Botox and Fillers

What is BOTOX® Cosmetic?

BOTOX® Cosmetic (onabotulinumtoxinA), a prescription medicine, is a purified protein that temporarily improves the look of moderate-to-severe frown lines between the brows in adults younger than 65 years of age.

BOTOX® Cosmetic is administered by a healthcare professional as a simple, nonsurgical treatment that is injected directly into the muscles between the brows. It works by blocking nerve impulses to the injected muscles. This reduces muscle activity that causes persistent lines to form between the brows. Individual results may vary.

How does BOTOX® Cosmetic work?

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of the “11s,” the moderate-to-severe frown lines between the eyebrows (glabellar lines). It works by blocking nerve impulses to the injected muscles. This reduces muscle activity that causes persistent lines to form between the brows.

When will I see results from a BOTOX® Cosmetic treatment?

Within days, you may see a marked improvement in the moderate-to-severe frown lines between your brows. Lines continue to improve for up to 30 days, and results can last for up to 4 months. Individual results may vary.

How long does BOTOX® Cosmetic last?

Visible results have been shown to last up to 4 months.1 Your own results may vary – be sure to talk to your healthcare provider about what you can expect and when to schedule your next appointment.

Is treatment with BOTOX® Cosmetic painful?

Discomfort is usually minimal and brief. Prior to injection, your physician may choose to numb the area with a cold pack or anesthetic cream. The entire procedure takes approximately 10 minutes. Most patients are in and out of the physician’s office without downtime following BOTOX® Cosmetic treatment.

Side effects associated with the injection include localized pain, infection, inflammation, tenderness, swelling, swelling, redness, and/or bleeding/bruising.

Will I still be able to make facial expressions?

Although the results are visible, a treatment with BOTOX® Cosmetic (onabotulinumtoxinA) will not radically change your facial appearance or make you look as if you’ve “had work done.” The muscle activity that causes frown lines between the brows is temporarily reduced, so you can still frown or look surprised without the wrinkles and creases between your brows.

Who should not be treated with BOTOX® Cosmetic?

You should not be treated with BOTOX® Cosmetic if you have:

• a disease that affects your muscles and nerves (such as amyotrophic lateral sclerosis [ALS or Lou Gehrig's disease], myasthenia gravis or Lambert-Eaton syndrome).
• allergies to any botulinum toxin product
• had any side effect from any botulinum toxin product in the past
• a breathing problem, such as asthma or emphysema
• swallowing problems
• bleeding problems
• plans to have surgery
• had surgery on your face
• drooping eyelids
• any other change in the way your face normally looks
• are pregnant or plan to become pregnant. It is not known if BOTOX® or BOTOX® Cosmetic can harm your unborn baby.
• are breast-feeding or plan to breastfeed. It is not known if BOTOX® or BOTOX® Cosmetic passes into breast milk.

What are the possible side effects of BOTOX® Cosmetic?

Side effects of BOTOX® Cosmetic include dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain, eye problems such as double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes. Symptoms of an allergic reaction to BOTOX® Cosmetic may include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.

 

What will happen to the frown lines between my brows if I choose not to continue treatments?

If you do not continue treatments, the moderate-to-severe frown lines between your brows will gradually return to the way they looked before treatment.

Is BOTOX® Cosmetic expensive?

According to the American Society of Plastic Surgeons, the average cost of BOTOX® Cosmetic is approximately $400.

 

What is JUVÉDERM®?

JUVÉDERM® is the only HA filller with FDA approval to last up to one year.* Ask your physician how you can get long-lasting results with JUVÉDERM®. JUVÉDERM® injectable gel is a “next-generation” smooth consistency gel dermal filler that helps to instantly restore your skin's volume and smooth away facial wrinkles and folds like your “smile lines” or “parentheses” (nasolabial folds—the creases that run from the bottom of your nose to the corners of your mouth). JUVÉDERM® comes in two formulations—JUVÉDERM® Ultra and JUVÉDERM® Ultra Plus.

