Tag Archives: lip augmentation

Restylane Silk for Aging Lips

12 Apr

  

A New Addition to the Restylane Family

Restylane Silk is now FDA approved for submucosal implantation for lip augmentation and dermal implantation for correction of perioral rhytids (smoker’s lines) and it is currently available on the US market.   This product provides a subtle solution to aging signs around the lip and mouth area.  It’s greatest quality is subtle enhancement; your lips will not look “done” or “artificial.”  

  

Hyaluronic Acid for Lip Augmentation

Although Restylane Silk is the first product to be FDA approved for lips, we have been using other products for years.  Juvederm and Restylane are commonly used to augment the lips in an “off-label” treatment (FDA approval costs millions of dollars and takes many years.  These products are all very safe to inject in the lips by a trained professional).  

These products, along with Belotero, are all in the hyaluronic acid family.  Hyaluronic acid (HA) is a sugar your body naturally produces; these products are synthetic gels.  Because your body naturally makes this sugar, the chances of being allergic are almost zero.  This family of products IS reversible, if for any reason, you are unhappy with the results.

The molecular structure of Silk is smaller, and the product flows to where it is needed.  It doesn’t over bulk, and is a perfect finishing agent for fine lines.  

Which product is best is really dependent on who the client is, and what result they want.  If you are looking for subtle and natural lip augmentation, Restylane Silk is the product for you!  

My Experience 

At the beginning of March, I was told this product would be available and I was so excited to try it.  Lip augmentation has always been a specialty of mine, and I was told “I would love this product for the vermillion border” (where the color changes from pink to skin-toned).  

 

I was excited to try it, but my idea of an “ideal” client for this product was way off!  I first tried it on a 24 year-old patient.  She (and I for that matter) were not impressed, it looked like nothing was done.  Then I realized I was supposed to be using it for a whole different population of client.  The older patient who didn’t want to look like anything was done!   Oops… Probably should have read the email about the product FIRST. 

So then I tried it on an employee in her 50’s.  The results blew me away!  Like always, the pictures do the results no justice.   

The final result is very natural looking.  It is hard to see from the picture, but the before has a defined ridge above the lip, which is SO much improved with the Silk injections.  (The spray tan and make-up can throw you off in the after pictures.) 

The technique used to inject this product is VERY different than previous products used to treat lips.  If incorrectly injected, the product will not give you the best results, cause swelling, and has been reported as painful by patients.  This product requires the knowledge and expertise of a skilled injector.  

I had a few clients trial the product (including my awesome mom!).  They sent me their after pictures via text.  Again, not the greatest quality pictures, but every client was extremely happy with the results and gave great feedback.  (Thank you ladies!). 

    

Final Thoughts

Because the typical Silk client is older, make sure you consider timing in booking an appointment for this procedure.  Like any injectable product, swelling and bruising are always a possibility.  You want to avoid icing post-procedure to allow the product to smoothly integrate into the tissue.  If you have a big meeting at work the next day, you probably should reschedule (…the meeting OBVIOUSLY!  Who wants to wait for such amazing results!  Plus, then the meeting will go better with your new confidence!).   

How long will a bruise last?  Remember everyone is different.  Some people don’t bruise at all.  Check out my blog on bruising info.  

Other Uses

I read Silk was also a fabulous filler to use in the glabellar crease… Blog post coming soon!   

For questions or to book an appointment with me, call my office at 781-235-4957.  You can also book online at http://www.LauraKimberleyRN.com.  


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Aesthetic Consultation: Botox and Fillers

25 May

What to ask for and expect during consultations for Botox and fillers. consultation video

Juvederm vs Restylane for Lip Augmentation

9 Feb

Trying to decide which product you want to go with for lip augmentation?  Check out this post!  

For more basic information:

Lip Augmentation: Basic Information for Patients.

Lip Augmentation: Basic Information for Patients

4 Feb

Interested in Lip Augmentation?  Check out this video and learn the basics!

