Last week we discussed how Botox can be used to prevent some wrinkles and soften others. It is a great product and is now more affordable than ever. Today I would like to briefly discuss what to do about those wrinkles that won't go away with Botox or those that Botox is not appropriate for....what can we do with them??
The most common complaints I see about facial appearance AFTER Botox have to do with residual wrinkles or sunken spots around the mouth. 
Here is a common picture that shows and labels the areas we are discussing. As we age, the face loses volume..ie fat. We get it where we don't want it and lose it where we'd like to keep it....go figure!
When the volume is lost, of course the skin falls a little creating a hollow area. When not too severe, these areas can be helped tremendously by replacing the volume with either harvested fat or some other material.
This picture demonstrates a before and after of a nasolabial fold filled with Radiesse....Nice result I think. The area is softened quite nicely. This is done in the office with very little discomfort and an immediate result. We could also use Juvederm in this area. Both fillers last a year or more and there are few problems with them.
Another area commonly complained about is the Marrionette line area.
Here we see in the before picture how the nasolabial folds are prominent and the marrionette lines are too. These lines are present at the corners of the mouth and cause the lip corners to turn down. When filled, the result is pretty amazing. You get a much more youthful appearance with no surgery and no recovery time.
A third area complained about is the glabellar area. Botox works to soften this area but when the lines persist, it is a great place to fill.
These three areas are the most commonly treated spots that we use fillers on. At Total Body Surgical I use Juvederm and Radiesse. I think they both work very well. As I said, they both work for about a year. We do injections in the office and it takes very little time. There is no recovery time and the worst problem that can arise is a bruise.
At Total Body Surgical we have a great deal of experience with many fillers. For the remainder of the summer we will offer a special on fillers. If you pay full price for one syringe you get the second one at half price. That means you get two syringes for $775 and Botox for $9 per unit if you mention this blog. I use Botox with fillers as it helps them last longer.
We look forward to seeing you soon. Call 918-786-7780 to set up your time!!
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