This result would require reassessment while the face is at rest and during movement. After evaluating the face while moving, the decision on whether it's necessary to dissolving some of the superficial placed filler is necessary. 
At our practice, we use advanced hyaluronic acid fillers designed to move naturally with your facial expressions for soft, seamless results. For deeper rejuvenation, we also offer biostimulators like Sculptra, which gradually restore collagen and smooth areas such as around the mouth for longer-lasting improvement.

I feel like the mix of fat transfer and filler in my cheeks looks weird when smiling and like the filler in my lips also looks odd smiling. What would fix this please? Are there any good options besides dissolving like adding more filler for balance and if so where? Would getting under eye filler or Sculptra help for balance?

What would fix the look of filler when smiling? (Photo)

Lip Fillers

Assessment of full face is important in cases such as these. We do facial lifting and slimming with neuromodulators and resurfacing lasers, such as botox and microneedlign RF, and contouring with biostimulators or HA filler.

Hello, As you can see from my photo, I'm considering surgery to correct my facial asymmetry, which has been making me feel very self-conscious and even "repulsive." I appear much more attractive from my right side compared to this angle and the left side. Could you please advise which surgical procedures might best help me achieve a more symmetrical appearance from all angles?

Asymmetry - how can I achieve a more symmetrical face from all angles? (Photo)

Dermal Fillers

There's a variety of treatments that can be done to improve the appearance of the hypopigmentation and texture. Microneedling with Latisse and PDGF combines collagen induction with targeted pigment stimulation to improve texture, tone, and repigmentation in areas of scarring or hypopigmentation. The treatment enhances skin renewal while encouraging melanocyte activity for a smoother, more even complexion.

I am just two years shy of the co2 laser treatment that left me with hypopigmentation and texture changes. A small incision scar is now a much bigger blemish. What are my options? I’ve tried dermaroller, micro needling, growth factor serum, silicone sheets, you name it, I’ve tried it.

Hypopigmentation scar from laser - how can this be treated? (Photos)

CO2 Laser

Your results likely look uneven because neuromodulator and filler takes 3-4 weeks to fully settle, and early muscle relaxation or mild filler asymmetry can temporarily distort facial balance. Also, not everyone’s anatomy is ideal for masseter Botox in some faces, it can create unwanted hollowing or imbalance that usually needs adjustment at follow-up.
Consider re-evaluation and more supportive biostimulator treatments such as sculptra

So i have a before and after of 22 units per side masseter botox, 4 units daxxify lip flip and 0.7 in total cheek filler. How did my face end up worse? One cheek is almost caved in as well. I look like a picasso.

Masseter botox and Voluma cheek filler. How did my face end up worse? (Photo)

Botox

Hi!
This is a great question, and congratulations on your weight loss! Scultpra is a great treatment option for addressing volume loss in the cheeks and temples, as it stimulates your own collagen production. From these photos, Sculptra combined with HA fillers in the same session would likely be a great option. As for your temples, it is difficult to see from the photos provided, but temples can be addressed with Sculptra very nicely, without an overdone look.
As always, an in depth, in person consultation is best to evaluate exactly what is best for you.

I lost 50 lbs last year and noticed these sagging nasolabial folds pretty quickly after that. I waited to see if my skin might tighten up on its own but it has not. A dermotologist suggested that what likely happened is that the volume loss is actually in my cheeks above the nasolabial area, and the extra skin just happened to sag and end up there in the nasolabial fold. Therefore, any treatment wouldnt need to be on my nasolabial folds but the cheeks to address the volume loss. I'm 39 and would like to know if Sculptra would address my concerns? The doctor who does the sculptra at the consultation I visited mentioned I might want it in my temples as well, but I definitely dont want to overdo it. Do my temples have significant volume loss as well?

Sagging nasolabial folds - Would Sculptra work for me? (photo)

Sculptra

Alastin Skincare

Cheek Fillers

Chemical Peel

Chin Filler

Viva Eve

I received RF Microneedling treatment along with Secret Pro for acne scars, uneven skin texture, and hyperpigmentation. Eleni explained everything so well to me prior to my treatment to help me decide what was right for me. I felt so cared for throughout the process and felt like I was included in my care. She checked in on me afterwards and gave me step-by-step aftercare instructions. I have two more treatments to go and am so excited for the final product!

