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Dermal injectables generate questions that result in anxiety before, during and after plastic surgery. At ReNova Plastic surgery of Pittsburgh, we believe that answering those questions improve the state of mind of our patients, favoring successful outcomes.

Please find questions related to body plastic surgery including: Botox; Botox for migraines; Juvederm; and Lip Augmentation. Dr. Clavijo answered them with his systematic approach. Analyzing the problem, identifying possible reasons for them, and proposing advice that may help solving the issues.

Be aware that the accuracy of the answers may be limited due to the lack of physical examination, not being the surgeon of the case, and not being part of the decision making of the cases.

Botox - Questions and Answers

Can Botox lower my high left brow and lid crease?

Thanks for sharing your question. I can appreciate your concern. Yes, Botox will help evening your brows. Its effect on your eyelid crease is... READ MORE

I am scheduled to have a Botox brow lift. How effective are they in lifting?

Thanks for sharing your question. I can appreciate your concern. If you have significant redundancy of eyelid skin a botox browlift is unlikely ... READ MORE

Complete numbness in injection site after Botox. Will this fade?

Thanks for sharing your question. I can appreciate your concern. Very rare complication specially at the location that you are mentioning. The... READ MORE

Botox - will the lines go away? (Photo)

Thanks for sharing your question. I can appreciate your concern. It usually takes 2 good cycles of adequate Botox to remove the footprint of ... READ MORE

Removal of under eye hollowness? (Photo)

Thanks for sharing your question. I can appreciate your concern. The hollowness under your eyes is the consequence of the animation of the... READ MORE

Bad Botox? (Photo)

I am sorry that you are having issues about your procedure and thanks for sharing your question. I can appreciate your concern. Use of Botox to... READ MORE

Does Botox stop working? (Photo)

Thanks for sharing your question. I can appreciate your concern. I would suggest to change your injector. this should give you a change to ... READ MORE

Can B12 vitamins help eliminate Botox by repairing the nerves? I have severe eyebrow droop on day 6. Will this get much worse?

Thanks for sharing your question. I can appreciate your concern. At this point I think that the effect that you are seeing is pretty much what ... READ MORE

Does Botox last longer/have better effects on older or younger people? (Photo)

Thanks for sharing your question. I can appreciate your concern. I think that you need to let all the effects to go away and let your muscles... READ MORE

How do I prove Botox got me this sick? I was sick as death after injections went away and came back after dose pack

Thanks for sharing your question. I can appreciate your concern. The reaction that you mentioned could be related to anything. The side effects of... READ MORE

Lowering one eyebrow with Botox?

Thanks for sharing your question. I can appreciate your concern. Your doctor is right. low amounts precisely injected will provide the look that... READ MORE

Can Botox cause seizures in someone who has epilepsy?

Thanks for sharing your question. I can appreciate your concern. there is no data demonstrating contraindications of botox and seizures... READ MORE

Can Botox be used to lift inner eyebrow?

I am sorry that you are having issues about your procedure and thanks for sharing your question. I can appreciate your concern. Injecting the... READ MORE

Botox has caused my cheek to stick out abnormally and bags under my eyes. Why is this happening? When will it resolve?

I am sorry that you are having issues about your procedure and thanks for sharing your question. I can appreciate your concern. Your outcome... READ MORE

I've been over-botoxed and want to know if it will ever go away? If so, why doesn't it go away in the case of some celebrities?

I am sorry that you are having issues about your procedure and thanks for sharing your question. I can appreciate your concern. Fillers and... READ MORE

Can Botox stop working after regular use?

Thanks for sharing your question. I can appreciate your concern and agree with your assessment. Resistance to botox is very rare. Most of the times... READ MORE

I'm 53 yr old female w/ downward "Mouth Frown" lines & folds @ Lip Corners (Marionette Lines?). Will Botox/Fillers help? (photo)

Thanks for sharing your question and photos. I can appreciate your concern and agree with your assessment. Fillers and Botox are great tools to... READ MORE

Can Botox in the glabella for 11 lines actually make the lines worse?

Thanks for sharing your question. I am sorry that you had concerns about your procedure. The frowning lines are the result of the action of the... READ MORE

I had Botox 3 days ago. 2,5ml in each crows foot. It made it worse. The Dr said it's just the lymphs that need to drain? (Photo)

Thanks for sharing your question and photos. I am sorry that you had concerns about your procedure. Depending on where the Botox was injected,... READ MORE

How many units of Botox will I need for jaw reduction? It's my first ever Botox so I want to go slowly (Photo)

Thanks for sharing your question and photos. I can appreciate your concern and agree with your assessment. 25 units of Botox applied to the lower... READ MORE

I want more defined cheek bones. My face is quite round and does not have much definition. What would you suggest?

