Volumizing the Lips – Q & A with Dr. Bomer

Before and after results with lip filler for volume

How does lip flip help lips appear bigger? Who is a good candidate for this?

Neuromodulator is a useful tool to inject into the upper lip to help reduce the muscular contraction of the border resulting in a vertical lift and plumping to the upper lip which increases the amount of red lip show at rest and upon smiling which makes the lip appear bigger.

Most people are good candidates for this procedure aesthetically however, patients that have the upper lip significantly more forward than the bottom lip are not ideal candidates as they will result in an even larger imbalance between the upper and lower lip that is not aesthetically pleasing. A very small dose of non-spreading neuromodulation like Xeomin is the best option for a great result. If the dose is too high the patient will have difficulty holding liquids and food and will also have difficulty speaking.

Here is a great example of a Lip Flip with Xeomin injection for Lip Volume performed at Rejuvent:

Patient xeomin lip flip volume before and after
This patient did not want filler injections but wanted more lip volume. Instead of filler, she opted for Xeomin, which helped flip her lip giving the appearance of a fuller red area.

How does lip filler help lips appear bigger? Who is a good candidate for this?

Filler helps lips to appear bigger by adding volume to the red lip. Volume most time is added with Hyaluronic Acid-based fillers like Restylane and Juvenderm fillers.

Most people are good candidates for lip filler, however thin lips are only going to accommodate small amounts of filler naturally. The size of thin lips will only be increased by a small amount with filler which is the best option because if too much filler is placed the patient will look noticeably abnormal with awkwardly forward protruding lips. Lips have distinct anatomical subunits, the proportions of which must be maintained when placing the filler otherwise the lips will appear artificial. For thin lips, we recommend at least two sessions for best results.

Here is a great example of a thin lip transformation with 2 sessions of filler injections performed at Rejuvent:

Before and after profile view of lip fillers
This patient had two sessions of filler injections and her lip volume looks natural and ideal for her face.

What can help the lip area and maintain the lip treatment?

I have been using Clinicians Complex Lip Enhancer multiple times daily for 17 years and this product has dramatically helped maintain the plumpness and health of my lips, and it has prolonged the results of the small amounts of filler I’ve had injected in my lips through the years. – Dr. Kelly Bomer

Before and after results of Lip Enhancer for lip volume
These patients’ before and after images show how much more volumized the lips can look with Clinician’s Complex Lip Enhancer.

Rejuvent Medical Spa in Scottsdale is the #1 place in Arizona for Lip Enhancement and lip volume. Our patients enjoy natural results that are both long-lasting and complementary to their facial features. Both Dr. Kelly Bomer and Dr. James Bouzoukis are ExpertInjectors™.

What to do before and after a microneedling treatment?

Microneedling model

Dr. Kelly Bomer loves Microneedling and often recommends it to her patients. Here is what Dr. Bomer recommends before and after Microneedling treatment:

Before Micronnedling: The skin should be calm and exfoliated, but not peeling prior to the treatment for the best outcome with Microneedling. Microneedling must not be performed on inflamed acne as this could induce an infection in the skin called cellulitis. It is okay to continue applying your skincare up to the day of the treatment without stopping as long as the skin remains calm. The skin should not be sunburned, or peeling before the treatment.

After Microneedling: It is best to stop retinol and retinoids like Retin-A for a few days until the skin feels not irritated and is mostly normal. Glycolic and other AHA’s can be used lightly the day after the treatment as long as they were well tolerated before the treatment. Extra moisturizers loaded with peptides and vitamin C products are great after Microneedling. Most importantly, do not get fresh sunshine on recently microneedled skin. The skin must fully heal after the treatment before the skin is exposed directly to the sun. The time for healing varies significantly depending on the depth of the treatment and the skin’s condition prior to the treatment.

