52 years old. Had mini face lift 8 years ago. Was happy till 5 months ago. Due to my marionette lines. Worse after Botox (Photo)

Question

I had Botox and filler placed 5 months ago due to marionette lines. Looked worse after. Got filler-voluma disolved after 1 month. It’s been 5 months. First picture before filler and Botox. 2 nd picture with both Botox and filler and 3 rd picture after fuller disolved. I looked better before I started. What can I do to get the round circles down? It’s from the Botox. It’s been 5 months. Will the circles of puffiness go away

Jason Emer, MD · Answer

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting,  and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Camille Cash, MD · Answer

I encourage you to return to your injector for an evaluation.  After 5 months the effects of the Botox should be minimal, if any.  You may have residual Voluma that needs to be dissolved.  It is not uncommon for multiple treatments to be needed depending on the amount injected.  You also can consider adding Morpheus8 treatments to improve overall skin tone and texture.

52 years old. Had mini face lift 8 years ago. Was happy till 5 months ago. Due to my marionette lines. Worse after Botox (Photo)

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