Summer Skin Guide

Table of Contents

Introduction

There is no doubt that summer months are often busier and sunnier, but your skincare routine doesn’t need to drastically change. Often times the media scares people into never doing any skin treatments during the summer months, because you are exposed to the sun more. While you may be outdoors more often, do not let your skin care routine fall off path, or else all of your “hard work” may have to start at ground zero again, or close to it 😉.

This blog will cover the recommended treatments for summertime, from our licensed professionals, to maintain a youthful, healthy complexion.

Best sunscreen for summer

Photo credit: NEJM

This is a 69yo man that had sun exposure on his left side from driving a truck for over 20-years. Notice how much more damage he has on the left side of his face from the sun.

First things first, SPF!!! If there is one simple product that you could use every day, and age gracefully, is sunscreen. At Elite Medical & Aesthetics we emphasize and educate every patient about the importance of wearing mineral based sunscreen 30+ every sing day, and to reapply! We are not saying you cannot ever go out in the sun, just protect when you do!

Sunscreen protection is for everyone, wether you are receiving aesthetic treatments or not, because the UVA/UVB harmful rays can cause pre-mature aging and skin cancer. However, this is especially important if you are receiving any type of laser, chemical peel, or using clinical grade skincare products. 

Some helpful tips:

  1. Choose a sunscreen that you will actually wear every day. This may be different for everyone depending on their skin type, but there are many options.
  2. Reapplying can be a hassle, so finding a loose powder like, Matte Green Tea SPF Powder, makes this step easy and gives a sheer coverage.
  3. Pair your sunscreen with a cute hat when out in the sun for extended periods of time.

Below are two of our favorite sunscreen options that provide adequate protection without harmful chemicals or a “greasy” feeling.

Elite Matte SPF50 Green Tea Powder
Elite Tinted SPF

Summer spray tans

Opting for a quality spray tan over laying out in the sun and tanning is always the better option. It is understandable that feeling tan and getting color gives a boost of confidence, especially in the summer months. Luckily, there are many great options for spray tans that provide a natural glow, without the risks of UVA/UVB damage to the skin. Just remember, tan skin may look sexy when you are younger, but not so much as you age! Tan skin does not equal healthy skin, and once the sun damage has been done, it takes commitment, money, and time to reverse even a fraction of it.

Photo Credit: Coco Ruby Skin

Botox and filler in the summer

Continuing your provider’s recommended injectable routine is safe and just as effective in the summer. There are no contraindications, or risks, in the summer versus any other time of the year to get Botox, Xeomin, or any filler. If you wait to get your Tox or filler treatment too far after your last treatment, just because it is summer time, you may end up having to pay more money to get the results you want because the neurotoxin and filler substance is completely metabolized. 

Learn more about the differences between Botox and filler, and what they’re best for, by watching the video below.

Summer laser hair removal

Not having to constantly shave or letting your hair grow out to wax in the summertime is always a plus. Permanently reduce any unwanted hair with EMA’s Laser hair removal! We have newly advanced technology that makes this treatment safe for all skin types, all year around. Gain a boost of confidence, time, and money (in the long run) with laser hair removal. Treatments are quick, comfortable, and usually 4-6 weeks apart for 3-6 sessions depending on your goals and history. 

To talk with a provider about this treatment, please book a free consultation below.

Microneedling and laser in the summer

Microneedling treatments such as, normal microneedling and RF microneedling can be done on any skin-type year round. Some lasers such as ResurFX can also be done year round. Since these specific treatments don’t target pigment you can even be tan (though we don’t recommend ever being tan unless it’s a spray 🙂 ). 

 

Each of these works to increase collagen, fade scarring, and reverse fine lines and wrinkles, year round. We still recommend being cautious in the sun after to maintain your results. Follow your provider’s after care instructions and continue your treatment plan as decided.

IPL in the summer

IPL, or intense pulsed light, should be done every 4 months to keep pigmentation and wrinkles at bay. In this study about the effectiveness of IPL/BBL treatments every 4 months for anti-aging, it is to be concluded that candidates looked 10 years younger than their actual age with no other treatments done.

IPL can be continued in the summer months for those who are diligent about not tanning and wearing SPF 30 or above with a wide brim hat. In most cases, people would rather be diligent with sun protection and staying out of the sun, rather than getting more sun damage and compromising the results from their treatment plans. 

***Note: Do not neglect your neck and chest! Bringing your skincare and SPF down to your chest is important! Also, ask your provider to add your neck and chest at your next treatment appointment. Just remember, your face is everything from the boobs, up 😉 

Photo Credit: Grand Rapids Med Spa

Monthly routine facials in the summer

In the summer, you may need facials more than any other time of the year, because of the extra sweat and oils we naturally accumulate from warmer temperatures. Facials like dermaplane, microdermabrasion, OxyGeneo, and enzyme signature facials are crucial in your skincare routines to properly exfoliate, hydrate, and keep your pores unclogged. 

Summertime IV therapy

Summertime can be accompanied by dehydrating activities and hot, dry weather which can wreak havoc on your vitamin and mineral balance. IV therapy is a great option for optimal hydration, especially when it is added to any facial treatment. At Elite, we offer an array of “cocktails” that can be customized to your inner and outer beauty needs. For more information on our IV Therapy, click the pink button below.

What is a good skincare routine for the summer?

Like all skincare routines, summer routines should be kept simple yet effective. Using a foaming/exfoliating cleanser in the summer months are beneficial since we tend to get more sweaty from the heat. Including a balancing toner can be helpful after cleansing, too. Incorporating a lighter moisturizer can be smart for the skin, as heavier creams can sometimes be too much. Ensuring you are continuing to use a clinical grade vitamin c serum in the morning and a retinol in the evening is best. There is no need to stop using “active ingredients” such as acids, retinols, or vitamin c’s in the summer if you are committed to using a quality mineral based SPF (which should be worn every day of the year). Again, reapply your SPF and wear a wide brim hat when out in the sun for extended periods of time. 

To shop clinical grade, private label skincare visit HERE.

Discover more about your skin by taking our skin quiz above!

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Consult with a trusted professional

When to Consider Botox vs Dermal Filler

Introduction

It is not uncommon for people to get confused when they go in for an injectable appointment thinking they need Botox, when really they might need dermal filler, or vice versa. Sometimes misinformation can be given from social media, the internet, or even other injectors. 

