04/28/2026
Before and after Dysport taken 2 weeks apart
✨ This patient came in wanting lip filler, but after a full-face assessment -- looking at symmetry, muscle movement, volume, and the patient's specific concerns -- it was clear that filler was not the first step to achieving the result she wanted.
The patient has a strong upward pull of the upper lip when smiling, which means adding filler alone would have not created natural-looking volume. Instead, the lips would have continued pulling up showing a very gummy smile. To correct the underlying cause, we started by strategically relaxing key muscles with Botox.
We also treated the muscle around the eyes to soften the skin's crinking and ensure the upper face matched the refreshed look of the lower face when smiling.
This approach creates harmony, balance and a more natural result-- and sets the foundation for filler later if needed.
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