Products we recommend after Microneedling: Alastin Skincare Skin Nectar – This serum helps speed up healing, helps strengthen the skin barrier, and most importantly, helps clear damaged collagen fibers and helps boost collagen and elastin production. Neocutis Bio Serum – This moisturizer is excellent post-procedure as it soothes the skin while replenishing moisture. PCA Skin Silkcoat Balm – This best-selling moisturizer is gentle, nourishing, and soothing. After your skin has healed from the Microneedling, use a Vitamin C product to continue boosting collagen production. Some of our best-selling Vitamin C Serums: Jan Marini C-ESTA Face Serum, Alastin C-Radical Defense Antioxidant Serum, Revision Skincare C+ Correcting Complex, and SkinMedica Lumivive System.

Continue applying your sunscreen daily. Some gentle sunscreens we recommend after skin treatments: Alastin SilkSHIELD Sunscreen SPF 30, Jan Marini Physical Protection SPF 45, and Intellishade TruPhysical SPF 45.

At Rejuvent, Microneedling is a very popular cosmetic procedure and our aestheticians use the Rejuvapen device. This skin treatment has gained significant traction in the world of skincare and beauty because of the lack of downtime and its impressive results.

Microneedling is a minimally invasive cosmetic procedure that uses a specialized device with fine needles to create tiny, controlled punctures in the skin’s surface. These micro-injuries stimulate the body’s natural healing processes, leading to increased collagen and elastin production, which ultimately results in improved skin texture, reduced fine lines and wrinkles, diminished acne scars, and enhanced overall skin tone and appearance.

Schedule your Microneedling with Rejuvapen at Rejuvent in Scottsdale today. During your first appointment, our aesthetician will go over your skincare goals and will give you her suggestions to maximize your results, including before and after tips specific to your skin.

How Dr. Bomer Approaches Each Liquid Facelift – Natural Filler Results

beautiful woman receiving filler injection

Doctor Bomer explains how she approaches each Liquid facelift differently to achieve the most natural filler results for the face and she discusses her methods for success.

Restoring Volume Loss from the Aging Process to Achieve Natural Filler Results.

At Rejuvent, Liquid Facelift preparations start with a detailed analysis of facial features with photography which is standardized to show the face accurately with normal shadows and consistent poses so that they can be used not only to assess volume and shape, but also to create comparison photographs of before to after the procedure to assess the changes to the face after volume augmentation. Photos are taken from every angle, with the patient making expressions and at rest.

Dr. Kelly Bomer injecting filler on patient

Detailed Clinical Photography to Measure Before and After Results

  • It is important to include dynamic muscular contraction poses in the photos to assess the structure of the face with muscles contracting before and after the procedure as the face must also move normally to achieve a natural result.
  • Each face will go through similar processes of bone and fat loss from aging. Through research in the field of aging and facial anatomy, we now understand how aging affects bone and fat pad loss and distribution in the face.
  • During photographic analysis, the zones of aging are identified and correlated with bone and fat loss.
  • We ask our patients to bring in pictures of themselves in their 20’s and 30’s to compare to current as another tool to assess the bone and fat loss.
  • Skin is also assessed. Aged skin adds to the sagging and wrinkling in the face. The aging skin can be improved to a small degree with hyaluronic fillers, but the most improvement comes from daily medical-grade skincare and monthly skin treatments that boost collagen, elastin and water content in the skin. Rejuvent patients receive a customized skin regimen to help improve their skin.
  • After viewing photographs, a plan for volume is made in accordance with the analysis and a plan is made for augmenting bone and fat and skin that directly correlates to zones of volume loss.

Hyaluronic Acid Fillers and Why Doctor Bomer Prefers Them

  • Hyaluronic fillers are my volumizers of choice. It is important that they are not permanent because our underlying structure continues to shrink with time. When we augment a 45-year-old face, that face will be smaller and have different proportion when it is 65 years old and if the augmentation that looked good at 45 is still present at 65, it will be too big and in the wrong place because the skeleton has become smaller and different in overall shape.
  • Complications of infection, vascular compromise, and incorrect placement can occur with volumizing substances; it is important in my opinion to work with hyaluronic acids because they can be dissolved rapidly with hyaluronidase (Vitrase), an enzyme that dissolves the filler, the most important tool in curing an infection, relieving vascular compromise and correcting the incorrect placement of filler.
  • The hyaluronic fillers have unique properties that must be understood to best imitate bone, fat and naturally plump skin wrinkles and scars.

