The relationship or ratio between the upper and lower lip should be 2 to 3 with the upper lip being slightly smaller than the lower lip. Often times patients are reluctant to place filler in their lips because they don’t want to appear overfilled leading to an unnatural appearance. For women with very thin lips or vertical creases at the Vermilion cutaneous boarder, adding volume to both the upper lip as was the lower lip can enhance the appearance and make the lips more youthful and attractive.
Category: Botox and Filler Faq
In a pure sense filler will not lift up your cheeks, but what will do is add more volume to that area which may have been deflated with age. Typically the fat compartments in the cheek sag and deflate due to facial aging, genetics, gravity, sun exposure and social factors. Injecting a filler such as Voluma, Radius or Sculptra adds more volume in the mid face and gives the appearance that the cheek is elevated. Only face lifting truly elevates the cheek fat pad. In some patients where skin tone is good, fillers can give the appearance of lifting a deflated cheek.
Patients often ask me why they still don’t see a huge difference after they’ve had Botox injected in their crows feet. The development of creases within the crows feet area is not the result of a single muscle contraction of the orbicularis oculi because this muscle doesn’t control all of the creases associated with crows feet. When patients smile, crows feet creases can be seen due to elevation of the lips and cheeks and can also lend itself to the development of creases around the eyes. These creases are commonly referred to as crows feet. There can be some improvement of these creases after injecting the obituaries oculi muscle but it’s not a complete solution.
The dreaded brow droop is often confused with eyelid droop after Botox. When Botox was first introduced the eyelid droop was the most feared. Eyelid droop usually resulted from blocking the elevator muscle when the injection was placed very close to the eyebrow and the product migrated down into the upper eyelid elevator.
What I have seen for more frequently is brow ptosis or a drooping eyebrow as a result of Botox placement. Because the frontalis muscle is an eyebrow elevator, placing too much product too far laterally in the forehead can entirely block the frontalis muscle and lead to a droopy eyebrow. In patients who are younger, typically in their mid-30s to early 40s, usually this is not a significant consequence. However in patients who have upper eyelid hooding as a result of pre-existing brow ptosis, Botox injections can lead to worsened upper eyelid hooding, angry appearance, and excessive upper eyelid skin.
Before and After of Successful Botox Treatment
Choosing your doctor is of the utmost importance even in what seem to be minimal procedures like Botox. I, Jason Cooper, have years of practice and experience with Botox injections and have incredible results from these procedures. If you have experienced this with a previous doctor or if it is something you are concerned about, schedule your consultation with me today and I can walk you through how we will fix or prevent this from happening with your Botox injections.
Botox injections continue to be one of the most popular plastic surgery procedures to date and here at Jason Cooper Plastic Surgery plan to continue to make it one of the most safe and successful. Schedule your consultation today.
Botox is a neuromodulator which de-innervates, or disables, the ability of the muscles to contract. Typically Botox is injected with a very small needle into the forehead muscles and into the muscles between the eyebrows. Botox is also often injected into the crows feet area adjacent to the lateral side of the eyes. When Botox is injected in the forehead area, it blocks the ability of the frontalis muscle from elevating the eyebrows. Sometimes patients are surprised by this because they often think that Botox is elevating their eyebrows when in fact Botox actually blocks the ability to elevate the eyebrows.
Depending on where the Botox injection stops in the lateral forehead, the eyebrows will still elevate because the muscle is not blocked from contracting in that area. Patients recognize a portion of the lateral eyebrow moving up in the area that was not injected with Botox.
It is very important to talk to your provider about what specifically you don’t like about your forehead appearance and to make sure that Botox is carefully injected. Ideally Botox will smooth the forehead and decrease pre-existing crease lines that have developed as a result of the frontalis muscle contracting. The crows feet area is very challenging to block completely because Botox is typically injected into the orbicularis oculi muscle on the outside corner of the eye, but the crows feet can still be visible as a result of cheek elevation when you animate or smile.