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It's difficult to answer your question without knowing which procedures you have had in the past. For facial rejuvenation I would suggest a combination approach including:1) Skincare with products and microneedling/PRP2) PDT Light Therapy a few times per month with growth factors3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting6) Botox every 2 to 3 months to stop movement lines and prevent lines at restSee an expert. Best, Dr. Emer
I would highly recommend getting a formal evaluation with and treatment from a board-certified cosmetic dermatologist and expert in facial sculpting. Technique is the key to a successful lip augmentation with fillers, so you'll want to see someone meticulous. An experienced physician will be...
Regardless of the type of HA filler used, it may create lumps and migration, in particular in lips and eyelids. Filler also gets incapsulated with the scar around it which is the reason that it can not always be dissolved with enzyme or corticosteroid application. In same cases, direct excision...
There should be no issue with you having fillers or botox if you have chronic pain. That said, you may want to do everything you can to minimize discomfort of the procedure (since you already have enough pain to begin with!), so consider taking 2 acetaminophen and applying a topical anesthetic...