This blog will help you understand the differences between what Botox is intended for, and what filler is intended for. 

Watch our YouTube video below for a visual representation of information that this blog will cover, too.

Table of Contents

How does Botox work?

Botox, or Botulinum Toxin, is a prescription medication used to treat fine lines and wrinkles. Botox, or other brands of neurotoxin like Xeomin and Dysport, work to stop muscles from creating a repetitive movement that lead to unwanted lines and wrinkles. Botox injections are also preventative, to keep lines from worsening. 

For more information about Botox injections read our blog “Botox for Dummies” below.

How does filler work?

Most dermal fillers are made of a gel-like substance called Hyaluronic Acid (HA) that are used to restore lost volume, fill lines and wrinkles, sculpt areas of the face, and plump. When filler is injected properly into the desired areas, it instantly plumps or fills the areas of volume depletion, giving you a refreshed, natural, and youthful appearance. 

If you are curious about filler injections, and want to learn more, be sure to click on the pink button!

What areas can I get Botox injections?

The most common areas for Botox injections, or Botulinum ToxinA, are the glabella (11’s), forehead, and crows feet. There are several other areas that are considered “off label” that can be treated with neurotoxin, too, such as:

  • Bunny lines: lines on either side of the nose when you scrunch
  • DAO’s: depressor anguli oris muscle (around the mouth)
  • Platysmal bands: neck bands
  • Masseter muscle: jaw muscle  
  • Lip Flips

Bunny Lines

Masseter Muscles

DAO Muscles

Platysmal Bands

Photo Credit: dr.hilinski.com

What areas can I get filler injections?

The most common areas for filler injections are probably the lips and the cheeks but other areas include:

  • Under eyes
  • Jawline
  • Temples
  • Chin
  • Nasolabrial folds
  • Marionette lines
Certain types, like Radiesse, can also be used to help create collagen in the face, neck and body. 

Remember, filler is considered much more dangerous than Botulinum Toxin injections because the gel like substance is more like an implant (usually lasting around a year) and can also occlude vessels. Some areas are higher risk than others and you want to go to an injector that knows the risks and how to treat them. 

RN, Molly injecting neurotoxin in forehead

NP, Ali injecting lip filler

Does Botox or filler help forehead lines & wrinkles?

Botox helps with forehead lines and wrinkles, and is our recommendation here over filler due to to less risk (see below). When you inject neurotoxin into the forehead muscles, it stops the repetitive muscle movement that causes lines and gives a refreshed appearance. 

Forehead lines treated with neurotoxin

Can you inject filler in forehead lines?

We do not recommend injecting filler into deep forehead lines, because there is a risk for vascular occlusion (filler that gets into an artery) that can lead to blindness. 

Vascular occlusion can happen anytime filler is injected but in high risk areas such as the forehead, glabella, and nose blindness or even a stroke could occur. As far as we know there are no cases where the blindness was able to be reversed when it was caused by filler. 

Some clinicians will do these injections, and if you decide to have it done, make sure you ask about their experience doing it and what they would do in case of emergency. 

There are several other treatments that can help with forehead lines and wrinkles such as Botox, microneedling, laser treatments or a surgical referral. 

Does Botox or filler help with Glabella (11's) lines?

Botox is recommended for Glabella lines over filler. This is because  when you continually scowl or frown, the glabella muscles are activated to move, and over time those constant movements cause lines. Botulinum toxin injections, once injected into the muscle, stop the constant scowl or frowning and thus softens the lines and wrinkles.

11’s treated with neurotoxin

Can you inject filler in the Glabella (11's) lines?

Technically, you can inject filler in the 11’s, but we do not recommend it. Like mentioned above, injecting filler in this area has a high risk for vision complications. Safety is a priority when it comes to injectables. If you have deep 11’s lines that are there at rest, and Botulinum Toxin injections have not worked for you, book a consult to see what else can be done.

Can I get Botox injections for my smile lines?

No, you should not get Botox injections in your smile lines because it could cause your face to look distorted or drop your top lip. 

Specifically in the nasolabrial fold area, there is a muscle called the levator labii superioris alaeque nasi (LLSAN) that is injected intentionally for people with a “gummy smile” to drop the top lip. If you don’t have a gummy smile, you don’t want to inject this area or it can lengthen your philtrum column (more below). 

Getting Botox injections in your smile lines can cause a ducky lip.

As above, if you inject Botox into the smile lines, it’s possible to cause the philtrum column (the distance between the bottom of nose and mouth) to lengthen. A longer philtrum column can create a ducky upper lip appearance with or without lip filler. 

Ensure you are going to an experiened licensed injector so these types of side effects/risks are avoided. However, Botox is not permanent, so side effects will wear off in 3-4 months.

Can I get filler injections for my smile lines?

Yes, filler injections are an appropriate treatment for smile lines. Smile lines can become static and more defined as we age, and people tend to dislike these lines. Filler is the best option because we want to fill the lines and wrinkles with volume to restore a natural look in the area. 

Full face filler, including smile lines

Can I get Botox injections in my cheeks?

No, getting regular Botox injections in the cheek region can cause unwanted side effects. These side effects cause face distortion to your smile and talking movements. Sometimes microtox or “baby botox” can be used to smooth the skin but it can still cause unwanted side effects.

What happens if Botox is injected into cheeks?

If Botox was injected into the cheek muscles, there is a risk that your smile will look as if you had a stroke or Bell’s Palsy. This is because the muscles in the cheek connect to the corner of the mouth to lift it when you smile. If these muscles are disabled, you will not be able to lift the corner of your mouth.  

These risks should be discussed in a consultation with your provider, along with other treatment options intended for cheek wrinkles. Book Consultation Now!

To learn more about specific areas to avoid injecting Botox in, watch our YouTube Video here. Our NP injector, Ali, demonstrates a visual representation of what could happen if Botox is injected into unintended muscles.

Can I get filler injections in my cheeks?

Yes, it is very common to get filler injected into the cheek region. Filler can enhance the appearance of lost volume in the cheeks, contour the cheeks for definition, and add structure to the cheek for other areas of concern to be treated such as under eyes.

What does Botox treat that filler doesn't?

What if I don't know if I need Botox or filler?

Do not worry! Being unsure of what treatment may be best for you is not uncommon. In most cases, we recommend scheduling a consultation to talk with a trusted provider about your concerns and gather information about what treatments you are a candidate for. 

