BOTOX® versus Dermal Fillers

At my practice, patients often ask me if there’s “really” a difference between dermal fillers and BOTOX® Cosmetic in the Boston area. Surprisingly, the difference between these treatments is generally greater than what many people originally suspect. Understanding the purpose of each product and determining which treatment is most appropriate for you depends on what you want to achieve and your skin characteristics.

Dermal Fillers

Injectable fillers such as JUVÉDERM in the Boston area is used to add volume to deflated areas of the face or to fill in wrinkles. These products are made from a variety of materials but usually contain a naturally-occurring substance known as “hyaluronic acid.” Hyaluronic acid is a substance that plumps the skin with essential moisture, giving the appearance of youthful facial contours and reducing the appearance of lines. Many people use dermal fillers to reduce the appearance of pronounced wrinkles, such as those in the outer corners of the mouth (nasolabial folds) or around the eyes. Dermal fillers are also used to add definition to the lips by restoring lost volume and smoothing lip lines and creases.

BOTOX Cosmetic

BOTOX Cosmetic is made from a protein derivative called “botulinum toxin A.” Unlike fillers, BOTOX Cosmetic does not create a plumping effect in the skin, but rather prevents the facial muscles from contracting. When facial movement is reduced, the muscles relax and soften– thereby diminishing the appearance of wrinkles. BOTOX Cosmetic is frequently used to treat forehead creases and frown lines, especially those between the eyebrows.

Combined Approaches

Dermal fillers and BOTOX Cosmetic are often combined to create what is known as a “liquid facelift.” This treatment involves the strategic placement of a variety of different dermal fillers as well as BOTOX into targeted areas of the face to create a lifting effect on the skin. Liquid facelifts are a great solution for men and women who want temporary enhancements without surgery.

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