Botox with Juvederm
- Asked by mistygray in Washington DC
- 2 years ago
I recently purchased a promotion of 20 units of botox & a syringe of juvederm from a plastic surgeon in chevy chase Md. I have moderate crows feet & they drive me insane. I have had botox in the past but was not satisfied with the results which is why I decided to try juvederm. What is the best to administer these to achieve the best result.
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Crows feet eradication
I agree 100% with Dr Lupo. You see, not all wrinkles are created equal. Depending on the laxity of your skin, and the amount of photoaging and intrinsic aging you possess, the answer for you might NOT be botox and hyaluronic acid filler. You may need sculptra. Or a facelift., Sometimes the "special"deals are designed to get you into the office. I have heard of this happening to some patients that were then given a "hard sell' to buy a more expensive procedure (ie surgery),
Botox is the number one treatment for crows feet
Juvederm and Restylane are not great treatments for crows feet compared with botox. Juvederm sometimes creates more swelling than Restylane when close to the lower eyelids. Some doctors use, as an off-label indication, the fillers as more of a scaffolding support underneath the entire cheekbone region extending around the eyelid on the side towards the temple, to reduce the fine lines without injecting each line and potentially creating a lumpy area in place of the fine crease. bruising can be considerable in this area. If lumps occur, hyaluronidase enzyme may be needed to dissolve the filler. Botox usually produces such a great result for crows feet that fillers are not needed. Fillers might be beneficial or laser resurfacing on the lines towards the cheekbones because botox there might weaken the smile muscles. Crows feet lines are related to muscle movement and therefore, botox is the best treatment as it relaxes the muscle and the overlying skin smoothens out.
Web reference: http://www.thenyac.com/botox/index.html
Botox use for crow's feet
Botox is helpful in relaxing the "O"-shaped muscle around your eye that contributes to crow's feet. Volume loss and sun damage may also contribute to these changes around the eye. Consulting with a skilled, board-certified dermatologist or plastic surgeon will offer the best treatment to address your eye area.
Botox and Juvederm for Crow's Feet
As Dr. Lupo and Dr. Johnson stated, it depends on your anatomy. An evaluation by a skilled injector can determine the most ideal treatment to meet your goals with the product you have.
Web reference: http://www.celibre.com/botoxInjections.aspx
Treatment of Crows Feet
With 'moderate" crows feet,Botox is the best treatment. Although I have placed Juvederm in deep creases around the eyes, it is rarely necessary. I'm sure the Juvederm can be used in adjacent facial areas.
Botox or Juvederm for Crow's Feet
The decision as to what to use to improve the lines around your eyes is best determined by a dermatologist or plastic surgeon, skilled not only in anatomy, but also in beauty and the aging process. In many cases, when Crow's feet are due to movement, Botox is a terrific option. In other cases, when there is too much laxity due to genetics, sun damage or smoking, a filler such as Juvederm or Restylane by themselves, or often in fact with Botox is a great option. In some cases, fractionated laser resurfacing is a nice option as well. Best to meet face to face with your doctor to discuss.
Botox will not correct volume loss or sun induced wrinkles
Your questions highlights the problem with Botox (and Dysport) in crow's feet in some people. Botox improves whatever wrinkles are being caused by movement of the obicularis oculi muscle. Some people have crow's feet that are caused by loss of dermal collagen from sun exposure or tanning. Still other patients have a volume loss in the upper cheeks (from normal aging) and using a filler (like Juvederm) will improve these "lower" crow's feet. Be sure you talk to your doctor about the optimal complements to your Botox. In some it is both laser for the sun damage AND filler for the volume loss.
Botox with Juvederm
I have used Botox for over 20 years adding the newer neurotoxins Dysport and Xeomin to reduce unwanted lines and wrinkles of the face and forehead. IMHO, 20 units of Botox should give a very nice result in the Crow's Feet area. Save the Juvederm for the lips, nasolabial folds for somewhere else.
Web reference: http://www.thepalmercodeinstitute.com
Botox with Juvederm for Crow's feet
Botox can provide great results to help smooth wrinkles around the eyes, such as Crow's feet. Patients can respond to Botox differently, but 20 units should be sufficient to help soften the area. Juvederm is typically not injected around the eyes for Crow's feet, but rather in areas around the mouth or lips. It's common to have combined procedures for enhanced results. Lastly, keep in mind non-surgical treatments typically can only do so much, so cosmetic surgery might be more appropriate for your facial wrinkles.
Speak with your plastic surgeon regarding various options. Only after a comprehensive evaluation can he/she help determine appropriate options for you. Best of luck.
Botox and /or Juvederm for cow's feet
I don't think this is a Botox vs. Juvederm situation. If you have true crow's feet then the botox is what you need and the juvederm will not be the right choice(might need it elsewhere though). However, if these lines are from the pushing up of the cheeks with smiling ebotox will not do all that you would hope for. In this case, fillers might be able to change some of the way that the skin is draped on the face and might be helpful to some extent. However, this correction takes a lot of experience so make sure person has it and don't just grab a bargain.
Web reference: http://brookwooddermatology.com
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