Trying New Products

27 May

Just like tissues come in the brand “Puffs” or “Kleenex,” there are different brands of products used in aesthetic medicine.

It is very difficult for patients to determine which product is right for them without consulting with a professional… and some professionals only use certain brands of products. I’m very lucky that the office I work with (and a lot of my patients!) let me experiment with different brands.

Right product, right place, right person!

Currently, I’ve been experimenting with different brands of Hyaluronic Acid Fillers (Juvéderm, Restylane, and Belotero). I use these products in tear troughs, temples, lips, vertical lip lines, marionette lines, nasolabial folds, and cheeks. They are not for large areas of hollowness (Radiesse and Sculptra are more cost effective choices). HA’s are great to experiment with because they can be dissolved if you don’t like the result. If you are a virgin to fillers, these are a good idea to start with.

Kiss, Kiss.

We all know I love Belotero under the eyes, and I almost always use this product for tear troughs (More Belotero!.)  The only time I use Juvéderm is for patients I think really should be getting a blepheroplasty…but aren’t ready to go under the knife (Observing Surgery: Blepharoplasty.)  But what about the Lips? ….Well it depends!

The Patient’s Concern

Bigger, Fuller Lips

Juvéderm remains my go to product for lip augmentation. It looks and feels the most natural (when injected right!), and is FDA approved to last up to a year.

I have found a place for Restylane in my heart recently, however. I had my vermillion border injected about 3 weeks ago, and I love it. This product really defines the border of the lip!

Vertical Lip Lines

For women trying to treat vertical lip lines, or “smokers lines,” I have mixed feelings on using HA’s vs. Botox. I usually tell people to try Botox first. Over treating the upper lip with a hyaluronic acid can create a “monkey lip.” It doesn’t look good! I’ve seen this happen a lot with Restylane and Juvéderm.

While Belotero is a good product to treat these lines, I’ve found the results don’t last long when I mix the product with lidocaine (local anesthetic). The lips are VERY sensitive, and require some sort of local and injected numbing agent (anyone who disagrees with this has never had their lips injected—it’s a lil pinchy).

My technique is to use both Juvéderm and Belotero. As you age, you loose collagen and the shape of the jaw and teeth changes. This causes an elongation of the upper lip. If you look really closely at an angle there is a horizontal ridge above the lip line. I fill this ridge with Belotero. The lips also begin to thin as you age. Juvéderm into the wet/dry border replaces this volume loss. I have found it can improve vertical lip lines when injected into the vermillion border and manipulated into the vertical lines. It may not completely get rid of them, but it will improve them, and it looks very natural (not like a monkey lip).

Downturned Corners

Changes in the shape of the jaw and gravity causes the corners of your lips to turn downwards as you age. By giving support to the lower lip in areas of volume loss, that from can be turned upside down before it turns into a full out marionette line (which Radiesse is the best for!).

To read more about lip augmentation check out Pucker-Up, Princess – Damn Sexy Lips.

Love Big Lips!  Lips, Lips, Lips!.

Will it hurt?

24 Nov

Pain is such an abstract and obscure concept. You can’t really define it. It has so many dimensions. In the hospital, we assess pain on a scale of either facial expression charts or numerically from 0-10. Zero being no pain, and 10 being the worst pain you’ve ever felt in your life. It is an individual experience; the numerical response to a stimulus can differ drastically from person to person. So, whether or not something will hurt is relative.

    Source: http://www.pamz.com

On a Scale of 0-10…

What’s the most painful thing I’ve ever experienced? First, a broken heart. That took a really long time to recover from… and I definitely still have scars! The second most painful thing I’ve ever endured is being in a car accident, which I also still have issues from. I’ve never gone through childbirth, never been divorced, still have both my parents, and never had a kidney stone. So my list has room to change. I’d like to point out that my list does not include Botox, Fillers, or my recent surgery. But that’s what this post is about. Do aesthetic procedures hurt as much as people think they will?