What can I expect in an aesthetic consultation?

The goal of a consultation is to provide you with as much information as possible for you to make an informed decision on which treatment you want to do. Areas of conversation may include:

  • Addressing concerns
  • Goals of the patient
  • Anatomy assessment
  • Risk factors with treatments
  • Are you a candidate for the desired treatment?
  • Pricing and packages
  • Any other questions you may have

For more information about what you can expect in an aesthetic consultation, read this article

Conclusion

If you are in the Lone Tree, CO area, be sure to stop by our office or schedule your free consultation by clicking on the pink “book now” button below. Our trusted providers will ensure they are there for you every step of the way. If you are not located in the area, make sure to schedule a consultation with a licensed injector whom you trust. 

Ready to book an appointment?

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Skin Wedding Prep

Photo Credit: Hollywood Getty Image

Photographer? Check. Photo ready? You tell us!

Wedding Prep Timeline

You might be surprised by how many beautiful, and naturally  appearing brides, have had Botox, fillers, laser treatments, Kybella and more before the big day! That, on top of social media filters and edited photos, there can be a lot of pressure to look a certain way before your event

Photo Credit: Brides.com

When it comes to aesthetics, most brides have a lot of questions regarding skincare, injectables, lasers, and additional services that help a bride look and feel picture perfect on her wedding day. We want to assure you that there is no correct way to look for your wedding and generally comparing is the quickest way to feel like s*** about yourself. So don’t do that!

However, if you are thinking of doing something to enhance your already beautiful appearance, (without the worry of being overdone or not looking like yourself), keep reading to learn about the different options.

Table of Contents

Can I get Botox the day of my wedding?

Technically, yes you can get botox the day of your wedding, but we certainly don’t recommend it! You would be wasting your money, simply because it takes a full 7-14 days to kick in and best results are usually 4-6 weeks post injections. Also, while there isn’t any serious downtimes in regard to getting Botox, there are always potential risks for bruising and other unwanted side effects.

What is Botox?

Botox, Xeomin, Dysport, and Jeveau are all brand names of Botulinum Toxin A. This medication is a type of neuromodulator that when injected, works by blocking the communication between the nerve and the muscle. By blocking this movement, the skin does not crease as much which softens lines and wrinkles. Most common areas to treat are frown lines between the brows (glabella), crow’s feet, and the forehead.

Photo Credit: Bloom Health

Considering getting Botulinum Toxin injections? Learn more about how to prepare for this appointment Here!

When should you get botox before your wedding?

Again, Botox, or other neuromodulators, need about 7-14 days to fully kick in, and 4-6 weeks to reveal best results. We highly recommend getting your Botox injections 4-6 weeks before your wedding, because we want to ensure your treatment is at its best result on your wedding day. This time frame also allows for scheduling a follow-up appointment with your provider, because occasionally after the 14 day time frame a touch-up is needed. Getting Botox injections from a provider that encourages follow-ups, like our providers Ali and Molly, is very important! 

Below are before and after images of Botox injections 2 weeks apart

When should you get filler before your wedding?

To put it simply, you want to get dermal fillers about 2 months before your wedding, but a minimum of 4 weeks at least! Initial filler injections can cause swelling and bruising. So before your final results are revealed, there is a 2 week healing period. Once the swelling has subsided, you and your provider can assess if any other alterations are needed with your filler injections. 

What are dermal fillers?

Dermal fillers are gel-like substances that help restore volume, correct wrinkles, and contour the face. Common areas treated include cheeks, lips, chin, and jawline. They can also help smooth superficial lines. When done correctly, they create a beautiful, natural result that balances the face without being obvious that anything was done.

Photo Credit: Aesthetica Skin Health & Wellness

Read more about filler Here!

Should you get pre-wedding lip fillers?

Lip injections before your wedding day can be a wonderful glow-up if you are a good candidate and go to the right injector. In general, the goal is to enhance the lips without making it obvious one has lip filler. That is very much art!

Furthermore, if you do decide you are interested in getting filler before your wedding day, it is best to get lip injections 6-8 weeks prior to the date. This is because there is initial swelling and bruising from the injections for up to 2 weeks. for tips on reducing lip filler bruising and swelling read this.

Once swelling has subsided, we recommend you pop back in for a follow up appointment with your provider to ensure you’re happy with final results.

"Something I always tell clients is not to overly chase symmetry"
Ali Wagstaff
Np Injector

When should you get Kybella before your wedding?

We recommend getting Kybella done about 1 year prior to your wedding date. Before considering Kybella as a treatment for you, we want to be transparent that it is a commitment as it usually takes 3-6 sessions 1 month apart. Additionally, final results from a single treatment take anywhere from 1-3 months to be revealed with a 2 week healing time frame in between sessions.

What is Kybella?

Kybella is made from deoxycholic acid. This substance found in the human body that is responsible for breaking down fat. When injected directly into a fat pad, such as under the chin for a “double chin”, it causes the fat to break down in the area. The result is technically permanent (if weight remains stable) but it takes several treatments (3-6). It can also be used off-label for jowls and around the body for stubborn areas, too.

Photo Credit: Allergan

For further information regarding Kybella injections, be sure to read This

When should you get laser skin treatments before your wedding?

There are several different types of laser treatments on the market and it can be very confusing deciding which one is best suitable for you and your skin type. The best advice moving forward is that most treatments need to be done in a series of 3, 1 month apart for realistic skin improvements. You will want to complete your last treatment series 1 month before the wedding day for your skin to be at its best result and to allow for enough revoery time. Starting the series of treatments about 4-6 months before the wedding would be appropriate. Continue reading for an explanation of the benefits of IPL, ResurFX, and RF Microneedling, all offered at Elite Medical & Aesthetics.

How would an IPL benefit my skin before my wedding?

IPL, or intense pule light, targets skin discoloration such as age spots, hyperpigmentation, freckles, broken capillaries, and red spots. 

Specifically, this procedure works by using light energy that is converted into heat energy to target red/brown pigment in the skin cells

This causes destruction of unhealthy cells, for new cell regeneration. These light beams also heat up water in the skin creating a tightening effect. Even out your skin tone & gain rejuvenation

Have more questions about IPL?

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How would ResurFX benefit my skin before my wedding?

