Botox is a medical treatment that involves injecting a purified form of the bacterium Clostridium botulinum. It is commonly used to reduce or smooth facial wrinkles and lines temporarily, but can also be used to treat certain medical conditions, such as muscle spasms or excessive sweating.
This mid-70-year-old woman recently lost about 65 pounds, noticed a lot of volume on her face, and wanted to get rejuvenation back. Dr. Gaur treated her midface and under eyes as well as temples with filler in order to replenish the volume she had lost with her impressive weight loss.
Surgical intervention with lifting her lower face and neck would significantly help with the laxity. However, it’s pretty typical that patients are very hesitant to go under the knife.
Unfortunately, fillers or Botox will not address her lower face issues.
This patient who is an optometrist had a history of undereye filler 1 year ago from elsewhere and felt too puffy afterwards. She came to Dr. Gaur who noted underfilled tear toughs. Dr. Gaur did one session to dissolve and the patient returned few weeks after for undereye filler with Restylane Eyelight. The key with undereye filler is patient selection and understanding how much filler is needed to avoid overfilling this delicate area.
She is an ideal candidate due to her hollowness without significant eyebags (lower lid fat prolapse).