After BOTOX® for Years – When Do I Add Injectable Fillers to My Treatment Plan
Frown lines, forehead lines, and crow’s feet are often the first signs of aging. Treating these dynamic wrinkles of the face with BOTOX® is many patients’ first entry into cosmetic procedures. However, as the years pass facial volume loss occurs, and the tissue thins out. This leaves patients looking more tired with sunken cheeks and under eyes. Lines begin to form from the nose to the corner of the mouth called the nasolabial folds. The mouth begins to turn down, and a fold may develop from the corner of the mouth to the chin called a marionette line. The lips lose their fullness, and lipstick may bleed into the vertical lines surrounding them. A crease may form across the chin. Facial asymmetries become more apparent as the face loses volume and the patient ages.
When these signs of aging occur, it is time to consider treatment with dermal fillers. Dermal fillers are gel-like substances injected beneath the skin. They are used to restore lost volume, smooth lines, and soften creases. Fillers can be injected into the cheeks to lift the cheek, making one look less tired. They are also used to soften the nasolabial folds, marionette lines, and fine lines around the mouth. Dermal fillers can enhance facial features such as lips and chins giving them more volume and definition. There are many different types of dermal fillers available which allows us to tailor each treatment to the patient’s specific needs. When BOTOX® alone is no longer enough to treat the signs of facial aging, consider starting treatment with dermal fillers.