Fillers (Restylane™, Juvederm® Ultra, Volbella, Voluma, Vollure, Sculptra™, Radiesse™, etc) and Botox™ are one of the largest growing parts of my current practice. It is important to understand what they do and do not do. For the right patient, I can correct wrinkles, plump lips, accentuate brows and eyelids, and blend facial units right before my patients’ eyes. Since the results are immediate with fillers, patients love that they can help to direct their own aesthetic while I slowly enhance subunits of the face.
Botox is great for the prevention and treatment of wrinkles. Botox™ Cosmetic is approved for use in the glabella (the area between the eyebrows). However, I often use this “off label” for wrinkles of the forehead, eyes, chin, and neck. I also use it raise the lateral eyebrows and corners of the mouth. In addition, I use Botox for the treatment of Migraine headaches and excessive sweating in the armpits.
Likewise, fillers are a great way to correct mild to moderate contour issues and wrinkles. I use them literally all over the face and often in conjunction with surgery to augment the final result. Conventional injections include the nasolabial folds (junction of the cheek and upper lip), but I also use them to augment the eyebrows, eyelids, area in front of the jowls, junction of the lower eyelid and cheek, chin, lips, and columns in between the lips and nose. These minor enhancements lead to a more refreshed look with the advantage that no surgery or incisions are needed.