Dear
,
To properly evaluate the cosmetic enhancements that may be best for you, we recommend that you
take some time to study your face over the next few days. Make notations regarding the following:
1. What do you like?
2. What do you not like?
3. What changes would you like to see occur?
You may wish to look at Juvederm.ca/before-and-after/visualizer to consider the possibilities. As you
consider the questions above, it may be helpful to consider the different areas of the face:










Forehead: the presence of frown lines or horizontal wrinkles or tension between the eyebrows
Eyebrows: do they tend to “sag”?
Eyes:
o Above: Loss of tissue volume above the eye giving one a “sunken-in look to the eyes
o Below: Loss of tissue volume below the eyes giving a wrinkled look
o Laterally: “Crowe’s feet”
Cheeks: Boney contours and volume below the cheek bones
Area on each side of the nostrils extending down to the lips [naso-labial folds]
Vertical lines or creases above the upper lip?
Lip proportions: upper lip relative to the lower lip
o Is the upper lip thinning?
o Is the “cupid’s bow” well defined?
o Is the size of the lower lip proportional to the upper lip?
o Do the corners of the mouth turn downward?
“Parentheses” or creases on either side of the lips or corners of the mouth [Marionette Lines]
What about the border of the lower jaw [“jowl lines”]
Neck area: loss of skin tonicity?
910 Marietta Hwy., Suite 200, Roswell, GA 30075 Phone: 678-352-0919
www.drJMDierkes.com
FAX: 678-352-8330
Page 1 of 2
Our Philosophy:
It is our position that the planning session is an important exercise to avoid the pitfalls of “too much”,
which occurs when one area of the face is emphasized over other areas. This is where the concept “Less
is More” is important to embrace. It is better to consider Botox and dermal fillers in smaller amounts in
all areas of concern with application, enhancements, and maintenance over time. This approach will
help keep the investment aspects of time and money in a better balance as you proportionally transition
to the look you will like. Periodic maintenance is important to avoid “starting over”. Of course, it is
helpful to consider cellular nutrition and skin care to improve the overall look and longevity.
Our planning session will then address the following:
1. What is your opinion regarding the areas of need? In other words, carefully evaluate what it is
you want or are trying to achieve.
2. Our assessment as to what can benefit you.
3. A coming together of 1 and 2 above
4. An estimate of initial or “start-up” costs as well as maintenance costs
5. An estimate of frequency of visits to avoid the “starting-over” challenges
When “timing” the selected procedures, it is important to understand that you more than likely will see
immediate results with the dermal fillers that will only improve at around two weeks, but the Botox
usually takes about two weeks before you begin to see results.
I trust that this format will be helpful for you to consider your “wish list”. We look forward to helping
you develop a plan with the “big picture” in mind. Thank you for your confidence.
Sincerely,
J. Michael Dierkes
J. Michael Dierkes, BS, DDS, MS, NMD, FICCMO and Staff
Page 2 of 2