Products Dr. Bomer uses on a Liquid Facelift

Dr. Bomer uses Botox, Dysport, and Xeomin for wrinkle relaxers. She uses Restylane, Refyne, Defyne, Lyft, Silk, Juvéderm, Voluma XC, Volbella XC, Juvéderm XC, and Juvéderm Ultra Plus. Her technique does not use all wrinkle relaxers and fillers without her assessment of the patient’s face, skin, volume loss, and bone structure. As each product has different characteristics, Dr. Bomer customizes her selection to the patient’s needs.

Liquid Facelift Volume Restoration Occurs in Layers.

  • To maintain a natural look it is important to commit to volumizing as part of the aging process. In the 30’s, sessions for most are every 8 to 12 months, 40’s every 6-8 months, 50’s every 5-6 months and in the 60’s every 3-4 months. There are individual differences with the schedule.
  • Between sessions, the filler previously placed has diminished to some degree and the aging process has continued. It is best to start volumizing when volume loss becomes apparent in the 30’s, but the process can begin at any age. When volumizing starts in later years, a much larger volume is required to imitate the restoration bone and fat loss that has occurred. If the process has started in the 30’s and continued into the 60’s, the volume required to maintain the curves of youth at each session increases with time, but will never require the larger volumes needed in those who start later in life. A youthful skin that has been maintained with daily medical-grade skincare is required to look healthy and youthful and less filler is required to achieve the curves of youth will fillers.

Using Hyaluronic Fillers Off-Label

  • It is important when augmenting the face, that the facial zones connect and the whole facial shape is addressed at each session. For this to occur, the filler must be placed in zones that have not yet been formally FDA approved requiring off-label filling. Safety is of the utmost importance which is why the process of non-surgical facelifts should be in the hands of experts who are well trained and understand the complicated 3-dimensional facial anatomy.

Post Filler Procedure Photography – A Very Important Step for Natural Results!

  • Post-procedure photography to assess the results from augmentation with fillers is very important in the rejuvenation process. We must asses the changes that occurred from the procedures and critically evaluate that the natural curves of youth are attained and the overall shape of the face is more youthful and attractive.
  • It is essential that the injector analyze how aging has affected an individual’s face with standardized photography and assess age-related bone and fat loss, overall shape for attractiveness and the connection between facial zones.

At Rejuvent, we ask our patients to return for a 3 week follow up appointment, that is when we take post filler appointment photos. We see that many providers do not go to the expense of another appointment but photos that are taken immediately after filler injections do not show real results, because of swelling and irritation.

Here are a few examples of Long Term rejuvenation with non-surgical facelifts. To view more visit our Liquid Facelift Gallery.

Liquid Facelift Natural Filler Results

Liquid Facelift the Non-surgical face lift

Read more about this patient’s Long Term Rejuvenation

Liquid Facelift before and after natural filler results transformation

Dr. Bomer’s Tip for Beautiful and Natural Filler Results – Real Proven Results

It is helpful to have pictures from the late 20’s and early 30’s as a reference to understand each person’s facial shape and anatomical relationships when they actually had the volume of youth.

The plan for filler placement is critical and it is created by a synthesis of information gained from pictures of the face at an earlier age, current pictures which show age-related volume loss and understanding how the visual signs of aging correlate to where there has been bone loss and fat loss, the contributions of aging skin and the way the face looks and feels upon examination. The filler is placed in accordance with the predetermined plan and evolves into natural-looking facial relationships as the injector assesses the changes during the procedure. It is critical the injector understands the physiology of aging, the 3-dimensional anatomy of the face and has the eye of an artist to accurately see the shapes of the face and how they can be restored into the curves of youth with natural-looking volumization. Photography is critical to evaluate the changes that have occurred from aging and the liquid facelift results and is an important part of the visual medical chart for each patient.

At Rejuvent, our patients are used to real proven non-surgical facelift results and they can see the transformation Dr. Bomer’s technique achieves in their before and after photographs. Achieving natural filler results is much more than just training, the injector must be an expert in facial anatomy, an expert in each filler and wrinkle relaxer’s characteristic, have the artistic ability to foresee results, the skill, and the judgment of when and where to inject.

