Filler and Botox

Filler and Botox go together like peanut butter and chocolate and are staples in cosmetic dermatology. Both serve as a minimally invasive way to leave you looking refreshed. When used together you can get some amazing results!

Hyaluronic Acid filler (HA filler) in short, is a jelly-like substance that can be injected into the skin to restore volume, improve facial wrinkles, contour, and lift. There are many applications for filler. Below is a few of the most common areas that it is used.

• Tear troughs – these often appear as a crease between your lower eyelid and upper cheek and can cast a shadow under the eye making you look chronically tired.
• Cheeks – filler is great in this area to contour and lift
• Lips – filler can add subtle volume giving you the perfect pout.
• Lower face -filler can improve jowls and marionette lines. Filler can also be used in this area to define the jaw and proportion the chin so it is more in balance with the rest of the face.

Botox can be injected into certain muscles of the face to decrease their ability to contract, dramatically improving wrinkles. The forehead, glabella (between the eyebrows), and crow’s feet (sides of the eyes) are commonly treated.

Additional applications include treating a “gummy smile”. By relaxing the muscle that pulls up on the lip, less gums will show when smiling. Botox can also be used for a “lip flip” where the muscles around the mouth are slightly relaxed, allowing the lip to subtlety flip out giving the appearance of fuller lips.

Below is a before and after picture of a beautiful patient that I used HA filler for her cheeks, lips, and jaw. After filler, her cheeks are more contoured, her tear troughs are resolved making her look awake and refreshed. Her lips are full and her jaw is more in proportion to the rest of her face. It should also be noted that one month prior to her filler I also treated her with Botox on her forehead and glabella. Her end result? Balanced proportions that are natural looking and refreshed.