Botox vs Dermal Fillers
Sometimes it's difficult for patients to know the difference between Botox® and fillers and the lines between them can sometimes seem blurred, especially in media articles.
Botox is a natural, purified protein used to temporarily relax facial muscles that cause lines and wrinkles.
It is injected into the muscles causing the wrinkles. The duration of results is variable in between individuals but ranges from 3 to 6 months.
It can also be used to treat medical conditions such as hyperhidrosis (excessive sweating). It is known as Botox®
and Zeomin®. The main areas of Botox applications are the upper face, including the forehead, crow’s feet and between the brows and nasal area. You can also use it on the neck for tightening, as well as around the mouth. Botox results last on average about 4.5 months.
Dermal facial fillers, on the other hand, are used to add volume to the skin. As we age, the natural collagen and elastin in the skin lessens, as cells lose their ability to produce more of their youthful component. When we are born, we have plentiful amounts of Hyaluronic Acid (HA) in our body, but as we get older this store of HA diminishes, leaving the skin less well supported, and so lines and wrinkles develop. The skin becomes dryer, thinner and less able to fix itself. Dermal facial fillers are injected into the skin to add volume and soften wrinkles and folds. Around the mouth, we can’t use too much Botox or we lose the ability to eat, kiss and smile so we usually use fillers there.
Dermal fillers such as Emervel, Restylane and Juvederm are made of hyaluronic acid, a naturally occurring substance in your skin (bio-identical). Dermal fillers are used in a variety of ways, including restoring volume to the face, lifting the face and injection directly in the skin for wrinkle reduction, acne scarring improvement and more. The treatment of wrinkles with dermal filler will usually involve injecting this naturally occurring product (HA) through a tiny needle. The discomfort is minimal as the treatment does not take long to perform. The aesthetic outcomes of treatments with dermal filler are seen immediately after the treatment. Treating wrinkles with dermal filler is fast, leaving no scars. By lifting and smoothing targeted folds and wrinkles by adding subtle volume, dermal fillers can make a difference to a person’s appearance, giving them a fresher look.
Volumizers which tend to be thicker fillers such as Emervel Volume, Perlane, Radiesse and collagen stimulants such as Sculptra are used to plump up depressed cheeks, temples and prejowl sulci (the depression between the jowl and chin along the forward jaw). Dermal fillers can be used all over the face, including forehead lines, lines between the brows, under the eye wrinkles, cheek lifting, nasolabial folds, marrionette folds, lips and lip lines and the jaw/chin area. The results usually last 6-9 months but Emervel Volume, Radiesse and Sculptra can last 1-2.5 years.
To make things simplistic, Botox relaxes muscles under lines that are created by muscle movement such as the frown lines between the eyebrows, the upper forehead lines and the crows feet lines at the outer eyelid area. Fillers such as Emervel, Restylane and Juvederm Ultra help raise up creases that are present at rest, such as the tear troughs, smile folds, marinonette lines and the horizontal labiomental crease between the lip and chin.
Who should avoid these treatments?
Those who have medical conditions, such as auto-immune illness, nerve or muscle complaints such as myastenia gravis, should disclose this information during consultation, to avoid any complications. Treatment is not advisable for those who are pregnant or breastfeeding. While there are no clinical studies to show that the injection is harmful to the baby or mother, medical professionals advise against having treatment under these circumstances
What are the key questions to ask your consultant before considering a treatment?
– What qualifications do you have?
– Which brands of products do you use and why?
– Has the product been extensively tested and researched?
– What are the potential side effects?
iT IS IMPORTANT NOT TO TAKE OMEGA FISH OILS or VITAMIN E IN THE DAYS BEFORE TREATMENT