49, lost 74 lbs now it's time for Botox, Juvederm, Juvederm Voluma and Sculptra at Skin Raleigh, Raleigh, N

So I started off meeting with Dr. Pyle for a consultation in October 2015 to discuss TT, BL and arm and thigh lift when I was 25 lbs from my goal weight. At that point I had lost 52 lbs and expressed interest in fillers for my face as I had lost quite a bit of volume in my face. I was introduced to Mary, LME, RN, BSN with Skin Raleigh which branched off from Davis and Pyle. I was concerned the weight loss was really aging my face. Mary explained the anatomy of the face to me and it made so much more sense what I was seeing. We went over my "wish list" and we set an initial plan for She spent a lot of time with me as I like to understand everything (!) and had lots of questions which she answered all. I made a second appointment to ask more questions and discuss a few more options and we tweaked my plan. She wrote everything out for me on a diagram which I appreciated since I am a visual person. We planned on Juvederm, Juvederm Voluma, Botox, and Sculptra. I scheduled my first visit when I was 10 lbs from my goal weight in January 2016 to boost my confidence as my face was "deflating" with the weight loss and I wanted to look as good as I felt.
After my excitable/nervous chatter we got started. She took "before" pictures and went over what she would be doing during the visit. The Sculptra would be done at a separate visit.

I will start with the before pictures and I will try and go under each service to give my experience with each product.

Here are the before pictures of my face. My main concern was the volume loss in my face from losing weight. I had lost 73 lbs in 7 months and it aged me. I wanted my face to reflect how energized and good I felt and instead I looked angry and tired (boo) On my first visit Mary started with Juvederm and Botox to re-sculpt my face, add volume, remove the angry eyes and gummy smile.

I could tell a huge difference in my chin and cheek area immediately after treatment. The Botox is not immediate so it hadn't kicked in yet. The injections did not hurt, at most it felt like a pinch in a few areas. Mary is very good at what she does and I attribute that to why it went so smoothly. I had minimal swelling and discomfort. I started with Arnika gel and tablets. When the Botox did start to do it's thing several days later I was a bit concerned. To begin with I am animated when I speak and I have a high arch in my brow but deep set softish eyes so the Botox made my eyes appear "unfamiliar" to me. My eyes were wide open, my arch was higher and I looked even more animated when I spoke. The lip went straight across when I smiled, but you couldn't n the bright side you could no longer