ResurFX treats skin concerns such as hyperpigmentation, stretch marks, wrinkles, sun damage, loose skin, and scarring. However, it will take multiple treatments to get the desired results. A non-ablative fractional laser such as ResurFX does not damage the top layer of skin, making it safe for all skin types with minimal downtimes. It shoots laser beams just below the top layer of skin, coagulating sections of the deeper tissue. A healing cascade is signaled and the old skin is removed by the body leaving room for new healthy tissue. This creates a tightening effect and more even complexion. To learn more specifically about this treatment…

How would RF Microneedling benefit my skin before my wedding?

RF Microneedling combines the power of microneedling and radiofrequency into a combined treatment. Microneedling is used to stimulate new collagen growth by puncturing controlled micro-channels into the skin to create a healing cascade. While radiofrequency heats the tissue up to tighten & shrink. This treatment works well to tighten loose, crepey skin, target fine lines and wrinkles, as well as reduce the appearance of scarring from acne or trauma.

RF Microneedling before and after photo:

For those interested in regular microneedling, we do offer SkinPen as an option. This does not include the radiofrequency, but does offer all the benefits of microneedling 

Ali Wagstaff
NP

When should you get a facial before your wedding?

It is best to get a facial 1-2 months prior to your wedding. Some facials require no downtime at all, and others are more invasive and require minimal social downtime. More invasive facials that have downtime include intense chemical peels, such as the VI Peel, and deep cleansing facials with extractions. Usually there is 5-7 days of healing involved with these facials, so it is best to get these treatments 4-6 weeks in advanced. Other options of facials that do not have downtime include; dermaplaning, microdermabrasion, OxyGeneo, enzyme exfoliation, and a signature facial. These more gentle facials incorporate customized exfoliation and hydration which allows the skin to look refreshed and vibrant before an event.

Should I be on a skincare routine before my wedding?

Yes, it is always best to consult with your aesthetician to ensure you are on an appropriate skincare treatment plan and routine, well ahead of your wedding (and every day). Skin preparation is important before jumping into new facial treatments, that way there is no shock to the skin from using clinical grade products.  

Many times, using proper at-home skincare will enhance the results from facial treatments. It takes time for skincare ingredients to start working efficiently, so we recommend starting your skincare routine 6 months prior the your wedding. 

Read About a Simple Skincare 

Guide Here:

On another note, scheduling routine facials can also be a great way to incorporate self care and relaxation from stressful wedding planning.

What type of facial is best before my wedding?

We always recommend getting guidance from your aesthetician on what facial would be best for your skin type. However, more universal facials that are usually safe and effective for most skin types include, dermaplaning, Oxygeneo, and our signature facials. These treatments tend to focus on exfoliation and hydration to reveal fresh, rejuvenated skin. 

"It is also important to note that even though you may be wearing makeup on your wedding day, your skin is the canvas. With that being said, the healthier and more balanced your skin is, the prettier the makeup will lay and wear throughout the day"

Aesthetician, Mary Beth Martin

What skin treatment is best for brides?

Photo Credit: Elle

Every bride is unique and beautiful in different ways, there is no one-size-fits-all. What is best for you is different for another bride, so it is crucial to schedule a consultation with and esthetic provider you trust. Sooner rather than later!

Personalized skin quiz!

Learn more about your skin concerns and which treatments would be best fit for you before your big day!

How to boost confidence before my wedding?

Being a bride can be nerve wracking, but feeling beautiful in your own skin shouldn’t be. What we can recommend is pursuing treatments and injectables that will enhance your confidence and make you glow from the inside out.

For when the time comes, getting married is a special and intimate occasion that should be cherished. We understand that planning a wedding is chaotic, but rest assured that we are here to help you in the aesthetic department. Leave your questions and concerns with skincare treatments and injectables in our hands, and watch your confidence flourish. You deserve to feel you best every day of the year, but we understand this one day is even more important. 

Get wedding ready!

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Filler and Botox gone wrong? Can you fix it!

Let’s face it, there is nothing worse than getting poor results with injections. One will do anything to fix it ASAP! Check out our “how to fix it” guide below for all queries related to injectables and unwanted outcomes.

Table of Contents

How to prevent bad filler and Botox

Having complete trust in a licensed injector is crucial. Receiving aesthetic injectables can be very nerve-wracking for people. Doing thorough research on the treatment itself, and the injector’s work is a must! Also, going in for a consultation is recommended before jumping in with two feet. That way, you’d have time to talk about all outcomes, including the bad ones and what can be done, before having your treatment.

In general, when administered correctly, most people do not want their dermal fillers or Botox to wear off quickly, at all! These types of treatments are used to enhance natural beauty, and can be done in a way to make one look better without attracting notice that something is different. They’re not usually used to try to recreate a whole new face. Remember that when considering treatments to be kind to yourself, and keep in mind that less is more when you are first starting. 

BAD BOTOX: What are my options?

Can you make botox "wear off faster"?

Botox, or Xeomin and Dysport, unfortunately cannot be reversed. Once this medication is injected into the intended muscle to relax wrinkles and soften existing lines, it limits or completely stops the muscle from moving. On a positive note, this is not a permanent treatment. Results gradually wear off and dissipate after two to three months. Usually the unwanted results wear off faster 

Is there anything that can help with bad Botox?

Without actual scientific data that provides information about controlling how fast this medication wears off, we cannot promise anything. However, here are some potential tips and tricks that may help your body metabolize the medication faster:

High Stress

When there is an increase in stress hormone, we have seen in practice, that Botox may metabolize quicker. We certainly don’t encourage that you try to create stress as it can cause havoc on the body in other ways. Rather, consider controlled stress like exercise. (see below)

Lack of Zinc

A few studies have shown that if there is a diet lacking in zinc, the Botulinum Toxin medications cannot bind to the receptors correctly. So if you are nervous for a first time treatment, consider skipping the Zinc until you see your results.

Extraneous Exercise

Workouts that increase metabolism such as running, HIIT training, and hot yoga lead to higher metabolism rates. It’s possible that a higher metabolism could make results wear off faster 

Acupuncture

There are no direct studies on this but we have seen anecdotal evidence in our office that when people are getting acupuncture their results often wear off faster. This is especially when needles are inserted near the treatment area (i.e. forehead)

Can you temporarily fix bad Botox?

Since there are no scientific studies that prove we can make Botox wear off faster, there are a few ways to fix, or alter, the undesired results. Less noticeable mistakes are always a plus! Consult with your injector to see what your options are.

