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Botox and Xeomin

Before

Botox Before

This lady had large lower cheeks because of masseter muscle hypertrophy due to grinding her teeth. Tooth grinding and clenching can cause the major jaw muscle, the masseter, to enlarge and change the shape of the face, as well as cause headaches, neck pain and tooth crackings.

Relaxing the muscle with Xeomin or Botox causes the muscle to begin to shrink.

After

Botox After

These pictures were only 6 weeks apart; she will be getting even more effect in the next month. Thus a square face can become more oval again. I have done this treatment on myself many times.

This treatment is quite comfortable and costs $300 for the initial treatment of both sides. Some heavy grinders or male clients may need more product.

Before – The “11s”

Botox Before

This 46 year old lady appears tired and worried, and she hates her small lips. She has kindly decided to share her enhancement journey. She often scowls as she talks and doesn’t even realize it!

She is such a sweetheart, but doesn’t look like one.

Those are the dreaded “11s” in the photo above. We relaxed them with Xeomin, a Botox equivalent botulinum product.

Before – Around The Mouth

Botox Before

She feels that her mouth is too small and droopy. The muscles around the mouth pull down the corners of her mouth and wrinkle up her chin. 

Muscle relaxation will cause the corners of her mouth to “float” upwards at rest and the line on her chin will start to soften.

 

After – Around The Mouth

Botox After

Here she is immediately after her lip enhancement with a tube of Versa, a soft hyaluronic acid filler.

Needless to say, she was a thrilled, “I finally have lips!!”

After – No More “11s”!

Botox After

Here she is two weeks later. Please note the smooth forehead and pretty chin. I couldn’t get her to stop smiling for the pictures-her mouth is not always that upturned!

Before

This picture shows a mid forty pretty lady whose forehead shows a lot of worries.

After

Here she is 2 weeks later after Xeomin/Botox treatment looking her beautiful and self-relaxed. She is refreshed the VFA way.

Before

This photo was taken under fluorescent light, the most unflattering light of all. This lovely lady had deep forehead lines, deep folds from the nose to mouth and a prominent chin that we treated.

After

Using a combo of muscle relaxers and fillers, the brow was smoothed, the chin line was firmed and the nasolabial folds blurred. Here in natural light, she looks beautiful – self-relaxed and refreshed.

Before

These eyes are from an old woman-worried with drooping brows. She looks so sad and worn.

After

Now she looks calm, open and kind. Dr. Carol used Xeomin/Botox to soften the wrinkles and a little cheek filler to stretch out the under-eye lines.

Dermal Fillers

Before

Dermal Filler - Before

This is a lady in her late 40s who feels deflated. She says that she looks sad when in fact she is not.

She has kindly shared her pictures so one can see the effect that filler has on raising the face.

After

Dermal Filler - After

Her beautiful oval face was restored immediately. Even the corners of her lips are up. It was her choice not to fill her temples a bit too.

In addition, the “worry lines” between her brows when she talks are gone too. We put muscle relaxers in the chin muscle so it doesn’t wrinkle up and that horizontal line under her lower lip will fade away.

Before

Dermal Filler - Before

These are the pictures of a beautiful lady in her 70s with a “weak chin”. She has always felt that it diminished her face. If you would imagine a vertical line at the tips of her lips, you could tell that the chin is way behind this imaginary beauty line.

After

Dermal Filler - After

By placing the filler Radiesse onto her jawbone at her chin, we adjusted her profile, and stretched out some wrinkles too! Put that imaginary line back and you will see that the tips of the lips and the tip of the chin are all on that line! Her face is perfectly balanced now.

Before

These before and after pictures were taken 15 minutes apart! In this before photo, you can see how her 70-ish face is sagging.

She was also not a sunscreen lady.

After

Even before she started to take supplements and work on her skincare, Dr. Carol replaced the lost cheek volume with Radiesse.

She softened the lines around her mouth with Juvederm so she looked more kind.

Before

This 55-year-old woman looked tough. Her lower lip protruded, and the corners turned down. Note that the upper lip was thin and flat.

After

Using a soft pliable filler, Dr. Carol volumized the upper lip to harmonize with the lower one which has been smoothed with a very fine filler. Those drooping corners were firmly supported with struts of firm Radiesse filler so they are now level.

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On first glance, this 50-ish lady has great lips. But, look closely, they are flat and lined.

After

With a subtle use of filler, Dr. Carol plumped the lips and filled in the lines. Now these lips are quite luscious.

Before

This 60ish lady has always had a skinny face and high cheekbones. Now her upper lip has shrunk, making her lips appear stern. This non-smoker has lip lines caused by using straws, pursing her lips and style of talking. Her face is sagging.

After

Dr. Carol enhanced her upper lip and filled the lines above with a very soft filler. It took 4 syringes of Juvederm to refill her lower face.

Before

This 40-ish lady came to VFA complaining about how tired she looked. Her cheeks are slumping down, giving her nasolabial folds.

After

Dr. Carol smoothed her forehead with Xeomin, filled the circles under her eyes (tear troughs) with soft filler and lifted the cheeks with Radiesse, the strong filler.

Before

The hollowing beneath the eyes has been charmingly named the tear trough. Having these can make you look tired, sad and not so pretty.

After

Dr. Carol used a fine filler to restore her natural beauty in 15 minutes. She is wearing makeup in each picture-we just erased the shadow.

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After

Cosmetic Peels

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A woman in her mid-40s before her 1st peel.

After

Two months later. Note about a fifty percent decrease in her freckling and some softening of lines in her forehead. 

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Before her 1st peel.

After

Two months later.

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Before her 1st peel.

After

Two months later.

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Microneedling

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