Frequently Asked Questions?

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How Can I Make My Botox Last Longer?

1. Always Use an Experienced Practitioner 
For maximum effectiveness, Botox requires an appropriate dosage and the correct injection site, which can vary from patient to patient. An experienced provider will be able to tailor your treatment and create a schedule that is best for you, ultimately resulting in longer lasting effects.
2. Move The Muscles at the Treatment Site
Immediately after the Botox has been administered, try to grin, frown, and be expressive as you want. This will help evenly distribute the Botox in the treatment area, making it last even longer and produce more visible results.
3. Refrain From Rubbing Your Face or Exercising Immediately After Your Treatment
Although being expressive can be beneficial, avoid rubbing or exfoliating your face after your treatment.
You should also avoid napping or lying down immediately after your treatment for 4 hours.
Do not indulge in any cardio vascular activities that raise your heart rate for at least 24 hours. If you sweat profusely,  it will push the product out of the muscle resulting in ineffective treatment.
4. Try to Stay Out of the Sun
After your treatment, try to avoid being in direct sunlight for at least 12 hours. Sunbathing is fine but don’t allow your face and neck to have direct sun.
5. Remain Patient
It can take up to 14 days for Botox to reach its full results. If you don’t see the results you want, wait at least 2 weeks before trying again. Using different brands or too many treatments too quickly can make your muscles resist Botox or react in undesirable ways.

What is the difference between Neuromodulators and fillers?

The fundamental difference lies in how they work. Neuromodulators target muscle contractions, temporarily relaxing facial muscles to reduce the appearance of wrinkles. Dermal fillers add volume to the skin, filling in lines and wrinkles and restoring lost volume.

What are Dermal Fillers and Botox Used For?

There are more than a few differences in Botox vs dermal fillers. So when you’re determining whether Botox vs fillers is the right cosmetic dermatology procedure for your desired outcomes, you’ll want to know what each of these treatments are used for.
Dermal fillers are used to add support to your facial structure and tissues that may have lost volume or density over time. Fillers do this by inflating, or plumping, the skin with hyaluronic acid. Dermal fillers are most commonly used to add volume to the cheeks, lips, and hands, as well as fill parentheses lines around the mouth and correct vertical lip lines.
Fillers are also used to diminish horizontal forehead lines and correct under-eye circles and down-turned corners of the mouth. Filler can help to smooth the jawline and chin wrinkles and add volume to the temples.
Botox is used to slow and relax muscle movements by injecting Neuromodulator in very small concentrations. It’s commonly used to reduce frown lines between your eyes, lines on the forehead, and crow’s feet. It can also improve down-turned corners of your mouth, a gummy smile, and neck bands, as well as give the effect of a brow lift.
Medical uses for Botox include reducing hyperhidrosis, or excessive sweating, depression symptoms, and migraines.

What Lasts Longer: Botox or Fillers?

In general, dermal fillers last longer than Botox. However, since Botox and fillers are used to treat different areas and achieve different results, how long the effects of these injections last is not exactly comparable.
Botox injections last 3 to 6 months, though you may notice that your results last longer after your second injection. Longer lasting results are a product of your muscles near the injection sites shortening and becoming smaller as they are used less often.
The answer to ‘How long do dermal fillers last?’ is determined by the type of filler used, which changes based on the area being treated and the desired outcomes. Thinner fillers, like those used to smooth wrinkles, can last 6 to 12 months. Deeper injections can last up to a year, and newer fillers can last up to two years.

Which is Better: Botox or Fillers?

Determining if Botox vs fillers is the better cosmetic procedure can only be answered on a case-by-case basis. There are many differences between these cosmetic procedures, from the type of product injected, to the different areas Botox and fillers are used to treat, to the different outcomes for each product.
You and I can more accurately come to a conclusion on this question once we have discussed your desired results etc.
The comparison of Botox vs fillers is not just about their differences but also understanding which one suits your cosmetic goals. Each procedure comes with its own set of considerations.

What To Do If Botox Leads To Heavy Eyelids

Botox is a widely popular cosmetic treatment that can help you achieve a smoother and more youthful appearance. Like any other cosmetic procedure, it’s important to be aware of the potential side effects before undergoing treatment. While Botox is generally safe and well-tolerated, you may experience some common side effects such as mild headaches, temporary pain, swelling, and bruising at the injection sites, or even flu-like symptoms. One possible side effect that you may have heard about is heavy eyelids, which can understandably cause concern.

