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Are Botox and Restylane Best Used Together?

asked 4 years ago by anon
Latest answer by Michael R. Macdonald, MD
Question viewed 2,022 times
Tags: wrinkles, fine line

can you get better skin improvement, wrinkle reduction and anti-aging results by doing more than one injected product like Botox, Restyklane or Juvaderm?

63 answers to Are Botox and Restylane Best Used Together?

+1

Botox and Restylane together?

Botox and Dermal fillers are designed to accomplish different goals. Botox is designed to relax muscles that cause wrinkles and fine lines, whereas dermal fillers like Restylane are used to fill larger folds and creases (such as the laugh lines) There are two areas of the face where we find the products work well together. For some patients that have VERY deep vertical lines between the eyes, Botox is not enough to smooth the area and dermal fillers are required to remove these lines. On... more
Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

www.celibre.com

+3

Botox Resylane combination

One of the most useful areas that I combine Botox and Restylane is in the lips. Women who have strong vertical wrinkles of the lips can benefit not only from the filling effect of Restylane but can benefit from the inactivation of the strong lips muscles that cause those wrinkles. This should be done judiciously. Results are often very dramatic.
Sepehr Egrari, MD

Seattle Plastic Surgeon
+3

Depends. Botox works by paralyzing muscles. This helps...

Depends. Botox works by paralyzing muscles. This helps to relax the muscles and decrease resting lines in the face. Restylane works by filling in those lines. In some people with lines created both by muscle motion and tethering of the skin to deeper structures, a combination of Botox and a filler such as Restylane will give the best result. In some patients, only one is needed. As always, it is best to consult with an experienced physician who can talk you through your options. more
D.J. Verret, MD

Dallas Facial Plastic Surgeon
+2

Are Botox and Restylane Best Used Together?

Botox and Restylane work in different ways.  Botox paralyzes muscles while Restylane adds volume to tissue.  Therefore, there can be scenarios where it will be beneficial to give them together, however, there might be times where it is more advantageous to get the maximal effect of one product before going to the other.  In short, there is no rule and each treatment needs to be tailored to the individual patient.
Sam Goldberger, MD

Beverly Hills Oculoplastic Surgeon
+2

Multiply cosmetic effect: Botox + Juvederm

We routinely use Botox and Juvederm together in our practice. Both act complementary. Botox relaxes hyperactive muscles thar produce wrinkles. Juvederm fills wrinkles and sunken areas. A great team.
Robert Kasten, MD

Mainz Dermatologic Surgeon
+2

Botox and Fillers work well together

Ideally, Botox & Fillers should be used together, although some exceptions will apply. Botox and Dysport are effectively muscle relaxers.  These can be injected into "frown" muscles or depressors to give a subtle and effective lift to the eyebrows and brightening of the face.  This also decreases the strength of the muscles treated so you have more difficulty creating the wrinkles associated with these muscles (frown lines).  After treatment with Botox or... more
Michael Howard Swann, MD

Springfield Dermatologic Surgeon
+2

Botox and Restylane can work synergistically

The Sales rep would prefer I'm sure, that you use Botox with Juvederm since Allergan sells both. Dysport and Restylane sold by Medicis. In any event I use the products interchangeably as most physicians do, depending on which company is offering rebates and specials. The neuro- toxins(Botox and Dysport)are used primarilyon the upper face and the Dermal fillers(Juvederm,Restylane and Radiesse) are used primarily in the lower face. I do have some patients who have static wrinkles on... more
Joseph M. Perlman, MD

Houston Plastic Surgeon
+2

Botox and Restylane/Juvederm

Studies would indicate Yes. A prospective, randomized study was performed by Carrethers J.,  to compare efficacy of onabotulinumtoxinA (Botox® Cosmetic) combined with HA filler (Restylane®) with efficacy of HA filler (Restylane) aloneN=38 female subjects with moderate to severe glabellar rhytides. Half of subjects were treated with onabotulinumtoxinA and HA filler and the other half with HA filler alone. Response was assessed clinically and photographically... more
Glenn Vallecillos, MD

