Dermal Fillers Before & After Case 124

Full lips are desired by many Washington DC women. As a result, lip enhancement procedures are very popular in Dr. Chaboki’s cosmetic surgery practice. Lip enhancement options include hyaluronic acid fillers, such as Restylane® or Juvederm®, fat injections, or lip lift plastic surgery. Women of all ages can be candidates for lip enhancement with non-surgical lip rejuvenation. With the popularity of non-surgical cosmetic treatments that are now available, lip lift plastic surgery is rarely performed in plastic surgery offices.

This woman has had many Botox Cosmetic® and facial filler treatments over the years by other doctors, in addition to prior facial plastic surgery. She also previously had major upper and lower jaw surgery and TMJ syndrome, which affected her lips and jaw muscles. She was unhappy with her prior non-surgical treatments by other plastic surgeons and consulted with Dr. Chaboki for a second opinion before possibly undergoing a lip lift surgery. She wanted natural results and to avoid plastic surgery.

After seeing the many positive online reviews for plastic surgery, she consulted with DC facial plastic surgeon Dr. Chaboki to review possible aesthetic options. Physical examination reveals mild flattening or deflation of the upper and lower lips, along with asymmetry. She also had significant excess lower jaw (masseter) muscles due to extensive dental history. The excess muscle bulk of the lower jaws created a more square, masculine appearance and distracted from her feminine features.

The patient received lip enhancement with Juvederm® of the upper and lower lips. She now has more natural fullness of the lips with improved symmetry. She also had Botox Cosmetic® jaw reduction in the office to sculpt the lower face. The Botox Cosmetic® not only improved her TMJ symptoms but also created a more oval or heart shaped face, which is more feminine. These combination aesthetic treatments can be performed in a single office setting with minimal downtime. She now returns regularly for all her cosmetic surgery needs to Dr. Chaboki.