When should I consider Dermal Fillers or Botox® like Treatment?

There’s every reason to consider dermal fillers to correct signs of aging that are beyond what skincare products can do. It's not that great skincare can't make a huge difference in the appearance of your skin (believe us, we know the remarkable benefits a state-of-the-art skincare routine can provide) but age, muscle movement, fat loss, gravity, and sun damage among other factors will eventually take their toll. Without question, fillers can help improve the appearance of deep lines and give skin a more supple, youthful appearance in ways that skincare simply cannot. If you’re considering dermal fillers, the next step is to consult with Dr. Blanka Orloff to figure out which type of dermal filler is right for you.


And don’t forget, as with any cosmetic corrective procedure, you still need to use well-formulated skincare products and sun protection (even when it's cloudy) as part of the anti-aging package that will keep your skin looking younger and healthier for a very long time!

How long do the results of Dermal Fillers last?

Results are immediate and will typically last from three to 18 months (occasionally up to two years). Once the filler starts to dissipate, you need to go back in and get more filler injected to maintain results. Most people who get fillers will need at least one follow-up injection within a year.

How long do the results of Botox® and Botox® like Injectables last?

e effects from Botox® will last four to six months. As muscle action gradually returns, the lines and wrinkles begin to reappear and need to be treated again. The lines and wrinkles often appear less severe with time because the muscles are being trained to relax.

What are the different types of Dermal Fillers & Botox® like treatments available?

Restylane® is a clear gel made from natural cellular material. Restylane can be used to enhance lips and treat facial wrinkles and folds, including laugh lines, smile lines, marionette lines, and lipstick lines. After treatment, patients will find that their lips and cheeks are soft, supple and smooth. Restylane® gives patients instant results with little to no downtime. Results of Restylane® can last quite a long time with proper maintenance. Talk to Dr. Blanka today about how Restylane® can help give you the fuller look you’ve been waiting for.

Restylane Silk® is the first and only FDA-approved product specifically designed for subtle lip enhancement and the smoothing of wrinkles and lines around the mouth in patients over 21 years of age. Just like the other members of the Restylane family, Restylane Silk is a clear gel formulation of hyaluronic acid — a sugar that is naturally present in your skin.

Juvederm®XC is a gel filler made of a natural cellular material. As you age, your skin loses structure and volume, causing unsightly wrinkles, lines and folds. Juvederm® helps to replace lost volume in the face and lips, and you can see results instantly. This non- surgical procedure is excellent for enhancing and plumping lips. After a quick in-office procedure with little to no downtime, you’ll be on your way to feeling your best. Dr. Blanka can help you decide if Juvederm® is right for you in an initial consultation.

Voluma® is a gel filler made of natural material. Special cross linking makes this the perfect filler for your cheeks. As we age our cheek fat pad slowly disappears leaving us with flat cheeks. Voluma® is uniquely suited to restore that cheek volume and return the youthful contours we lose as part of the aging process.

Perlane® is the sister of Restylane®, and it is a clear gel made from natural cellular material. Perlane® is slightly different from Restylane® because the size of the gel particles are larger, making it an excellent choice for stubborn wrinkles. Perlane® works well for severe smile lines, as it will correct them by adding volume and fullness to the skin. When you choose Perlane®, you can expect instant results with little to no downtime. Find out which filler is right for you during your personal consultation with Dr. Blanka.

Radiesse® is a filler that is ideal for replacing lots of lost facial volume. In addition to immediately smoothing out wrinkles, Radiesse® also stimulates production of your own natural collagen. Radiesse® works instantly and lasts up to a year in many patients, longer than most facial filling options. It also stimulates growth of natural collagen as it provides lift to areas in need. Radiesse® is sold in larger doses, providing a great value for those with deep smile lines, chin wrinkles, or jowls. To find out how Radiesse® can help you feel your best, contact Dr. Blanka today.

Belotero® is a unique filler that will instantly fill in wrinkles for smooth, immediate results. Belotero® is excellent for filling in small lines around lips, eyes, and under the eyes. You will see immediate results after Belotero® treatment, and many patients see results that last many months. People love the natural, supple look that Belotero® provides, and Dr. Blanka can you tell more about how Belotero® works for results that are uniquely you.

Sculptra® Aesthetic is ideal for those looking for a more gradual, subtle look for replacement of facial volume due to aging or weight loss. Sculptra® helps stimulate collagen in the face. While Sculptra® is not an overnight miracle, it is great for patients who are willing to undergo a slightly longer treatment time for gradual and subtle results, as the results will take several months to appear. The time between sessions gives Sculptra® enough time to work, allowing Dr. Blanka to fine-tune treatments for a discreetly beautiful look. Sculptra® provides gradual effects that can last up two years, helping to restore the look of fullness and youth to your face.