Beverly Hills Plastic Surgeon
+2

Botox or Dysport and Restylane work in different ways

Botox or Dysport relaxes muscles which cause lines and wrinkles on the face. When the muscle is relaxed the lines often improve dramatically. Sometimes the lines are so deep that even Botox/Dysport don't fully treat the line. That is where a filler can be helpful to get additional improvement. Of course, we have other lines on our face that are not due to muscle contraction and only a filler will do. Don't forget about surgery as a possible alternative as well. That is why I... more
Robert F. Gray, MD

Bay Area Facial Plastic Surgeon
+1

Botox and Restylane work in very different ways, together or alone

Botox and Restylane work in very different ways. Botox and its newer competitor Dysport are neuromuscular blocking agents that stop the movement of muscles that result in wrinkle formation. On the other hand, Restylane is a “tissue-filler” that may be used to fill in any depression in the skin, whether this is caused by wrinkles, post-acne scars, or loss of soft tissue for any reason. Certain areas of the face do benefit from use of both Botox or Dysport and a tissue-filler... more
Michael R. Macdonald, MD

Bay Area Facial Plastic Surgeon
+1

Botox + Restylane = Better results!

This a common and good question. Remember that Botox is a muscle paralyzer; it does not "lift" or fill-in. What is does do well is to prevent frown muscles, for example, from causing or deepening those lines between our brows. It is also effective in other areas. If you don't frown much, if your skin is youthful and tight with good elasticity and collagen content (genetics), and if you haven't been in the sun too much or smoked cigarettes, then Botox may be all you... more
Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon
+1

Botox and Restylane are different entities.... but can work together!

Wrinkles are caused by 4 reasons: muscle action, volume loss, loss of elasicity and gravity. Botox influences your muscle activity it reduces the strength, so it works best for wrinkles predominantly caused by muscles. Good example forehead wrinkle) Restylane (=Hyaluronic acid =HA) is a filler. Gives back volume where you lost it. There are many location where you loose volume and you can use HA. Nasolabial folds and marionet grooves being frequent locations. So different... more
Ivar van Heijningen, MD

Belgium Plastic Surgeon
+1

Yes, Botox and fillers work well together.

Thank you for your inquiry.  Yes, Botox Cosmetic and fillers such as Restylane and Juvederm work well together, but remember, they do not do the same thing, and are used for different issues or concerns.  Botox Cosmetic works by temporarily paralyzing certain muscles of the face that we often use (and overuse). For example, when we squint or frown, we use the muscles around the outer aspect of the eyes and between the forehead (glabella). Over time, wrinkles appear.... more
Peter Schmid, DO

Longmont Facial Plastic Surgeon
+1

BOTOX and FIllers Yield Better Results

Deep line sin the face represent a breakdown of the supporting layers of the skin. Botulinum toxin can help rest the skin, but fillers will help "fill" the wrinkle. Areas that are particularly suited for this are; lip lines frown lines crows feet in thick skin patients-patients with normal to thin skin the filler may be visible as lumps Studies have shown the combination of the two lasts longer than either one alone.
Brian Maloney, MD

Atlanta Facial Plastic Surgeon
+1

Botox and Restylane combination

In a word: yes. But remember they are treating different issues.Restylane is a soft tissue filler, great for treating prominent deep forehead or glabellar wrinkles, while Botox (or it's competitor, Dysport) minimizes motion, and is great for furrowed brows and crows feet. There are pleny of other brands and options that address these typical aging issues and I encourage you to consider all your options.
Douglas J. Key, MD

Portland Dermatologic Surgeon

www.keylaserinstitute.com

+1

Botox and Restylane (or Juvederm) can work well together--but it depends on what you need

Botox and Dysport work in a manner very diferent from fillers (Restylane, Juvederm, Radiesse). Botox works by weakening a muscle that creates "active" wrinkles/crinkles: crows feet, vertical lines between your eyebrows, and horizontal forehead lines. Fillers, on the other hand, are used to plump up of fill out deeper folds and wrinkles that tend to get etched into the face, or to add more volume to areas of your face that have hollowed out. Using both types of products can... more
Haresh Yalamanchili, MD

Houston Facial Plastic Surgeon
+1

Botox and Restylane

A rule of thumb for botox and dysport is that they treat the area of the face from the outer corner of the eyes and up. They treat dynamic lines (lines that change with facial expression or deepen with expression). In the lower two thirds of the face are the nasolabial folds and marionette lines, which don't change very much and best treated with fillers. One exception is the nasojugal crease, which is just below the eyes and responds very well to restylane.
Roy A. David, MD

San Diego Facial Plastic Surgeon
+1

Sometimes.