Possible Botox techniques to alter a case of "bad Botox"

Droopy Eyelid– it is very rare to have a droopy eyelid caused by Botox alone, if it happens- this is called lid ptosis. Immediately see your injector and they will assess if prescribed eyedrops are needed to help prop the eyelid up. Sometimes counter injections of Botox on the actual eyelid can help as well. The good news is that this side effect typically wears off within a few weeks to a few months and it is not permanent. 

Heavy Eyebrows– here are two potential causes of the feeling of heavy eyebrows:

1. the injector over-treated the forehead. If the injector properly treated the glabellar area, then, unfortunately, you have to wait for this to loosen up over a few weeks or months.

2. the injector did not treat the glabella area enough or not at all. This is an easy fix with additional Botox to the glabella to stop the pulling down of the brows. 

One Raised Eyebrow– this is usually an easy fix, the injector needs to add more Botox to the eyebrow that is having more movement and causing you to have uneven eyebrows.

Once I start Botox, can I stop?

Yes! There is no reason you cannot stop doing Botox at any point in time. However, when injected properly, most people are addicted to “aging gracefully”

Read more about reversing bad Botox and Fillers HERE 

BAD FILLER: what are my options?

Again, the best way to prevent “bad filler” is to go to an experienced injector whose work you have seen. These are medical procedures that are just as much art as they are science. Both are crucial to good results. Trying to save money here, will usually cost more in the long-run if you have to have your filler dissolved and re-done. 

Can you reverse dermal filler?

The good news is, yes, you can reverse many types of dermal filler! Most dermal filler injections are made from a substance called Hyaluronic Acid (HA), and there is an enzyme called Hyaluronidase, that dissolves HA. This is a prescribed medication that has to be administered by a medical professional only.

Can Hyaluronidase fix bad filler ASAP?

Yes it can. Once the enzyme is injected in the desired area, it immediately starts working over the next 24 hours. However, additional treatments may be needed if the filler used was a thicker product. 

What fillers are HA?

Most FDA approved filler brands including: Juvederm, Restylane, Versa, and RHA products are made from HA. Again, emphasizing the importance of doing your research and consulting with your injector beforehand so you are aware of the types of products and potential risks.

Is there any scientific proof of dissolving filler?

This study, published in JAMA Network, displays the effectiveness, over a 4 week period, of injecting hyaluronidase into HA fillers; Restylane and Juvederm. The data determines that at a 4-week follow up from initial dissolving, hyaluronidase at low doses was effective at dissolving HA filler. 

Are there fillers that can't be dissolved?

Yes, there are several types of filler that cannot be dissolved. These include PMMA fillers like Bellafill, PLLA like Sculptra (a collagen stimulator), Calcium Hydroxyapatite (Radiesse), as well as silicone and fat transfer

As an aside, though Radiesse cannot technically be dissolved, it can be “dispersed” allowing the body to break it down faster

For more on reversing your filler read THIS article

Is it expensive to dissolve filler?

It is recommended to schedule a follow up appointment with your injecting provider to discuss your options. If your desired results are not achieved, or you experienced a bad reaction, some injectors may reverse the filler at no cost. If however, you want to go to a different injector or get a second opinion, costs vary from the amount of hyaluronidase the provider needs to use. 

More about our injectable pricing HERE

Side note: it is very important to discuss with your provider what they use to dissolve the filler they are injecting with incase of emergency or high risk. With any injectable treatment there are risks that should be known.

Does dissolving filler hurt?

There are always initial pokes at the insertion site. The medication can be reconstituted with other drugs to make it more comfortable, but when injected alone it can sting quite a bit! Ask your injecting provider what to expect during your treatment, as each office is different. At Elite, we use Lidocaine and Sodium Bicarbonate to make dissolving more comfortable. 

Book your filler dissolving here:

Wrap it up!

When administered safely, with a goal of natural results, to enhance your personal features, dermal fillers and Botox are a true confidence boost! Trusting your licensed injector and being aware of risk factors, are highly advised before getting injectables. Luckily there are some ways to alter or fix these mistakes you may encounter. 

With all of that being said, keep in mind that even if you go to the most experienced and credentialed injector, side effects and poor outcomes are always possible. They could do everything 100% right and you may just have strange anatomy or a strange response to treatment.

The most important thing here is that you are seeing someone that knows how to handle adverse effects and will continue to work with you for every step of the process to take care of you. 

If you are located in the Lone Tree, CO area and have any lingering questions about aesthetic injectables, book a complimentary consultation below:

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Botox Brow Lifts

Woman with no lines after botox brow lift

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Almost all of us develop lines in between our brows as we age and our skin begins to lose elastin in that area. To soften these lines patients can undergo a surgical procedure called a brow lift or they can use a neuromodulator like Botox to raise the eyebrows. In this article we’ll explore what a Botox brow lift is, who may benefit from one, and how much it costs.

What is a Botox brow lift?

A Botox brow lift is a procedure that uses Botox to raise the eyebrows and eliminate the frown lines in between the eyes. The Botox injections relax the muscles creating the frown lines which allows the forehead to pull the brow upwards.

Small doses can also be placed under the eyebrow or at the tip of the eyebrow to release the pull from the orbicularis oculi, the circular muscle that goes all around the eye and also pulls the middle and outer brow down. See photo below.

What types of neuromodulators can you use for a brow lift?

Some patients may find that they build resistance to Botox or Dysport due to a protein coating that they build antibodies to (more info on this can be found here). These patients are typically able to use a “Naked” Botulinum toxin like Xeomin to obtain the same results.

Who should get a Botox brow lift?

Almost everyone is a good candidate for glabellar Botulinum Toxin injections. Those with heavy lids, heavy brows, flat brows, or with 11’s lines will see the most benefit. To read more about general information about Botox read the article below.

Is a Botox brow lift safe?

Botox brow lifts are safe and fast when performed by trained injectors. To ensure that you’re getting the best results and the safest procedure make sure to find a trained injector like Ali from Elite Medical & Aesthetics. Keep reading to find out more about some of the potential side effects of this procedure.

What should I do to prepare for a Botox brow lift?