Beauty is Pain

We’ve all endured painful treatments in the name of beauty. Ever tweezed your eyebrows? Waxed your lip? Burned yourself with a curling iron? Stuck an eyelash wand in your eye? Walked more than a street block in stilettos? All painful, but relatable, every day examples of things women do in the name of beauty.

If you asked 100 women the same question, you’d get a 100 different answers. This is because women never have a “yes” or “no” answer. It’s always a story. So here’s a comparison story.

Q: How painful are stilettos?

A: Well, that depends.

  • How big are the stilettos
  • How long are you wearing them for
  • How far will you need to walk in them
  • Who makes them
  • How often do you wear stilettos
  • How often do you wear those particular stilettos (i.e. are they broken in)
  • What condition are your feet in (i.e. do you have any blisters)
  • What size are the stilettos vs. what size are your feet (i.e. does the shoe fit)
  • What are the road conditions for which you will be walking in them (i.e. changes in elevation)
  • What are the weather conditions for which you will be wearing them (i.e. rain or snow, inside or out)
  • Etc, ect, ect.

So, when you ask how badly something will hurt, there are many conditions which will change the outcome. It’s hard to explain the pain factor of beauty. The “Universal Pain Assessment Scale” does not really work when it comes to women and what they’re willing to endure. So… I decided to paint my own comparative scale. Because I love “Paint” (the computer program) and I love making stuff relatable.

The “LK Aesthetic Comparative Assessment Scale”

I’m not going to lie. This took me a long time to create, and it’s pretty scientific (although has no reliability or validity, it is merely my projections). This is how it works. Each treatment is rated in 3 dimensions on a scale of 1-5. Then those 3 numbers are added.

Chemical Peels

Laser Hair Removal


Laser on the Face



Eyeliner Tattoo


Botox


Fillers


Some fillers hurt more than others. The worst is the lips. I used that for the pain scale, but other areas hurt much less.

Tear Troughs    2

Cheeks        2

Marionette Lines    3

Naso-Labial Folds    3

Plastic Surgery

In all fairness… I think surgeries could be subcategorized. I heard liposuction isn’t really that bad. I guess it depends how well you are medicated too. Pain is relative.

I Hope this gave some perspective! Remember, this scale holds no scientific basis.

XOXO. LK.

What Goes Where?

4 Aug

Prior to 2002, there was one type of facial filler: collagen. Many products have been developed over the past ten years which have caused collagen to become obsolete. There are now multiple categories of fillers, all made of different materials. The products in these subcategories have properties which make them better in treating some signs of aging than other areas or other products. Remember, fillers are different than Botox (it’s not all just Botox!). So what goes where?

Hyaluronic Acid (HA’s)

Synthetic forms of hyaluronic acid (a sugar that your body naturally produces) include products like Juvéderm, Perlene and Restylane. HA’s increase fullness and enhance the viscosity of the naturally occurring hyaluronic acid in your body. Although it may cost a little more, Juvéderm is currently the longest lasting product (in some cases lasts twice as long, and therefore is worth the extra $100 or so per syringe). I have performed over 200 Juvéderm procedures, and have personally been injected with this product many times!

*note: My face is just a model, I haven’ had all this work done I swear! I just love “Paint.”

  • Best for superficial lines (not very deep, not folds).
  • They are used in areas where “plumpness” is desired (like your lips!)
  • They can be used in cheek augmentation, vertical lip lines, and nasolabial folds, but might not be the best product. Cheeks and Nasolabial folds typically require a lot of filler, and cost-effectiveness wise, this isn’t the product. But if you just need to fix a little sagging, it can be used in the cheeks. If you want to overpay for deep nasolabial folds, then this product also can be placed in this area.
  • Vertical Lip Lines are usually superficial, which would make Juvéderm a good product, HOWEVER, if it is not placed right, the result is a monkey face.