Hello,   There is no one formula that works with all patients. Combinations can at times be better than single agent treatments. It depends upon the problem. Best Regards,   John Di Saia MD
John P. Di Saia, MD

Orange Plastic Surgeon
+1

Botox and Restylane Combination

Quick Answer: Yes. With the right combination of products you can achieve more optimal results than with any one product individually. In our San Francisco area practice we commonly use products such as Botox and Restylane together. Thank you for your question. Injected products, or injectables, are used to treat a wide range of cosmetic concerns. While using one product alone can have great results, using different products together can produce even greater results. Some... more
Steven H. Williams, MD

San Francisco Plastic Surgeon
+1

Yes, but they may be better if Botox is given first.

Botox will quiet the muscles but in patients who have deep furrows this will not be sufficient. Our routine is to give the Botox and then see the patient at two weeks.  The furrow is then filled as needed. This has two advantages: Usually less filler is needed The filler and botox will both last longer because of the synergy between the products Dr. Mayl Fort Lauderdale
Nathan Mayl, MD

Fort Lauderdale Plastic Surgeon
+1

Botox and Restylane

Botox is most commonly used on the upper face, while facial fillers are used on the lower two thirds of the face.  While they can be used together, both work via different mechanism.  Botox is used to relax the facial muscles.  Fillers are used to add volume to the face.  
Anil R. Shah, MD

Chicago Facial Plastic Surgeon
+1

Botox and dermal fillers are a great combination

Botox works on dynamic wrinkles on the face (wrinkles that are created from muscle movements such as the vertical lines between the eyebrows, forehead lines and crow's feet) and dermal fillers works to correct the static wrinkles (wrinkles that are present all the time like the the lines around the mouth) or do increase volume in the face or lips.  So the combination of these different products can used to create aesthetic result.
Steven E. Rasmussen, MD

Austin Dermatologist
+1

Botox and Restylane together? It depends.

Botox minimizes motion. Restylane fills in crevices.  If the prominent deep forehead or glabellar wrinkle is the main problem, Restylane or another filler will minimize or remove the wrinkle. In the crow's feet area, Botox is usually preferred because it weakens the muscles that cause the crow's feet when you smile or squint, as you do when taking photos for a wedding.   For the most complete improvement in the glabella (between the eyebrows), Restylane and Botox often... more
Richard Weiss, MD

Newport Beach Oculoplastic Surgeon
+1

Restylane, Juvederm, and Botox combinations

Botox works by paralyzing the muscle that causes skin wrinkling.  Juvederm and Restylane are for static wrinkles to fill in volume loss.  They are used in different areas of the face. 
Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon
+1

Botox/Dysport and Restylane/Juvederm can be a great combo!

They aren't used for the exact same problems, but for sure in the right situation a little Botox or Dysport can be complimented synergistically with a hyaluronic acid filler. One good example of this is in the frown line area where well placed Botox can prevent future creasing, and the filler can help smooth out existing creases right away, instead of having to wait months for the Botox to passively smooth.
Jessica J. Krant, MD, MPH

Manhattan Dermatologic Surgeon

www.ArtofDermatology.com

+1

Botox and Juvederm

All the products that you mention can have beneficial effects but they are used for different reasons.  Botox is used to temporarily paralyze the underlying muscle to smooth out the overlying skin.  This is most effective around the eyes for the "crow's feet," between the eyebrows for the frown lines, and in the forehead for wrinkles.  Products such as Juvederm and Restylane work by adding volume.  These products are also used in the larger creases of the... more
David Shafer, MD

New York Plastic Surgeon

www.ShaferPlasticSurgery.com

+1

Botox and Filler can be a great combination!

