Differences Between Botox and Fillers
That may seem like a simple question, but it’s one I am asked almost daily. In this brief video, I will try to explain how neuro-muscular relaxant’s such as Botox or Dysport, work with some of the popular fillers such as Restylane, Evolence, Radesse, Perlane, Juvederm, and Sculptura.
If this doesn’t answer the questions you may have, please just leave me a comment, and I will try to help.
Sculptra-The Magic Filler
Sculptra, used as an injectable facial filler, has been around in the U.S. for over 5 years and has now been given its “all-around” cosmetic blessing by the FDA. Sculptra has been used “off-label” (off label means the exact use procedure is different than the one the FDA originally approved) since its introduction, as there really is no product out there that compares to its ability to naturally and gently replace and grow collagen volume lost over time. That means your wrinkles can literally disappear with this filler! Additionally, it can improve the contour of your face when we have lost cheek bones or the OG curve (the curve noticed from the side that resembles a gentle slope).
Plastic Surgery Is Not The Only Answer!
What this means is that you don’t have to have plastic surgery to regain some of your lost youth. The effects of Sculptra simply erase the years, in a good, healthy way. The new collagen that is produced is healthier and has not been subjected to so much free-radical damage. In addition, the increased growth of collagen requires a better vascular system so the overall nourishment to your skin is increased. While the results are not immediate, it does not take long to begin to see the incredible softness and freshness that begins to emerge. The best thing? No one can tell that you’ve had something done. They just know you look great! Want to see the results Sculptura give? Just look at this:
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Sculptura Before
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Sculptura After
Written by Dr. Bonnie Marting on September 16, 2009
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Radiesse: A More Natural Way To Go
Radiesse®dermal filler is made of calcium-based microspheres suspended in a water-based gel. When expertly injected, it can restore a healthy, youthful appearance, help you defy age and gravity, enhance your best features, all of which will increase your confidence.
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Radiesse Before
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Radiesse After
Long Long Lasting Filler
Radiesse® works with your own body to create a more natural, long-lasting softness and lift. Because the calcium spheres degrade slowly, your body fills in the gaps left by the now absorbed gel with new, healthy collagen that is tight and elastic. You can achieve everything from a minor wrinkle reduction to the replacement of years of lost volume. And the results are immediate!
Radiesse Safety
Radiesse® has been used and tested for years. There is no risk of allergic reaction and the calcium spheres eventually break down into calcium phosphate: a normal blood chemistry of your body. Within hours, the areas injected feel like normal, soft skin.
Not Your Mom’s Collagen Fillers!
While a filler can be the old type of collagen widely used since the 80′s, the newer fillers should be considered first because they build better and last longer. From filling tiny indentations to building back lost facial volume, they can make you look younger, and do it faster, than most anything else. They are truely the magic potion of aging.
Evolence®, Restylane®, Perlane®, Juvederm®
New fillers have many more advantages, not the least of which is the fact they last much longer. Some popular fillers now on the market are Evolence®, Restylane®, Perlane®, Juvederm®, and Sculptura® with new ones coming out as fast as they can get through the governments approval process.
Filler’s can…
- Enhance a specific area, like your lips
- Make subtle, yet important changes to increase facial volume
- Erase those tiny lines around the mouth or eyes
- Eliminate creases in the eyebrow area
- Make wrinkles disappear
Using The Correct Filler For You
Whenever you talk to someone about fillers, please remember the skill of the practitioner with that filler is the single most important part of the equation. An improperly placed filler will show a bulge or line, and can even show as an enhanced blue area if improperly placed.Filler’s can have beautifully predictable results when injected properly. They also must be apropriate for your problem. Each product has a different formulation, meaning they do slightly different things and have varied molecule size. Some will even fill a problem area and at the same time increase your body’s collagen growth. This can give a longer lasting result. I evaluate each person carefully before recommending a filler. The position of the problem area, and its depth into the facial structure are only a couple of the things considered along with muscle tone, speed of results, and many other factors.
I look forward to hearing from you and answering your questions about fillers.
Bonnie
Evolence® Facial Filler To The Rescue!
Today our office hosted the Evolence® (the newest porcine collagen) rep. She provided breakfast (greatly increased the attendance) and thoroughly explained the product, its usage, and what to expect. This was followed with demonstrations illustrated by the pictures below. The staff was ecstatic and were out talking it up in minutes! This is truly an elegant product used in the right setting.
Before and After Evolence®

Before Evolence®, Deep Nasolabial Folds
This lady is only in her mid thirties, and yet already is experiencing deep nasolabial folds. This can come from many factors, some of which are simply inherited from generation to generation.

After Evolence®, Folds Gone!
Look at her now. She just had years erased by a careful injection of Evolence® in exactly the right location.
These photos were taken only 10 minutes apart!
Our next challenge was this beautiful lady. She has absolutely flawless skin, but was suffering from a downturn at the corners of her mouth.

Before Evolence®, Downturned Mouth Corners
This gave her a somewhat ”troubled” look that made her appear years older than she felt. This is not uncommon as you age for gravity to make certain areas fall as you lose that youthful collagen.

After Evolence®, Perfect Mouth Corners
After a subtle Evolence® facial filler application around the mouth we were able to straighten this “sad” look and erase years from her appearance in just minutes.
These photos were also just taken 10 minutes apart!
If this “look” is troubling you, don’t worry. Evolence® help can restore your beautiful smile. Or, if nasolabial folds and creasing are making you uncomfortable, we can help.
Evolence® is one of several newer facial fillers on the market today. One of them could be just the one to help you look as young as you feel.
Give me a call, I look forward to hearing from you.
Bonnie