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Filler or Stick to Botox? I'm 36. (photo)
Should I do any filler in my nasoflabial folds and frown line, or stick to just botox in frown lines
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30 Doctor Answers |
Asked by
mersihas
+2
Botox and Fillers
Botox is the preferred treatment for frown lines, and if the results are good, by all means stay with what works. In general, I prefer to avoid fillers in this area as the complications that can occur, while rare, can be devastating (blindness or ulcer and scarring of the area between the eyes.)
Looking at your nasolabial folds, you could certainly benefit from a filler such as Juvederm, Restylane, or Radiesse. Be sure to consult with an experienced Board Certified physician...
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+1
Correcting Facial Lines with Botox or Filler?
The photo you provided does show that the Botox you are getting between the eyebrows is doing very well for you in controlling the frown lines there, but you may need a little more than you are getting, unless this is a picture when Botox was not in use.
Your nasal labial folds have started to show some slight signs of deepening, however, and Botox is not really used to control that. For something like this, I would recommend a filler such as Radiesse to help fill the nasal labial folds...
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Fayetteville Facial Plastic Surgeon
+1
Botox or Filler
In regards to your frown lines - if you're happy with the results from Botox, then continue with it. If ti doesn't completely resolve your frown lines, then you may want to consider filler to this area BUT make sure you see a board certified physician experienced with this. There is a risk of blindness with filler injection in this area.
As for your nasolabial lines - you may want to consider injecting some filler in your malar area (cheek bones). I have...
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Botox and filler
If you're happy with your current treatment using Botox only, regardless of what anyone else thinks, when you look in the mirror and there are areas that bother you, discuss these with your provider for all options available.
+1
Botox and Juvederm
If you are happy with the results you are getting from Botox, keep it up. It sounds like you have a physician or a nurse injector you trust. Ask their opinion about Juvederm in naso-labail folds. Start slowly. You can always add more later
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Fillers can be combined with Botox to improve glabellar '11' lines
I think you would benefit from a filler like Restylane or Juvederm to the nasolabial folds. You also appear to have fixed glabellar '11' lines, which can be further improved with the concomitant use of Botox and a filler.
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Fillers for the volume loss and the static lines, and BOTOX for the dynamic frown lines!
Hi,
The nasolabial lines would need fillers, since BOTOX really doesnt help those lines. For the frown lines, I would suggest both BOTOX and fillers, since there seems to be a static wrinkle in the glabellar region. However, make sure to go with a qualified doctor, since filler injections in the glabellar region do require a certain level of expertise.
Good Luck!
+1
Facial Fillers for Nasolabial Folds
I recommend that you start facial rejuvenation by replacing 'volume loss' with facial fillers like Radiesse in the nsolabial folds (grooves). It will stimulate collagen growth and can last up to 14 months. Botox will not help with these static wrinkles.
+1
Botox or fillers--which is the right answer?
This is a really common question, so you are not alone in wondering about this!
From your picture it looks like you have started to lose the fullness in your face, so I think it would be a good time to start to consider fillers, and I'd start with you cheeks before I touched your nasolabial lines, or your face will start to look flat and out of proportion.
If there are grooves at your "11's" and they aren't going away, by all means fill these in and continue to keep the...
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+1
Filler or Stick to Botox
Thank you for your question. If you feel comfortable moving onto fillers, I think you will be pleasantly surprised. Botox will continue to improve your glabellar lines, while the fillers will help to lift your cheeks, reduce your tear troughs and nasolabial folds. You will look like a less tired version of yourself. Just make sure to go to an experienced, artistic injector who will keep you looking like you!
+1
Filler or stick to Botox?
Filler for the nasolabial folds yields a fantastic result. I like to use Perlane or Radiesse for this area, they both work very well. Botox or Dysport work best for the frown lines. I would recommend choosing an experienced and board certified physician to perform the injections. A board certified dermatologist, plastic surgeon, or facial plastic surgeon are all great choices. I hope this helps and I wish you the best of luck.
+1
Botox or Fillers? What's the Difference?
I tell my patients that Botox is best to treat the "dynamic" wrinkles above the eyes such as forehead wrinkles, frown lines (11 lines), and crowsfeet. If the lines persist, "static" wrinkles, I will use fillers to blend and smooth out these creases. Fillers, such as Juvederm, Restylane, or Radiesse, are predominantly used for the static wrinkles found below the eyes such as the nasolabial folds (parentheses) and marionette lines. As the face ages, there is...
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+1
Facial Rejuvenation
Thank you for the photo. Botox or dysport is excellent for the frown lines between the eyebrows. I would also recommend that you receive some filler in the vertical lines in this area. Together this will provide you a smooth "brighter" appearance. Your cheeks and smile lines would be improved with some volume as well. Options would be juvederm, Radiesse, Sculptra, or fat transfer. I prefer Sculptra or fat transfer since it will last longer and will be more affordable in the long run.
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+1
Treat your CHEEKS, not your folds
Your questions are commonly asked by patients. The frown lines are best treated with Botox. Sometimes filler to any residual line or groove after Botox can give a smoother appearance or enahance longevity of Botox effects. In regards to your nasolabial folds, I would recommend filling the mid face or cheeks with filler. Radiesse and Sculptra are my preferences when treating this region. As we age, our face will tend to lose volume and elongate. ...
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+1
Botox or Fillers
Thanks very much for your question.
In terms of the frown line- I typically recommend starting with a Botox treatment to relax the muscles in the area, basically eliminating dynamic lines. Sometimes there are residual creases in the skin after Botox- these are due to actual loss of soft tissue volume (not muscle activity) and can be treated with filler.
