Botox and injectable facial fillers may be used to reduce lines and wrinkles of the face and restore a more youthful appearance. Botox injections relax the muscles that cause lines and wrinkles, while facial fillers plump up and smooth wrinkles and other skin depressions. There are many different facial fillers including fat injections, Radiesse, collagen products like Zyplast, Cosmoderm as well as Artefill, and hyaluronic acid products like Restylane, Hylaform, Juvederm, Captique and others. Individuals seeking a quick improvement to facial lines and wrinkles without significant downtime may be good candidates for Botox or facial fillers.

Dr. Naderi performs Botox and facial filler injections in his office and the procedures are quick, lasting just five to ten minutes. Anesthesia is not necessary, though a topical numbing agent, ice or dental block can be used to maximize the patient’s comfort.

Botox is administered with a fine needle directly into the muscle. Botox may be used in the areas surrounding the eyes, forehead, mouth and neck to treat crow’s feet, frown lines, worry lines, and lines on the neck. Botox works by weakening the muscles responsible for wrinkles and lines, and may also be used to treat migraine headaches, excessive sweating, and muscles spasms in the eyes and neck. Results tend to last four to six months. Botox may also help improve the smile of “gum smilers” by reducing excess gum show during smiling.

Collagen injections are able to fill in sunken areas of the face and smooth lines and wrinkles. Zyderm and Zyplast are bovine-derived forms of collagen, while Cymetra, Cosmoderm and Cosmoplast, Fascian and Autologen are human-derived forms of collagen. Artefill is derived of 75% bovine collagen and 25% polymethyl-methacrylate microspheres. The results of most types of collagen may last anywhere from two to six months, though Artefill is a permanent filler providing longer lasting results. Zyplast and Artefill both require allergic skin testing four weeks before the procedure.

Fillers made of hyaluronic acid include Captique, Restylane, Perlane, Hylaform, Juvederm and others. Restylane is used to smooth wrinkles, sculpt lips and shape facial contours, while Perlane can treat deep facial lines, augment the lips and contour the chin and cheeks.  Perlane will be FDA approved in the near future.  Both provide results lasting up to a year. Hylaform and Juvederm treat facial wrinkles and folds and add volume, with results typically lasting up to six months.

Radiesse is a synthetic injectable filler comprised of calcium hydroxylapatite that can be used to treat wrinkles, creases and scars with results reported to last one to two years. Fat injection involves the removal of fat from one area of the body, such as the thighs or abdomen, which is then re-injected into facial areas to add volume and fill in lines and wrinkles. Results are long lasting although 2 or 3 procedure sessions may be necessary for the final result.

Botox and injectable facial fillers are very safe and have little downtime. Bruising can occur but generally fades quickly. Patients are usually able to immediately return to work and other normal activities.

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Q - What are facial fillers?
Facial fillers, also referred to as injectable fillers, can restore a more youthful appearance to the face by minimizing the appearance of lines, wrinkles and other skin depressions. When injected beneath the skin, facial fillers plump and smooth surface irregularities and sunken areas of the face. There are many different facial fillers including Restylane, Captique, Radiesse, Juvederm, Artefill, Zyplast and Cosmoderm.

Q - What is Botox?
Botox is a non-surgical injection which may be used to temporarily reduce the appearance of some lines and wrinkles. Botox works by temporarily paralyzing and relaxing the muscle responsible for a given wrinkle. Crow’s feet, frown lines, worry lines and lines on the neck can all be treated. Botox can also be used to treat migraine headaches, excessive sweating, and muscle spasms in the eyes and neck.

Q - Is Botox or a facial filler right for me?
Botox or a facial filler may be right for you if you’re seeking quick improvement in facial lines and wrinkles without significant downtime.

Q - What does a consultation for injectable fillers or Botox entail?
During the consultation, the surgeon will examine your facial skin, take a medical history, and discuss your goals. A course of treatment will be recommended and all aspects of the procedure will be explained including the technique, the risks, costs and so on.

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