Botox® vs. Fillers
It is important to understand the difference between fillers such as Juvederm® and Radiesse®, as compared to Botox®, which is a muscle relaxer. The easiest way to visualize the difference is to think of a crease in the skin as a valley between two mountains. Botox prevents the mountains from being pushed together, and fillers fill in the valley.
If someone has a crease that is apparent only when frowning or squinting, Botox should be all that is necessary. Botox is most often used on the forehead, crows feet, and frown lines. It can also be used to treat neck bands. Botox works on creases in two ways. First, it weakens the muscles that cause the creases. Second, and even more important, as the muscles become weaker, the patient abandons the habit of creasing and using those muscles. In this way, Botox actually prevents the progression and deepening of creases.
Fillers (Radiesse®, Juvederm®)
Fillers differ based upon their chemical composition which affects their thickness and longevity. In general, the thicker the filler the better it will fill creases, but the greater the chance of formational lumps. Lumps are more likely to occur in thinner skin such as the lower eyelids, crows feet, and lips.
Fillers can be used to improve or enhance facial structures such as:
- Filling in acne scars
- Enhancing cheek bones to make them fuller and more defined
- Enlarging lips for a fuller, softer pout
- Correcting lip deformities or asymmetry
- Filling in hollows under the eyes that contribute to dark circles
- Filling lines of expression between the eyebrows
Fillers are ideal for treating the lines between the nose, mouth (nasolabial folds) and chin. Dr. Kuhn typically utilizes either Juvederm® or Radiesse® as fillers, depending on the patient’s individual needs and skin characteristics.