(show aired 03/01/14)

Botox injections increased by 8% from last year, this translates to 6.1 million procedures being performed in the United States. However many people do not talk about face fillers and the pros and cons. The public now knows that wrinkles, forehead lines and crows feet can be corrected as well as achieving a fuller & plumper look to your face and lips. Maintaining your body, particularly your face is part of caring for yourself, this is not vanity. The key is make sure you are selecting the right doctor. The main objective of this show is to  educate the people as to which doctors to choose and what to ask. I would NOT go to a dentist to have this done, I would only see a board certified plastic surgeon or a board certified dermatologist –  someone that has studied and knows the face very well. Dermal-Fillers

What is Botox?

Botox is a purified protein that helps stop the signals to the muscles that create expressions (frown lines, crows feet, etc.) saving the skin from wrinkles. The injection is performed with multiple, small injections to the particular muscles that cause the muscle movement with a syringe. The pain level is relativity non existent since numbing cream or ice is placed on the area you are treating. Botox is a toxin but it is not harmful because it is administered in very small amounts. This procedure typically lasts 3-4 months at a time and depends on the area it is applied. Some women ages 25-29 may begin using this product due to their heredity and having over-animated expressions. Here is a list of areas that Botox can be applied for cosmetic reasons.

  • Between the brows
  • Crows feet
  • Areas around the mouth ( to reduce “gummy smiles” and fine lines)
  • Forehead

New competitors with Botox include Dysport & Xeomin. Both have similar effects to Botox with subtle differences.

What are Fillers?

Fillers give volume on the face and is used to achieve a “plump” look to the skin. Botox is not a filler. All fillers do something different. The difference can include one product having more calcium by products which lasts a little longer or some will be more malleable. The surgeon will help you guide picking a filler that best suits for you. Depending on the area you are treating one product may work better for you. These products can be used in combination.

Some fillers include:

  • Juvederm – get the Juvederm app on your smart phone to see how you could look after using the product
  • Voluma – more for the upper cheek area
  • Restylane – 1st one approved by FDA to fill lines and wrinkles
  • Perlane – same as Restylane but thicker
  • Sculptra – used for deep folds between the nose and the mouth

These products can last 1-1.5 years  depending on the area. A scar you are filling can last longer since there is little movement there but if you are placing the filler in a more active area such as the laugh lines these can wear away faster. Fat grafting- or using your own body fat –  is another option, it may be recommended if you are already having a procedure done and you will be put under general anesthesia or maybe the fillers listed above do not last as long as you’d prefer, in this instance you can choose fat grafting. This procedure will last longer and you body will not reject your own fat. Again fat grafting is not permanent but may last longer than other commercial fillers.

Collagen is still available and making a come back on the market; this product was the front runners for correcting wrinkles a few years ago. However collagen is derived from animal and human cells. There is always a patch test that needs to be performed followed by a waiting period to make sure there is not an allergic reaction. For other commercial fillers there is no patch test required because commercial fillers are made from hyaluronic acid which is already found within our bodies.

Fillers and Side Effects

  • Over-correction(too much filler placed)
  • Droopy eye
  • Botox can migrate and cause other areas to droop
  • Side effects can last 3-4 months depending on the amount of filler that was used in the procedure

 Who can Inject Fillers

A new state law mandates that a doctor must do a medical history and physical on all patients before a filler is injected. A nurse can perform the injections as well as the doctor but again a history and physical must be done by a doctor prior to the procedure.

Be Cautious When Considering Injectables

Apryl Brown is a brave women telling her story about getting injectables from a random stranger she met at her salon. This person was not a doctor or in the medical profession and was not using FDA approved products. Click here to read her story and how she is coping with her new life as a multiple amputee.

  • Beware of “injectable parties”
  • Low pricing deals
  • Know what is being injected in your body
  • Know the person who is injecting your filler and their experience level
  • Free silicone should NEVER be used as a filler. This is toxic to the body.

Click here to find out what questions to ask your doctor before you choose a filler. Remember to research the person performing your procedure.


Thank you to Jackie Barreda of MyBodyMD for being a guest this week on Real Talk – An Insider’s Perspective on Plastic Surgery.