Tips on Hyaluronic Acid

  • When I’m filling lines in the glabella, I always administer a dose of Botox to the area 2 weeks before injecting Juvéderm. This allows me to inject directly into the line; it is easier to aim at a stationary target! How do you know if you will need Botox and Fillers? If you have a line in between your brows at rest (a “1”, “11”, or “111”) and you pull that line apart with your fingers, do you still see a crease in the skin? If yes, you need both, if no, Botox is enough.
  • I always apply numbing cream 20 minutes before injections.
  • I never inject too close to the outer rim of the eye (distal orbital rim), it usually irregularities in the contour of the face.
  • Injecting into the tear trough is a very advanced procedure. I can’t tell you how many times I’ve seen this area over filled (which looks TERRIBLE). My recommendation: it is better to under-fill and book a follow-up. This area requires a minimal amount of product, and my personal policy is to allow a client to come back at no charge if they require a small amount more (within reason).

Particulated Fillers

These products, like Radiesse and ArteFill, contain synthetic beads or particles in different liquid carriers. They last longer than HA’s, because the body doesn’t break them down as fast. They are also thicker than HA’s, which means they satisfy a larger area of volume loss. These products are injected deeper in the layers of skin (never superficially like HA’s are). Why? Because they’re made out of beads in liquid… and in superficial skin that would make bumps! This means they NEVER get injected into the tear troughs or into the lips. EVER. For very, very deep glabellar crease, Radiesse can be used (but usually an HA is a better choice).

  • These products are for moderate to severe volume loss. As you age, facial skeletal changes, general tissue volume loss, and the effects of gravity flatten out your cheeks. If you look at the contour of my face on right side of my face (your left), you will see how round my cheek is. I think you can see in this picture that the apples of my cheeks are round as well. A lot of women will look in the mirror at their nasolabial folds and want to go straight for filling only those, but that doesn’t give the youthful round shape back to the face. On some people I like to do cheek augmentation with Radiesse as well as nasolabial folds. I always do cheeks before folds, because the cheek bone is the scaffolding for the lower face skin. When you change that, the depth of the NL fold will also change. Always top to bottom, never bottom to top, when it comes to your face fillers! **When you have extra weight on your face, you keep the roundness. Skinny people have really flat cheeks when they age. HA. Take that skinny people.
  • The marionette lines, prejowel, and oral commissure are usually treated as one area that needs to be fixed. They’re kind of like vector components of each other (for all you Geometry dorks out there, *brushes shoulder off*).
  • Again, skeletal changes that occur as you age cause your chin to recess and along with volume loss, change the angles of your jaw and chin. This is another area a lot of people overlook when spending that quality time in the mirror pulling at their face in the “this is what I would look like if I had a face-lift” pose. Even if you do have a traditional facelift, you aren’t doing anything about the volume loss. This contributes to the unnatural look of a face-lift.
  • Radiesse and Juvéderm can be used in conjunction to fix contour irregularities in the nose.

I hope that cleared up the two main classes of fillers. It’s a lot of information!!! The next post will be about Sculptra, which gets grouped in with fillers… but this is already too long! Lol.

xoxo SPRAY TAN – O – REXIC LK

Lips, Lips, Lips!

13 Jul

I have a client (who is on tv) who came to me for a lip augmentation. She was shocked when I started asking her questions about her teeth and jaw. She had a slight under-bite and her jaw was slightly mis-aligned. This caused her smile to be slightly slanted. I’ve actually seen this many times. Remember my post about symmetry? A symmetrical face is attractive because it shows good underlying bone structure. In nature, this is a desirable for reproduction because it exhibits good genetics. But now that’s what you have me for. And orthodontists. (I’m cheaper.)

One of the best things about this job is getting to use my artistic abilities!

This from before:

The top lip is very thin, and the left side is slightly higher when she smiles.

After (with a little bruising, which make-up can usually cover—this patient has no make-up on!):

After:

Gotta love the quality. Sorry guys. And the last pic was taken with instagram…. So I assure you, when it comes to lip augmentation, I am the as talented as they come in Boston…but with photography not so much! This patient is very happy and her dissymmetry has been much improved.

