Q Where would you suggest I get filler to look better and younger? (photo)
A
Good morning, From what I can see, in this photo, you appear to be young. There is always room for a little tweak though, and maintaining is much easier than correcting. My primary suggestion is to restore a bit of the lost volume in the upper and mid face, to restore balance. You have great cheeks, which will help keep you looking young, however, as you age, the areas adjacent to the cheeks can hollow out, and that appears to be happening in your case. I would start with adding filler, or Sculptra, to your temples and the the cheeks, just below the cheek bones, to soften these transitions. This will also give a lifting effect. Lastly, I would suggest adding a tiny bit of filler to your upper lip. While having a larger bottom lip is anatomically correct for a Caucasian female, your bottom lip is significantly larger, so adding a little to the top lip would give a softer, more balanced appearance. Hope this helps. Good luck!
Q How to prevent broken blood capillaries from filler?
A
Hi Ari! Broken capillaries, also called telangiectasias, are genetic in nature. As long as you aren't consuming large amounts of alcohol or being exposed to heat prior to your injections, there is little you can do to prevent them from developing. I have seen this happen with certain patients of mine. From an injector standpoint, I am very cautious, using smaller needles rather than the ones packaged with the filler, as they are usually large. Being very gentle and injecting slowly is key. In addition, limiting the amount of fanning technique reduces the chance of development. Also using ice prior to the injections helps to constrict the vessels, preventing their formation. I hope this is helpful!
All the best, Michelle Giglio, PA-C, MMS
Answered by Michelle Giglio, PA-CMay 27, 2021
Dermal Fillers
Q Under eye lines (when I smile). What options do I have?
A
Hi Callie! Since the muscle around the eye is circular, when the lateral part is consistently treated, the part of the muscle that is under the eye can often try to compensate, increasing in activity and creating wrinkles underneath the eye, as in your situation. Botox can be placed there, 1-2 units , known as a "jelly roll" injection. However, not all injectors may perform the treatment. In my experience, patients are very happy with the results of a jelly roll injection. You should look for an advanced injector in your area.
All the best,
Michelle Giglio, PA-C, MMS
Answered by Michelle Giglio, PA-CMay 27, 2021
Dermal Fillers
Q Is there anything that can be done about these lines? (Photo)
A
Hi there! I'm so sorry you are having this issue after your Botox treatment. You can absolutely have these lines treated. I typically inject 1-3 units per side, and it takes care of this problem nicely. My suggestion is that you move on and find another injector that is willing to treat this area. Good luck!