Double lines around mouth even after Voluma in cheeks and chin. How can I improve this and what is this from? It ages me (Photo)
Doctor Answers 5
There is only so much that can be seen from a photo. What you are experiencing is going to take finesse to fix so I would suggest that you schedule a consultation with a board certified plastic surgeon in your area who can assess your face in person and then discuss the best filler options for your needs.
Volume replacement after weight loss
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When looking at your profile it seems you have had some unhappy times after filler and botox over the last year, so it can be tough to know what's what right now. Your impressive weight loss, stress, Botox in various areas, and previous injections make it a bit hard to track where you are now.The weight loss definitely can make you feel you have aged quickly over a short period of time, and it is understandable that you want to soften this. There is an old saying that there comes a time where a woman has to decide if she "cares more about her a** or her face". Whats good for one area may be tough on another, and fillers can't always fix everything.
One word of caution that I have is that the Botox in your masseter muscles for grinding and clenching can result in a significant volume loss along your lower jawline and an increase the nasolabial folding. If this is not really medically necessary I would consider stopping that (maybe you have). It know that in an early post you wanted to decrease the volume along the jawline, but I don't know if that's a great idea. When I had Botox placed there for the same reason I really disliked what it did to my NL folds and marrionettes, so I chose to just stick with my night guard.
You have very full lips, and felt like filling the NL creases made you look like a chipmunk. It can be that your volume being more central in your face naturally, and then enhanced more here with fillers, is kind of creating an imbalance. I personally like using Sculptra in the periphery of the periphery of the face, and I too am surprised by all of the negative comments about it on RealSelf. I also am not sure if I agree with their personal assessments on some of the photos shown. Some look great and sound completely devastated. Again, it's just photos. I have had a few patients with visible nodules, but they were thankfully about a decade ago when we were still figuring this product out. This does take a long time to go away so you are just stuck with it for a while (a couple of years) if you don't like it. Maybe you could try injection the area first with a little saline to see if you like the look before proceeding.
This is all just conjecture because the photos are limited in scope and an exam is really necessary. Who every you see should have access to all of your medical photos, treatments, and notes on what you did and didn't like to help them decides what is best.
I hope this was helpful, and I hope your wedding was wonderful!
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.