Inspired by an Angel

I was interviewed for a blog by Angel Boston. She inspired me to post some pictures of lips. Can you guess which of these are augmented and which are not? The answers are below so don’t scroll too fast! (Stuff like this always amuses me in the Tabloid magazines!)





The answer will shock you.

Or maybe it won’t. But I’ve augmented all these lips. Remember everyone wants a different end result. Not everyone wants their lips to look fake. And everyone starts with a different amount of collagen and shape. And the end result will NEVER be perfection. It is unattainable! Except for Kimber from Nip/Tuck. She’s perfect.

I LOVE lip augmentation. It is so sexy!

Mention my blog and get $100 off lip augmentation with me at Sylvestre Franc Spa in Newton 617-969-2252. But… You can’t combine it with any other offers!

YOU’RE WELCOME!

So, as you can tell by my bathing suit I was at the beach… but my awesome beach hair is from this product line called Davines. The product is called #14 Sea Salt Primer. Amazingggg.

Things You Never Would Think To Find In A Girl’s Bathroom

6 Jul

How I’ve gone from your typical teenage girl to … an aesthetic specialist (for lack of a better term).

I remember when I moved into my first apartment in college, and I asked my mom for a make-up table, because there were 4 of us with one bathroom. I used to wear a lot of make-up. Case in point:

Summer of 2004. My candy raver phase? I guess. Over tweezed eyebrows. Check. Spots on my shoulder from too much tanning beds (which is actually caused from a fungus for all you spotted tanners out there… GROSS). Check. Face make-up too light. Check. Choice in jewelry… no comment. Oh. And I have roots. I think I might have been going to see Roger Waters with my college boyfriend. Man, college is a time for mistakes!

Hey, I also found my college bathroom circa 2004. (I am the original facebook generation… back when you needed a .edu to join).

UMASS. That should explain anything off you might see in this picture. But as you can see. Small space for four people. And a cat.

Anyways. Normal bathroom. Right? Also, I’d just like to point out that I used to eat nothing but candy. But I always brushed my teeth. As evidenced by me brushing my teeth

So I’ve gone from this:

To this:

Well… now fast forward 8 years. I wear very basic make-up that takes me literally five minutes to do, but in return I have the weirdest stuff in my bathroom repertoire! Used for purposes I’m sure very few could guess! So here’s an insiders sneak peak to my bathroom. I hope you find this as ridiculous (and funny) as I do. Welcome to the bathroom of a high maintenance princess.

Shot 1:

I took this pic a few months ago and sent this to one of my co-workers. I thought it was absolutely comical that I had this stuff on my bathroom sink counter.

I believe the tweezers were for applying fake eyelashes. I learned to stop tweezing my own eyebrows. Please refer back to the college years if you are curious as to why.

I suppose pliers wouldn’t be a strange thing to have in the bathroom. I’m not sure what you would actually use them for or how to actually spell that word… but I use them to take out my hair extensions if they’ve gotten a little loose. Not normal.

Revitalash I use to grow my eyelashes longer and stronger for lash extensions… and because sometimes I ruin my lashes with the strip adhesives. Gotta have lovely lashes.

Shot 2:

My make-up bag. Fake Eyelashes. Behind that… Fake hair aka Diva Weava.  I wouldn’t be a Barbie Doll if I didn’t have Fake hair.  And my fav hair tool: my pink GHD

That is a legitimate paintbrush in the middle there.

Shot 3.

Shot 4: Stuff that is Usually on My Bathroom Counter

  1. Baby Powder: for my roots because I only wash my hair twice a week.
  2. Dry Shampoo: because sometimes baby powder isn’t my scene.
  3. QuickTan: Because sometimes you have to go from white to orange in 20 minutes or less.

What I’ve Done.

And then I also did a quick draw a few months ago (back when I was blonde) on all the stuff on my face that was changed. It was kind of shocking to me. I wasn’t going to post it… because there are always people out there that like to tear you down. But I guess I’m somewhat amused by it. And comfortable enough to say, bring on the controversy.

