Kelly has excellent facial shape, including a strong chin and jawline. However, with time, sun exposure, and her recent weight loss, she has developed a lot of loose skin in her lower face as well as those pesky vertical lines etched in above her lips.

What I love about Kelly’s results is that she still looks like herself! Her etched-in lines are softened, and even her deep grooves and folds are much improved. She looks so refreshed and natural it’s almost like her after photo was retouched, but it wasn’t. That’s really her!

In order to restore Kelly’s lost volume, I chose RADIESSE^® (calcium hydroxylapatite) to lift her wrinkles and folds as well as stimulate collagen growth. It’s a resilient product that pushes back on the forces of gravity to resupport Kelly’s lower face. And unlike facelifts that pull and sometimes distort an aging face, RADIESSE injections did an amazing job restoring Kelly’s volume without distorting.

As the finishing touch to complete Kelly’s lower face makeover, I used BELOTERO BALANCE^® – a hyaluronic acid that is an ideal choice to treat the etched-in vertical lines around Kelly’s mouth. It’s important to choose a delicate filler in this area, and BELOTERO BALANCE is ideal because it integrates into the skin and looks so natural, allowing me to restore Kelly’s own natural beauty without altering her facial expressions or smile.

Susan showed typical signs of aging in the lower face. She had pronounced nasolabial folds, early marionette lines, and fine wrinkles above the lip. Although she had good skin thickness and color, and good cheekbones, these changes made her look older and less vibrant.

I think Susan's results are fantastic! RADIESSE and BELOTERO BALANCE significantly improved signs of aging while providing a natural, more youthful-looking appearance. She looks energetic and refreshed.

RADIESSE is my go-to product for addressing deep wrinkles and loss of volume of the nasolabial fold area as well as marionette lines. It not only fills but can be shaped to help ease transitions between injected and non-injected areas. I prefer BELOTERO BALANCE for the etched-in wrinkles above her mouth because it provides subtle filling while helping avoid an obvious "injected" appearance.

Allison did not need a facelift. A facelift is great for treating jowls, which she did not have. Her main concerns were the wrinkles and deeper folds extending from the nostrils to the corners of her mouth.

I'm thrilled that we were able to reduce the visible “smoker's lines” in this patient who didn’t smoke! The fact that she could get this result without surgery (and I’m a surgeon!), without a painful laser or chemical peel, and with no downtime makes me very happy.

I believe BELOTERO BALANCE is the only filler that could have been used to smooth those etched-in wrinkles around Allison's mouth, while RADIESSE is great for restoring deeper volume to provide support for the skin. This combination of treatments contributed greatly to Allison's successful outcome.