Many patients want to reduce signs of aging like wrinkles and volume loss but are unsure exactly what treatments they need to get the results they want. Dermal fillers like Juvederm and Restylane are often used as well as injections that stop muscles from contracting like Botox and Dysport. Both treat signs of aging but are used for different areas and for different reasons. Often they can be used together to produce even better results.
A dermal filler is used to restore volume to creases, folds, and other areas that have become sunken due to aging. A severe depression in the skin, for example at the nasolabial fold, can be filled and smoothed out. A sunken cheek can now be plumped up with Juvederm Voluma XC, the only FDA approved filler for this area. Fillers will also provide a subtle lifting to the skin as the area is filled by pulling the skin up. Volume loss in the cheek is not the same as a wrinkle on the forehead as they each have different causes. Repeated muscular movements from facial expressions often cause wrinkles on the forehead and between the eyebrows. Each time the muscle is moved a wrinkle is formed and after years these lines start to remain visible even when you aren’t making the expression. This is where injections like Botox can be useful.
Botox works by blocking the nerve signals that cause muscles to contract. This reduces “frown lines” between the eyebrows and makes wrinkles relax. Botox can also reduce crow’s feet around the eyes. Dysport and Xeomin are other injections that produce similar results to Botox. An injection like Botox will not be much help when it comes to deep creases. This is why a combination of fillers and nerve blocking injections may produce optimum results. For example, Botox may be used to stop muscular movements that cause wrinkles but a wrinkle may already be too severe and deep. A filler can be used to diminish these severe wrinkles in combination with Botox.
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