What Causes Heavy Eyelids After Botox?

Heavy eyelids after Botox are typically caused by one of two reasons. The first is from the relaxation of the frontalis or forehead muscle. More specifically, some people use their frontalis to actually lift the top portion of their eyelids (think engaging the forehead muscle to put eyeshadow on). Often, if you receive a high dose in your forehead and can no longer lift the eyebrows, you might also notice the skin above the eyelid feels heavy. The second reason is called ptosis. Ptosis is when either the levator palpebrae or the upper portion of the orbicularis oculi (muscles around the eye) are inadvertently relaxed by botox.

How To Minimize The Risk Of Getting Droopy Eyelids?

There are a couple of ways to minimize the risk of heavy eyelids after Botox:

• Avoid Rubbing the Area: Rubbing the injection site can cause the Botox to spread to nearby muscles, which can increase the risk of heavy eyelids. Avoid rubbing the area for at least 24 hours after the treatment.

• Follow Post-Treatment Instructions: Following the post-treatment instructions provided by your healthcare provider is essential in minimizing the risk of side effects. This includes avoiding strenuous exercise. We advise that my clients refrain from wearing tight hats, helmets, getting a massage or facial and falling asleep on their face for the duration of 4 hours after their Botox injections.

If I Do Get Heavy Eyelids, How Long Will It Last?

If you experience droopy eyelids after receiving a Botox treatment, don’t worry! Even if you received a low dose and worked with an experienced injector, this can still happen. It’s important to remember that the sensation of heaviness in your eyelids will gradually improve every two weeks until it has fully lightened back to baseline.

I go above and beyond to avoid heavy eyelids as best as I can. However, it’s important to acknowledge that this is a potential risk when undergoing Neuromodulator treatment, especially if it’s your first time and muscles are especially naïve to Botox. Although it can happen even with low doses, avoiding this phenomenon drives my treatment techniques. Starting with a lower dose, avoiding rubbing the area, and following post-treatment instructions can help minimize the risk of heavy eyelids after Botox.

Clients Love Us

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Excellent
Puerto Vallarta Aesthetics
Based on 36 reviews
Amanda A.
Lizzy is a straight up godsend.
Housecalls? ✅
Efficient? ✅
Reliable? ✅
Trustworthy? ✅

With results that that could convince me to visit more than once a year - I’m so glad I listened to the other reviews and booked with her. P.S. She is a wonderful human.
julie Z.
Liz was absolutely amazing. One of the best injectors I’ve come across in the many places I have been!
She knows her craft and this is truly evident through her spoken knowledge and her injector expertise. I will be back!! Do yourself a favour and book here for your “I just got back from vacay glow”. Or, if you are a resident, your “Of course I woke up like this” affirmation.
Nicole R.
I was feeling pretty low about my appearance after dealing with cancer & chemotherapy. The first thing Lizzy asked, even before our consultation, was how long it had been since chemo. I absolutely loved that her main concern was making sure it was safe for me to receive a treatment. Lizzy being an NP increased that feeling of security. She is highly knowledgeable, experienced, and so skilled I never felt the needle. I am thrilled with the results and will be a repeat customer.
Hannah z
Lizzy was amazing absolutely in love with my lips I would highly recommend going to her!🫶🏻
Sara C.
I absolutely love the results of my service with Lizzy! Will only see her from now on for fillers - the results are flawless and so natural looking. Thanks Lizzy!
Robin T.
Lizzy is top of her game. I’ve had fillers, Botox and just about anything under the sun. She found time to squeeze me in at my hotel surprisingly fast. I couldn’t have asked for a more caring, knowledgeable and fun professional. Lizzy is fun and knows her trade. She knows what to do and will tell you if you’re not ready. I was sold. I WILL be coming back. What a gem!
Laura L. L.
Lizzy is simply a dream, providing professional at-home services to help me feel my best. I've used her several times for cosmetic Botox and appreciate her conservative approach. She always uses less Botox for the first few applications until we figure out the right amount for what I'm going for. She documents the amounts very clearly, and we use the diagram for future appointments, so now we have the perfect amount.