Thanks for sharing your question. Fillers are design to recover the lost fullness of your tissues. Fillers to the cheeks and lips are the most... READ MORE

Is it possible that the doc over dilutes Botox?

Thanks for sharing your question and photos. I am sorry that you had concerns about your procedure. I can appreciate your concern and agree with... READ MORE

Can I take Norfloxacin capsule after Botox injection?

Yes. The only contraindication is with amynoglycoside antibiotics.enjoy your treatment READ MORE

Why does Botox last longer for some patients than others?

Thanks for sharing your question. The best prevention for facial animation wrinkles is the use of botox independently of your age. The procedure is... READ MORE

I'm having some Botox issues. Is this normal?

Thanks for sharing your question. I can appreciate your concern. The tenderness could be swelling or bleeding close to the nerve. If not changing... READ MORE

Odd central swelling on my forehead. Any suggestions?

Thanks for sharing your question. I am sorry that you had concerns about your procedure. I can appreciate your concern. Without pictures is... READ MORE

I have trigeminal neuralgia. Would having botox for 11's and a brow lift exacerbate the condition?

Thanks for sharing your question. I can appreciate your concern. Trigeminal neuralgia is the consequence of piercing muscles around the face on... READ MORE

How long before and after Botox is it safe to have Viora Reaction radiofrequency treatment on face?

Thanks for sharing your question and photos. I can appreciate your concern and agree with your assessment. In general, heating procedures to the... READ MORE

I am 27 and I am concerned about the lines between my eyebrows. What is the best prevention method for these lines?

Thanks for sharing your question. The best prevention for facial animation wrinkles is the use of botox independently of your age. The procedure is... READ MORE

I had Botox for the first time and now my brows feel heavy and low. Could more Botox help? (photos)

Thanks for sharing your question and photos. I am sorry that you had concerns about your procedure. I can appreciate your concern and agree with your... READ MORE

Is there a permanent way to correct the "w" forehead lines?

Thanks for sharing your question. I am sorry that you had concerns about your procedure. The “w” lines or frowning lines are caused by the cor... READ MORE

I'm scared that after yesterday the botox has moved to undesired areas. Any suggestion?

Thanks for your interesting question.Botox is a toxin that joins the muscle receptors that allow movement. As you might have seeing the frozen powder... READ MORE

I had botox for the first time 2 days ago. I have a headache, can I take a goody powder?

Thanks for your question.The Answer is yes. Although Botox injections may generate little bruising, taking NSAID based medications should not worsen... READ MORE

I'm a 55 year woman wanting to get rid of my under eye smile wrinkles and want to know if you think Botox can help? (photo)

Dear patient,Botox is a medication designed to deactivate the movement of muscles. On your specific case Botox might help with some of the wrinkling... READ MORE

Botox for Migraines - Questions and Answers

How Do I Get Botox Injections for Migraines?

This is a very interesting question.Many people will answer it based on their personal profession as the best to address the problem.Neurologist are... READ MORE

Can Botox still be in your system after an year an 5 months?

I am sorry to hear that you suffer from migraines.To answer your question.The life spam of Botox is between 3 to 4 months. If Botox did not help with... READ MORE

Hair Loss After Botox Injections For Migraines?

I am sorry to hear about your hair loss.Answering your question:Botox works by blocking the effect of acetyl choline receptors on muscle and sweat... READ MORE

How much does Botox cost for migraine treatment?

I am sorry to hear that you are one of the 30 million people in this country who suffers from this condition.To answer your question:The answer is... READ MORE

Why do I have terrible neck pain after Botox migraine treatment?

Congratulations on your successful story against migraines.To answer you question:If your migraines are gone, it is a sign that the treatment is... READ MORE

Juvederm - Questions and Answers

Will Juvederm ultra lip injections do anything for a 57 yr old woman with very thin lips?

You will be a perfect candidate. start with moderation and build up over time.best wishes in your journey READ MORE

Is my top lip bigger and protruding? (Photo)

I am sorry that you are having concerns about your procedure and thanks for sharing your question. I can appreciate your concern. My advice is to... READ MORE

1.5 syringes of Juvederm Ultra Plus and 3 months later my lips shrunk down and now I have skin rash around my mouth (Photo)

I am sorry that you are having concerns about your procedure and thanks for sharing your question. I can appreciate your concern. The longevity of... READ MORE

How can a highly experienced doctor, former ENT surgeon, cause nerve damage using cannula to insert .5cc Juvederm? (Photo)

I am sorry that you are having concerns about your procedure and thanks for sharing your question. I can appreciate your concern. It is difficult... READ MORE

I had Juvederm injected in my nasolabial folds and the lines around my mouth, but still have the lines. Why has this happened?

