Botox and Fillers – Facial Injectables

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There are a variety of facial injectables available to patients interested in reducing naturally occurring wrinkles and lines related to aging, including crow’s feet, forehead wrinkles, and lines around the glabella area between the eyebrows. Many of these injectables are made from organic or naturally occurring chemicals already present in the body. At DeLuca Plastic Surgery in Albany, NY, Dr. Tauber and Dr. DeLuca are pleased to offer our patients numerous non-surgical procedures that extend youthful looks and create the appearance of slowed aging.

Neuromodulators – Botox and Xeomin

Neuromodulators, including Botox and Xeomin are one of the most common and popular forms of facial injectables. These injectables soften active facial lines by partially paralyzing the muscles that cause active wrinkles of the forehead, between the eyes, and around the eyes. Botox and Xeomin can also be used to perform “lip flips” – giving the upper lip more show, lift the outer edge of the eyebrow for a subtle brow lift, lift the corners of the mouth, decrease with width of the jaw muscle, and soften a gummy smile. Most Botox treatments take about 15-30 minutes to administer and the full effect is usually seen in 7 days. The effect usually lasts about 3 month, but can last shorter or longer depending on the person.

Read: “Botox Basics”

Facial Fillers – Restylane and Juvederm

Restylane and Juvederm work by volume to your face. Made of hyalaronic acid, these soft gels absorb water and , when injected into the various layers of the skin and underlying tissues can help improve larger contours and soften creases in the face. Each brand of filler comes in several “thicknesses,” each of which is targeted to a specific area of the face. Results from facial fillers are instant and typically last anywhere from six to 12 months depending on the depth, position, and type of filler.

Deep Fillers – Voluma and Lyft

Over time, cheeks may begin to flatten, and the skin around the cheeks may begin to sag. Juvederm Voluma and Restylane Lyft are designed to counter this natural process by adding volume and fullness to a patient’s cheeks. These thicker fillers can also be used to correct hollowing of the temples, add width to the back of the jaw, better define the jaw line, or produce a “liquid chin augmentation.”

Medium Weight Fillers – Juvederm Ultra and Restylane L

The workhorses of the filler line up, Juvederm Ultra/Ultra Plus and Restylane L have a variety of uses. Typically these gels are injected just under the skin to push up larger folds of the face including the naso-labial fold (from nose to corner of the mouth) and marionette lines (corner of the mouth to the jaw). They can also be used for lip filling, “liquid rhinoplasties,” and softening smile lines along the cheeks.

These injectables typically last 6-9 months, however because of eh range of uses and placements, the actual time varies considerably.

Threading Fillers – Restylane Silk and Juvederm Vollure

Restylane Silk and Juvederm Vollure are thin hyalaronic acid fillers made with smaller particles that are best suited to soften fine lines and smoothing the texture of lips. These fillers are “threaded” into the creases of the lips, cheeks, and between the eyes to make these lines less noticeable. Although thinner then their cousins, these fillers last about the same amount of time – 6 – 9 months for most patients.

Targeted Fillers

Aside from filling lines and correcting contours of the face, fillers can also be used to correct other areas of the face.

  • Restylane L has a number of properties that make it ideal for correcting dark circles, or deep tear troughs, around the eyes.
  • Juvederm Volbella and Restylane Refine and Define are springier fillers that are ideal for plumping the lips.
  • Restylane L and Juvederm Ultra/Ultra Plus can be used to soften bumps or humps on the nose in a “liquid rhinoplasty” and to make crooked noses visually straighter.

Read “Botox and Facial Fillers – The Fountain of Youth (Without The Knife)”

Other Injectables – Kybella


Kybella helps reduce the appearance of fullness in the Central Park of the neck or “double chin.” The main ingredient in this injectable is deoxycholic acid, a naturally occurring element in the body. Injecting Kybella into the fat of the central neck, causes the fat to be dissolved and absorbed into the body – permanently. Kybella takes several treatments for patients to see a final result however, the end result is similar to liposuction – without the need for a surgical procedure. This treatment is ideal for men and women seeking an alternative to liposuction for removal of fat from the central neck.

Process and Maintenance

Facial injectables are typically delivered via a very thin needle, which is targeted to a muscle or area in the face. The type of injectable used depends primarily on the patient, their medical history, and the type of outcome they are hoping to achieve. The main ingredients in the injectable also determine how long the material will remain active. For example, the effects of Botox injections can last three months, while those of Voluma or Lyft injections can last up to two years. Patients interested in facial injectables should speak with Dr. DeLuca or Dr. Tauber about how to best maintain their face following the procedure.

Candidates For Facial Injectables

Most candidates for injection procedures are interested in slowing the effects of the natural aging process or are interested in adding volume to their cheeks or lips. Injectables are not meant to alleviate wrinkles and lines permanently but can help to temporarily reduce their prominence significantly.