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I’m 40 years old with a thin build. I recently received Botox to my brow area and...

Q:

I’m 40 years old with a thin build. I recently received Botox to my brow area and undereye area. It exceeded my expectations. However, when I would smile, I had folds of skin under my eyes. At my doctor’s suggestion, I had Restylane to fill these out. The Restylane did the job, but I still have a slight fold. Should I go another round with the Restylane to fully correct this, or just wait for the Botox to relax?

A:

Since you are happy with the Botox, I would suggest that for future injections, under the advice of your plastic surgeon, possibly minimizing the use of the Botox near the lower eyelid area to see if this can minimize accentuation of skin folds in this area. Although additional Restylane could be used, it may be better to try to prevent the concern in the first place. Once again, this advice needs to come from your plastic surgeon that is caring for you, as he or she can discuss specifics that pertain to your anatomy.

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