Should I Choose Botox or Fillers?

Botox and dermal fillers both reduce the appearance of wrinkles, but they don’t treat the same types of wrinkles. So how do you know which injectable you need? If you’re considering Botox ® Cosmetic or fillers, Dr. Jay C. Grochmal, MD, and our team here at Grochmal Eye Center and Aesthetics can walk you through all of your options during your one-on-one consultation. 

In the meantime, you can learn more about the differences between Botox and fillers 一 and how to choose the right one 一 in this article. 

What type of wrinkles do you have?

Before you can choose Botox or fillers, you first need to know what types of wrinkles you have. There are two types of wrinkles: dynamic and static. Dynamic wrinkles appear when you make specific facial expressions, while static wrinkles remain visible no matter what facial expression you make. 

Dynamic wrinkles are caused by repetitive facial expressions, including squinting and furrowing your brow. On the other hand, static wrinkles are caused by gravity and a loss of elasticity in your skin.

The type of wrinkles you have determines which cosmetic injectable will benefit you the most.

You should choose Botox if…

Botox works best for dynamic wrinkles. Remember dynamic wrinkles are caused by repetitive facial expressions. When your muscles contract, it pulls the skin attached to those facial muscles. Botox is a neurotoxin that gently relaxes specific muscles. When those targeted muscles relax, they don’t contract so severely and cause those pesky dynamic wrinkles. 

Botox is ideal for treating crow’s feet, forehead wrinkles, and eyebrow furrows. Botox is FDA-approved to treat these types of wrinkles, and a typical treatment takes anywhere from 15-30 minutes. Results are noticeable within 1-2 days and last about 3-4 months. Regular touch-ups can help you maintain your desired look.

You should choose fillers if…

Fillers work best for static wrinkles. Unlike Botox, fillers don’t contain neurotoxins. We use the Juvéderm® line of fillers, which are made of hyaluronic acid. Your body naturally makes hyaluronic acid, and it acts like a sponge, soaking up hydration and keeping your skin smooth, supple, and elastic. Over time, though, your body produces less and less hyaluronic acid.

Juvéderm fillers combat static wrinkles by injecting a smooth gel that contains hyaluronic acid underneath your skin. Studies show that cosmetic fillers, particularly Juvéderm, are effective in restoring a more youthful appearance. According to a 2017 study, participants who received Juvéderm noted a 98.2% improvement in wrinkle reduction at the six-month mark (post initial treatment), using the Global Aesthetic Improvement Scale.

There isn’t just one type of Juvéderm. It is a whole line, and each injectable has a different purpose. Depending on which one you choose 一 Voluma, Ultra, Ultra Plus, and Vollure 一 results can last anywhere from 12-24 months. The Juvéderm line can smooth away wrinkles, restore volume, and plump up your skin.

You should choose both if…

The best part of cosmetic injectables is that you don’t have to choose between Botox and Juvéderm. It’s possible to receive both for the ultimate anti-aging treatment. We call this a liquid facelift, and it’s available here at Grochmal Eye Center. For example, if you have wrinkles between your eyebrows (often called “11’s”) as well as saggy, wrinkly skin, you might opt for a liquid facelift to combat both types of wrinkles.

Are you ready to turn back the hands of time? Book your consultation today and find out which types of cosmetic injectables are right for you. Simply call us at 410-744-5310 or request your appointment online.

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