Botox vs skin fillers

                                                       Structure model of botulinum toxin

Today, there are several ways to prevent the signs of aging. Modern treatment options include neuromodulators and fillers. Both methods are proven to reduce fine lines and wrinkles. However, using the two techniques together may be the best way to regain a more youthful appearance.
 Advancements in the cosmetic industry have resulted in age fighting treatment options like Botox and facial fillers. Both procedures can help smooth your skin and reduce the appearance of wrinkles.


Botulinum toxin (BTX) is a neurotoxic protein produced by the bacterium Clostridium botulinum and related species. It prevents the release of the neurotransmitter acetylcholine from axon endings at the neuromuscular junction and thus causes flaccid paralysis. Infection with the bacterium causes the disease botulism. The toxin is also used commercially in medicine, cosmetics and research.
Botulinum is the most acutely lethal toxin known, with an estimated human median lethal dose (LD50) of 1.3–2.1 ng/kg intravenously or intramuscularly and 10–13 ng/kg when inhaled.
There are eight types of botulinum toxin, named type A–H. Types A and B are capable of causing disease in humans, and are also used commercially and medically. Types C–G are less common; types E and F can cause disease in humans, while the other types cause disease in other animals.  Type H is considered the deadliest substance in the world – an injection of only 2 ng can cause death to an adult. Botulinum toxin types A and B are used in medicine to treat various muscle spasms and diseases characterized by overactive muscle. Commercial forms are marketed under the brand names Botox and Dysport, among others.

Dermal filler is an injectable solution that fills the soft tissue under the skin. You can choose a synthetic or natural filler, and you will need to select an absorbable or non-absorbable option as well. Each variation improves the appearance of aging, wrinkling and sagging skin. Dermal fillers are ideal for filling in creases and lines, plumping up the lips and cheeks, and enhancing facial contours. With age, your skin loses collagen, elastin and hyaluronic acid by producing these substances as slower rates. Many dermal fillers feature natural ingredients to replenish the skin’s supply and restore a youthful look. Dermal fillers also help improve definition and hydrate your skin.


Botox cosmetic use:
- shape and lift brows
- soften forehead lines
- improve frown lines
- diminish crows feet
Botox treats upper 1/3 of face, prevents the formation of fine lines and wrinkles, can be use for excessive sweating and migraines, treatment takes only 10-15min, results last up to 5months

Fillers cosmetic use:
- improve dark circles
- enhance volume in cheeks
- correct shape of nose
- reduce smile lines
- minimize nasolabial folds
- restore volume and shape to lips
- improve smokers lines
- reshape jowl line
Fillers used to shape and lift full face, one vial of fillers for every decade of age is recommended (i.e. 60yo= 6vials), improvement can be seen with as little as 1-2vials, results last up to 18months

Common injection treatment use:
-migraines
- frown lines
- crows feet
- under eye lines
- bunny lines
- bruxism
- pitted/orange skin
- platysmal bands
- neck rings
- forehead lines
- glabellar lines
- eyebrow lifts
- gummy smile
- lip lines
- marionette lines/ prejowl
- hyperhidrosis

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