I often get the question when dealing with patients : So what are Botox and Fillers for ? Or I have a situation when Botox is asked for, but a patient would benefit more from a filler.I am going to try and simplify and clarify where and when to use what:
What are fillers?
Fillers are injectable volumizers, in other words, we use fillers to fill in what the years are taking away. A youthful face is usually smooth on the surface and as we age, we lose volume and depth of tissues. This is especially evident around the eye and between the nose and mouth corners, also known as the nasolabial folds. These lines and recessions are usually visible whether the face is relaxed or moving.
Fillers can consist of hyaluronic acid otherwise referred to as hyaluronan which naturally occurs in our bodies in our cartilage, skin and eyes. Collagen and own fat transplants can also serve as ‘fillers’. In the clinic I use the hyaluronic acid formulations.
How long do fillers last?
When used around the eye, ‘fillers’ last well over a year, and around the mouth area, usually last between 10 and 12 months. The effect is immediately visible and swelling can occur but is usually of short (1-3 days) duration. Fillers usually do require some local anaeshetic to be comfortable, and should always be administered by a medical docter.
What is botox?
Botox or Botulinism Toxin, is derived from the toxin of a bacteria (Bacterium Clostridium Botulinum).
Botox has also been used medically to treat squinting eyes since 1980, as well as spasticity, migraines, club feet and is being researched currently in a number of other uses. When used to treat wrinkles, Botulinum toxin blocks communication between the nerve plate and the target muscles temporarily.
The effect of botox can last between four and six months
It is used when muscle action causes the formation of wrinkles and is not successful when wrinkles are deep in a relaxed face.
Local anaeshetic is usually not required, and very little, if any swelling or bruising occurs.
The combination of ‘Botox’ and ”Fillers’ is very powerful and can literally take years off the appearance, and I find the best and most natural results are achieved when a little is done at a time and then added to, after review, about two weeks later. This approach prevents overtreatment and a very natural and youthful appearance can be achieved in just a few weeks.
I will be discussing some other treatment options soon ………