Question:
I am frequently asked questions regarding the potential efficacy for improvement of facial wrinkles with the use of Botox, Dysport versus the need for dermal fillers such as, Juvederm, Restylane, or autologous fat injections. In order to answer your questions properly, a consult would be in order. However, in the proverbial “nut shell” if your are trying to evaluate your particular needs, wrinkles that form with facial movement may likely be managed with the use of Botox or Dysport. On the other hand, areas of your face that are wrinkled or hollow without facial movement are going to require dermal fillers or autologous fat to plumb up the areas, and in some areas such as around the eyes or forehead, Botox or Dysport to prevent more wrinkles from forming.
Answer:
I am trying to achieve a more youthful appearance. It will be a while before I can afford facial surgery, but until then I am researching injections. I know there are products that affect the muscles and underlying tissues and others that fill in the area to be smoothed. Will injections like Botox that affect the muscles work better to make a patient look younger or should I consider products like fat grafts that fill in the area in question?
Posted by Dr. Philip Schoenfeld