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Injectables & Fillers

Injectables have risen in popularity in recent years as a viable non-invasive alternative for those looking to achieve a more youthful appearance without undergoing a cosmetic surgical procedure. For many, the opportunity to turn back the clock and reduce fine lines and wrinkles brought on by the effects of gravity, sun exposure and years of facial muscle movement is one too appealing to pass up.

Before choosing a particular treatment, it is important to do your research to determine which course of action will generate the results you are looking for. There are many name brands out there, each with its own unique attributes. Most fall within one of two categories: Botox and alternative fillers.


Botox® is the trademarked name of a pharmaceutical drug derived from the botulinum neurotoxin produced by the bacterium Clostridium botulinum. The term ‘botox’ is also commonly used to refer to other cosmetic wrinkle-smoothing injectables containing this neurotoxin. Botulinum toxin type A injections are by far the most popular cosmetic procedures performed in the United States. In 2017, 7.2 million were administered nationwide, an increase of two percent over the previous year. Its non-invasive nature, coupled with virtually immediate results and little to no recovery time, makes this the go-to treatment for many looking to naturally rejuvenate their appearance.

Commonly known by brand names including Botox Cosmetic®, Dysport® and Xeomin®, these treatments are designed to smooth dynamic wrinkles, the types of creases which form as a result of repeated facial movements, such as frowning, squinting, or even smiling. Once injected, the neurotoxin temporarily blocks nerve impulses to the muscles, causing them to relax and the resultant expressions to soften. The most common areas of focus tend to be frown lines, wrinkles around the eyes, forehead creases, the corners of the mouth and chin.

While each brand contains the same active ingredient, botulinum toxin type A, their formulations can vary slightly, affecting the dosage used, the degree to which the product will spread, and how quickly a patient can expect to see results. All are FDA-approved, and have been safely and effectively used for years.


Fillers can be used to cultivate a smoother, more youthful appearance by adding volume beneath the surface of the skin as a means of counteracting the natural loss of elasticity which tends to occur with age.

As the underlying tissue begins to break down, creases, folds and lines of varying depth result. This is where injectable fillers come in, plumping up the sunken areas of the face and adding fullness to the lips and cheeks. These may be used alone, or if more dramatic results are desired, in conjunction with a facial resurfacing procedure.

What to Expect

Botox and related wrinkle-diminishing injections are classified as non-surgical procedures and typically completed during an office visit. While side effects are rare, it is imperative to schedule a consultation with a cosmetic surgeon prior to treatment, to review personal medical history, expectations and any potential complications. Injections should only be performed by, or under the guidance of, a board-certified cosmetic surgeon with an extensive knowledge of facial anatomy.

A topical anesthetic may be used to numb the injection site prior to the procedure; however, most patients find this unnecessary. The needles used are extremely thin and do not penetrate deeply beneath the surface, as they are injected directly into the muscle at strategic points. A slight pinching sensation may be felt at this time.

Patients are typically able to return to normal daily activities immediately following the treatment. Mild redness, swelling at the injection site, and bruising may occur, but are generally minor and dissipate within a few days. Results will set in about three to seven days after the initial injection. In some cases, a follow-up treatment may be recommended by your surgeon to achieve optimal results.

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