Botox + Filler Q&A
Botox + Filler Q&A
Welcome to the new age of sophisticated injectables. Media and pop culture have falsely characterized Botox and Fillers, usually through wild exaggeration for comic or sensationalistic effect. People see a full bottle of injection liquid and are afraid of using the entire contents. But when you open a fresh bottle of cream for your coffee, you don’t pour the whole thing into your cup! The truth is that the art and science of injectables have come a long way since the Food and Drug Administration first approved the use of Botox for frown lines in 2002. At the Institute of Skinovation, where we combine the most cutting-edge scientific advancements with the experienced eye of trained artists, Botox and Fillers can be used to provide the subtlest of corrections, gently smoothing fine lines while retaining a bit of movement. They can also be used in heavier doses to address a more time-ingrained problem and halt it in its tracks, or to plump up areas of the face that have lost their youthful contours. Banish any fear of a “frozen face.” Let our team of esthetic artists customize “your perfect self.”
Q: What is the difference between "botox" and "fillers"?
The brand name of the most popular neuromuscular toxin, Botox treats active and overactive facial lines by paralyzing the muscles, preventing the motion that causes wrinkles. FDA-approved for crow’s feet, frown lines, and forehead lines, Botox can also treat excessive sweating (axillary hyperhidrosis). A chemical compound found in our skin, hyaluronic acid is the primary ingredient in fillers such as Juvéderm, Restylane, and Voluma. The FDA has approved Juvéderm and Restylane for plumping out nasolabial and marionette lines, although other popular uses include plumping out thinning lips, lifting sagging eyebrows, and decreasing under eye hollow. A new, FDA-approved filler, Voluma fills out the cheek bones and gives the appearance of a non-surgical facelift.
Q: How long until I see results?
Botox results are noticeable within one week. Filler results are immediate, but may take a week to finalize.
Q: How long do results last?
Botox effects begin to dissipate after 3 months, though in some patients, the results can last up to 6 months. Fillers generally last 6-12 months; however, Voluma has 90% retention at 2 years.
All may require minor touch ups for optimal results.
Q: Is there an age limit as to who can get botox or fillers?
Essentially, no—but clients must be at least 21 years of age.
Q: Is it painful?
As the skin is usually numbed for 10 minutes with a topical lidocaine cream (Emla), injectables are generally well tolerated, with minimal discomfort/pain.
Q: Is there a way to cover up the injection spots?
Very delicate 30 gauge needles are used for injections, leaving minimal marks which can be reduced with topical cortisone and ice compresses. Makeup can be applied within 1 hour.
Q: Will there be swelling or bruising?
Bruising and swelling will be reduced if clients refrain from using aspirin and anti-inflammatories (Advil, Motrin) for a week beforehand. Arnica Montana (2 pills every 3 hours for 2 days beforehand) also reduces any bruising and swelling.
Q: Are there any risks or side effects?
Other than bruising and swelling, a very remote risk of Botox is a droopy eyelid. Though very rare, it can occur 2-6 weeks afterwards. Topical agents (Iopidime) can help, and after 6 weeks, it is completely reversible.
Q: Are botox and fillers only used on the face?
Botox can be used to treat excessive sweating (axillary hyperhidrosis) and migraines, though the latter is usually performed by a neurologist. Fillers can soften secondary dents or depressions related to previous surgery, such as rhinoplasty.
Q: What is the proper course of aftercare?
After Botox injections, ice for approximately 10 minutes and refrain from exercise for 4 hours. After fillers, a gentle, manual massage of the injected area will ensure a soft, natural appearance.