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  • Recommendations re: fillers and Botox for 45 year old woman who prefers a very natural

  • look? Budget is $2,000

  • I have an appointment with an oculoplastic board certified plastic surgeon to get filler

  • in my tear troughs. He comes highly recommended. I feel confident about his abilities. But

  • I have questions about treatments for my forehead and lips. Re: my forehead, can I get Botox

  • in just my 11's and not the rest of my forehead? Or could I ask to get a natural looking forehead

  • instead of the smooth as glass look? For my lips, what's best to lessen these lines and

  • restore volume and address asymmetry?

  • Thank you for your question!

  • Youre very detailed in your question and stated your situation. Youre going to a

  • board certified plastic surgeon to have the treatment to your tear troughs and in addition,

  • you want to ask about treating the forehead with botox and what’s the best recommendation

  • for your lips.

  • Well, it is likely also just a side note that your oculoplastic surgeon should be able to

  • help you with those areas as well. Botox was one of the, oculoplastic surgeon were the

  • first to use botox long before it became used for cosmetic reasons so I’ve been using

  • botox for patients since 1993. Now I’m also trained in facial cosmetic surgery board in

  • the American Board of Cosmetic Surgery so I do a lot of facial work as well. I would

  • also say that as far as just commenting about the concern about botox and whether to do

  • glabella or the number 11s or to the whole forehead, you certainly have the option and

  • so well just isolate that area.

  • From my perspective, one of the best areas to do treat in the forehead is the number

  • 11s. It has such an impact. This set of muscles called corrugator and procerus muscle really

  • affect overall facial appearance. So if youre someone who always thinks critically and looks

  • at something and frowns, then the number 11s being treated with botox, dysport or any other

  • neurotoxins can really be tremendously effective. You can certainly do that in isolation without

  • doing the rest of the forehead so that you don’t get the over smooth look as you described

  • it. It’s very individual. Examination really helps determine that. And you can take little

  • steps. You can just do the number 11s and try the forehead another time.

  • As far as the lip lines are concerned, in our practice, we generally treat the lip lines

  • with hyaluronic acid filler whether it’s Restylane or Juvederm. The lip lines can be

  • tricky because they can be deep line or they can be fine lines or even crisscross superficial

  • lines. And so the other options can also be entertained. We also, besides using fillers

  • to restore volume for deeper lines as well as to create a nice contour of the lip border,

  • we also use something like fractional CO2 laser or some type of resurfacing modality.

  • Weve also used micro needling as well as something called platelet-rich plasma.

  • Platelet-rich plasma is using your own growth factors, derived from your own blood. That’s

  • basically the concentration of the necessary wound healing factors taken in a simple blood

  • draw and using that to build up collagen. What youre describing is volume loss and

  • volume loss particularly the layers of the dermis or the backbone of the skin. So there

  • are a lot of different options and it all depends on what defines a satisfactory outcome

  • for you. I know you put down a number of budget that you want to work with and I think that

  • as we do every day in our practice in Manhattan and Long Island, people come to us with a

  • long list of things they want to do and then we figure out based on priorities and what

  • they can afford, what they are able to do at that time, then well give them the most

  • value and based on what’s most important to you.

  • So with that being said, I think you can certainly discuss this with the oculoplastic surgeon

  • and your doctor. I’m sure they can be honest about what theyre comfortable with but

  • I wouldn’t be very surprised. Oculoplastic surgery really now is oculofacial plastic

  • surgery and most people trained in oculoplastic surgery are trained in facial cosmetic surgery

  • and it is common oculoplastic surgeons to perform facelifts and other things beyond

  • the limited area of the eye. So I think you can be able to get everything in one stop

  • and learn about your options at one place and that’s kind of a nice thing when you

  • don’t have to go to piece meal to people. So I hope that was helpful, I wish you the

  • best of luck and thank you for your question!

Recommendations re: fillers and Botox for 45 year old woman who prefers a very natural

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B1 中級 美國腔

使用肉毒桿菌、填充劑和PRP治療額頭和嘴脣的皺紋,效果自然。 (Natural-Looking Treatment for Wrinkles in Forehead and Lips Using Botox, Fillers, and PRP)

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    Sara Chi 發佈於 2021 年 01 月 14 日
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