As with any procedure, talk to your injecting provider about what to expect and how to prepare for your appointment. In general though, some of the major things to do before your Botox brow lift might include:

  • Researching your injector thoroughly. Check out their reviews and their credentials prior to booking.
  • Tell your injector what medication you’re currently taking.
  • Consider taking zinc prior to your appointment. Zinc may help the Botox last longer. 
  • Schedule your appointment for a good time when you can have a moment to recover without work or activities.
  • Consider icing the area prior to being injected if you’re nervous. It will make the procedure less painful and may reduce post injection bruising.

Some things to consider not doing before your appointment include:

  • Taking things that will thin your blood like aspirin, ibuprofin, omega-3, ginseng, and fish oil (unless prescribed for a health condition) as they can increase bleeding and bruising.
  • Smoking cigarettes, smoking impacts how long it takes for you to recover.
  • Drinking alcohol prior to your appointment. It has the potential to slow recovery time and make bruising worse. You also cannot legally consent to your procedure if under the influence of drugs or alcohol. 
  • Using skincare products that could irritate your skin prior to your appointment.
  • Wearing makeup to your appointment. Your injector will need to easily see where they’re injecting.
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For more info on what to do and what to avoid before getting Botox, check out our guide

What is a Botox brow lift like?

A Botox brow lift is a very simple outpatient procedure that generally takes under an hour. The procedure itself may only be a few minutes. A good portion of the appointment will be a discussion with the injector and some prep. The injections themselves will be brief and shouldn’t be too painful, feeling like minor pricks. If you are worried about the pain involved, talk to your injecting provider about this, they may have solutions.

When will I see results from a Botox brow lift?

According to studies, and in office observations, we have found that results of Botox brow lifts generally show within a week of the injections. For some products, such as Xeomin, results may show within 24 hours for certain individuals.

What is Botox brow lift aftercare?

Most injectors will have specific aftercare instructions so be sure to follow your specific injectors instructions, but common consideration for aftercare treatment may include:

  • Avoiding lying down for 4 hours after your injections. This is a theoretical precaution to stop the medication from migrating. 
  • Wait at least 8 hours before resuming strenuous exercise and preferably 24 hours. Exercise increases blood flow to the face which theoretically could also cause migration of the medication. Sweat may also irritate the injection sites. 
  • Use a cold compress or ice pack on the area injected to reduce redness and swelling if you need it.

Is there any downtime after a Botox brow lift?

There is very little downtime for Botulinum Toxin injections. Following the aftercare instructions above, you should be able to get back to work or other light activities immediately after

The most common after effects to plan for are small bumps that look like mosquito bites, those typically resolve within 30-45 minutes. Minor redness will resolve within this amount of time as well. Very rarely does bruising occur and it usually just looks like a tiny freckle, usually under the eyes. 

What are the side effects of a Botox brow lift?

Mild side effects of Botox brow lifts can include:

  • Soreness
  • Headaches
  • Pain or swelling at injection site
  • Temporary Numbness
  • Mild bruising 

Talk to your injector about all the potential side effects prior to receiving your treatment.

Can a botox brow lift help hooded eyes?

Hooded eyes occur when an extra portion of skin covers the crease of the eye. This gives the eyes the appearance of the eyelid being smaller. This can be genetic or occur with aging. When the muscles that pull the brows down are deactivated with Botox this allows the brows to lift, therefore lifting the extra “hooded” skin.

What Hooded Eyelids Look Like
Image Courtesy of Beautylish

How much does a Botox brow lift cost?

A Botox brow lift can take anywhere from 20-40 units of Botox (or up to 120 if Dysport is used). This can cost anywhere from $200-$500+ depending on units and what your provider charges. For more on pricing click the pink button below.

How long does a Botox brow lift last?

Botulinum Toxin injections will last 3-4 months for most people between the brows in the 11’s area (the glabella). The small doses around the eyes to aid in the brow lift may only last 6-8 weeks because the dose is smaller and it’s a high movement area. For tips on how to make your Botox last longer, read the blog below.

How does a botox brow lift compare to a surgical brow lift?

A surgical brow lift will lift the brows permanently (until further aging occurs at least) whereas a Botox brow lift is only temporary. The Botox can also only do so much depending on each person’s unique anatomy.

For someone with heavy lids, they would likely need an eyelid surgery called a blepharoplasty. This surgery is also permanent (until further aging occurs). So a younger person, or someone looking for a mild change, could consider the Botox brow lift.  An older person, or someone seeking a more drastic and permanent change, should consult with a board certified Plastic Surgeon to talk about surgical options.

Is a Botox brow lift worth it?

Aesthetic procedures like a Botox brow lift, are a personal choice that only you can decide on. A Botox brow lift may be the right answer for those with heavy lids, heavy brows, or 11’s lines. If you would like to learn more, and are located in the Lone Tree, CO ares, book a quick consult at Elite Medical & Aesthetics below.

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Everything You Need to Know About Baby Botox

Womans face with baby botox

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Sometimes we like to dip our toes into the pool before diving in. When it comes to injectables, dipping our toes in can seem like it is entirely out of the question. But with baby Botox (smaller amounts of Botox) we can see some of the natural looking results of Botox without making a major leap into the injectable pool. In this article we’ll break down what baby Botox is, who it may be right for, and how much it costs.

What is baby Botox?

Baby Botox is extremely similar to regular Botox injections. It is simply injecting smaller amounts of Botox into areas prone to fine lines and wrinkles. The goal of baby Botox is to show the most natural results without completely relaxing the muscles. It is a great way for people worried about injectables to get an idea of what the effects would be like.

How does baby Botox work?

Just like regular Botox injections the goal is to decrease lines and wrinkles. “Baby Botox”, also trademarked “MicroTox”, is when a trained provider injects very superficial amounts of Botulinum Toxin under the top layer of skin with a goal of not quite reaching the muscle. These tiny doses will smooth and relax the skin while still allowing for more natural movement. However, even baby Botox can drift around 1cm so it’s always possible it will affect the muscle. 

What areas can you get baby Botox injected?

Baby Botox is perfect for areas with fine lines and wrinkles where you would want a natural look (see photo below). It is used in many of the same areas that traditional Botox would be used, like:

  • Around the lips
  • Neck
  • Jaw area
  • Crow’s feet
  • Forehead wrinkles
  • Frown lines between brows
Areas that patients get baby Botox
Image courtesy of Westlake Dermatology

Who is a good candidate for baby Botox?

