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BOTOX and Fillers

Description

Our physician assistant and injectables specialist, Karen Sticka, explains the difference between BOTOX and fillers. BOTOX is injected in the muscles to relax them and smooth out wrinkles. Fillers, on the other hand, are used to replace lost volume. They can be used to lift and plump the cheeks, minimize laugh lines, and even add definition to the chin. Find out which option is best for you during a consultation.

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1 00:00:13.700 --> 00:00:16.417 I'm often asked what the difference is between Botox and fillers. 2 00:00:16.833 --> 00:00:18.783 Botox is injected into a muscle. 3 00:00:19.010 --> 00:00:20.558 When that muscle is overactive, 4 00:00:20.730 --> 00:00:23.133 it contracts and causes a crease in the skin. 5 00:00:23.400 --> 00:00:25.742 After a while, that crease becomes permanent. 6 00:00:26.150 --> 00:00:28.642 So there are certain expressions that we want to improve upon, 7 00:00:28.643 --> 00:00:30.717 such as getting mad or frowning. 8 00:00:30.900 --> 00:00:32.333 Botox is perfect for that. 9 00:00:33.075 --> 00:00:35.558 Fillers, on the other hand, replace volume. 10 00:00:35.958 --> 00:00:40.225 As we lose the volume in the way of fat and bone, we're able to put that back. 11 00:00:40.358 --> 00:00:44.333 We often use fillers to elevate and pull back the cheeks 12 00:00:44.533 --> 00:00:49.133 to minimize laugh lines and then now to even define the jawline. 13 00:00:49.817 --> 00:00:52.317 With Botox, the results are not immediate. 14 00:00:52.425 --> 00:00:55.420 It takes about two to three days for it to start affecting the muscle. 15 00:00:55.450 --> 00:00:59.075 Right around two weeks is when you would expect full improvement. 16 00:00:59.542 --> 00:01:02.258 Botox will then last around four to five months. 17 00:01:02.508 --> 00:01:04.850 Filler, on the other hand, is more instantaneous. 18 00:01:04.975 --> 00:01:08.925 I'm able to inject one side of the face and then show a patient with a mirror 19 00:01:09.050 --> 00:01:12.667 the difference between the two so they can see the improvement right away. 20 00:01:12.800 --> 00:01:15.225 Over the next week, the filler looks even better. 21 00:01:15.442 --> 00:01:17.592 That continues on for almost up to two months, 22 00:01:17.668 --> 00:01:19.400 depending on the area that we've treated, 23 00:01:19.775 --> 00:01:22.167 in which the area just continues to improve, 24 00:01:22.208 --> 00:01:23.975 looks softer and more natural. 25 00:01:24.308 --> 00:01:25.492 Fillers last years. 26 00:01:25.700 --> 00:01:28.620 I've had patients come back in a year for a little touch-up. 27 00:01:28.640 --> 00:01:32.180 I've had some that I've injected and I'll see them back for four or five years 28 00:01:32.210 --> 00:01:34.817 for filler, because they are lasting that long. 29 00:01:35.333 --> 00:01:38.490 Being able to sit down during a 30-minutes consultation with my patients, 30 00:01:38.520 --> 00:01:42.340 show them how their face is aging, what they may expect in the future 31 00:01:42.370 --> 00:01:45.108 and what we can do to prevent that is very important. 32 00:01:45.240 --> 00:01:48.340 If you're considering Botoxin fillers, it's important to consider coming 33 00:01:48.370 --> 00:01:51.780 to a board-certified plastic surgeon, and as a PA, 34 00:01:51.810 --> 00:01:56.180 I've had over eight years of schooling and again, 18 years experience. 35 00:01:56.210 --> 00:01:57.958 Having experience matters. 36 00:01:58.370 --> 00:02:01.908 I often have patients tell me that I'm such a great artist. 37 00:02:02.341 --> 00:02:05.142 I know they mean well, but artistry is so subjective. 38 00:02:05.600 --> 00:02:08.525 What makes us different is we're more of a facial engineer. 39 00:02:08.592 --> 00:02:10.242 We have to understand 40 00:02:10.480 --> 00:02:13.700 everything underlying to build something that looks natural.

Dr. Vishnu Rumalla

Tarrant Plastic Surgery

Dr. Vishnu Rumalla is a board-certified plastic surgeon serving patients throughout the Greater Fort Worth area. He is affiliated with several professional organizations, including the:

  • American Society of Plastic Surgeons
  • American Board of Plastic Surgery
  • American Board of Surgery

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