The cosmetic form of botulinum toxin is a popular injectable that temporarily reduces or eliminates facial fine lines and wrinkles. The most commonly treated areas are frown lines, forehead creases, crow’s feet near the eyes. Several other areas have been treated such as thick bands in the neck, thick jaw muscles, lip lines and gummy smiles.

Botulinum toxin is a purified substance that’s derived from bacteria. Injections of botulinum toxin block the nerve signals to the muscle in which it was injected. Without a signal, the muscle is not able to contract. The end result is diminished unwanted facial wrinkles or appearance

Botulinum toxin can be used to:

  • Smooth crow’s feet, forehead furrows, frown lines, lip lines and bunny lines
  • Diminish neck bands
  • Improve the appearance of skin dimpling of the chin
  • Lift the corners of the mouth
  • Soften a square jawline
  • Correct a gummy smile


Filler Agents such as Voluma, can be easily injected into areas of programmed fat atrophy which occurs in aging and results in the cheek falling, causing accentuation of the cheek folds and may produce hanging on the jaw line. Voluma, which is a highly crosslinked stiff hyaluronic acid filler, can manage to lift the cheek without making the face look fat.


Filler Agent used to give a more fullness to cheeks and soften the lines around the mouth. Vollure filler are used on cheeks and nasolabial folds, creating a natural and more youthful look. A few key points about Vollure : 1) It lasts up to 18-months , which is almost a full year longer than other fillers currently on the market! 2) It is FDA approved and this HA filler’s new formula produces minimum swelling so patients have nearly no downtime and can see results almost instantly.


FDA-approved Juvederm Volbella is used for a subtle, natural-looking enhancement. It’s also great for smoothing the “smoker’s lines” with little downtime, and this minimally invasive procedure is perfect to provide a small change without being over-the-top. Patients love it!

Ultra Plus and Ultra PlusXC

What traditionally consisted of patients with lip deficiencies from aging, ablative procedures or congenital abnormalities, now consists of a much younger age group that desire full, well-defined lips with enhanced volume and shape. While there are multiple permanent and nonpermanent options for lip augmentation, the most commonly performed and requested today are synthetic dermal fillers, the most popular of which are the hyaluronic acid (HA)-based fillers.

HA is typically present in body tissues, such as the skin and cartilage and is, therefore, relatively safe when used appropriately by a trained healthcare professional. Juvederm Ultra, Ultra Plus, Ultra XC, however, these fillers are approved by the FDA for lip enhancement. Others can be used off-label per your healthcare professional.

These fillers generally last 6 months to one year, therefore, touch-ups will be required to maintain the desired appearance. Properties of fillers such as stiffness and viscosity, and surgeon preference are taken into consideration when choosing a filler. The benefits of the HA fillers are they allow improved control and gradual filling of the lips. Contour irregularities or bumps from the material can be massaged out and even reversed with hyaluronidase, a medication that when injected dissolves the gel. It is important to remember that this is not a fool proof procedure. Risks include bruising, swelling, bleeding, and can lead to further complications if injected inadvertently into a nearby blood vessel.

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