Baby Botox is best for younger clients or those with minimal lines and wrinkles because it’s going to be a modest effect compared to traditional injections. However, it can also be used strategically in clients with more severe lines and wrinkles to give natural appearing results in combination with full treatment. A good example is using this technique right above the eyebrows to allow for some lift of the brow while still smoothing the skin. For more on Botox brow lifts, read the article below.

What are the benefits of baby Botox?

  • Possibly a more natural appearance 
  • Can diminish signs of aging like lines and wrinkles without disrupting facial movements
  • Can be used in combination of full treatments for more control over the final result

Is baby Botox safe?

It is important to note that all aesthetic procedures come with inherent risks. Baby Botox done by a trained injector with years of experience is generally very safe. It has been studied and may have even fewer side effects than traditional Botox because of its smaller doses.

What are the side effects of baby Botox?

Though baby Botox may have fewer side effects than traditional Botox, you may still run the risk of:

  • Bruising in the areas injected
  • Swelling around the injection site
  • Headaches
  • Potential for it to drift deeper leading to the same effect as regular injections

Always consult with your injector about the possible side effects before having a procedure done.

What is the difference between baby Botox and Botox?

Baby Botox and traditional Botox are extremely similar. They both utilize onabotulinumtoxin-A or another type of toxin to weaken muscles. This process weakens muscles and lessens lines and wrinkles. Baby Botox is focused on using less of the same toxin superficially to achieve more natural results. Using less produces less noticeable effects but can still help lessen wrinkles and lines. This makes it great for clients that have never tried Botox before. For more information on botox in general, read the article below. 

How much does baby Botox cost?

Baby Botox prices are determined by the type of toxin (Botox, Dysport, Xeomin) used and the injector you choose. That being said, baby Botox procedures may require half as much toxin as a traditional Botox treatment. But the cost may be the same due to the advanced training of the clinician to perform this treatment and also the additional time it takes for all of the extra injection sites. For instance, a traditional forehead treatment might be 5-10 sites of a regular treatment and double or triple that for Baby Botox. Some of the costs might be:

  • Around the lips: $100+
  • Neck: $200+
  • Jaw area: $200+
  • Crow’s feet: $200+
  • Forehead wrinkles: $200+
  • Frown lines between brows: $200+

Click on the pink button below for Elite Medical and Aesthetic’s Pricing 

How do you prepare for baby Botox?

 For any medical procedure you’ll want to check with your injecting provider for a full list of instructions. In general most patients prepare for baby Botox the same way they would prepare for regular Botox procedures.

This may include: avoiding blood thinning medications and supplements (unless prescribed for health reasons), icing beforehand if needed, taking zinc, and showing up with a makeup clear face. For more information on what to do to prepare, check our Botox prep guide.

What is a baby Botox procedure like?

The baby Botox procedure is a very quick process that generally takes less than 30 minutes and up to 60 minutes for full face and neck.

The procedure will generally start with your injector talking to you about what will happen and asking you a few questions. After that they will wipe your face with a cleaning solution. Over the next few minutes the practitioner will inject Botox into the target areas. The injector will then explain aftercare treatment for you. From there, you’ll be on your way to continue on with your day.

What is baby Botox aftercare?

Talk to your injecting provider for a complete list of aftercare instructions. In general though, aftercare is fairly straightforward and may include: 

  • Avoid rubbing or massaging the area treated. This could cause the toxin to move around and have unwanted effects. As well as increase risk for infection (hands are dirty!).
  • You may also consider not laying down for 4 hours after your treatment to make sure the toxin doesn’t move around.
  • Consider avoiding strenuous exercise after the procedure to avoid swelling and inflammation.
  • In some cases, icing the area can help reduce discomfort from the procedure since it’s a lot of pokes to spread the baby Botox around! You can ice for 5 minutes on and 5-10 minutes off as needed in most cases. Consider not wearing makeup immediately post-procedure to keep the injections site clean and to avoid rubbing and spreading the toxin. Always discuss aftercare with your injector to make sure you’re properly following their instructions. 
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What types of neuromodulators can be used for baby Botox?

Some patients may find that they build resistance to Botox or Dysport due to a protein coating that they build antibodies to (more info on this can be found here). These patients are typically able to use a “Naked” Botulinum toxin like Xeomin to obtain the same results.

Photo Credit: Birmingham Med Spa

How long does baby Botox last?

Baby Botox typically lasts for 6-8 weeks depending on where it is injected. In higher movement areas, like the area around the mouth, it tends to have a shorter life. You’ll want to make sure you set up an appointment for another round of injections at this point to maintain the results.

Does baby Botox last as long as regular Botox?

Baby Botox generally does not last as long as regular Botox which can last for 4 months or longer. It doesn’t last as long because it is lower doses that are spread out more. For more information on how you can make your botox last longer, read the blog below!

Is baby Botox worth it?

Having any type of aesthetic procedure is a personal choice and you have to decide for yourself if it is worth it. If you’re newer to injectables or have never tried Botox, this may be an easy way to get a glimpse of what it would be like. If you are located in the Lone Tree, CO area, and would like to learn more or chat about this procedure, book a quick consult below.

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All About Lip Flips

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Introduction

Many patients seeking fuller lips are nervous to get lip filler and often opt to start with a lip flip. Some are also nervous about a ducky appearance and have heard that a lip flip can help with this!

In this article we’ll dive into what lip flips are, how much they cost, and why it may make sense for some patients to pair a Botox lip flip with traditional lip filler. We’ll also talk about who may be a candidate for a surgical lip lift if a lip flip is not enough. 

What is a Botox lip flip?

A lip flip is an “off-label” procedure done by injecting Botulinum toxin into the border of the upper lip into the lower portion of the orbicularis oris muscle. This is the circular muscle that controls lip pursing (known as duck face). 

By injecting botulinum toxin into the lower region the lower muscle is slightly deactivated. This allows the upper portion of the orbicularis oris to flip the top lip up a bit. It also helps with “smoker’s lines”around the lips.

The effect is a modest 1mm change to the upper lip that lasts around 2-months.

How much does a Botox lip flip cost?

Lip flips are generally for cosmetic purposes and are not covered by insurance. Pricing depends on how many units are needed, who is doing the procedure, and also if the procedure is done alone or with lip filler. Most patients use 4-10 units of Botox which can cost $100-$500. This is generally less expensive than getting a full set of lip fillers which can cost $500+.

Who is a good candidate for a Botox lip flip?

