TURN THAT FROWN UPSIDE DOWN The Basics on Botox and Fillers



The Basics on Botox and Fillers

by Sara Snarr, Nurse Practitioner

You have unwanted lines and wrinkles, you say? We have options! Whether you are just starting to notice lines around the eyes in delightful photos, or you have been noticing deepening lines around your mouth that you seemed to inherit from your mother, we possibly have options! Now don’t get scared- I am referring to MINIMALLY invasive techniques with little downtime! BOTOX® Cosmetic and fillers are widely used to help treat, and prevent, unwanted lines, wrinkles, and volume loss. Here are a few facts about BOTOX® and fillers to help you determine if one, or both, may be right for you.


First, let’s begin with neuromodulators. There are four types of neuromodulators: BOTOX® Cosmetic, Dysport®, Xeomin® and Jeuveau®. BOTOX®, the neuromodulator used for treatment at Soderstrom Skin Institute, is the first neurotoxin ever to be approved for treatment by the FDA.  BOTOX® is a purified protein that is injected into the target muscle, causing it to relax.  This relaxation gives a smoothing effect to the unwanted lines and wrinkles that are caused by that specific muscle contraction. Common areas of treatment are the glabella (lines between the eyes), forehead, and crow’s feet, though the list of BOTOX® treatment options is quite lengthy. BOTOX® takes anywhere from 4-14 days to fully set in, and will last approximately 3-4 months. The amount of BOTOX® needed is dependent on many factors, so treatment dosages and placement will be specific to each patient. Your injector will determine what is best for you.

Injection of BOTOX ® is virtually painless: a little poke with a tiny needle. There may be small bumps in the area after treatment that typically subside within a few hours. Though typically minimal, there is a small risk for bruising in the area of treatment. We really try to avoid this side effect if at all possible, but bruising is a risk of treatment.


Next up, we have fillers. The fillers used at Soderstrom Skin Institute are all made up of hyaluronic acid (HA), a naturally occurring substance within the body. Fillers, to the human eye, look like a clear gel and are used to correct the signs of age-related volume loss. Common areas for treatment include the cheeks, lower face, and lips.  When injected, the results are seen immediately and will last 12-24 months, depending on the filler used. I like to think of fillers as in terms of structure. Each filler has a different way of plumping and smoothing the skin. Let’s use a bed as an example.  If the mattress is boggy, or the sheets loose, or the comforter not properly draped, the bed looks messy, right? You can have a nice comforter lying flat on the bed, but if the sheets are wadded up or the mattress is sloppy, the bed still looks unkempt.  All of the layers need the proper support to complete the look. 

I like to take this analogy and apply it to fillers as well. JUVEDERM VOLUMA® XC the thickest of our hyaluronic acid fillers, is like the mattress on the bed. It is the firm base, or the structure builder. The structure of JUVEDERM VOLUMA® XC makes it unique, in that it works best when placed on bone. JUVEDERM VOLUMA® XC is a beautiful, subtle filler that is built off of the patient’s natural structure: the cheek bone. It helps to rebuild the natural volume loss that we often seen with aging, and helps to lift the cheeks and lower face. My patients love this filler because it provides a subtle, but noticeable, improvement!

Other HA fillers can be placed in the upper layers of the dermis to correct volume loss. Examples include JUVEDERM® Ultra Plus XC, JUVEDERM® Ultra XC and JUVEDERM VOLLURE ™ XC. These fillers are most commonly used in the nasolabial folds, marionettes (puppet lines) and lips. They can even be used around the corners of the mouth to fix that downward turn as we age. This filler group is softer, and gives a beautiful, natural result when placed correctly by a skilled injector.

So whether it be unwanted wrinkles, or loss of volume: BOTOX® Cosmetic and fillers may be just what the doctor, or injector, ordered! And remember, consultation is key to determine what products should be used to address your concerns! We can determine a course of action and devise a plan together based on your goals!

To schedule your consultation please call Soderstrom Skin Institute at 833-439-8613.

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