and fillers appropriate to their properties.

For structure and definition, I would suggest Restylane Kysse or Lyft used with a vertical technique, and for the Vermillion border if needed. To enhance the volume in the tubercles and provide overall lip fullness, Restylane Contour would be ideal. Although these fillers are durable, I recommend a follow-up visit within 6 months. This isn't due to the longevity of the fillers but to progressively build upon the initial results to achieve the optimal outcome over time. With this approach you should be able to enjoy your full lips, with maintenance once a month.

I understand your concern—you expect balanced and natural-looking results from your Dysport treatment, but you've noticed persistent asymmetry in your eyebrow movement.

Without a before picture, it’s difficult to assess your natural muscle activity, but based on your description, it sounds like you may have an inherent asymmetry in your frontalis muscle contraction. This is quite common and can influence how neuromodulators take effect.

Proper dosing and injection points should always be customized. In my practice, we create a detailed muscle map for each patient, tracking their unique movement patterns and adjustments over time. A follow-up at 14 days is crucial to fine-tune any asymmetries. If this has been a recurring issue, ensuring that your injector documents these adjustments—such as placing slightly more units in the right forehead—can help prevent it in future treatments.

I hope you find the right approach that leaves you fully satisfied!

When you smile, the orbicularis oris muscle can contract inward, pulling the upper lip in the way you described. Being young and having braces might actually accentuate this muscular response. In your situation, I recommend a straightforward approach without surgery.

Neuromodulators are typically the first option, though they don’t last very long. I suggest combining this with a vertical lip filler technique using Restylane Kysse. This filler can mimic some effects of neuromodulators and, when combined with a lip flip using toxin, can extend the duration of the desired outcome.

Most of my patients return every 8 months for mild touch-ups, often just with the toxin, to maintain their results.

Remember: keep it simple.

Hello, I completely understand your concern with your undereyes, especially as a male who isn't accustomed to wearing makeup and having to use concealer. I can see how it might help a bit but doesn't fully cover everything to your satisfaction.

Thank you for sharing your photos; they are very informative and can help other patients with similar concerns. The undereye area can present several issues such as darkening, hyperpigmentation, hollowness, skin laxity, and/or lesions like syringomas or xanthelasmas. In your case, since you exhibit all these conditions, a multimodal approach with progressive results will offer the most beneficial long-term outcomes.

I recommend starting with a thorough in-person analysis and medical consultation. Prioritizing the removal of syringomas with a CO2 laser is essential, and improving the overall area with fractional CO2 laser can be done in the same session, along with IPL and vascular laser treatments for the pigmentation. Subsequent sessions may be necessary to continue addressing the pigmentation with IPL and vascular lasers.

Fillers might also be needed, but it is essential to approach this comprehensively, improving the cheeks first, then addressing the lid-cheek junction with fillers. These fillers tend to last longer than the product specifications suggest, especially since regenerative procedures are applied first. Concerning your question about the need for dissolving fillers, it's unlikely to be necessary, but if it is, the skin should not appear worse than before, especially with the prior regenerative procedures.

An alternative to CO2 resurfacing could be using SylfirmX pulsed wave to improve everything but the syringomas, which need to be removed with a CO2 laser.

I hope this explanation helps you make more informed decisions regarding your concerns.