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Botox & Fillers Santa Barbara

Botox and Fillers: Facial Rejuvenation

Facial rejuvenation consist or the use of products like neuromodulators (e.g. Botox) and soft-tissue fillers (e.g. Juvederm) to soften fine lines, wrinkles and creases and produce a more youthful appearance. These treatments are relatively painless, quick and effective and may help to avoid a more invasive surgical procedure for many patients.

Types of Injectables (Neuromodulators & Soft-Tissue Fillers)

There are a number of injectable products on the market. A smart consumer should research what is the right treatment for you and discuss these options with your dermatologist.

Botox, derived from Clostridium botulinum, is probably the most familiar of all the injectables. A similar medication is called Dysport, which provides similar results. Both of these products are injected by your dermatologist into the appropriate location for treatment.

Botox and Dysport are useful in the treatment of dynamic wrinkles, including glabellar lines, horizontal forehead lines, and crow’s feet. These wrinkles come about as a result of facial muscles performing their usual activities like smiling or frowning. Unfortunately, these usual daily activities for these facial muscles can lead to crow’s feet (periorbital wrinkles), frown lines (glabellar furrows) and horizontal forehead wrinkles. Botox and Dysport work to relax the underlying facial muscles, helping them to soften the overlying facial wrinkles.

Soft-tissue fillers are also quite popular and include Juvederm, Restylane, and Radiesse. They are useful in the treatment of residual dynamic wrinkles after neuromodulator treatment and are very versatile.

These injectable soft-tissue fillers are often used for wrinkles and furrows like the nasolabial folds (crease between the cheek and upper lip). As such, some of these involve injections that reach deeper into the tissues. In addition, soft-tissue fillers like Radiesse can be used for treatment of atrophy or loss of some of the soft tissue in the cheeks, temples or hands.

Juvederm and Restylane are hyaluronic-acid-based fillers. They add volume to the skin tissues and fill fine lines also. Non-hyaluronic-acid-based fillers include Radiesse, which is made of calcium hydroxylapatite microspheres in a gel solution. The microspheres form a grid beneath the skin to add support and volume. Radiesse may be useful where a great amount of volume is necessary.

What to Expect During Treatment

Injectable treatments typically take approximately 30 minutes per area being injected. How long your treatment takes depends on factors such as the amount of filler needed.

Most fillers now contain lidocaine but some practitioners may also use a topical anesthetic for additional numbing  prior to the procedure. There is not a great deal of downtime associated with injectables, and with many, you can return to work right away.

A minor degree of temporary swelling, redness, or bruising around the treatment area is normal. Sunscreen and sun-protective practice is a good idea following the procedure.


The results of an injectable treatment can last anywhere from a few months to a year or two, depending on the specific kind of injectable product used. Generally, wrinkle fillers (i.e. soft-tissue fillers) usually have effects that last longer than Botox or Dysport, but the key is to use the right product for the right situation and the key to that is to discuss it with your dermatologist. 

About three to four days after a Botox treatment, you will begin to see results. The effects last about three to four months on average, but with repeated treatments the results can last longer.

Filler results are usually immediate. Juvederm can least for up to 6-9 months, Radiesse up to one year or longer, and Restylane up to a year. Touch-up treatments and follow-up treatments may be available to maintain and preserve your results. The doctor can decided which filler is best for which indication. Some fillers are best for superficial lines or wrinkles, and some fillers work best for deeper lines or to replace loss of greater amounts of soft tissue.

Find out more about injectables and facial rejuvenation during a consultation with Dr. Kaufman or one of our doctors.