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The world of injectables and fillers is vast, and with so many different options to choose from, it can seem overwhelming. Injectables and fillers are categorized by type according to the concern they target and how they do it. I can customize your treatment based on what is best suited for you so that you look and feel your absolute best. These are the three most common types you should know about:


Neurotoxins, such as Botox, Dysport and Xeomin, smooth out the lines that form from repetitive facial movements such as smiling, frowning and squinting. They can also be used on the brows, the forehead, the chin, on the tip of the nose, above the eyebrows to lift a saggy brow line, on the corners of the mouth, and bunny lines to give a fresher look. Neurotoxins work by blocking the nerve receptors on muscles to smooth out wrinkles. Since they are not fillers and do not provide a plumping effect, they should only be used to soften lines and wrinkles. Some of my patients therefore choose to get injected at a young age or at the first signs of a wrinkle as a means to actually diminish the lines from forming and/or getting worse. I typically apply a topical anesthetic first to make the injections more comfortable and then I will strategically inject the product into appropriate areas. These injectables temporarily block nerve receptors on your muscles, which soften the look of lines and wrinkles caused by repetitive movements. They can also be used to prevent lines and wrinkles from forming, extending your youthful look for longer.

WHAT TO EXPECT You can typically see results in one to seven days, depending on which neurotoxin you choose. Dysport generally kicks in within a day or two; the results of Botox and Xeomin can be seen in three to five days. Regardless of the injectable used, the results typically last, on average, three to four months. But, after repeated regular injections, your results may last up to six months. You may be red or bruised at the injection site for a few days, and, in rare instances, you may feel mild flu-like symptoms after treatment.


Hyaluronic acid fillers, such as Juvéderm XC, Juvéderm Ultra XC, Juvéderm Ultra Plus XC, Juvéderm Voluma XC, Belotero, Perlane and Restylane, are used to fill in and plump up wrinkles and folds on the face. They can also add to features that look flat or sunken in, especially on the cheeks, lips, tear troughs/hollows, temples and jawline. Hyaluronic acid fillers are often injected into the nasolabial folds, nasal bumps, upper forehead, brow creases, eyelids and chin. Suspended in a gel formula, hyaluronic acid, which is naturally found in the body, works from the inside to attract water and plump up the deficient area. The nuances associated with all hyaluronic acid fillers are the same, but each has a different molecular size, or density. This range allows me to choose the right product for you based on your skin type and concerns. Thicker gels are most appropriate for building volume, like in the cheeks, and because of their size are more likely to cause temporary visible needle marks and some bruising. Less dense fillers work well for fine wrinkles around the eyes, crow’s-feet and lines on the upper lip, and do not need to be injected as deeply as thicker formulations.

WHAT TO EXPECT With most hyaluronic acids, I will first apply topical anesthesia to your treatment area(s) and let it sit for at least 15 minutes before administering the injectable. Most hyaluronic injectables are now formulated with lidocaine to make the process as comfortable as possible, which eliminates the need for numbing creams. Lidocaine-containing fillers immediately numb the areas, giving you a faster and more pleasant experience. You may experience temporary bruising, swelling and lumpiness, along with possible infection and an allergic reaction, both of which are rare.


These fillers, aka collagen-stimulating fillers, include Radiesse and Sculptra Aesthetic. They contain microscopic particles that prompt your body to make new collagen, for smoother skin and volume in all the right areas. The boost in collagen is essentially an immune reaction to the injected material that helps plump the area from within. Rather than instantly filling lines, they are longer-lasting and add volume that lifts the soft tissues, ultimately diminishing lines. Radiesse is a thicker, calcium-based filler that stimulates new collagen production in the injected area, while adding volume and some lift. Results last about a year. The poly-L-lactic acid filler Sculptra Aesthetic can achieve notable volume with long-lasting results (1-2 years) appearing after three or four treatments spaced several months apart.

WHAT TO EXPECT We’ll start by applying a local anesthesia to your skin, followed by a 10-minute treatment consisting of 10 to 20 injections. Unlike other types of fillers, these are injected deeper to get at volume-deficient areas. On average, results last one to two years, sometimes longer. Soreness, puffiness, bruising, lumpiness, cysts, infection and allergic reaction are all possible side effects.

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