Botox/Dysport works best for dynamic wrinkles (lines between your eyebrows), where fillers(Juvederm, Restylane,Radiesse) work best for static wrinkles (the fold beside your nose).  However, there are times when the dynamic wrinkle is so deep that the relaxation from Botox isn't satisfactory and a filler will help improve the wrinkle.  In addition, it is believed that the combination of Botox and filler will maintain a longer lasting improvement.
Paul Blair, MD

Hurricane Facial Plastic Surgeon
+1

Botox improves longevity of Juvederm and Restylane

The best example of the synergism of Botox and Juvederm or Restylane is the glabellar wrinkle(between the eyes). The filler fills the line,the Botox relaxes the muscle that pulls the eyebrows together. Without the Botox the filler will breakdown quickly because of the movement. Botox prolongs the effect of the filler. This is important with deep wrinkles that do not disappear with Botox alone.
Susan Van Dyke, MD

Paradise Valley Dermatologist
+1

Botox and Restylane Best When Used Appropriately

You can but much depends on the quality, tone and elasticity of your skin. I frequently see people who went to other doctors and look strange from excess volume of fillers in an attempt by a doctor to "keep them away from the knife". Care must always be taken on what is used and for what kind of desired outcome.
Amiya Prasad, MD

New York Oculoplastic Surgeon
+1

Botox and Restylane useful combo

Each is useful in different areas. Botox is best used for forehead and crow's feet wrinkles. Restylane is best for fuller lips and wrinkles around the mouth.
Daniel J. Ladd Jr., DO

Austin Dermatologist
+1

Achieve longer lasting results with Botox and Juvederm

You can get longer lasting and more youthful results when you get Botox and Juvederm injections together. For example, Botox is injected to prevent movement and Juvederm is injected to fill in the wrinkle.  This is commonly referred to as a SoftLift treatment. Each patient is different and an assesment would be required. 
David A. F. Ellis, MD

Toronto Facial Plastic Surgeon
+1

Synergy Between Treatments

Botox & Dysport reduce wrinkles from repetetive muscle action, while dermal fillers like Restylane or Radiesse or Sculptra add volume where it is needed.  If one has need for both, there is undeniable synergy between multiple therapies- leading to a more rejuvenated look. Certainly not mandatory, but a good idea if your goal is to look better.   Add a good skin care regiment to this, and the effect is even more pronounced.   Eyelid... more
Randolph Capone, MD

Baltimore Facial Plastic Surgeon

www.baltimorefaces.com

+1

Botox and Restylane combo treatment

The two don't have to be used together to get great results.  But if you have deep lines in your forehead, it may make sense to use them both at the same time. 
Carmen Kavali, MD

Atlanta Plastic Surgeon
+1

Botox for dynamic wrinkles and filler for static lines

Yes, Botox can be and is often used along with fillers like Restylane. Botox works to relax facial muscles to reduce "dynamic" wrinkles while filler can buttress "static" wrinkles, lines and folds that are imprinted on the skin.
Stephen Weber, MD

Lone Tree Facial Plastic Surgeon
+1

Botox and Wrinkle filler

Botox and wrinkle filler like Restylane and Juvederm can be used together. As a matter of fact, I like to combine Botox and wrinkle filler to obtain the best non-surgical facial rejuvenation. Botox acts by relaxing the muscles that cause the wrinkles and the fillers act by filling the wrinkles and the folds. Additionally, the filler provide volume which was lost due to aging. By combining these two modality, I am able to obtain excellent results. The results of Botox and filler may also... more
Stanley Okoro, MD

Atlanta Plastic Surgeon
+1

Anti-aging and the injectables

The two injectables that you asked about Botox and Restylane work in different ways. Botox paralyzes muscles. This may have a preventative aging effect over time because if the muscle is paralyzed over long periods of times, it may reduce the appearance of fine lines and wrinkles. This has been confirmed with studies. Restylane fills wrinkles that are already there. It is a "filler" so to speak. I dont believe there is a mechanism for the restylane to prevent wrinkle... more
Chris Thiagarajah, MD

Washington DC Oculoplastic Surgeon
+1

Botox and restylane (or other fillers) are commonly used together.