About Dr. Kelly Bomer

Dr. Kelly Bomer is a true pioneer when it comes to natural filler results with Liquid Facelifts. She has been working and developing her unique technique since 2004. Ever since then she has been documenting her patient’s results with clinical before and after filler photographs. Dr. Bomer is a facial and cosmetic surgeon and completed her fellowship at the prestigious University of Chicago and North Shore Center for Cosmetic Surgery. Dr. Bomer has trained Dr. Bouzoukis on her Liquid Facelift technique and they are both experts in facial anatomy which translate to beautiful natural results.

Dr. Bomer has been a New Beauty Top Doctor since 2006 and has a contributing member of the New Beauty Editorial Advisory Board since 2006.

You Can Benefit from a Natural Looking Liquid Facelift

The results form a non-surgical Facelift are directly related to the provider and the provider’s experience. Our patients know how skill, experience, and technique can achieve beautifully natural results. Isn’t time you too get natural-looking results? Call Rejuvent in Scottsdale at 480-889-8880 or email us today at info@rejuvent.com

How do you approach rejuvenating the lower face with fillers and Botox?

Jawline rejuvenation

Excerpt from NewBeauy magazine featuring Dr. Bomer:

“When injecting the jawline with either Radiesse or hyaluronic acid, the filler must be injected along the natural angles and made symmetric to achieve a true aesthetic enhancement. The key is for your doctor to know how much volume has been lost and to reinstate it appropriately,” Scottsdale, AZ, facial plastic surgeon Kelly V. Bomer, MD, says. By adding volume, the jawline can look more defined. But, there can’t be too much loose skin or the treatment won’t do much. 

In some patients, too much muscle activity can cause the lips to turn downward, making the lower part of the face look tired. “The complex of the muscles in the chin and the corners of the mouth can pull the corners of the mouth down. But by relaxing the chin and mouth corners with Botox, Dysport or Xeomin, the muscle movements that curve the mouth downward are minimized, the sides of the mouth are lifted and the junction between the chin and the mouth is given an effect of what looks like increased volume,” says Dr. Bomer. These neurotoxins are injected (off-label) into the corners of the mouth.

Dr. Bomer and Dr. Bouzoukis are experts in rejuvenating the full face Their knowledge of facial anatomy and 3D vectors aids them in rejuvenating the jawline and lower face to create a balanced, natural look.

View before and after lower face rejuvenation photos and call Rejuvent Scottsdale at 480-889-8880 to schedule your consultation, you will learn how the Rejuvent doctors can help rejuvenate your full face, lower face, and jawline.

Q. What’s a good regimen for chemical peels?

What a good regimen for chemical peels

A. Light chemical peels are appropriate for all skin types – there are a variety of different formulas your aesthetician can choose to find the most appropriate treatment for you. Glycolic peels have many different benefits for the skin without the downtime of peeling. For patients struggling with melasma, more aggressive peels can target down to the pigment.

It is critical for all patients to incorporate a prescription strength retinoid along with a glycolic and vitamin C based skin-care program to get skin prepared for the chemical peel treatment. A light chemical peel every other month integrates beautifully into your daily medical grade skin-care program.

View Chemical Peel Results

Watch Dr. Bomer’s Chemical Peel Video Diary


Learn more about Chemical Peels and call Rejuvent Scottsdale at 480-889-8880 to schedule your appointment.

Q. How can I get Longer Lashes and Thicker Eyebrows?

Q and A with Dr. Bomer - Eyelashes and Eyebrows

A. You can grow thicker and fuller eyelashes AND fuller eyebrows with Latisse! Yes, Latisse grows thicker, longer, darker eyelashes and, it can help you grow eyebrows too. Even women that over tweezed have reported great results with Latisse.

dr-bomer-tips Dr. Bomer’s Latisse tip:

  • Open brush package and take out one brush.
  • Place one drop of Latisse in the plastic trough where the brush was and dip the tip of the brush in the drop.
  • Lightly apply to the base of lashes where they are attached to the eyelid.
  • Use the excess moisture on the brush on thinning eyebrows. 

A little bit does the job, so make the Latisse last and stick to one drop.

What is Latisse?

