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: I am a 30-year-old woman from Worcester, MA. I have very thin lips. What would be the best option for me if I want fuller lips, but want them to look as natural as possible?
Answer: We could easily see you for a consultation and treatment the same day. I routinely use hyaluronic acid fillers for lip augmentation, Juvederm, Restylane, Perlane and Belotero. I have gone away from using permanent implants because the fillers can be more easily personalized. My goal is always a very natural look, not a duck lip look….called by some “LA Lips”. Here is a link to some of the patients we have injected:
http://www.drbentkover.com/photogallery/lip-augmentation
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.
Posted in Facial Implants, Juvederm, Lip Augmentation, Perlane, Restylane, Surgery Recovery on November 16th
Question:
I would like lip augmentation with an implant. I would expect that my lips would be somewhat swollen after the procedure but are they so swollen that I would not be able to go to work the next day? Is there any chance that the swelling will persist longer than expected?
Answer:
I prefer hyaluronic acid (Perlane, Juvederm, Restylane) to permanent implants. I have done many permanent implants over the years and find the fillers to be more customizable and forgiving. That said, you lips will probably be larger than you want for about a week, but often nobody notices.
Question:
What brand of injectable filler best eliminates deep wrinkles from the sun?
Answer:
It depends on the depth and location of the wrinkles. Usually the hyaluronic acid fillers are Restylane, Perlane and Juvederm work well for this. Perlane is usually my preferred product, lasts longer than Restylane and you get more in the syringe than with Juvederm.
Posted in Collagen, Facial Fillers, Fillers, Juvederm, Lip Augmentation, Perlane, Restylane on October 27th
Question:
I am a 28 year old interested in receiving a collagen treatment for my upper lip. How would we decide on whether to use a human or bovine derived injectable?
Answer:
I really do not recommend collagen for this. Also, to my knowledge, neither product is still available. I recommend a hyaluronic acid like Perlane, Restylane or Juvederm.
Here is a link: http://www.drbentkover.com/procedures/lip-augmentation.shtml
Question:
I'm interested in getting lip augmentation to plump up my lips. What are my options?
Answer:
I prefer hyaluronic acids like Restylane, Perlane and Juvederm. Yes, they are temporary, but in most cases look very natural. Typically they last about a year. I used to use Advanta, a woven Teflon like GoreTex, but some times this extrudes. It also cannot be modified. Be careful and go slowly with injections. You want the lips to look natural. You don’t want the Beverly Hill blowfish look. Most people want a natural look but everyone’s natural is not the same. Here is a link to some examples: http://www.drbentkover.com/photogallery/lip-augmentation.
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