Botox paralyzes selective muscles to soften or eliminate expression lines while fillers, such as restylane, add volume to areas for the purpose of restoring a youthful appearance.  Although their mechanisms are different, they both target facial aging and therefore are commonly used in tandem.
Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon
+1

Botox plus Fillers, Often a great combo!

Depending on the situation, Botox and filler like Restylane and Juvederm can work great together.  For more advanced creases between the eyebrows, the combined treatment can have amazing results.  Typically, once the filler (Restylane/Juvederm) is put into the crease, no further filling is necessary provided you continue to be faithful to a Botox routine. Fillers can be used on most creases in the face, while Botox is a bit more limited becuase of its affect on facial... more
Louis W. Apostolakis, MD

Austin Facial Plastic Surgeon

www.dr-apo.com

+1

We commonly use Botox together with wrinkle fillers like Restylane or Juvederm.

We commonly use Botox together with wrinkle fillers like Restylane or Juvederm. Botox helps wrinkles caused by muscle contractions, while the  fillers smooth out wrinkles caused by loss of tissue.
William Coleman III, MD

Metairie Dermatologic Surgeon
+1

Using Botox and Restylane together

In some areas of the face using Botox to relax the muscles that cause a downward pull or cause lines in conjunction with a filler like Restylane can be synergistic.  Some areas however are not appropriate for both products as they work differently.  If the lines and folds are caused by muscles then Botox may be the ideal choice.  If there is volume loss then Restylane would be ideal.  An area for example that could benefit from both products may be the glabella where... more
Shawn Allen, MD

Boulder Dermatologist
+1

Botox& Dermal-Filler Best for Rejuvenation

Great question. Botox and Restylane help the face in different ways, but at times they complement each other greatly. Dermal-fillers add facial volume, smooth wrinkles, and restore the youthful facial contours. Botox and Dysport suspend muscle movement for the forehead, brows, and eye area, smoothing the lines and reviving the appearance. When there are severe, almost permanent wrinkles between the eyebrows (an area called the glabella), it is helpful to use Botox or Dysport to relax the... more
David Mabrie, MD

Bay Area Facial Plastic Surgeon
+1

Botox and Fillers

Botox works by relaxing the muscles that cause dynamic wrinkles. Injectable fillers work by filling in the space under the wrinkle and raising it, as well as by possibly increasing hydration to the area, or stimulating the body to lay down its own collagen. The greatest crossover areas are the marionette lines on the chin, and nasolabial folds at the base of the nose. The frown lines between the eyebrows (glabellar wrinkles) must be filled with extreme care because of the risk of ulceration. more
Karen Vaniver, MD

Seattle Plastic Surgeon
+1

Botox and Restylane can give better results when used together

Botox and Restylane can give better results when used together, especially in certain areas.  Traditionally, Botox is used to reduce the lines in the frown (glabella) between the eyebrows.  However, you can often treat any lines that didn't go away with Botox alone.  Similarly, downturning of the corners of the mouth are often treated with Restylane (or other fillers), but the results can be enhanced with Botox.  Lastly, vertical lip lines can often be treated using... more
Lawrence A. Osman, MD

Woodland Hills Dermatologic Surgeon
+1

Botox And Fillers Used Together

The one area that you might consider Botox and a filler in combination is the glabella - the area in between the eyebrows. This happens to be one of the most common areas for cosmetic Botox use, which is intended to address the frown lines. In patients who already have a depression even at rest, a filler may be indicated in addition to the Botox to help soften the unwanted depressed skin crease. Not all patients need this, however. I usually recommend that my patients undergo Botox... more
John M. Hilinski, MD

San Diego Facial Plastic Surgeon
+1

Botox and Restylane

Botox reduces the muscles that cause the creases (wrinkles) in the skin.  Restylane is placed into the skin to reduce the crease itself.  By using them together, you will treat the cause (muscle activity) with Botox and the result (wrinkle) at the same time.  However, with Botox alone the relaxed skin crease will gradually improve by itself. 
Randy J. Buckspan, MD