Latisse is an FDA approved prescription drug to treat inadequate eyelashes (hypotrichosis) – Latisse is the only FDA approved product to grow lashes! Latisse gradually encourages growth of longer, thicker and darker eyelashes. For full results, apply nightly along the lash line of the upper eyelid for at least two months. Eyelash improvements remain with continued use. If you stop using Latisse, your eyelashes will eventually return to their original appearance.

Latisse requires a prescription from a doctor who knows you.  To purchase Latisse you must be an established Rejuvent patient – If you are not currently a Rejuvent patient and you would like to start using Latisse, please call us at 480-889-8880.

Follow Dr. Bomer’s tip, your Latisse will last even longer…


Q. Where do I stop applying my face products?

Learn where to apply skincare

The Total Face area

A. Your “Face” is a Bigger Area Than You May Think! To get the most out of your skincare products we recommend applying to The Total Facefull face, ears, neck and décolleté area going as far into the cleavage as possible. Also apply your skincare products it to the back of the neck and the back area as far as you can reach.

Using your products in these areas will help slow the aging process uniformly and present a more youthful appearance overall. 

NOTE:  The delicate skin of your neck and chest can benefit from retinol, but must be applied lightly once your face has built up a tolerance. If the area becomes itchy, swollen or has red bumps, a light steroid cream, can reduce irritation. It is important to avoid scratching, sun exposure, and extreme heat while your skin is recovering.

Q. What do you do before a summer vacation?

Dr. Bomer Summer Skin tip

A. For my body, I like having a laser hair removal treatment before a summer vacation. It is a great time-saver as the treated areas stop growing hair after 2 weeks. Hair not killed during the treatment will not resume growth for 6-8 weeks.

Did you know that Rejuvent has a skin club with savings up to 60% on Laser Hair Removal packages? Schedule your Laser Hair Removal appointment today and leave the razor at home! 

Youngblood body tint and jan marini body block available at Rejuventskincare.comDr. Bomer’s Favorite Products for a Sexy Summer Glow are Youngblood Body Illuminating TintRevision Skincare Multi-Protection SPF 50
She mixes them together to create a glowing, even tone on arms and legs – with sun protection!

For the skin on my face, neck and decollete, I make sure to pack strong antioxidants and plenty of sun protection. Apply antioxidants, day and night and apply sunscreen every 2 hours on areas exposed to the sun.

Dr. Bomer’s favorite products for sun protection are for antioxidants: SkinCeuticals C E Ferulic and SkinCeuticals Phloretin CF, for sunscreens: SkinMedica Total Defense & Repair SPF 50, Revision Skincare Multi-Protection SPF 50 and Jan Marini Antioxidant Daily Protection SPF 33.

Q: What are the causes of dark circles under the eyes?

the causes for dark circles under the eyes

A: Dark circles under the eyes can come from three differing etiologies. There can be brown pigmentation, vasculature showing through thin aging skin and loss of bone at the bony rim under the eye allowing the existing fat around the eyeball to fall forward and appear as a bag with a dark circle shadow underneath.

How we can treat dark circles under the eyes:

1. Brown pigmentation – prescription medical grade skin care and collagen-building treatments performed at Rejuvent can lift some of this pigment out. Improving this type of resistant pigment requires daily home skin care and protection from the sun.

2. Vascular dark circles:  In part, this happens to all of us as the skin thins in the delicate under-eye area.  Some people, however, are more prone to vascular pigment than others. The best focus to improve this problem is to thicken the under eye skin with RX skin care daily targeted to build collagen and moisture content in the skin. Additionally, targeted topical home care treatment is available to diminish the staining of the skin from leaky blood vessels.

3.  The precise application of filler in the under eye cheek complex can remove the appearance of bags under the eyes with a dark shadow underneath. This often requires 2 to 3 treatments for a most improved look as it necessary to proceed with augmentation carefully so that there is no overcorrection which could lead to an unnatural appearance.

Whether we use one treatment or multiple treatments, we can help you minimize your dark circles under your eyes. Call us today at 480-889-8880 and schedule your consultation.


Learn more about under eye rejuvenation or view more under eye rejuvenation before and after results.