Botox and/or fillers….what’s the difference

Patients often ask me which they should get on their face… Botox or Juvederm filler.  My answer is….both if you need it.  However, they are usually mutually exclusive as Botox is used to reduce forhead, glabella, and crow’s feet wrinkles by muscle paralysis and Juvederm products are used to fill in spaces on the face where there is lost volume. A recent article in Cosmetic Surgery Times discusses that overlaping the Botox with the filler can slow down the absorption of the filler, which usually happens over about a years time period.  They found that decreasing the activity of the muscles in the face does tend to slow the metabolic absorption of the filler.  Unfortunately, fillers should be used with extreme caution in the Glabella region (the area of the forehead  between the eyes) because over usage there can potentially cause some blood vessel occlusion and tissue death.  That area is a great place for the Botox as it softens the muscle that causes those hideous”11’s” that make you  look angry all the time.  By the same token filler looks great to plump the lips but if you use Botox in the lips then your mouth may look weird due to the paralysis of the muscle around the mouth (Obicularis Oris).

Now I can inject Botox and Juvederm at the same visit in their needed places.  Where I think that using both in the same area is good is on that patient with deep crows feet that may only have a partial response to the Botox.  This indicates to me that despite paralyzing the muscle under the crows feet, the skin is loose from sun damage and volume loss.  A carefully placed small amount of Juvederm filler on top of the Botox will help tremendously to smooth and fill the area while the Botox will help slow down the absorption of the Juvederm.   Overlap of Botox and filler in very deep forehead wrinkles has also done well especially if depressed scars are present from previous injury.  Overall, we can make your face look years younger with our Botox and Juvederm filler injections.

Genesis is the leading provider of Botox and Juvederm fillers in the Pee Dee and Grand Strand area.

Thought of the day:  Live well, Love much, Laugh often.  Good advice to live by.

Dr. ODell