BOTOX® is a neuromuscular agent, which means it works on the nerve signaling between the muscles and the brain that control how and when those muscles contract. Facial muscles contract every time an expression is made, and as they contract, they tug on the skin that overlies them, creating lines and folds. Over time, these lines and folds become more permanent, becoming visible even when expressions are not being made. BOTOX® works by blocking the nerve transmissions between the facial muscles and the brain, so the muscles do not contract, and the skin is not pulled and creased. BOTOX® injections are typically repeated every six weeks or so. Over time, skin becomes softer, and lines and wrinkles become less noticeable, which means the time between injections may be extended.
No, cosmetic fillers are used to treat wrinkles that form as a result of sun damage, pollution, gravity, age and other factors, not those that form as a result of facial movements. Fillers work by plumping up lines and wrinkles. Many fillers use hyaluronic acid, a naturally-occurring substance that helps the skin retain moisture, so it looks plumper naturally. Plus, the filler injections can help stimulate the production of collagen, so skin looks firmer and more resilient over time. Fillers typically last anywhere from six months to as long as two years, depending on the type of filler and the area which is being treated.
Yes, many women and men opt to have both types of injections to treat both dynamic (“movement” wrinkles) and static (age-related wrinkles) at the same time to achieve all-over effects in multiple areas of the face.
Injections of BOTOX® and fillers can cause some minor discomfort and swelling, but these effects go away soon afterward. Patients should not rub the areas, which can wind up enabling the solutions to travel to other areas and diminish the result.
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