This patient is 65 years old and came in with multiple complaints regarding her lower face. She had done filler in the past in the nasolabial folds and didn’t notice a difference. Her overlying concern was the heaviness in her lower face. So we talked extensively about how her midface (cheeks and around her eyes) has become hollow/sunken, all contributing to heaviness in lower face. To get a more youthful and natural look, she needs filler in those areas first, which ultimately pulls the face back up. Then we can go fix the remaining lines w/ success.
The patient also wanted Botox Cosmetic around the crows feet so we did the following over 2 visits:
Next step: we are planning to do more filler in the marionettes and jowl area.