            

  1. Botox in my Glabella and Forehead
  2. Lip Augmentation  Pucker-Up, Princess – Damn Sexy Lips.
  3. Sculptra to my temples
  4. Cheek Augmentation
  5. Eyeliner tattoo
  6. Eyelash extensions
    Lovely Lashes!.
  7. Hair extensions
  8. I have juvederm under my eyes as well.

No Surgery Needed!

“Plastic surgery and breast implants are fine for people who want that,

if it makes them feel better about who they are. But, it makes these people,

actors especially, fantasy figures for a fantasy world.

Acting is about being real being honest.”
Kate Winslet

Dear Kate Winslet,

I appreciate your support for people to make their own choices on

Plastic Surgery. I assure you, I feel great about myself.

More confident than Superman. Oh wait. Is he real?

Or is that part of my delusional fantasy world?

Is that sarcasm? Or real honesty?

XOXO

LK

Like my Patriotic Red Extensions from July 4th? Happy Birthday America!

Thank you for giving me the freedom to be delusional and honest.

A Bride’s Guide

17 Mar


Every bride wants to look perfect on her special day, and that takes a lot of hard work and preparation (or so I hear…)… I thought I’d be a big help for all those brides (and their bridal parties!) with a little bit of information you might find helpful!

Actually… I think any time anyone attends a wedding they want to look good. Weddings = Pictures. And now-a-days, pictures – the good, the bad, and the ugly – wind up on Facebook! So if you’re at the age where you will be attending lots of weddings in the near future (i.e. my age) you might want to take some notes…

Non-Invasive

Spray Tan

Spray tan’s typically last 7-14 days.  If your thinking of spraying (which I highly recommend), do it as close to your big day as possible!  You can’t shower for 6 hours after a spray, and you can smell a little bit sugary post-spray, so keep this in mind.  For the best results, spray the day before. As it wears off, it can sometimes look a little patchy. Make sure you exfoliate prior to your appointment (and shave).

Also, I hear there is a new spray out, that has glitter in it (OMG RIGHT!), but it’s only good for 24 hours I think? Maybe someone else knows more about this? I would also like to note here, that if you are not the bride, you should NOT be shining. That’s rude.


Facial

A plain old facial can be done anywhere from a few days to a month before a special date. Healthy skin is essential for a beautiful face. I recommend everyone see an aesthetician and purchasing some products that will keep your skin healthy.

Weddings are super stressful, and your skin responds to stress. Facials will keep break-outs at bay, not only by cleaning your skin, but by giving you some quality relaxation time. Spa days are great to do with your friends, mother, and future mother in law!


*Note: if you are planning on doing Botox or fillers, a facial should be done either immediately before or 5 days after any facial treatments.

Chemical Peel

Degree of peeling can vary, so talk to the aesthetician performing your peel and be CLEAR if you have any wedding events (or any events for that matter) that you don’t want to be shedding for. ‘Tis the Season for Chemical Peels!.  For a real good, deep peel, expect about a week to two of down time. Trust me, it’s worth it.

Very Important:  moisturize often with a pharmaceutical or cosmeceutical grade product after a peel.  Many places have post-treatment kits.  Do NOT pick at your skin!  Stay out of the sun! Do not use Retin-A prior to or post treatment for about 7 days.

Waxing

Waxing your brows or lip shouldn’t be done the day of an event.  The process can irritate your skin, leaving it a little red.  Icing the area helps.  Or an anti-inflammatory like ibuprofen.  Make sure to keep the area clean to keep bacteria out of your pores, and causing break outs.

Microdermabrasion.

Often done during the same time as a facial, and can cause some minor redness.  Protect your skin after this treatment. Again, stay out of the sun, and do not use Retin-A prior to or post treatment for 7 days.

Laser Skin Rejuvenation Treatments

Depending on the laser, and the treatment, there can be some downtime with this (discoloration and flaking), anywhere from a day to a week.  Ask your practitioner what to expect with the treatment you are receiving.  These treatments really make your skin look great!  Never heard of laser skin rejuvenation?  There will be blog posts to come!