While looking good is fantastic, she's also helped me with a crucial application for using Botox for bruxism (teeth grinding). Despite regular use of a nightguard, I've struggled for years with debilitating pain and progressive issues resulting from this annoying subconscious habit. I was grateful to finally learn how Botox could be safely used to help alleviate this issue. Not only do I have relief from the condition, but it has also slimmed my face to a more natural, feminine appearance. Most importantly, I'm grateful for the relief this has provided.

Thank you, Lizzy, for your expert care! You have quite literally improved the quality of my day-to-day life!
Jessie C.
My second time with Liz; kind, gentle, knowledgeable with amazing results! I recommend her to all my friends for lip filler!
Martha Elizabeth A.
Lizzy is the best skin-care therapist I’ve ever worked with. She really cares about her clients. She is thoughtful and reliable. She is an ace at her job and it’s fun to chat with her. She is a delight!
Brent L.
As a television news anchor, I have to look my best under the harsh lighting and HD television cameras in my face weekly... and I can't say enough good things about Lizzy at Puerto Vallarta Aesthetics! From the moment she walked in, she made me feel completely at ease. She’s not only incredibly skilled but also genuinely cares about her clients. She took the time to listen to what I wanted, explained everything clearly, and made sure I was comfortable throughout the entire process.

The results? Better than I could’ve hoped for! Natural, refreshed, and exactly what I was looking for. Whether you're a first-timer or someone who had botox or other work done many times, Lizzy is the one to see. Professional, knowledgeable, and just an all-around amazing person. I wouldn’t trust anyone else.
Noel G.
I have been living in Puerto Vallarta for 3 years. I have tried multiple providers for Botox. I waited for my results this time before giving a review and I am completely satisfied and very happy with them. At home service, everything explained, questions answered, great results. I found my girl for botox here in PV! Shes very skilled and professional. Highly recommend!
Peggy F.
I had my first botox session with Lizzy. It was such a pleasure to have her experienced and thoughtful approach. She explained all options for treatment in detail and carefully listened to my needs. I will definitely be using her services again!
Jae J.
Amy R.
Lizzy is professional, courteous, excellent at communicating dates and times. Whole heartedly recommend her services. Very pleased with my results.
Bloom Making Skin H.
I was apprehensive about getting botox in another country.. then I found Lizzy. After reading about her extensive education, I was game. Just had my 3rd visit, and am blown away by how great my face looks (injected different area for brow lift, who knew?) Besides her knowledge, she is most delightful company, and I'm thrilled to have her in my life. And with integrity, will tell you straight up, whether you need, or don't. With gratitude.. book now!
Max I.
Lizzy came to our hotel to give us both Botox. It was a great experience. She is so knowledgeable, professional and kind.
I wish she lived in our City. We will highly recommended her services in Puerto Vallarta
Norma R.
Lizzy was very knowledgeable. I am very pleased with my results so far and it’s only been 24 hours.
Raymond V.
She is excelente
Gina M.
Lizzy is phenomenal and made my experience sitting in her chair exceptional!! Her expertise, thoughtfulness and precision in administering my treatments showcases a level of skill that truly sets the bar high. The results after seeing Lizzy are absolutely stunning and the level of care and proficiency she brings to her craft is remarkable. I wholeheartedly recommend seeing her if you are seeking top-notch aesthetic treatments! 🤍
Edward K.
Excellent service. Professional and experienced in her expertise. Accurately explains what to expect from the service you receive. Created trust and confidence in me. Will definitely come back and refer others. My squinting has been relieved
yvette L.
You will never meet a more honest or skilled practitioner as Lizzy. She relieves all concerns by explaining your procedures as she is administering them. You will be pleased with the results! I have had other practitioners try to “up sell” by recommending unnecessary procedures or selling expensive face creams. Lizzy has more integrity than to do any of that. Highly, highly recommended.
Angie O.
Mobile Botox and filler! Hello!! She comes to your hotel room, apartment etc.
Ok, first of all Lizzy is REALLY good at what she does. She’s a perfectionist and will have you looking flawless!, yet still natural.
Super professional, explains everything in detail and gives you options and pricing upfront.
I live in Los Angeles and get my treatments in Beverly Hills… I’ve been getting injections for several years so I’ve seen it all, and I’m very particular about staying natural looking.
