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CLAIM YOUR PROFILEIt is normal for freshly injected chins to feel ball or egg-like for up to a couple weeks following treatment, that will soften out and feel more natural with time as the filler integrates. However, asymmetry can and should be corrected using hyauronidase. This should be addressed before adding any more filler to the area.
Physician Assistant
There are several ways we can treat the muscles around the brows to lift eyebrows
1. Treating crow's feet (by relaxing contraction, we can have a more lifted brow)
2. Treating 11s (can lift central brow)
3. Treating UPPER half of forehead
I specifically say treating upper half of forehead because the forehead can be split into lower forehead and upper forehead by something that we call the 'line of convergence.' When we are treated above the line of convergence (upper forehead) we can often create a brow lift. However, if treated below this line, we risk dropping the eyebrows.
It may be possible for you to get a lift from having tox placed in the upper forehead, however as we age and the skin in the forehead has less support (volume loss from temples, skin laxity, etc) then the risk for brows lowering after treatment becomes higher, even if we are treating above this line of convergence.
Sometimes, based on a patient's anatomy and degree of eye-hooding, we may completely recommend against treating the frontalis. However, you still may be able to achieve a subtle brow lift from treating the crow's feet and 11s.
Physician Assistant
In order for there to be an improvement in static lines, you have to be completely "frozen." The touch-up sessions were likely to get to a point where there's less movement between the brow and help freeze this muscle. The less movement there is, the less the skin will fold in this area.
Because the line is so prominent, you'll have to be consistent with coming in every 2.5-3 months and having injector freeze this area. If you are frozen and the static line is still present, its going to take some time for the skin to catch up. Sometimes it may be a full year of consistent botox to appreciate the improvement so treatments that address the skin may be beneficial as well.
Smooth pdo threads can be placed in the area stimulate collagen which will strengthen the skin over this area and help reduce static lines. Prescription strength retinol (tretinoin) will also accelerate cellular turnover and help overall appearance.
Physician Assistant
From the images it appears that you have radial cheek lines when smiling. These can be treated with thin fillers like RHA2, redensity, restylane Refyne. Going with a thinner filler in this area will provide support to reduce folding without adding bulkiness or creating a heavy feeling in this area.
Biostimulators are also helpful in strengthening tissue in this area to reduce folding. Biostimulators are similar to fillers but work over time to promote collagen production.
Physician Assistant
Lip fillers may be suitable to help enhance the cupids bow but it may only lift a few millimeters. That difference may be just enough of a change for you, however it may be worth considering a surgical lip lift long term, as this will be the best option to reduce the length of the philtrum - especially as it will naturally lengthen more with age.
One thing that I may help improve overall frontal and side profile balance would be improved chin projection. With the chin being recessed or smaller, it can cause the lips and philtrum to appear to protrude or look longer than they really are. Chin projection can be achieved with dermal filler or surgical intervention.
Physician Assistant
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