Botox was first approved by the FDA in 2002 for the correction of lines between the eyebrows, called the glabella. The number of indications for Botox has grown significantly since then. Botox is now used not only for facial lines, but for migraines, overactive bladders, sweating, and even heat rash. At Artistry Skin and Laser we use it cosmetically to decrease wrinkles on the forehead, between the brows, the crow’s feet around the eyes. Additionally, our injectors can use Botox to improve a gummy smile, lines above and below the lips, to slim the face and prevent grinding of the teeth at night. Botox can even be injected for marionette lines or the lines that pull the corners of your mouth down.
Botox is made from a purified form of bacteria. This bacteria slows or prevents nerve signals to the muscles, resulting in temporary paralysis of the muscle. Typically Botox wears off on the face in 3-5 months. It can then be injected again. The safe part of Botox is that it always wears off, and your face always returns to the way it was before. Many people ask me if they “have” to keep doing Botox once they start and the answer at is no.
Similar to Botox, Filler has a variety of uses. It can fill deep facial lines, it can provide volume to thinned areas like lips. Filler can also plump areas like cheeks that have fallen, and it can augment facial structure like small chins. Filler does not affect the muscles like Botox.
There are a variety of different types of fillers. Some you may have heard of include Juvederm, Restylane and Voluma. The safest fillers are made from hyaluronic acid. They are considered safe because they can be dissolved if the cosmetic result isn’t acceptable, or if they get into a vessel where it doesn’t belong, and which could damage the skin above it. All the previously mentioned fillers are hyaluronic acid based. The differences between them come from either competing manufacturers, or from characteristics such as the thickness of the gel and how long it lasts. Put too thick of a filler gel into the lips for instance and they will look more likes sausages than they do lips.
Other types of filler ingredients include poly-L-lactic acid as in Sculptra, calcium hydroxylapatite as in Radiesse, and polymethylmethacrylate as in Bellafill. These fillers are not dissolvable in the way the hyaluronic acid fillers are and may therefore carry a higher side-effect profile.
Filler can last in the face anywhere from a few months to a few years, depending on the type of filler chosen and the area that is being filled. Like Botox, once it wears off, you should be back to where you were before you did the filler injection.
If you want more clarification or have any questions, we are happy to help. Visit our website to schedule a free consultation with one of Artistry Skin and Laser’s expert injectors.