Do new wrinkles require dermal fillers or just Botox?

Botox is THE answer. Make sure your treating physician understands you wishes and cosmetic ideals though. In the very unlikely event that Botox fails to completely cortrect this issue, only then I would recommend you try a wrinkle filler such as Restylane/Perlane or Juvederm. Good Luck.

It depends on the location and underlying reason the wrinkle formed. Botulinum toxin reduces the expression lines/facial wrinkles, whereas dermal fillers enhance tissue volume to fill in expression lines/facial wrinkles. Botulinum toxin and dermal fillers can play complementary roles and, in some situations,... more

Botox is wonderful for minimizing dynamic wrinkles that occur with muscle contraction.  If you don't have the wrinkles while at rest and not contracting any muscles, then it likely will work well.  There are instances when someone needs both Botox and a dermal filler, especially in the glabellar area... more

Thanks for the question. It sounds like your wrinkles are caused by muscle contraction.  These wrinkles are perfect for Botox.  Botox injections begin to work after 2-3 days.  You'll notice an immediate improvement at that point.  Even deeper wrinkles will soften over time. Find a board... more

Transverse (Horizontal) forehead wrinkles are treated with Botox injection with excellent results.  Botox is a superior product for erasing transverse lines on the forehead.  The clinical efficacy of Botox is far superior to fillers in this area My recommendation would be to undergo Botox first and... more

One quick trick to try is identify if you can delicate smooth out the wrinkles completely between your fingers.  If gentle pressure is all it takes Botox will provide complete correction.  Those individuals with deeper lines that cannot be gently cooerced into receding typically benefit from both... more

When you have totally relaxed the muscles, if the wrinkles are absent then Botox is all you need. After years of practicing making the wrinkles, the skin folds preferentially like an accordion. In these people, even when the muscles are relaxed, there are still lines on the face. These people also need a... more

Wrinkles are caused by bending and folding of the skin in response to the underlying muscles contracting. With repeated folding over years the collagen in the dermis atrophies (thins) and a static wrinkle is formed - leaving wrinkles even when the muscle is not contracted. By starting Botox early, you... more

Based on your age and description of the culprit wrinkles,  Botox should provide you with very satisfying results.  It is very important that the injections are at least one centimeter above your brow line so that you maintain natural brow movement and expression while improving the forehead wrinkles... more

We all get wrinkles for various reasons.  The ones that tend to dramatically worsen over time are usually caused by muscle movements and these are amenable to Botox.  Botox softens the muscle contractions and shifts the stress from muscle movement to other areas preventing the constant wrinkling in... more