Elham Fakhre MD

How long does filler really last? Labels say six to twelve months for lips and twelve to eighteen for cheeks, but My Aesthetic Doctor knows that is only when you stop noticing it. The biology tells a longer story.

MRI studies have found hyaluronic acid still present years after injection, sometimes five or more. It breaks down gradually through your own enzymes and facial movement, not on a clean timeline. Cross-linking density, depth, and metabolism all change the pace.

Highly cross-linked products resist breakdown longer than lighter ones by design, so residual gel can linger below the visible threshold. My Aesthetic Doctor records every product, volume, and location to avoid layering new filler over old. That discipline is how we prevent the overfilled look.

Book an assessment at My Aesthetic Doctor in Los Angeles for filler planning that accounts for what's already there.

📍 My Aesthetic Doctor:
Los Angeles — 321 N Larchmont Blvd, Suite 505, Los Angeles, CA 90004 — (323) 784-0577

🌐 https://www.myaestheticdoctor.com/

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Worried about walking around bruised after filler? My Aesthetic Doctor builds prevention into every appointment. Some bruising is possible, especially in vascular zones like the lips, tear troughs, and jawline.

Preparation matters most. For about a week before, stop blood-thinning supplements and medications — ibuprofen, aspirin, fish oil, vitamin E, ginkgo, garlic, and turmeric — and skip alcohol for 48 hours. These steps measurably reduce bruising.

Technique helps too: My Aesthetic Doctor uses a blunt cannula in high-risk zones to push vessels aside instead of puncturing them. Oral arnica and bromelain before and after add support. If a bruise appears, arnica gel and early cold compresses speed healing.

Book your filler consultation at My Aesthetic Doctor in Los Angeles for prevention, technique, and rescue in one plan.

📍 My Aesthetic Doctor:
Los Angeles — 321 N Larchmont Blvd, Suite 505, Los Angeles, CA 90004 — (323) 784-0577

🌐 https://www.myaestheticdoctor.com/

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A weak chin can throw your whole profile off balance. My Aesthetic Doctor treats the chin as a structural keystone for the lower face. Restoring its projection can sharpen the jawline and balance the nose.

Ideally, the chin reaches a vertical line dropped from the lower lip in profile. Many patients fall a few millimeters short, a condition called microgenia. My Aesthetic Doctor corrects it with a firm, cohesive hyaluronic acid, not soft lip filler.

Treatment targets three points for projection without widening, usually one to 1.5 milliliters for first-timers. Results are immediate and refine over two weeks as swelling settles. The jawline looks longer and sharper, and the result reads as rested, not done.

Book your chin and profile consultation at My Aesthetic Doctor in Los Angeles for measured, photo-documented planning.

📍 My Aesthetic Doctor:
Los Angeles — 321 N Larchmont Blvd, Suite 505, Los Angeles, CA 90004 — (323) 784-0577

🌐 https://www.myaestheticdoctor.com/

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Noticed new diagonal wrinkles beside your nose after forehead Botox? Those are bunny lines, and My Aesthetic Doctor sees this often. They come from the nasalis muscle, not from the Botox itself.

When Botox relaxes the frown muscles between the brows, strong expressers recruit nearby muscles to keep emoting. The nasalis picks up the slack, a pattern called compensation. The bunny lines were likely emerging anyway and simply surfaced sooner.

The fix is quick and precise. My Aesthetic Doctor places a couple of units over the nasalis on each side of the nasal bridge. It lasts three to four months and never weakens how your nose moves.

Book your Botox consultation at My Aesthetic Doctor in Los Angeles to smooth bunny lines the right way.

📍 My Aesthetic Doctor:
Los Angeles — 321 N Larchmont Blvd, Suite 505, Los Angeles, CA 90004 — (323) 784-0577

🌐 https://www.myaestheticdoctor.com/

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Came down with a cold right before your Botox appointment? My Aesthetic Doctor recommends postponing, and the reason is physiological. An active viral illness puts your immune system in a heightened, inflamed state.

That state changes three things. Viral infections raise capillary fragility and platelet activity, so injections bruise more and longer. Inflammation can also shift how the toxin diffuses, making results less predictable.

Symptoms from illness can also mask a rare reaction, and aminoglycoside antibiotics like gentamicin can potentiate the toxin. My Aesthetic Doctor reschedules anyone with fever, respiratory illness, or systemic infection. There is no rescheduling fee for a legitimate medical reason.

Feeling under the weather? Reschedule with My Aesthetic Doctor in Los Angeles — your health comes before the calendar.

📍 My Aesthetic Doctor:
Los Angeles — 321 N Larchmont Blvd, Suite 505, Los Angeles, CA 90004 — (323) 784-0577

🌐 https://www.myaestheticdoctor.com/

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Pregnancy can deepen forehead lines fast, thanks to hormonal shifts in collagen and skin hydration. Many patients ask My Aesthetic Doctor whether Botox is safe to continue. The honest answer starts with what the science does and does not show.

The botulinum toxin molecule is large — about 150 kilodaltons — and acts locally rather than circulating. In theory it is too big to cross the placenta or enter breast milk meaningfully. Still, no controlled studies in pregnant or nursing women exist.

Because of that gap, My Aesthetic Doctor does not treat pregnant or actively breastfeeding patients. This reflects the precautionary principle of obstetric medicine, not evidence of real harm from one cosmetic dose. Once you finish breastfeeding, we resume your regimen safely.

Planning ahead during pregnancy? Book a consultation with My Aesthetic Doctor in Los Angeles to map your timeline.

📍 My Aesthetic Doctor:
Los Angeles — 321 N Larchmont Blvd, Suite 505, Los Angeles, CA 90004 — (323) 784-0577

🌐 https://www.myaestheticdoctor.com/

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A lip flip and lip filler are not the same. My Aesthetic Doctor places four to six units of Botox into the orbicularis oris around your mouth. The upper lip relaxes and rolls outward, looking 10–20% fuller — without added volume.

Filler is different: hyaluronic acid adds true three-dimensional volume and makes the lip physically larger. A lip flip only changes how your existing lip sits at rest. It suits thin upper lips and smiles that show too much gum.

Results last six to eight weeks, and straws or P and B sounds may feel odd the first week. My Aesthetic Doctor often finds patients need neither treatment. Our Los Angeles philosophy favors the smallest change that meets your goal.

Book your lip consultation at My Aesthetic Doctor in Los Angeles, and we'll map the approach built on anatomy, not trends.

📍 My Aesthetic Doctor:
Los Angeles — 321 N Larchmont Blvd, Suite 505, Los Angeles, CA 90004 — (323) 784-0577

🌐 https://www.myaestheticdoctor.com/

Follow My Aesthetic Doctor:
Instagram: https://www.instagram.com/drefakhre
TikTok: https://www.tiktok.com/
Threads: https://www.threads.net/
Twitter/X: https://x.com/FakhreElham