A Perfectionist for Subtle and Natural Adjustments. So Happy I Found Her!

I first contacted Dr. Jayaram a little over a year ago, trying to figure out what would be possible for my volume loss that I experienced as a result of chronic health conditions. I'm 31 and have struggled with various autoimmune issues throughout the years. I also sought her out specifically out of a lot of the Bay Area PS and injectors because she states that she has a more conservative approach. She was incredibly kind and answered all of my questions, and confirmed that she can make use of one syringe of filler in the whole face rather than just one area -- something I was looking for as I'd seen a really well-respected derm in Australia, who has a YouTube channel, speaking about as being the best approach with filler. It took me a year to finally book in with her, mainly because I wanted to get my inflammation down before trying anything out (and also because of my nervousness!).

My main issues were wrinkles in my forehead and volume loss in my tear trough area. I'd never had Botox or filler before and was pretty nervous. She was very thorough in explaining the process to me and making sure I felt comfortable. We decided to go for the Botox first, and then reconnect for the filler down the line. Her approach with Botox seemed pretty methodical, and she books a second follow-up appointment for touch-ups, which I found helpful to target some of the asymmetries in my forehead. I was so nervous after getting Botox for the first time, but it was really not too bad! Certainly not painful, though I did get a headache after. It took about 2-7 days for the results to fully kick in (my glabella was after 2 days). The results were also pretty damn amazing, natural-looking and not frozen. I also had the awesome effect of having a major reduction in my migraines.

After a couple of months, I finally went in to try out filler, Restylane. Dr. Jayaram had actually pointed out a couple of other areas in my face during the previous consultation that could use a boost or to correct asymmetries, but she explained that again, her approach is very conservative. She actually steered me away from a couple of other areas that I thought needed some volume, and I felt I could really trust her aesthetic vision. She ended up injecting my tear troughs, the downturned corners of my lips (marionette lines), and one side of my lip to correct an asymmetry. Even after all of that, some filler was still left over for a future appointment! And despite how nervous I was, the injections themselves were so easy and not painful at all. I only bruised in the marionette area, which wasn't too bad since I can wear a mask. The swelling in my lip and tear trough went away within about a day, but my marionette area is still a little swollen. Icing definitely helps, so I highly recommend that. I can already see that the results are incredibly natural and I look like I just got more rest, which is amazing.

I'm so happy I found Dr. Jayaram, I finally feel like I undid some of the havoc chronic illness wreaked on my face and I'm happy I look more like myself, more vibrant and rested. I can't explain how much this boosted my self esteem and made me feel like I could just get on with my life, and not worry about how much my face had changed and aged. I feel like she's the perfect provider for someone who might be nervous, hasn't tried anything before, and just wants to look like themselves but better, if that makes sense. I know others have also sought her out because she fixes filler mishaps, which makes me feel all the more confident in her abilities. My only regret is not doing it sooner!