Botox versus Fillers - PIH Health

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Published on January 21, 2016

Botox versus Fillers

Beautiful woman - botox treatment

beautiful woman - botox treatmentThe difference between Botox and dermal fillers is often misunderstood, or not even considered at all. So let’s break it down:

Botox® is actually the brand name for onabotulinumtoxinA used for a variety of conditions both medical and cosmetic, which includes excessive sweating, and treatment of fine lines and wrinkles caused by facial expression.

Dermal fillers, as their name implies, are substances that fill in volume loss in the  skin to reduce or eliminate the look of wrinkles. Many fillers also stimulate the body’s natural collagen production, which tends to slow down as we age.

How They Work

Botox works best on new wrinkles or as maintenance before wrinkles appear at rest. It temporarily impairs the muscles that cause frowns and lines – such as those on the forehead and around the eyes. When injected into the muscle, the relaxed muscle is unable to produce the movement that creates the lines and wrinkles. Results are usually visible in 1 to 2 weeks and temporary - lasting about 3 to 4 months. The amount of botox used will depend on the different areas, strength of the muscle and individual preferences.

“It’s important to note that since Botox works on the muscles that cause wrinkling, it is beneficial to maintain the integrity of the skin by using sunscreen to avoid sun damage and a proper skin care regimen to help slow down the normal aging process” says Heather Amitrone PA-C. “It is recommended to discontinue the use of aspirin and anti-inflammatory medications two weeks prior to the treatment to help reduce bruising.”

Dermal fillers treat volume loss to the midface that can create lines around nose, mouth and chin. They can also be used to replace volume loss in the lips to make them appear fuller. There are many variations of fillers - you and your provider will discuss the differences and determine which one is best suited for your concerns.   The effects are nearly instantaneous and most last several months to a year or two. “Dermal fillers are FDA approved for use on the face only,” adds Heather. “Side effects with dermal fillers and botox should be taken seriously and discussed thoroughly by your provider before any procedure is considered.”

Choosing the Right Option

Not all wrinkles and lines can be treated in the same way. Even the muscular structure of your face can determine which treatment, if any, is best for you. As with any medical intervention — and this is a medical treatment — there are limitations to who can safely use Botox or fillers (for example, they are not recommended for pregnant/nursing women or people with bleeding disorders). So while it’s a commonplace beauty treatment these days, it’s critical that you discuss all options with your doctor.

The information in Healthy Living Online is for educational purposes only.  It is not intended nor implied to be a substitute for professional medical advice.  The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation, or if they have any questions regarding a medical condition or treatment plan.

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