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Are Botox and Restylane Best Used Together?

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

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wrinkles fine line

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

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Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

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

ASAPS ASPS

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

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

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

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

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

ASAPS ASPS

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

ASPS

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

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

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

ASAPS ASPS

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

ASPS

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

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Peter Schmid, DO

Longmont Facial Plastic Surgeon

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

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.

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Douglas J. Key, MD

Portland Dermatologic Surgeon

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

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

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

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

ASPS

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

ASAPS ASPS

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

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

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

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

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.

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