The Facial Refinery

This transformation took 4 appointments over 7 months

We used a total of 9 syringes of filler along with full face and neck Botox

Areas treated with filler included:
👉🏼Cheeks
👉🏼Piriform
👉🏼Nasal labial crease
👉🏼Oral commissures
👉🏼Neck lines
👉🏼Temples

Every appointment gave us the opportunity to reassess before deciding if anything else was needed

I don’t believe every concern should be treated in one visit. Sometimes the best results come from giving the face time to settle before moving on to the next step

🔺Temples were treated by Rachel Rachel Jarrell | Houston Aesthetic Injector

Follow ➡️ Pamela Killian | Aesthetic Injector Houston for more

One appointment doesn’t always get you to the end result you want

These lips are a perfect example

This patient took two treatment sessions spaced a few months apart. Instead of trying to do everything in one visit, we added gradually and let the lips settle before deciding if another syringe was needed

Not everyone requires multiple appointments, but sometimes it’s the best approach. Every treatment plan is different because not every patient starts in the same place

My goal has never been to make lips as big as possible. My goal is to create lips that look natural ❤️

Follow ➡️ Pamela Killian | Aesthetic Injector Houston for more

Sometimes the best result comes from taking a step back before moving forward

In this case, filler had spread beyond where it belonged, creating upper lip puffiness, a blurred lip border, and an unbalanced profile. Instead of adding more product, we dissolved the old filler and started fresh

The result?
• A smoother transition from lip to skin
• Better projection
• A more defined lip border
• Lips that look natural

More filler isn’t always the answer. The right treatment plan is

Would you rather dissolve first for a better long term result, or keep adding more?

Let me know below. ⬇️

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One of the biggest misconceptions about lip filler is that it “caused” something new

In reality, filler often makes normal anatomy easier to notice because the lips are larger and more defined

Examples:
• Missing pigment
• Fordyce spots
• Uneven muscle movement
• Airy lip tissue
• Naturally narrow lip corners

These are common anatomical traits that many people have. They just become more noticeable once volume is added

That’s why a thorough consultation and realistic expectations matter just as much as the filler itself

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One of the biggest differences between what patients notice and what I notice is this…

Most people come in focused on one specific thing. A line, a fold, or even a shadow. They assume that’s what needs to be treated

But many times, what you’re noticing is actually the result of something else

When assessing your face, I’m looking at your concern, but I’m also looking at everything that could be contributing to it. I’m looking at how your muscles move, where you’ve lost support or volume, your skin quality, and why that concern developed in the first place

That’s why treatment plans don’t always focus on the area that bothers you the most

Sometimes a multimodal approach, or even treating a different area first, can make a much bigger difference

Understanding what’s causing the concern is just as important as treating the concern itself

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One of the biggest misconceptions in lip filler is thinking every lip should be treated the same

Lip tissue matters. It affects how filler sits, stretches, and how much product may be needed

This patient has airy lip tissue, meaning there are loose pockets within the lips. We started with a half syringe because that was her comfort level, but it wasn’t enough to fully support the tissue

After adding more filler at her second appointment, the lips looked smoother and filled out more of those loose pockets

The same amount of filler will not produce the same result in every patient because not all lip tissue is the same

Understanding the tissue you’re working with is just as important as the product being used

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I’ve started and stopped writing this more times than I can count, not because I don’t know what to say, but because writing it makes everything feel real

If you know me, you know I didn’t get here the easy way. I paid my own way through school and spent much of my life putting myself last. Choosing myself never came naturally

Opening The Facial Refinery changed that for me. It showed me I was capable of more than I ever believed

Which why this is so hard to say…..

I’ve made the decision to step away from The Facial Refinery

This has been one of the hardest decisions, but after a lot of thought, I know it’s the right one for our family. My husband was recently offered an incredible promotion in Kansas City, and saying yes to this next chapter means walking away from something that has meant so much to me

My husband has stood beside me through every risk, long day, and dream I’ve chased. Now it’s my turn to stand beside him the way he always has for me

And Rachel… there truly are not enough words. We built this together with faith, a vision, and a lot of sleepless nights. Knowing she’ll continue what we created brings me so much peace

To my patients… this is the hardest part

Many of you became so much more than patients. You became friends, and trusting me the way you did is something I will never take for granted

This became so much more than a job, and I’m going to miss you all more than I can put into words

You will always have a home at The Facial Refinery, and I trust this team completely. Continuing to support them moving forward would mean so much to me

To everyone who trusted me, supported me, referred someone to me, or simply followed along through this chapter of my life… thank you. You have meant more to me than you probably realize

My last day seeing patients at The Facial Refinery will be August 28.

From the bottom of my heart, thank you for being part of one of the most meaningful chapters of my life. 🤍

“My heart is overwhelmed, but You never fail to guide me.”
— Psalm 61:2

If you only went to the gym once or twice a year… would you expect to stay in shape?

Probably not

Aesthetic treatments work the same way. One treatment here and there usually isn’t enough to create noticeable or lasting change

Most results build gradually and improve with a consistent approach

I hear this often, people saying they tried something once and didn’t notice much change or expected dramatic results right away

Most aesthetic treatments aren’t designed to completely transform everything after one appointment. Consistency is what creates and maintains results over time

Botox, filler, lasers, chemical peels and skincare usually work best when they’re part of a consistent maintenance plan rather than occasional treatments

Usually the best outcomes come from maintaining things instead of waiting until everything completely wears off and starting over every single time

If you’re not sure where to start, that’s what consultations are for

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Let’s talk about the gas tank analogy 🚗 💉

If your destination is Dallas, a quarter tank may get you started, but you may not make it very far

The same concept can apply with Botox

Placing two little in each muscle may create some early improvement, but movement can return sooner when there isn’t enough throughout the area

Just like a gas gauge, Botox doesn’t stay on full forever. Once it kicks in, muscle activity gradually starts returning little by little each day

⚠️Disclaimer: this graphic is simply an analogy. Treatment amounts and longevity vary based on muscle strength, facial, anatomy, brow, position, metabolism, activity, level, previous treatments, movement patterns, and individual goals.

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Botox isn’t just used in the upper face

Most people don’t realize their jawline has muscles working against it

Strategic placement of Botox along the jawline can soften small portions of that downward pull, which can change what you’re seeing here… even with expression.

Will this replace surgery? No

Can it make a noticeable difference in the right patient? Absolutely

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