I had Botox above and below my lips, plus Juvaderm, to smooth out smokers wrinkles. Now my lower face, below my bottm lip, is sagging and I look like a frog. My speech is impaired as well as my ability to drink. Should I have this area filled in, or do I have to just wait for the Botox to wear off? Help!
March 21, 2016
Answer: Botox and Filler results
I would agree with my colleagues on this one...DO NOT get anymore filler or Botox in this area. The mouth is dynamic and when aggressively treated, can look unnatural. I think the volume used to fill-in the vertical lip lines (smoker's lines) has been effective in it's stated goal, but at the trade-off cost of what you described...volumizing the lips at the expense of over-powering the chin area. Options include having your doctor reduce the volume in the lips, either manual removal of small amount of the filler through small/tiny incisions or via an injectable medicine (hyaluronidase). Other option would be to slowly volumize the chin area...cautiously! I use Sculptra here, with serial injections. Works fantastically. Wait for Botox to wear off....
Good Luck!
Dr. C
johnconnorsmd.com
Helpful
March 21, 2016
Answer: Botox and Filler results
I would agree with my colleagues on this one...DO NOT get anymore filler or Botox in this area. The mouth is dynamic and when aggressively treated, can look unnatural. I think the volume used to fill-in the vertical lip lines (smoker's lines) has been effective in it's stated goal, but at the trade-off cost of what you described...volumizing the lips at the expense of over-powering the chin area. Options include having your doctor reduce the volume in the lips, either manual removal of small amount of the filler through small/tiny incisions or via an injectable medicine (hyaluronidase). Other option would be to slowly volumize the chin area...cautiously! I use Sculptra here, with serial injections. Works fantastically. Wait for Botox to wear off....
Good Luck!
Dr. C
johnconnorsmd.com
Helpful
December 5, 2010
Answer: Drooped upper lip after Botox for smoking lines
Your facial muscles will wake up in a few months as the Botox wears off. Hopefully the filler is not contributing to the problem as much as it will take the filler longer to go away.
1. Please don't have any more filler.
2. Please don't have the amount of Botox used next time or injected in the areas it was if the levator labii muscle was also injected in the cheek or for bunny lines in the nose.
3. Please don't smoke.
4. Please get your brown spot on the right lower cheek evaluated by a board-certified dermatologist if it hasn't been already, and even if it had, but it changes over time in size, shape, color, bleeds, itches or hurts, it needs to be closely looked at and even biopised to ensure it's not a precancer. This large brown area is not kept company by similar areas on your face. I don't mean to alarm you but better to be safe than sorry and for me to neglect mentioning it when discussing cosmetic treatment on your face would not be ethical.
Helpful
December 5, 2010
Answer: Drooped upper lip after Botox for smoking lines
Your facial muscles will wake up in a few months as the Botox wears off. Hopefully the filler is not contributing to the problem as much as it will take the filler longer to go away.
1. Please don't have any more filler.
2. Please don't have the amount of Botox used next time or injected in the areas it was if the levator labii muscle was also injected in the cheek or for bunny lines in the nose.
3. Please don't smoke.
4. Please get your brown spot on the right lower cheek evaluated by a board-certified dermatologist if it hasn't been already, and even if it had, but it changes over time in size, shape, color, bleeds, itches or hurts, it needs to be closely looked at and even biopised to ensure it's not a precancer. This large brown area is not kept company by similar areas on your face. I don't mean to alarm you but better to be safe than sorry and for me to neglect mentioning it when discussing cosmetic treatment on your face would not be ethical.
Helpful