*JUVÉDERM® is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).

What does JUVÉDERM® do?

JUVÉDERM® injectable gel temporarily adds volume to facial tissue and restores a smoother appearance to the face.

What is JUVÉDERM® indicated for?

JUVÉDERM® Ultra and JUVÉDERM® Ultra Plus injectable gels are indicated for injection into the mid to deep dermis (below the outer layer of skin) for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases running from the bottom of your nose to the corners of your mouth, aka smile lines or parentheses).

Why does JUVÉDERM® come in two formulations?

JUVÉDERM® injectable gel is available in two formulations to allow your healthcare professional to tailor treatment to your unique needs. JUVÉDERM® Ultra provides versatility in contouring and volumizing facial wrinkles and folds. JUVÉDERM® Ultra Plus is a more robust formulation for volumizing and correcting deeper folds and wrinkles.

What makes JUVÉDERM® different from other dermal fillers?

JUVÉDERM® is the ONLY hyaluronic acid (HA) filler FDA approved to last up to 1 year.* Our unique manufacturing process provides a high concentration of cross-linked hyaluronic acid for long-lasting results. It also works to create a smooth consistency gel that flows easily into the skin and provides a smooth, natural look and feel. All other hyaluronic acid dermal fillers currently on the market are made of granular consistency gels. And, JUVÉDERM® is the first hyaluronic acid dermal filler that has demonstrated its safety and effectiveness in persons of color.

*JUVÉDERM® is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).

What is hyaluronic acid?

Hyaluronic acid is a naturally occurring substance found in all mammals that helps to hydrate and add volume to your skin. In addition to its use as an aesthetic treatment, hyaluronic acid has also been used for more than 20 years for injection into arthritic joints to aid movement as well as for eye surgeries and wound repair.

How is JUVÉDERM® injectable gel used in treatment?

Your healthcare provider eases JUVÉDERM® injectable gel into the skin using a fine needle to temporarily fill in and augment the treatment area and smooth moderate to severe facial wrinkles and folds such as “smile lines” or “parentheses” (nasolabial folds) and “marionette lines” (oral commissures). JUVÉDERM® temporarily adds volume to the skin and may give the appearance of a smoother surface.

What will treatment with JUVÉDERM® injectable gel accomplish?

JUVÉDERM® injectable gel will help to smooth moderate to severe facial wrinkles and folds. Most patients need one treatment to achieve optimal wrinkle smoothing. And one treatment could smooth your lines and wrinkles for up to 1 year. Ask your doctor what you should expect from your initial treatment and when they would recommend rescheduling another appointment.

Is treatment with JUVÉDERM® injectable gel painful?

Injections may cause some discomfort during and after the injection. The smooth consistency gel of JUVÉDERM® allows your doctor to administer it easily and smoothly. And, JUVÉDERM® is injected directly into the skin using a fine needle to reduce injection discomfort. Your doctor may choose to numb (anesthetize) the treatment area to further minimize discomfort.

How long does treatment usually take?

The injection process takes only about 15 minutes. You'll also need to allow time to consult with your doctor prior to treatment.

Does the correction last forever?No. Correction is temporary; therefore, touch-up injections as well as repeat injections are usually needed to maintain optimal corrections.

How long do results last?

JUVÉDERM® is the ONLY hyaluronic acid (HA) filler FDA approved to last up to 1 year.* Talk to your healthcare professional about JUVÉDERM® today—so you can start seeing results!

*JUVÉDERM® is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).

What are the possible side effects of JUVÉDERM® injectable gel?

Most side effects are mild or moderate in nature, and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injections site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures there is a risk of infection.

Can people with different skin tones/colors be treated with JUVÉDERM®?

Yes. In fact, JUVÉDERM® injectable gel is the first FDA-approved hyaluronic acid dermal filler that has proven its safety and effectiveness in persons of color. Studies with JUVÉDERM® showed no increased risk of hyperpigmentation or hypertrophic scarring in patients of color.