Question : I notice that when I am not smiling, it looks like I am frowning. People actually comment that I seem angry. I don’t know if this involves just my mouth or both my mouth and eyes. Would a consultation help me identify whether I need a cheek lift, an eyelift or both?
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Question : What areas of the face does Dysport work in? Does it work well when injected into the chin area?
Answer : All of the FDA approved botulinum toxin, Botox, Xeomin and Dysport, are approved for the glabella (the area between the brows). They are all also commonly and safely used “off label” in the forehead above this area, the crows feet, the chin, then neck and the corners of the mouth. A new technique using low does mini injections in the skin also can flatten wrinkles without affecting the muscles below.
Posted in Fillers, Injectable Fillers on April 20th
Question : Is there any one filler than can be used to improve marionette lines and lip lines, as well as some other superficial facial wrinkles? Or is it better to use different fillers for different problems?
Answer : Well, it all depends on the extent of the wrinkles and their real depth. Yes, a hyaluronic acid like Belotero, Juvederm or Perlane may handle all these areas; but sometimes it is worthwhile to augment deeply in the marionette creases with Radiesse and augment the more superficial lines with an hyaluronic acid.
Question : It’s been close to two weeks since my Botox treatment on my forehead. The lines in the middle of my forehead have disappeared, but the sides of the forehead lines are still present and look awful. Will this resolve itself or do I need to get this fixed?
Answer : A first botulinum toxin injection into the forehead is common to confine the injections to the central forehead. This is done to try to get some brow elevation. Injecting the outer portions of the forehead can actually drop the brow a bit. It is reasonable to consider topping off the treatment to decrease those lines understanding that the tail of the brow might drop. To help you find the procedure that is right for you contact us to schedule a consultation.
Question :
I have wrinkly temples and a sagging around the corners of my eyes. I don’t know what to do. A brow lift, eyelift, or Botox?
Answer :
Botox can elevate the outer brow some but may increase the wrinkles above your brows. A browlift may be a better option.
Question :
It seems that just about anyone can administer Botox injections but you always hear horror stories. What sort of qualifications should the person have? Should they be a doctor? What should I be looking for in someone to perform my Botox injections?
Answer:
I firmly believe that botulinum toxin should be administered by a facial plastic surgeon, plastic surgeon, cosmetic dermatologist or oculoplastic surgeon. These specialists have a higher level of understanding of the interplay of the muscles of your face.
Question :
I'd like to enhance the look of my lips but don’t want a full-on surgical procedure. What are some non-surgical options for a lip enhancement?
Answer :
I like the hyaluronic acid fillers for this. The treatments are less expensive than surgery and can be customized much better than a surgical implant. Here is a link to some photos:
http://www.drbentkover.com/photogallery/lip-augmentation
Posted in Fillers, Lip Augmentation on March 7th
Question :
I want lip augmentation via injectable fillers. I am most interested in hyaluronic acid fillers. After the injections, will my lips swell and if so, for how long? Will my lips feel soft and natural or does the filler make them somewhat harder?
Answer :
Hyaluronic acid works not just by filling but also by drawing fluid into the area. In the lips I believe the attraction of fluid is the primary way they augment your lips. So, yes, your lips will swell. This is part of the affect. Usually the amount of swelling decreases some over a few weeks. The real result is at about 3-4 weeks. You should not really notice much difference in softness after that time.
Question :
When I raise my eyebrows, I get vertical wrinkles on my forehead. Can Botox be used to smooth these wrinkles or is a browlift recommended?
Answer :
Vertical wrinkles? If you mean the creases between the brows, the answer is yes, a botulinum toxin can help. A filler might also be a good idea. It works for horizontal wrinkles too. Here is a link that will give much more information about the process:
http://www.drbentkover.com/procedures/facial_augmentation_photos-worcester-boston.shtml
Posted in Fillers, Lip Augmentation on March 1st
Question:
I recently heard of something called lip sculpting. Is this different from lip augmentation?
Answer:
Not really. In lip augmentation you are adding volume and changing the shape of the lips. We have a lot of different lip photos on our website:
Question:
What filler is good for improving the area under the eyes or the tear troughs?
Answer:
Let me start by saying this is a very “touchy” (pardon the pun) place to inject. Bruising is common. The injection must be done very carefully and deep just above the bone. The skin is very thin so fillers can show through. If it gets into the orbit or blood vessels of the orbit, it can cause blindness. That said, a diluted hyaluronic acid filler like Restylane, Juverderm or Belotero can be placed very carefully. A better solution is a lower lid blepharoplasty with fat transposition. In this operation the protruding fat pads of the lower eyelid are moved into the tear trough for a permanent improvement.
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