Austin Plastic Surgeon
+1

Botox and Restylane work well together

Using Botox in combination with Restylane or other fillers works very well.  First off, by preventing the muscles from contracting, Botox may make the filling agent last longer than it would otherwise.  In addition, using a filling agent along with Botox can help imrpove the appearance of wrinkles better than you could achieve by using Botox alone.
Joshua Zeichner, MD

Manhattan Dermatologist
+1

Botox & Restylane work great together

  When used together, Botox and Restylane work beautifully. Botox is a molecule that allows the muscles of the face to relax. When these muscles are relaxed, the wrinkles in the overlying skin are smoothed. Restylane is a very popular filler that allows us to plump up some of the deeper lines and wrinkles. For deep lines between the eyebrows and in the furrows of the forehead, this combination works quite well. For more information on Botox or to schedule an iConsult, please... more
B. Pat Pazmino, MD

Miami Plastic Surgeon
+1

Botox and Fillers Working Together

Yes, Botox and dermal fillers can be used together to obtain a great aesthetic look.  One of the most common areas to combine the two products is in the lower jaw line.  Filling the corners of the mouth then adding some Botox to the Depressor muscles create a nice lift to the smile plus extends the length of time the filler will last. 
Michael L. Workman, MD

Portland Plastic Surgeon
+1

Combining Botox with a filler is a good treatment

Botox works to weaken facial muscles selectively to lessen the appearance of wrinkles and aging lines.  Restylane works to fill in lines.  The combination of the two can work in an additive way to improve lines and provide more non-surgical rejuvenation. 
David J. Levens, MD

Coral Springs Plastic Surgeon
+1

Botox and Restylane combining treatments for optimal results

Botox and Restylane are safe and effective treatments for non surgical facial rejuvenation. However, they work differently. Botox works by weakening the injected muscles. If the prominent facial lines or strong expression lines are mostly due to the action of the underlying muscles, Botox treatments should reduce their appearance. For example, some patients are concerned about prominent verticle lines between the eyebrows. Some women refer to these as their "11s." Even in... more
Stephen U. Harris, MD

Long Island Plastic Surgeon
+1

Botox and injectable fillers: a good combination

Botulinum toxins (Botox and Dysport) are frequently used in conjunction with hyaluronic acid fillers (Restylane, Juvederm, Perlane). They act as a one-two punch on facial lines: Botox reduces muscle activity, which is the root cause of many lines, particularly those in the glabella (between the eyes), forehead, and crows' feet. Restylane is a soft tissue filler, filling lines, adding volume, add improving areas of concavity. Because they work on lines in completely different ways, their... more
Ronald Friedman, MD

Dallas Plastic Surgeon
+1

Botox and fillers used together

Botox and fillers can be used together, but i would say in general it is not the best. Only in certain areas are they utilized in tandem, such as in the peri-oral or around the mouth area. This combination fills the lips and wrinkles, while the Botox softens the lines. In the forehead Botox is the best to eliminate expression lines and fillers are primarily used in the smile lines and cheeks. Botox works to paralyze muscle while fillers do just that, fill lines and augment soft tissue. I... more
Andrew P. Trussler, MD

Dallas Plastic Surgeon

www.drtrussler.com

+1

Combination treatments for optimal results

Botox is best used for lines from muscle hyperactivity - frown lines, crow's feet, forehead lines, "smoker's lines" or lines around the mouth. Fillers, as the name implies, are more for giving volume to the naso-labial fold area or lower face. Using both can be very effective in gaining a 'refreshed look' or more 'youthful look' without undergoing the stress and recovery of surgery. Of course, be wary that this non-surgical treatments will not give you the same result as that... more
J. Vicente P. Poblete, MD

Cleveland Plastic Surgeon
+1

Botox and fillers work well together

Facial wrinkles comprise both dynamic and static etiologies. Botox and Dysport and fillers complment each other very well as they address both triggers of wrinkles. Botox and Dysport are botulinum toxins that work well to minimize dynamic wrinkles caused by involuntary contraction of facial muscles on forehead, between eyebrows and crows feet. Static facial lines are due to loss of connective tissue, i.e. volume underneath the skin. Filler injections utilizing Restylane, Perlane, Juvederm,... more
William Ting, MD