A Botox lip flip is the perfect procedure for:

  • People looking for a fuller appearing top lip without adding volume
  • Individuals hoping to get a more visible upper lip while smiling
  • Those that plan to get lip filler but have a longer philtrum column and don’t want to look ducky (more below)

A Botox lip flip should be avoided by:

  • Those allergic to botulinum toxin
  • Women that are pregnant
  • Patients with active infections or illnesses

Is a lip flip the same as lip filler?

No, they are actually quite different but patients can use both depending on the goals. A lip flip uses Botox and lip filler uses dermal fillers.

Lip filler is a non-surgical procedure where a gel-like substance is injected into the lip to enhance the shape, volume and contours of the lip. When done in a certain way it can flip up the top lip and shorten the philtrum column (distance between the bottom of the nose and top of the lip). See image above. 

When necessary, patients can use it in combination with a lip flip to enhance the upper lip.

What are the benefits of a Botox lip flip compared to lip fillers?

One benefit of the lip flip over lip fillers is the cost. Most lip filler procedures cost between $600-800 whereas a lip flip might start out at $125.

Both the lip flip and lip filler can decrease lines in the lips called “smoker’s lines” or “kissing lines.” The lip filler will last longer on average though.

For someone with a long philtrum column (the distance between the bottom of the nose and top of the lip) the lip flip can be used with lip filler. This works to prevent a ducky appearance. In some other cases, if the distance is severely long, patients may need a surgical consult for a lip lift (see below).

Another major benefit of this procedure is that it can be a good intro into lip procedures, only lasting 2 months. Only lasting 2 months can also be a con when you consider lip filler lasts roughly 8-12 months. In the long run, the lip flip can be more expensive if done regularly.

What is a lip lift?

A lip lift is a surgical procedure where a plastic surgeon removes a small amount of skin from the philtrum column. This shortens the distance between the nose and the top lip. The goal is usually to have a few mm of top teeth showing when the mouth is relaxed but lips are slightly parted. The lip lift procedure costs on average between $2000 and $5000

lip lift before and after
Image Courtesy of Nayak Plastic Surgery

What is the difference between a lip flip and a lip lift?

A lip flip is where Botox or another Botulinum toxin is injected into the top lip. This temporarily flips up the cupid’s bow and shortens the philtrum column (around 1mm).

A surgical lip lift is a permanent surgery to do the same thing. The difference is that the surgeon can measure exactly how much skin to take for each unique person. The average is around 3-7mm or 1/3rd of the distance depending on the person and their unique appearance.

What are the pros and cons of a lip flip versus a surgical lip lift?

The pros of the lip flip over a surgical lip lift is that the Botox lip flip is temporary, only lasting 2 months or so. It’s also cheaper in the short term. The cons are that it only lasts 2 months and that the change is very modest, around 1mm. So someone with a very long philtrum column the lip flip will not do much.

The pros of the surgical lip lift is that it’s permanent and the exact amount of change for the best aesthetic results can occur. The cons are that it is surgery which always comes with risks and it will leave a small scar. It is also permanent in the rare case the top lip has been shortened too much, though it does relax and “stretch” out over time. 

Should I get a lip flip or lip lift?

One thing you can do at home to determine if you have a long philtrum column is look at yourself in the mirror with your face and lips still and neutral.  Then open your mouth about 1-2 cms. Do your top teeth show at all or does your top lip cover them completely?

If your top teeth show then your best bet is likely lip filler with or without the lip flip depending if you have lip lines or how much top teeth show.

If your top teeth don’t show, then you should consider whether you would undergo surgery to enhance the appearance of your lips. If you would not, then make an appointment with an experienced injector and see what they think about lip filler with a lip flip. They may be able to do it, but in severe cases may recommend you have a surgical consultation with a surgeon. They usually have someone they trust that they can refer you to.

If you know you want a permanent change, do your research and get a few consults with well known, board certified plastic surgeons for a lip lift procedure.

No teeth showing with lips parted= risk to look ducky with filler. Photo credit, Maybelline
Teeth showing= less risk to look ducky with lip filler. Photo credit, Valeria Boltneva

Does a lip flip hurt?

In most cases, ice or numbing cream is used before the injections for a lip flip. The lips are very sensitive and because the needle is being injected deeper, into the muscle, this area can be quite tender. It is very quick though and most people tolerate it well

Is a Botox lip flip safe?

Botox, and other neurotoxin treatments, are safe and highly researched. Due to the small amount of medication being injected, the risk is even smaller than many other procedures. That being said, you should always consult and book with a pro that has performed the procedure numerous times like Ali from EMA. The most expensive aesthetics procedures are the ones you have to have twice due to a poorly trained injector.

What are the side effects of a Botox lip flip?

Minor side effects of a Botox lip flip include:

  • Swelling
  • Bruising
  • Soreness in the area injected
  • Inability to fully purse lips or annunciate certain words

Talk to your injecting provider for a complete list of side effects and warnings to look out for after any procedure.

Does a lip flip change your smile?

A lip flip can make the top lip show a bit more when smiling but the effect is subtle. In rare cases, when the injection is not done correctly it can actually cause a crooked smile as well. Make sure you go to someone that has experience in lip flips before having this procedure done.

What is Lip Flip Aftercare?

Talk to your injecting provider and ensure that you are following all of their specific recommendations after any procedure. In general, aftercare is simple and usually involves keeping the site clean, avoiding massaging the area and avoiding intense exercise for 4-8 hours post procedure

How long until I see results from my Botox lip flip?

Depending on which medication is used (Botox, Xeomin, Dysport, Jeuveau) results will likely start to show within 4-5 days with final results between 10-14 days.

How long will my Botox lip flip last?

Unfortunately, results only last up to 2-months in this high movement area. That means the procedure needs do be done again every 2 months.

Are lip flips worth it?

Having any type of aesthetic procedure is a personal choice and you have to decide for yourself if it is worth it.

We have done many lip flips at Elite and find that lip filler tends to have a more desirable and longer lasting effect, with or without the lip flip. 

We’ve also found that many people look “ducky” from poorly placed or migrated filler done elsewhere and when we dissolve and redo it we get a great result.

In rare cases, we have also referred clients for plastic surgery consults. But for most clients we can give at least a subtle treatment to enhance their look.

If you want to learn more or chat about these procedures book a consult below to chat.

Read more about how to tell if you’ll look lucky ducky in this article.

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