BOTOX and Fillers

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.