Botox & Dermal Fillers

Results

Baseline
Two weeks after 5 syringes
Baseline
Two weeks after

Individual results will vary depending on skin type and number of syringes used.

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Botox is a purified protein which is injected into muscles of facial expression (cosmetic use). This causes the muscle to relax resulting in softening/elimination of dynamic wrinkles. Duration of therapeutic effect with correct dosing is usually 2.5 months or longer.

Dermal fillers (hyaluronic acid based) can last 6 to 18 months depending on the area they are injected. Duration of therapeutic effect for fillers is impacted by muscle contraction – the more muscle contraction there is, the faster the product will break down. For example, in the nasolabial folds beside your mouth, fillers will last up to 6 months – depending on how much the patient smiles. Similarly in the lips. In the upper cheeks, some patients still can have therapeutic effect for up to 18 months as there is not as much muscle contraction in the upper cheeks.

Botox injections are done at our clinic using 31-gauge insulin syringes. This is one of the finest needles available in primary care. Injection with these needles is virtually painless. However, it does depend on the site of injection – some injection sites in the face can be a little more sensitive than others. It is very unusual for patients to request topical numbing cream – although we do keep it on site if requested. We also use several needles to help keep the injections comfortable as repeated injection with the same syringe can dull the needle making the injection more sensitive.

Dermal filler injections involve a few pinpricks at strategic locations to inject the filler to correct wrinkles. We use mainly Juvederm and other hyaluronic acid based dermal fillers and these are typically mixed with lidocaine (an anesthetic) to help improve injection comfort.

For Botox injections, results are typically seen from 3-5 days. However, full effect can take up to 2 weeks to realize.

For hyaluronic acid fillers, you will see therapeutic results nearly immediately.

Botox cosmetic as a general rule is used to treat wrinkles from the upper lip to the upper forehead. However, it is also used to treat neck lines.

Dermal fillers can be injected nearly anywhere in the face. However, the danger zones include the glabella (the area between your eyebrows), the “tear troughs” – inner cheeks by the nasal bridge leading to the tear ducts. Our clinic has been injecting since 2004 and have developed considerable experience and expertise in injecting hyaluronic acid based dermal fillers safely.

Both Botox and Dermal Fillers can result in minor bruising. With injection by an experienced injector, and with good procedural lighting, and application of pressure, bruising can be minimized. In general, bruising is a little more likely with injection of dermal fillers which are injected in the skin deeper than Botox.

Botox has been on the market since the 1990s and received regulatory approval for cosmetic use in 2002. It is widely used around the world.

Dermal fillers (hyaluronic acid based) are natural sugars which exist normally in the skin. Your body’s immune system recognizes it and moves on. In general, allergic reactions are rare with hyaluronic acid. If dermal fillers happen to be injected into a blood vessel, this can cause loss of blood flow to the skin. Thankfully this complication is easily recognizable by a qualified and experienced injector, and easily treated with the administration of Hyaluronidase – an enzyme that dissolves the hyaluronic acid thereby restoring normal blood flow. For your comfort and safety, this underscores the importance of having your treatments done by a professional experienced licensed and insured injector.

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