Botox is actually a neuromodulator that weakens the activity of muscles it is injected into. This weakening softens the appearance of wrinkles associated with muscle movement. Other neuromodulators such as Dysport and Xeomin are based on the same molecule and have the same mechanism of action. The results of neuromodulators last approximately 3-4 months at which time the body regenerates input into the muscle. When used in the correct amounts and locations a “chemical brow lift” can be achieved.
Many dermal fillers are available on the market. The essence behind them is to replenish volume in the face that has been lost either from aging or trauma. Fillers such as Restylane and Juvederm are made of hyaluronic acid, a molecule already present in subcutaneous tissue that binds water molecules and keeps the skin plump. When and when injected into the face these fillers can restore a youthful appearance and will typically last approximately nine months or more. It is important to see an experienced injector as each product has different properties of firmness and water binding capacity. The results can be seen immediately and if necessary, hyaluronic acid fillers can be dissolved. This makes them an excellent choice for patients who are new to the process.
Lips can be enlarged using dermal fillers explained below. Many fillers can be dissolved if too much is placed or if the result is unsatisfactory. The goal with the lips is a subtle natural appearance. While many techniques exist, it is more important to communicate with patients and show them the process while filling so that they do not end up with an unnatural overfilled appearance.
Non-surgical "Liquid" Nose-job
Lately, hyaluronic acid fillers are being used to augment the shape of the nose. This process has been coined “liquid” or “non-surgical” rhinoplasty. While true in the sense that the shape of the nose is altered, the term can cause confusion. Hyaluronic acid fillers, like those mentioned above, are used to augment areas of the nose that are disproportional. This creates an aesthetically pleasing balance. Unlike a surgical rhinoplasty the nose cannot be made smaller, and breathing cannot be improved because filler is being added to the nose. In correctly selected patients, this can produce a profound improvement. It is important to note that there are serious risks and only an experienced doctor should be consulted for such a treatment.