To Fill or to Block — That is the Question

injectablesTime beats everyone. Well, maybe not Doc Brown from Back to the Future, but everyone else. With the passage of time come wrinkles, creases, lost facial volume, and loose skin. Where’s the fun in that?

Dealing with that facial aging isn’t really fun, either, but it is effective at Aesthetic Plastic Surgery of Delaware. We have a variety of options, including surgery. But for many who don’t want surgical solutions they weigh the choices between dermal fillers and neuromodulators.

Both options work well, but they go about it differently. Here’s the difference between neuromodulators such as Botox and fillers such as Juvederm.

The difference is the method

  • Injectables all have the same goal — to make you look younger. They just do it in different ways. Botox is a neuormodulator. When injected into a muscle it causes the muscle to relax and not contract for a period of three to six months. When these muscles are used in facial expressions such as frown lines or squinting, by Botox stopping their contractions, the wrinkles they form also go away. This type of wrinkle is called a dynamic wrinkle, because it is formed by muscle contraction. With neuromodulators, the wrinkle goes away or is dramatically lessened until the body eventually absorbs the now-harmless neurotoxin. At that point, the wrinkle will return as muscle contraction begins again.
  • The other kinds of injectables are dermal fillers. They have the same goal, to erase wrinkles and lines, and even to restore volume. But, unlike Botox, they don’t relax the facial muscles, they instead fill crease and plump the skin. They do this by “filling” in the area beneath the wrinkle or crease, pushing the skin back up. They treat the other kind of wrinkles, static wrinkles. These wrinkles show themselves at all times. The filler fills in the wrinkle or crease until the body eventually absorbs the material. Then it’s time to have more filler injected.

A tale of three injectables

Here are our most popular injectables at Aesthetic Plastic Surgery of Delaware.

Restylane® — Restylane is a dermal filler made from hyaluronic acid, a naturally occurring substance in the body that is responsible for plumping the skin. Once injected, the hyaluronic acid molecules bind to water molecules in the skin, pushing the skin up and making it smooth and more youthful. Restylane is very effective at improving wrinkles and creases around the mouth and lips, as well as those under the eyes. It is best on areas with thinner skin.

Juvederm® — Juvederm is also a hyaluronic acid-based filler. Juvederm can be used to restore volume and address deeper wrinkles, especially those around the mouth and nose and on the forehead. Juvederm comes in different formulations: Juvederm XC, Juvederm Voluma XC, and Juvederm Ultra Plus. Each has different characteristics that target different issues such as volume vs. wrinkles.

Botox® — Botox is one of the world’s most famous brand names. Botox is made from the botulinum toxin type A, which are the bacteria that cause botulism. A few decades back, scientists discovered that the botulinum toxin, when injected in miniscule amounts, could cause a muscle to stop contracting. They began using it to address issues such as involuntary eyelid spasms. But when the FDA approved it in 2002 to treat facial wrinkles such as crow’s feet, Botox became legendary. Now, year in and year out it is far and away the most popular cosmetic procedure, surgical or non-surgical, the world over. It is generally used for the upper third of the face on crow’s feet, the 11s, and some forehead lines.

Interested in injectables? Call Dr. Lonergan at 302-656-0214 and let’s talk about Botox, Juvederm, and Restylane.

Posted in: Blog, Dermal Fillers