On a recent trip to Puerto Vallarta, I decided to give it a try down there since I heard that the pricing is much cheaper and I did a quick Google search and found Lizzie at Puerto Vallarta aesthetics. The whole process was super simple. I text her and she came to my hotel room the next day. Lizzie is such a dream. She looks flawless herself (yet natural.) She presented me with all of my options and came with everything she would need to make me feel safe and comfortable. I had Botox and also filler in my lips and chin area. My Botox has never been better - and same with my lips. She is super thorough and communicative in what your goals are and what you would like to achieve. She made my lips super cute and pouty yet nothing about them looks like fish lips or unnatural or protruding too much. Honestly, I could not find a better person to meet in Puerto Vallarta. We got along really well and she even helped me out in an emergency situation the next day when I got sick (from food) and needed to find a mobile doctor very quickly.
Lizzie was super sweet and text me information and followed up to make sure I was OK - truly she was also a great friend to me as I was traveling solo.
I will be traveling to Puerto Vallarta from now on to get my Botox and filler. It’s cheaper than Beverly Hills and I can throw in a vacation at the same time and come back looking refreshed and renewed. Win/win!
vincent P.
Lizzy is a highly trained nurse practitioner who provides botox and filler injections in Vallarta. She offers mobile service which is an added benefit. I have had botox injections from a plastic surgeon, dermatologist and general physician here in Vallarta. I would choose Lizzy over them all. Highly recommend.
Jill G.
Lizzy is not only very professional and great at what she does but goes above and beyond. Love that she comes to wherever you are. She is definitely 5+ star.
Laura M.
Lizzy at Puerto Vallarta Aesthetics is the very best. She comes to your house, offers a safe and informative consultation and uses only the best quality products. She has a steady and sure hand (she was a nurse for many many years). Never over doing it. I recommend her to everyone I know. Many of my friends have also had an amazing experience. Call her today!
Michael L.
Lizzie is a master at making you look your best. The best Botox you’ve ever had. Lizzie has the eye or an artist and can make men and women look 20 years younger without looking artificial or over-done.
Sarah M.
Ahhh… Lizzy is so talented, experienced, professional and strives for perfection! You will not be disappointed!!!! She is meticulous in her work and takes her time to analyze and create a plan to achieve what you are looking for. I will see you again! Thanks so much, so grateful! ❤️❤️❤️❤️
Lauren K
I had filler done in my lips and chin and Lizzy did a fabulous job. I have never loved my lips more, I recommend her highly for any treatments.
Carrie M.
I've been to Lizzy many times for different services and she is very knowledgeable and great at what she does. She is my go to gal for botox. I always walk out feeling great and refreshed. Go see her, you will not be disappointed!
Alison H.
You won’t be disappointed Lizzy is professional, knowledgeable and an all out wonderful lady to be in the presence of. Want to look and feel amazing - give her a try and you’ll be recommending her to all your friends.
Tamara C.
Lizzy is the best at what she does. Her knowledge along with care and attention is like no other. You are definitely in good hands going to see her. We are going to miss you in red deer.

Lizzy es la mejor en lo que hace. Su conocimiento junto con el cuidado y la atención son como ningún otro. Definitivamente estás en buenas manos para ir a verla. Te vamos a echar de menos en ciervos rojos.
Kathy H.
Extremely professional and knowledgeable, Lizzy gives 150% to everything she does. I guarantee you will NOT be disappointed!
Olivia B.
I was a botox virgin when I went to see Liz for the first time. she was patient and kind. she took her time a walked me through the whole process. Thank you Liz. I miss our chats.
Dawn S.
Lizzy is amazing, she is extremely professional and knowledgeable, while making sure your comfort is of the utmost importance. I would highly recommend Puerto Vallarta Aesthetics and Lizzy!
Nicole E.
Lizzy is amazing, she cares so much about each client and always does the best job! I recommend her 100%, you will be truly happy with her treatments!
Shelley O.
Lizzy is the best! I was looking for someone in Puerto Vallarta and had looked into various clinics and then I found Lizzy! I connected with her from a post in the Girls of PV FB Group and she was at my house that afternoon (yes, she comes to your house!).

She's super friendly, professional, looks amazing and really knows her stuff. She was in and out of my place in less than 10 mins, super efficient, super service and super results!

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