Expert Dermatology Care

Microneedling

Eleni Sgantzos

Vanesa Kodra

SkinPen

Nonsurgical Facelift

Restylane Contour

Restylane Defyne

Restylane Lyft

Restylane Refyne

Restylane Silk

Secret RF

Skin Tightening

Skinbetter Science

Morpheus8

TCA Peel

Voluma

Hair Loss Treatment

PRP for Hair Loss

Nutrafol

Microneedling RF

Scar Removal

Botox for Hyperhidrosis

Nonsurgical Neck Lift

Restylane

Laser Resurfacing

Dermaplaning

Dysport

Fractional Laser

Glycolic Peel

Juvederm

Liquid Facelift

Micro Botox

Had an amazing experience with Eleni getting my first chemical peel! She is so calming and informative. Highly recommend! I fully trust her with my face and skin- such an important factor in a relationship with your derm provider!

Go See Eleni!

I just had an amazing experience at Viva Eve with Vanesa. I received the secret microneedling RF with CO2 treatment. I was very impressed with all of the staff at this location as everyone was welcoming, informative and helpful. Before, during and after the treatment Vanesa was extremely knowledgeable and thorough. She listened to my concerns and then made sure to check in on me during the procedure. She was gentle and eased all of my concerns during the process. I truly felt comfortable in her care and expertise. I cannot wait for future treatments from Vanesa! I trust her.

Excellent Care

I am so impressed with Vanesa’s work. From the moment I stepped into the office I was in great hands with Vanesa and the rest of the staff. Vanesa listens to your concerns and addresses every single one. She has a great idea and recommends treatments that enhance your natural beauty. I feel lifted and snatched every time I see her.

Vanesa is Amazing!

Loved my Botox treatment with Eleni! She was so welcoming! I have gotten Botox several times in the past, Eleni listened to my treatment goals, and did as I wished! She offered her opinions professionally. It was such a comfortable, collaborative experience!

I had a fabulous experience with Eleni! I went to see her at Viva Eve for my third microneedling treatment with added exosomes to help reduce redness around my nose and to rejuvenate a tired complexion. She was very knowledgable about the treatment and was able to answer all my questions I had prior and during treatment. Since getting my first treatment a few months ago my complexion is clearer and my skin feels firmer and more plump! 
 
The whole process was seamless from booking the appointment to post appointment care. Highly recommend!

My skin feels firmer and more plump!

Wonderful. Everything about Viva Eve is amazing. Eleni was super sweet and she really listened to my concerns. I got lip filler done from her and she did such an amazing job. I felt very insecure at how thin my lips looked and she really listened to how I feel and what i wanted. The outcome was amazing and I feel so confident with how I look. Not to mention how clean and aesthetic Viva Eve is! The whole experience was 10/10.

Did such an amazing job

This is a beautiful office, and everyone is so friendly.  Eleni was able to see me at my appointment time (with no wait), and she asked all the right questions about what I was looking for, and suggested where I would get the best results from Botox.  I tried microbotox for my neck and loved the results!  I will be coming back.

Experienced, Talented Injector

I experienced Via Eve for the first time this week, searching for relief for my TMJ. Booking through ZocDoc, I had no idea how high end the whole experience would be. Prior to seeing Vanesa Kodra, PA, I worked with Devin to complete my forms and she was so helpful, thorough and responsive, I was so impressed. Upon arriving to the beautiful waiting room I was brought back by Devin who made me feel so welcome and comfortable and was just as fun as she was helpful. I then met with Vanesa for my consultation. She was so informed and knowledgable and provided a really helpful explanation of what was going on with the TMJ and how we could effectively treat it. These two are really the dynamic duo. So happy I stumbled across this practice!

Incredible Medical Team

Botox for TMJ

Vanessa was absolutely incredible , super quick and gentle. she has a very light touch which was very reassuring and overall the process was very quick and easy. Overall , really happy with the results of my lip flip, her assistant Devon is also amazing and such a sweetheart !
 
Updated on 7 May 2024:
 
 I recently underwent a lip flip procedure performed by the incredibly skilled Eleni, a board-certified dermatologist and her amazing assistant Devin and I'm absolutely thrilled with the results! Eleni took the time to understand my desired outcome and patiently answered all my questions, putting any nerves I had at ease. Her professionalism and knowledge were truly impressive and Devin's reassuring and supportive presence made the experience all the more pleasant. Overall, I'm incredibly grateful to Eleni and Devin for their exceptional care and expertise. They made the entire process smooth and enjoyable, and I wouldn't hesitate to recommend them to anyone looking for top-notch dermatological procedures. Thank you, Eleni and Devin, for helping me feel more confident and beautiful!