Botox and Juvederm at the same time or later?

Thank you for the question.
You can combine injectables to personalize your treatment.  I perform this as part of a "Liquid Lift".  Neuromodulators like Botox can relax frown lines and hyaluronic acid injectables can lift the crease left behind.  Studies have shown that the results of hyaluronic acid injectables last longer when used in tandem with Botox.
As always, an in-person consultation with a board certified dermatologist with cosmetic training is the best way to assess your needs and provide medical advice. 

Many patients, when exploring
options in non-invasive cosmetic treatments, find the distinction between
toxins (i.e. Botox) and fillers (i.e. Juvederm) confusing. Toxins act to smooth
wrinkles that are caused by muscle action directly on the skin, such as the
area between the eyebrows (elevens) and the crow’s feet. When those little
muscles are paralyzed, they no longer pull on the skin and the skin’s surface
becomes smooth.



Dermal fillers (such as
Juvederm) occupy space under a different kind of wrinkle such as is present in
the nasolabial fold. This wrinkle is more of a crease; which is part of the
anatomic structure of the face. It is not really effected by muscle action
therefore Botox would have no affect in the area.



It is very common to use both
of these treatments to freshen the look of the entire face at a single visit.

Dermal fillers are required to correct nasal labial folds. Botox is not used for this purpose. Using a micro-cannula and 1/2 to 1 syringe per side of Juvederm or longer lasting Volift would provide aesthetic correction to this area. You may also want to consider using Voluma to augment and lift the cheek area as deep nasal labial folds are usually a symptom of volume loss in the cheeks. See your certified aesthetic injector for a face to face consult to discuss all your options.Best regards