Botox and Restylane together?

Harold J. Kaplan, MD answers: Are Botox and Restylane best used together?

Harold J. Kaplan, MD
4 months ago

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 the upper lip, smoker's lines are diminished but not always removed completely with a few units of Botox. Combined with a small volume of Restylane above the lips, we can usually make them disappear!

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

Lavinia Chong, MD
4 months ago

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.

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