Injectables (Botox® & Filler)
Facial wrinkles are a natural part of the aging process. There are two types of wrinkles that occur on the face: dynamic and static wrinkles.
Dynamic wrinkles are caused by muscle action under the skin (e.g. forehead wrinkles caused by muscles raising the eyebrows). An effective way to reduce, and sometimes eliminate, dynamic wrinkles is by deactivating the implicated muscles with neuromodulators like Botox ®.
Botox ® is an injectable neuromodulator used for the treatment of dynamic wrinkles. All neuromodulators available for cosmetic applications are derivatives of botulinum neurotoxin. Botulinum neurotoxin is used in wide array of medical applications that require muscle paralysis. When facial muscles are paralyzed, wrinkles are reduced, and sometimes eliminated. The effect of neurotoxins lasts 3-6 months; patients must be injected regularly to maintain results.
Static wrinkles are caused by a number of factors related to natural aging. As the skin ages, tissues (skin, fat, and muscle) are affected differently by gravity, and sag over one another creating facial grooves. This grooving is compounded by the natural loss of facial fat that accompanies aging. As fat is lost, facial volume decreases, causing the overlying skin to wrinkle. Static wrinkles are treated with fillers that plump and fill volume loss.
Juvedérm ®, Voluma ® and Belotero ® are fillers that can be used to minimize wrinkles and increase facial volume. Each filler has a slightly different set of properties; the best choice of filler depends on patient goals and preferences. Fillers last from 6-18 months; patients must be injected regularly to maintain results.