Botox®Cosmetic is injected into the skin around facial muscles, improving the appearance of lines and wrinkles. Botox relaxes muscles and eases lines. This quick, non-surgical treatment has been used for over 15 years. Botox will help smooth out wrinkles around the eyes (crow’s feet), frown lines (sometimes called ‘elevens’), and other annoying lines. The procedure itself is simple, with no anesthesia and no downtime. You will be in and out of the office in 15 minutes! People all over the world love Botox for its quick results, usually showing up just a few days after treatment. Contact Dr. Blanka today to find out how Botox and Botox alternatives can reduce signs of aging by erasing frown lines, forehead grooves, and wrinkles. Dr. Blanka will be happy to make a customized treatment plan for you with Botox®, Dysport® and Xeomin®, letting your natural, youthful beauty shine through.

Dysport® is another Botox like treatment. It works very much the same way Botox® does and it is administered in the same manner. The Dysport® molecule is slightly smaller so its onset may be a bit faster.

Xeomin® is the newest Botox® like medication in US, although it has been available in the rest of the world for many years. This molecule does not contain other additives so people are less likely to develop antibodies against this Xeomin. It is also slightly less expensive.

Are there any risks involved with Dermal Fillers?

Naturally-derived fillers (the most widely known is hyaluronic acid) have a much smaller risk of causing an allergic reaction but reactions can occur. Aside from allergic reactions, fillers also have risks of lumping and migration, although this happens infrequently. On the other hand, because the results last a short period of time so do the potential problems. Although rare, if a problem does occur, Dr. Blanka has treatments in place to help resolve any issues that may arise.

Synthetic fillers last much longer than naturally-derived ones and are considered semi-permanent though there many who would call them permanent because they really don't dissipate. The wrinkles start to return only because your face continues to age or you continue to get sun damage due to being lax about protecting skin with sunscreen daily.

As with all fillers, synthetic fillers have risks which are pretty much the same as for naturally-derived fillers except the difference is because synthetic fillers are "permanent" the potential problems can be "permanent" as well and are harder to correct.

Are there any risks involved with Botox® or Botox® like treatments?

It is possible for the Botox® to spread a little beyond the intended injection site and affect surrounding tissues. For example, if you receive injections into the forehead close to your eyebrows or your upper eyelids, they could be affected and may droop temporarily. Other potential side effects, though rare may include pain at the injection site, infection, inflammation, swelling, redness, bleeding and bruising. Some of these symptoms may indicate an allergic reaction; other allergy symptoms are itching, wheezing, asthma, a rash, red welts, dizziness and faintness. Tell your doctor immediately if you have any breathing issues or a faint or dizzy feeling.

Is there a Best Dermal Filler?

Despite what you might have read or heard, there really isn't a best dermal filler; all of them have risks, albeit rare ones. Which filler substance is considered "best" or "preferred" depends on the doctor’s technique, skill, experience, training, your facial needs, and risk tolerance. It has nothing to do with headlines in the media or articles in fashion magazines.

It's important to realize that over the past 20 years many dermal fillers that were once showcased in fashion magazines or touted by doctors (and often heralded by studies paid for by the manufacturer) have since been discontinued for a variety of reasons. Getting headlines doesn't always make for beautiful results!

Is there any pain or downtime associated with Dermal Fillers?

Any injection can hurt, however, pain is usually minimal. The area can be numbed with a topical anesthetic cream or cold pack prior to injection, so you may not feel much pain, if any. You will experience a slight sting as the needle enters the injection site. Most patients tolerate the treatment with no pain medication. However, additional pain management options are available. Some of the most common side effects include: allergic reaction, bruising at injection site, numbness, and temporary redness, swelling, pain/tenderness, or discoloration. Dermal filler injections require very minimal downtime, allowing patients to return to work and their normal activities directly following treatment. Yet for the first 24 hours, individuals may be instructed to refrain from strenuous activities and excessive sun or heat exposure

Is there any pain or downtime associated with Botox or Botox like Treatment?

Any injection can hurt, but the needles used for Botox® injections are very small, so pain is usually minimal, if any. The area can be numbed with a topical anesthetic cream or cold pack prior to injection. You may feel a little discomfort later, once the anesthetic cream or numbing has worn off. You may feel a slight tenderness in the injected area for a short time which will usually be gone within 3-4 days. There is no social downtime associated with this treatment.