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BOTOX® or Fillers? Why Not All Injectables Are the Same

If you’re interested in addressing signs of aging such as expression lines, loss of volume in the cheeks or lips, or smoothing out wrinkles, it’s likely you’ve considered BOTOX® or dermal fillers such as Juvéderm® or Radiesse®. While both BOTOX® and dermal fillers can be injected in your dermatologist or plastic surgeon’s offices, are non-invasive, and require little if any recovery time, they are quite different. Here is what you need to know about the difference between the two treatments so you can decide which is better for your unique needs

What is BOTOX®?

BOTOX®, a purified form of the botulinum toxin obtained from bacteria, has been safely used for decades to correct wrinkles caused by repeated facial movements such as smiling, frowning, or furrowing the eyebrows. This injectable works by blocking nerve signals in muscles it is injected into, temporarily paralyzing them. When done correctly, BOTOX® does not cause the dreaded ‘frozen face’ that some have come to associate with it and instead results in a smoother, more youthful appearance.

What are Dermal Fillers?

Dermal fillers are injected into the skin to add volume and fullness to areas that have lost volume due to genetics, aging, or extreme weight loss. Dermal fillers can be made of a number of different substances, but the most popular and effective usually make use of hyaluronic acid, which draws in moistures and adds plumpness to the skin. Dermal fillers are most often injected into the cheek or jaw area or into the lips to add or restore volume. While they can smooth out fine lines and wrinkles due to their plumping nature, they do not work on the muscles to prevent the expressions that form these wrinkles.

How are BOTOX® and Dermal Fillers Different?

Both BOTOX® and dermal fillers are temporary, safe, and non-invasive methods of providing patients with a younger, more vibrant appearance. While the effects of BOTOX® gradually wear off, the substances used in dermal fillers are safely absorbed by the body over time. There is no downtime with either type of injectable and recovery usually involves only minor swelling or irritation at the injection sites. Most patients who get BOTOX® or dermal fillers are in and out of the office within an hour or two and experience no disruption of their normal schedules.

Both treatments can help patients achieve a younger, more rested appearance, but they do so in different ways. While BOTOX® works primarily by freezing muscle movements that lead to fine lines and wrinkles, dermal fillers are meant to fill in areas that have lost volume or fullness. BOTOX® is most often used between the eyebrows, around the mouth, and around the eyes. Dermal fillers are usually used in the lips, cheeks, and around the mouth area.

The amount of time that BOTOX® and dermal fillers last also differs. While BOTOX® injections may need to be performed every three or four months to maintain results, some fillers can last two years or longer.

How Can You Choose Between BOTOX® and Dermal Fillers?

Whether you choose a BOTOX® or dermal filler treatment depends primarily on your areas of concern and the results you want from your treatment. If the main areas you want to treat are caused by repeated facial expressions and you do not have loss of volume, BOTOX® is probably the right option. However, if you feel your lips have thinned, there are hollows in your cheeks or under your eyes, or that your face has lost some of its contour, a dermal filler is likely the right choice. In many cases, combining BOTOX® with a dermal filler can provide comprehensive results that patients love. These can be used together in what is often referred to as a ‘liquid facelift’ and is appropriate for those who want to address several signs of aging at one time.

Scheduling a Consultation with a Cosmetic Plastic Surgeon

The best way to determine if BOTOX®, dermal fillers, or both are right for you is to schedule a consultation with the knowledgeable staff at Aria Dermatology and Aesthetic Center. During your consultation, a team member will be able to examine your skin, find out what results you hope for, and further explain the differences between the injectables they offer. This will help you make the right decision that will produce results you will love! Schedule your consultation today to learn more.




























Everything You Need to Know about Hyaluronic Acid

As cosmetic dermatology becomes more advanced, more procedures are shifting to the use of naturally-occurring substances and compounds. In recent years, hyaluronic acid has gained traction, thanks to its inclusion in many popular and effective skin rejuvenation treatments. If you’re in the process of weighing your non-surgical rejuvenation options, chances are you’ve heard of this substance. But how much do you know about this hyaluronic acid or its benefits?

Back to Basics: What is Hyaluronic Acid?

Hyaluronic acid, commonly abbreviated as HA or called hyaluronan, is a naturally produced substance present throughout the body, including the face, eyes, and joints. Due to its high concentration in areas that require substantial lubrication, HA has been used for a number of non-cosmetic purposes; patients with osteoarthritis may be prescribed hyaluronic acid for pain relief while HA has also been approved for use during eye surgeries like cataract removal to replace natural fluids.

HA’s success in lubricated skin is thanks to its chemical makeup. HA is unique in that it helps retain moisture. By some estimates, one gram of hyaluronic acid can retain up to 1000 mL of water. Based on the environment, the compound may adjust to account for humidity and environmental pollutants. When it comes to dermatology, these capabilities are especially valuable when trying to diminish the impact of aging.

How Does Hyaluronic Acid Improve Skin?

As our skin ages, it loses the ability to retain moisture.  Exposure to the sun, poor air quality or pollution, and other factors can also accelerate the aging process. Over time, constant exposure causes a noticeable loss of skin quality. As patients reach this stage, they find their skin looks less taut, is less pliable, and begins to lose its volume. Combined with slowing or stalled collagen production, individuals facing the consequences of aging can experience rapid premature aging where wrinkles seemingly set in overnight. For these individuals, retaining moisture isn’t enough – they also need an effective means of restoring the underlying collagen structure. This is where hyaluronic acid comes in.

Hyaluronic Acid in Cosmetic Treatments: Injectables

Hyaluronic acid tackles the problem of declining skin quality head-on by bringing much-needed hydration to the targeted area. When injected into skin via dermal filler or applied topically in a lotion, the compound helps reduce epidermis water loss in spite of aging or sun exposure.

Hyaluronic acid is popularly used for treating wrinkles and rejuvenating aging skin through dermal filler injections. Injectables like Juvéderm® and Restylane® rely on the compound’s unique ability to retain moisture to help add volume to areas where collagen production has stalled or stopped completely. Each of these cosmetic treatments uniquely leverages hyaluronic acid to address specific facial issues. For example, while Juvéderm® XC and Juvéderm® Vollure XC are used to target moderate to severe facial wrinkles and folders, Restylane® can be used to improve volume in delicate areas like the lips and under the eyes.

At Aria DermSpa, we recognize how unique our patients are. As a result, our Madison, CT dermatologist offers several popular hyaluronic acid-based dermal filler options to address the diverse concerns of our patients. During your consultation, Dr. Donofrio will evaluate your current skin quality and facial condition to determine which option is the right one to help you reach your cosmetic goals.

Explore Hyaluronic Acid Dermal Fillers in Madison, CT

When it comes to choosing the right cosmetic treatment to enhance your appearance, choose one that offers proven success. Find your right solution by calling 203-421-6674 today and scheduling your consultation with our Madison cosmetic dermatologist.