I am sorry that you are having concerns about your procedure and thanks for sharing your question. I can appreciate your concern. The purpose of... READ MORE

Uneven lumpy lips after Juverderm. Is it normal? (Photo)

Thanks for sharing your question. I am sorry that you are having concerns about your procedure. 4 days after injection is too early to do any... READ MORE

Will my eyes improve? I have severe swelling and black eye after Juvederm injections and it's been 10 days now (Photo)

I am sorry that you are having concerns about your procedure and thanks for sharing your question. I can appreciate your concern. Both products... READ MORE

I got Juvederm lip injection a week ago. The filler shifted above my upper lip and created a bump. Will it settle down?

Thanks for sharing your question. I can appreciate your concern. It seems to me that the filler was placed too superficial into your upper lip and now... READ MORE

Lip Augmentation - Questions and Answers

Is this even possible to augment lips so much or is this fake? (photos)

Thanks for sharing your question. I can appreciate your concern. I think that your anatomy would allow for such improvement. however, your... READ MORE

Lip Fat Grafting- What is the cost and can you fly right after? (photo)

Thanks for sharing your question. I can appreciate your concern. I would advice you against fat grafting for your lips. You have beautiful lips.... READ MORE

Lip enhancement advice after teeth pulled. (photos)

Thanks for sharing your question. I can appreciate your concern. first of all I would suggest to edit the picture of your drivers license just... READ MORE

Lip filler only in upper lip? (Photo)

Thanks for sharing your question. I can appreciate your concern. Your upper lip is significantly thinned compared to your bottom. I would start... READ MORE

What can I do to enhance my lips and make them look fuller? Lip augmentation? (Photos)

Thanks for sharing your question. I can appreciate your concern. The use of fillers will be a good alternative for enhancing the volume of your... READ MORE

Lip fillers - upturned corners.

Thanks for sharing your question. I can appreciate your concern. Yes, upturn of the corners of the mouth is possible with filler. however in... READ MORE

Am I a good candidate for lip fat transfer?

Thanks for sharing your question. I can appreciate your concern. I personally do not like fat grafting due to the unpredictable survival of fat.... READ MORE

Why did my doctor only inject my top lip when she knew how big I wanted them?

I am sorry that you are having issues about your procedure and thanks for sharing your question. I can appreciate your concern. There area... READ MORE

My bottom lip is bigger than my top lip what could cause that? (photo)

Thanks for sharing your question. I can appreciate your concern. The normal proportions of the upper and lower lips are 40% top and 60% bottom.... READ MORE

I would like to find a doctor in (preferably) Illinois/Chicago area for lip fillers. (photos)

Thanks for sharing your question. I can appreciate your concern. I think that you have a beautiful framework to achieve the desired outcome... READ MORE

Is this a realistic lip augmentation goal? (Photo)

Thanks for sharing your question. I can appreciate your concern. I think that the software outcomes are different from real outcomes. You may... READ MORE

My mouth width is 45mm and my lips are very small. Is my mouth too small for Permalip implants? Can they be custom made?

Thanks for sharing your question. I can appreciate your concern. I think that implants are a bad solution for lip augmentation. many patients... READ MORE

My lips look uneven and weird (Photos)

Thanks for sharing your question. I can appreciate your concern. There are minor differences among the lips. The fullness could be corrected with... READ MORE

Can my crooked lips be fixed? I have been this way since birth. (Photos)

Thanks for sharing your question. I can appreciate your concern. You have minor asymmetries among your lips, however evaluation is difficult due to... READ MORE

Massage after lip augmentation with hyaluronic acid - what to expect?

Thanks for sharing your question. I am sorry that you are having concerns about your procedure. Aggressive massaging of your filler may alter some... READ MORE

Lips grew 3 times bigger 2-3 hours after the procedure. Should I have the acid dissolved asap, or will swelling vanish? (Photo)

Thanks for sharing your question and photos. I am sorry that you are having concerns about your procedure. Swelling and bruising are most of the... READ MORE

How can I fix these lumps above my upper lip? (Photo)

Thanks for sharing your question and photos. I can appreciate your concern and agree with your assessment. It seems to me that the filler was placed... READ MORE

I am interested in getting lip fillers injected but am concerned of the outcome due to the smallness of my top lip. (Photo)

Thank you for your question.I can appreciate your concern and agree with your assessment.Patients with similar concerns are very happy after they... READ MORE

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