Bay Area Dermatologic Surgeon
+1

Botox and Restylane are complimentary products

Hi there- Botox and Restylane compliment each other. Botox will help to soften existing wrinkles, helping prevent further deepening, and prevent the occurrence of new wrinkles by locally paralyzing the muscles that produce them. Fillers such as Restylane and Juvederm fill the wrinkle in. Most clinicians use Botox to treat crow's feet, frown lines between the brows and forehead wrinkles. Fillers are used to treat the 'smile lines', marionette lines--the lines that develop from the corner of... more
Armando Soto, MD

Orlando Plastic Surgeon
+1

Botox and Restylane

Botox and Dysport relax muscles that cause wrinkles, typically the vertical lines between the eyebrows, horizontal lines in the forehead, and crow's feet around the eyes. Dermal fillers like Restylane and Juvederm are used to fill in wrinkles, typically in the lower face. The time to combine them would be for the lines between the eyebrows if they are too deep, or "etched in" to go away with Botox alone. There is a lot of art and finesse to combining them in other areas, so you... more
Richard Baxter, MD

Seattle Plastic Surgeon
+1

Botox and fillers

Botox is used on wrinkles that are caused by the action of the muscle underneath it, these are DYNAMIC wrinkles. If these wrinkles are very deep the the combination of Botox and a Filler will give you the best results
Samir Shureih, MD

Baltimore Plastic Surgeon
+1

Botox and fillers can be used together

It is not unusual to augment the effect of fillers such as perlane and restylane or Juvederm with the use of neuromodulators such as Botox. This is a common practice and certain areas of the face work better for this approach. Additionally, certain patients will respond better to this approach. This must be assessed on an individual basis by your dermatologist.
Steven Hacker, MD

West Palm Beach Dermatologic Surgeon

www.palmbeachdermasurgery.com

+1

Botox and Restylane

Botox and the HA's like Restylane and Juvederm are a great cobination that treat two very different things. I use these products in combination all the time. The patients love them. 
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Combining BOTOX and Restylane

Combining BOTOX with fillers like Restylane, Juvederm, Perlane, Radiesse, Evolence or Artefill is the optimal way to treat the face as it addresses dynamic wrinkles (typically upper face), along with the volume loss associated with aging (lower face). The combined treatment gives the best and most natural looking results and is highly recommended. That said, sometimes only dynamic wrinkles are present or only volume loss of the lower face or cheeks, and so one or the other treatment is... more
Benjamin Barankin, MD

Toronto Dermatologic Surgeon
+1

Botox and Restylane complement each other

Botox and Restylane work in different ways to address the signs of aging. Because there is more than one cause behind the visible signs of aging, lines, and wrinkles, there must be more than one solution for treating these lines and wrinkles. In general, Botox is used in the upper face and fillers are used in the mid and lower face, but there are some exceptions. Over time, repetitive contraction of some facial muscles causes wrinkles on the upper face to become etched into the skin. ... more
Jordana Gilman, MD

New York Dermatologic Surgeon
+1

Botox and Restylane can be used synergistically to combat deeply etched wrinkles

Sometimes it's not enough to paralyze a muscle, which is causing an undesired wrinkle, especially if the line has been deeply etched into the overlying skin. In the "11s" (corrugator) or scowl lines or perioral wrinkles, this combination can be better than either separately. By putting the muscle to "sleep" for 3-4 months and filling the "trench", the overall results are superior. Good luck.
Lavinia Chong, MD

Orange County Plastic Surgeon
+1

Botox works by relaxing specific muscles that, when they...

Botox works by relaxing specific muscles that, when they contract, cause wrinkles. Fillers, such as Restylane, add volume. These products are complementary as they do different things. It is common to use Botox and fillers together to relax muscles in certain areas and add volume to other areas. The decision on whether both are needed depends on each patient's specific problems.
Edmond A. Zingaro, MD

San Francisco Plastic Surgeon

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