What is the best low risk procedure to start with?

Botox or lip filler would be a good option if you are seeking something on the low-risk and non-surgical side. I suggest seeing a board-certified cosmetic dermatologist to develop a personalized treatment plan that works for you. Best, Dr. Emer.​

After using BOTOX for over 25 years, I can tell you that there have been no permanent sequelae in any of our patients. Since you experienced necrosis with HA, a Botox treatment would be a safer route to take. I hope this helps! Sincerely, Dr Joseph

While every surgery and cosmetic procedure has inherent risks, Botox and Dysport have the advantage of always being temporary - whether you love the result or run into a complication. That means that even when the injection result is poor, it will not cause permanent harm.

As a general rule though, by doing what you did by going to a top clinic with a well-reviewed doctor, you are minimizing your risk of untoward events occurring.

The lowest risk procedures will be those that are temporary and least invasive. This typically would be Botox which lasts approximately 3 to 4 months and HA fillers which can be dissolved if desired. When selecting a surgeon you want to choose an experienced board certified plastic surgeon. The ASPS website is helpful in finding surgeons in your area. Here you can review credentials and see before/after photos. From there you can schedule consultations with those who meet your criteria.