Neither dermal filler nor Botox is overall superior to the other. Botox treats the dynamic wrinkles in your upper face, while filler adds volume to skin and scars to smooth them. Dermal fillers usually last longer, but you can use both of them together to treat wrinkles and blemishes.
The simple rule? “Lines of expression need botulinum toxin. Lines at rest need filler.” Dr. Schulman says that while Botox is a great choice for hitting those “crease points” where muscles contract, fillers are best for deep lines that are present even when facial muscles are not contracting.
Hyaluronic acid (Restylane, Juvederm, others).
This natural component of the skin's connective tissue is the most common filler used for wrinkles.
Botox is an excellent non-surgical way to reduce the signs of aging on your face. All you need to do is get a few injections done in your doctor's office. Botox is highly effective and can make you look and feel younger.
“The short answer is no,” says Dr. Miriam Hanson, board certified dermatologist and cosmetic expert in Austin, Texas. “Wrinkles do not become worse after having dermal fillers.” Dermal fillers comprise a family of injectable medications that restore volume in areas of the skin where it has been lost.
With dermal fillers, most people think your skin will become wrinkly or saggy if you stop getting injections. This is not necessarily true. The effects of the fillers will wear off after months or years, but the treated area is likely to return to its original state.
Many plastic surgeons say that Juvederm and Restylane are the most durable and longest-lasting fillers available. Both contain hyaluronic acid and are good for smoothing wrinkles and lines. Hyaluronic acid carries 1,000 times its weight in water and makes the skin look young, supple, and soft.
Fillers are a great option for patients seeking a softer, more youthful look. However, if used improperly or over used, fillers can have negative long term consequences. In fact, patients who do not properly use filler could actually speed up their skin's aging process, resulting in older looking skin.
Muscles naturally weaken over time and if Botox keeps those muscles too relaxed, other areas in your face will work in overdrive. The result? You age faster. "The other side effects of Botox could include asymmetry of muscles," said Dr.
Patients in their 60s can enhance their appearance with help from an aesthetic expert like Dr. Mizuguchi. With today's cosmetic technology, patients of all ages can have facial rejuvenation with injectables. The primary aim for patients over 60 is to soften lines while maintaining natural-looking results.
Unlike temporary and semi-permanent dermal fillers, permanent dermal fillers aren't decomposable, which means they can't be broken down as quickly by the body. They're usually formulated to be injected into parts of the body that consist of thick skin such as the nasolabial folds and can last up to five years or more.
Most experts agree that patients in their mid to late twenties and thirties are at a great age to start treatments. By injecting the muscles that typically cause wrinkles around the mouth, eyes, and eyebrows before they start developing, you are preventing them before they happen.
Deep injections may last as long as 12 months, and newer products on the market may last up to two years.
Dermal fillers are approved for specific uses in people aged 22 and older. Those uses include: Correcting moderate-to-severe facial wrinkles and skin folds. Increasing fullness of lips, cheeks, chin, under-eye hollows, jawline, and back of the hand.
"Botox is a neurotoxin that paralyzes the muscle. After people use it, they start losing volume in their face, and that accelerates the appearance of aging."
After the age of 35, it may be too late to benefit from the preventive capacity of Botox®, especially if you have a very expressive face or fair skin, are genetically predisposed, or have unhealthy lifestyle habits such as using tan beds, overexposing yourself in the sun, or smoking.
If you stop BOTOX treatments after many years of regular injections, the only effect will be that your wrinkles will return, albeit a bit more slowly than if you had not been using BOTOX. It's true: Even after you stop, you will still look younger than you would have if you had never been injected.
Answer: Laugh lines worse after Filler
This may appear worse because there is swelling from the injection. All swelling should subside in about 2 weeks. If after 2 weeks this does not get better, then please see your injector for an evaluation.
Answer: Lines still visible after fillers
What may have been enough for one side, may simply not have been enough for the other. When people still have lines or wrinkles after filler, you simply need more (another syringe) to get complete results.
The treated area will feel different after your injections. It will likely seem fuller than usual due to the presence of the filler and post-treatment swelling. Some tenderness is also to be expected, particularly when the cheeks and temples have been injected. These sensations usually subside within a few weeks.
Restylane: The Restylane family of fillers (Restylane, Restylane Silk, Restylane Lyft, etc.) are excellent options for mature skin. Each filler is designed to treat specific areas and to address common problems associated with aging. Our patients love the natural looking results.
Juvéderm, Restylane, and Belotero Balance are recommended fillers to address this issue and minimize those pesky signs of aging.
1 to 2 Years
Some dermal fillers have been studied to last close to two years. The three fillers that tend to last the longest are Restylane Lyft, Restylane Defyne, Restylane Refyne, Juvederm, Voluma, Radiesse, and Sculptra. Restylane Defyne is built for balance and used in the nasal labial folds and marionette lines.