Thanks for your questions and helpful photos.  It would be best for you to see a board certified dermatologist or plastic surgeon in person for an evaluation of how your face moves, check the skin and structures of the face under different lighting, and to talk about your goals.  Fillers are usually a good option to start with, along with some preventative neurotoxins such as Botox, Xeomin, or Jeuveau.  Make sure you are using a quality mineral sunscreen every day to protect your investment in your skin and see an expert.  Good luck!

Hi there, age 36 female looking for suggestions on facial filler enhancements or other less intrusive procedures. Posting a pic with makeup and one without, both in natural bright daylight, no filters. I’ve had Botox a few times in my forehead/brow/eye and 1x I had .5ml lip filler which is basically dissolved now. The no makeup is an early morning but I recognize my tear troughs are a bit hollowed and fine lines :)

Best facial filler enhancements for hollow tear troughs and fine lines?

Dermal Fillers

I would definitely recommend seeing an oculoplastic surgeon for treatment of this area.  A lot can go wrong with filler placed directly under the eyes, and only a very skilled expert should do any further work on that area.  You will need to have whatever filler is remaining dissolved with hyaluronidase if you had a HA filler placed originally.  Make sure you know what product was injected so your surgeon can come up with a management plan.  Fillers that are not hyaluronic acid, such as Radiesse, Sculptra, and Bellafill, cannot be dissolved.  Best of luck!

I made the mistake of getting under eye dermal filler from a doctor with absolutely amazing reviews. The first few weeks after my dermal filler looked absolutely beautiful, I looked 10 years younger. Then the problems started. Let me note that the filler was done over 4 years ago so it is long gone but the problems have remained. I got severe swelling weeks later and now that comes and goes every few months with minor swelling permanently. What can I do?

4 years after under eye dermal filler. Problems have remained - what can I do? (photos)

Thanks for your question.  Definitely multiple types of fillers can be injected in one appointment, but your dermatologist might want to do one area at a time to see how the first treatment settles.  Sometimes you might not need as much as originally planned if you get a lot of improvement from one treatment.  Talk to your doctor about the plan and I am sure they can give you an explanation for why or why not they might treat several areas at once.  Please see an expert, and best of luck!

I'm planning to get filler for some acne scarring, but would also like to address nasolabial lines. I'm wondering if this complicates things at all, and whether it would be a good or bad idea to try to address both in one appointment, or if this should be done separately. (I would imagine that if Sculptra is used for the scars, the other fillers would have to be done separately at a later time?) Thank you

Should nasolabial fillers be done at the same time as filler for acne scars?

Thanks for your question.  I am not sure where you read those long term effects of fillers - that is simply not true.  Maybe the author meant that use of neuromodulators, such as Botox and Xeomin, can cause some muscle atrophy, but I have not heard of fillers doing that.  Anyway, I would recommend a consult with a board certified plastic surgeon or dermatologist with experience in revolumizing the face.  They will be able to assess your face at rest and in motion and help come up with a treatment plan for you with your safety and best outcome in mind.   The good thing about the hyaluronic acid fillers is that they can be dissolved with hyaluronidase if you don't like it.  Please see an expert, and best of luck!

39 yrs old and 130lbs I had buccal and jowl lipo and not liking the results/face looks really thin I want volume back in my face and wondering if there are any affects of using fillers long term/lifetime. I researched fat grafting - I read that “Over time, long term use of dermal fillers can result in weakness of the muscles of the face, head and neck. These side effects can have undesirable consequences when swallowing, with vocal cord function and eye movements, including double vision.” I also read that it can interfere with the lymphatic system. Is this true?

Are there long-term effects to using fillers/partial buccal fat was removed?

Thanks for your question.  Treating the DAO is a very simple and quick procedure with great results when done properly.  The needles are very tiny and the medication is injected quite superficially in the muscles of facial expression, so not deep at all.  Please see an experienced board certified dermatologist or plastic surgeon with experience in treating this area, and I hope you have a lovely outcome!

I am considering getting Botox but the needle scares me how deep are these injections thank you

How deep are DAO injections?

Botox

Lip Fillers

Restylane Silk

Amy Y. Paul, DO, FAAD

Mountain West Dermatology

Haley Gross CLS, LE

Jennifer Heckman CLS, LE

Emily Garcia LE

Rachael Counts

Martha Kudasik

Salicylic Peel

MiraDry

MiXto Laser

Mole Removal

Pixel Laser

Pulsed Dye Laser

Restylane

Restylane Lyft

Retin-A

Microdermabrasion

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Sclerotherapy

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Spironolactone For Acne

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Tazorac

Xeomin

YAG Laser

Belotero

Chemical Peel

CO2 Laser

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Latisse

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Atlanta

Robert Colgrove, Jr., MD

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African American Rhinoplasty

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critical risk

Miami

Max Polo, MD

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Morpheus8

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San Antonio

Gary Lawton, MD, FACS

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S. Ozan Sozer, MD

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TotalFX