In terms of the nasolabial folds- you would definitely see an improvement with filler (Radiesse, Juvederm, Restylane, etc). I also...
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+1
Filler For Your Cheeks, Not Your Folds. Botox For Your Frown
My perspective is a bit different than my colleagues who have answered. Your nasolabial folds will be best treated by filler placed into your CHEEKS. The reason your folds have deepened is because the cheek tissue has fallen down and forward causing too much heaviness against the cheek side of the folds. Adding filler to the folds will add more heaviness to this area- exactly what you do not want. Instead, if you use a high volume filler (like Perlane) high into the cheeks, it will lift some...
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+1
BoTox or fillers
Nonsurgical correction of wrinkles or creases/folds could be ameliorated with either BoTox or fillers. In my experience, BoTox does not truly address the nasolabial folds and frown lines. I would consider placement of a filler in these areas for you. Hope that this helps!
+1
Botox/Fillers may Be Beneficial Together For Frown Lines
In patients with deep frown lines, the best results are obtained with a combination therapy of both Botox and filler. I feel that fillers are a much preferable way of treating nasolabial folds.
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Fillers and Botox for Combined Non-Surgical Rejuvenation
Thank you for the question and for posting your photo. Botox and fillers, though frequently used together, accomplish very different things. Botox is used to weaken certain muscles in the face and neck, so that the effect of them pulling on the skin becomes less. This reduces certain folds and fine lines, most notably the glabellar frown lines ("11's") and crow's feet. Fillers (e.g., Juvederm, Restylance, and Belotero) are used to fill in depressions or smooth surfaces. These are more like...
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+1
Fillers or Botox
At this stage, I think a little filler in your nasolabial folds would be useful. You could use any of the HA type products, like Restylane or Juvederm. You might also consider a little bit of filler in the glabellar wrinkle too. But do continue with your Botox treatments.
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Right tool for the right purpose
Botox and filler are great tools we have to help with facial rejuvenation. they are very different in their mechanism of action and uses. I am often asked this question. The frown lines are best served with botox. Yes, it doesn't last as long as a filler, but for most patients produces the best result in this area.
for the nasolabial folds, a filler like juvederm or perlane would be optimal. However, as other PS here have noted, your cheeks are low in volume and radiesse or...
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+1
Filler and/or botox
You certainly look like from the photo that you could benefit from filler in the folds. You may also consider a little in the crease in your glabella region as well.
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Filler and Botox
Your main concern is loss of volume which needs to be replaced. Please consult an experienced dermatologist or plastic surgeon for assessment and discussion of which products would be best for you.
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Radiesse or Sculptra would be my first choice
If I were treating you, Radiesse or Sculptra would be my first choices. You do have a little glabellar crease which can easily be relaxed with Botox or Dysport but that is not the Rx. that would change your look dramatically. A good deep filler , used to add volume, in your mid facial area would make the most difference in your look. A small amount might be added to the nasolabial folds but the optimal way to correct them is by adding volume above and pulling them up.
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The best approach to facial rejuvenation
Correcting facial aging requires a global, artistic approach rather than simply “filling in” a few lines. True facial rejuvenation is a combination of volume replacement with deeper fillers such as Radiesse and/or Sculptra, filling of superficial wrinkle lines with Juvederm, Restylane, or Belotero and modification of muscle action with botulinum neuromodulators such as Botox, Dysport or Xeomin. You would see your best results with Botox for your glabellar frown lines and a deeper...
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+1
Botox or Filler?
In your case, I would suggest Botox and filler! Botox is great for the frown lines. I would consider a filler such as Radiesse for your cheeks to help lift the cheeks and reduce the appearance of the nasolabial folds. I would also consider some filler directly to the nasolabial folds. A newer way to inject filler is to use cannulas, which are not sharp like needles and therefore have a much lower risk for bruising and swelling. My preferred method of injecting...
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Lone Tree Dermatologic Surgeon
+1
Contours not lines!!
Mersihas,
This question always comes up in my practice. Botox or fillers? As the other two doctors have suggested, botox or dysport works really good for upper face dynamic lines, such as the horizontal lines of the forehead, vertical lines between the eyebrows and the crow's feet area. Little botox goes a long way with these areas. I never try to totally block the muscle activity, little movement is more natural appearing than no movement. Adding a little restylane or...
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Middletown Oral & Maxillofacial Surgeon
+1
Botox and cosmetic fillers
That is an excellent question. I always ask patients what bothers them. If it is the lines in the glabella area(between the eyebrows) I think botox would work well. If you would like more volume in your cheeks, that is where fillers come into play. They can lift the creases. Both work well together. Everything is about prevention/maintenance. In my opinion it best to start when you are first noticing the problem, you are still young. But you...
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Windsor Dermatologist
+1
Fillers & Botox are the best combination
In your case, I would consider Botox for the frown lines (and possibly a touch of filler in there), and fillers such as Perlane or Radiesse (thicker, firmer) to reduce the nasolabial fold/creases, which in your case are fairly deep. The fillers can also be place in the cheeks themselves, and even in front of the ears to help pull back the skin a bit. Best to see a highly trained and experienced physician injector for optimal results and safety. Dr. Benjamin Barankin, Toronto Dermatology...
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+1
Botox or Filler
The question always goes back to dynamic lines versus static lines on the face. Lines in the upper third of the face, eyes and above, are most frequently treated with Botox or Dysport. When I see loss of volume in the lower face fillers are the choice. I suggest Radiesse in the cheeks and n/l fold areas. You have deeper lines that need special attention. This should only be done by a physician trained in these techniques. You can get a great result with...
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