As injectables grow in popularity it is important for patients to understand how Botulinum toxin (brand names include BOTOX®, Dysport and Xeomin®) and dermal fillers differ in formulation and which problems they address. Patients tend to mix Botulinum toxin and dermal fillers into one category. Understanding how these types of products address wrinkles, lines, and furrows can help you make the best treatment choices.
The American Board of Plastic Surgeons reports that 9.1 million injections were performed in Canada and the US in 2017. Botulinium toxin accounted for 6.7 million of these procedures with 2.4 million dermal fillers accounting for the rest.
As we age, our skin loses elasticity due to decreases in elastin and collagen, proteins that add youthful fullness to the skin. Also, hyaluronic acid, which helps the skin retain moisture, begins to decrease. Sun exposure, gravity, and repeated facial expressions take their toll. Our skin begins to sag, eyelids droop, and grooves and folds become deeper.
While all lines may appear to be similar, there are differences between dynamic and static wrinkles. Dynamic wrinkles are caused by the muscles that create facial expressions. Dynamic muscles respond to BOTOX® and Dysport. These two products weaken muscle by interrupting the communication between the muscle and its nerve. This relaxes the muscle and smooths out wrinkles. The area between the eyebrows (the “11s”), crow’s feet next to the eyes, lines across the forehead, gummy smiles, smoker’s lines, downturned lips, and vertical neck bands respond well to BOTOX® and Dysport. Occasionally, fillers can be injected to further smooth the lines.
Injectable fillers are a popular, cost effective method for reducing signs of aging. Fillers contain hyaluronic acid or other collagen-stimulating ingredients. Fillers smooth out static lines and wrinkles. Static wrinkles are the lines and creases that are present when the face is relaxed. They can be injected into the cheeks, nasolabial folds, marionette lines, lips and fine lines around the lips. Fillers can be used to add volume to the skin or add definition to various areas of the face.
There are several types of filler; your doctor will work with you to pick the best option.
Fillers are supplied in a range of thicknesses, each suitable for certain areas of the face. Fillers can last between 4 and 9 months, depending on the type of filler used.
Be sure to choose an expert injector with broad experience and an artistic eye for optimal results. Dr. Pugash has a deep understanding of the anatomy of the face and will guide you in selecting the right product to achieve the look you want.