Combination Therapy

Many people are familiar with the individual effects of BOTOX® and fillers.  BOTOX relaxes the facial muscles that are causing an unwanted wrinkles, and fillers, such as Juvederm® and Restylane® “fill in” areas of the face where there has been volume loss (eg. cheeks,  under the eyes, lips etc).   However, what some of you may not know is that combining BOTOX® with the fillers leads to even better results.

When BOTOX® and fillers are used in combination, full facial restoration can be achieved.  That is, the wrinkles and volume loss are both treated more effectively than when either modality is used alone.  For example, when you have deep frown lines between the eyebrows there are actually two problems in place. The first problem is the contracting facial muscles that are creating the deep frown lines, and the deep frown lines themselves.  Injecting BOTOX® will stop the muscles from contracting so that the deep frown lines can no longer be actively formed, however, you are still left with some residual frown lines at rest  injecting a filler into these lines will then smooth out this area.  Two separate problems need two separate solutions. This same approach is very effective in different areas of the face as well.

In addition, combining BOTOX® with the filler appears to make the filler last longer in the area it was placed.  When the affected muscles are no longer actively contracting, they allow the filler to remain where they are placed for much longer periods of time.