Teeth Whitening

It depends on the number of treatments you will need to decide when you should start. Some treatments take a few sessions, some are one and done. Go for a consult. At the very least, do the Crest White Strips.

Long Lashes

A lot of brides ask me about eye-lash extensions. Although a little expensive, they look great for a wedding.  They should be done about a week before your big event.  They take some getting used to! Lovely Lashes!. They also don’t last very long… usually about a month, so don’t do them too soon unless you are going to keep up on them. If you are having your make-up professionally done, the make-up artist will probably offer you some sort of fake-eyelash. If you are doing your own make-up and you want that lashed out look, practice a few times before the big day. I am a master of the strip lash… but it took me about a year to perfect my technique!

Minimally Invasive Procedures

These can be tricky to time.  If you are planning on doing any non-invasive procedures, they should be done either immediately before Botox and Fillers, or 5 days after.  This is because you don’t want Botox to travel into the wrong muscle group, or fillers to be moved into the wrong area.  Use good judgment with timing your treatments!

A lot of women do Botox and fillers before a big wedding!

Check out this article: http://www.nytimes.com/2008/07/24/fashion/24skin.html?pagewanted=all


(I’m the bridesmaid all the way to the left. I would like to add a disclaimer: The bride here is naturally beautiful. And has not let me tempt her into Botox—yet).

Botox

If you are new to Botox, I suggest trying it out 4-6 months prior to the wedding date for a couple of reasons. First, this way you can decide if you like it (which you will, but I still recommend trying it). Second, Botox is a dose dependant medication (your results depend on how large or small a dose you receive). Six months gives you plenty of time to work out with your injector the perfect dose for you! Last, you will not be able to look angry for 3-6 months. This might be helpful to any Bridezilla’s out there. So, when you are in witch mode, at least you won’t look like it. J

If you don’t have six months to do a trial run, if you are a Botox Pro, or if you just want to go for it, you should have your treatment AT LEAST 1 month prior to the big day, and NO MORE than 2 months prior. Anything more than 2 months, it might start wearing off, anything less than a month you might not have the result you desire.

Another interesting use of Botox with Brides: It is becoming popular to be treated for hyperhydrosis (sweating) in the underarm. I recommend this to brides who will be getting married outside in 100 degree weather. Sweating profusely is pretty gross. You’re already going to be nervous, and when you add your layers of dress (which I’m sure is not air conditioned), and all the dancing you’re going to do… might be a good idea. Plus, you didn’t spend all that money on a dress to have pit-stains on it. This procedure requires a pretty big dose of Botox, and is therefore pretty expensive. It’s not for every bride.


(Remember don’t go overboard either!)

Fillers (Radiesse, Juvéderm… Perlene, Restyline, ect. ect.)

Depending on the area of injection, there can be some minor bruising (or major depending on the injector).  Invest in some Arnica cream, and expect the worst (2 weeks).  Cheek augmentation bruises the least, while lip augmentation and nasal labial folds tend to bruise the most.  Gosh, I hate it when I have dental work 😉 The average bruise lasts a few days.

Usually older brides are doing facial fillers, while younger brides might want to plump their lips.

As for the rest of the wedding participants, the mothers of the bride and groom are usually also very interested in fillers (and Botox). After all, they have been looking forward to this day since the days BEFORE their children gave them premature wrinkles. Whether she is interested in a facial or Botox treatment, moms deserve to be asked “is this your sister?”

Things to Do 6 Months or More before a Wedding (or wait until after):

–  Bioenhancers like Sculptra Aesthetic (it can take up to 6 weeks to see a difference)

–  Plastic Surgery. Remember that crazy reality show on TV that brides were competing with each other trying to win plastic surgery procedures so they could be perfect for their big day? Those women were … appalling. Plastic surgery should never be taken lightly. Or have a competitive reality show. Leave competitive reality to “Survivor!”

–  Changing your hair color or cutting it short (stick to what you know looks good on you!)

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