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Injectables & Fillers

Juvederm vs Radiesse vs Botox Treatment – the magic of injectables

None of us can stop the aging process, but with the help of Dr. Peers, we can slow down and often reverse the look of aging.  Most noticeable are the wrinkles that begin to appear on the face and hands.  While not a permanent solution, the injectables on the market today do wonders for turning back the clock. They can transform a tired looking, aging face into a youthful, rested face during a simple office visit without surgery.  They offer a simple, predictable, cost effective way to fill in facial wrinkles or depressed areas without surgery.

What are the differences?  Which injectable is right for me?  Do they all do the same thing?

The first thing to note is that all the injectables Dr. Peers uses in the office are all FDA approved, but for different uses.  The uses often will overlap each other and Dr. Peers, through years of experience, chooses which injectable best suits the patient’s needs based on:

  • Where are the wrinkles located
  • How deep they are
  • How natural the result will be afterwards

For sure Botox treatments have had the most media exposure and is the most widely recognized name.  Botox is an “injectable” – but not a “filler”. Used mostly to reduce deep frown lines between the brows, Botox semi-paralyzes the muscles that contract to form these lines. The effects of Botox last 3-4 months and then must be injected again.

Botox is actually a toxin and is a fragile molecule. For best results, the Botox must be mixed fresh just shortly before injecting.  Because of this, we schedule 1-2 days a month as “Botox” days so you’re assured of the very best results.

Injectables, like Radiesse and Juvederm are “fillers” and are used to plump – or fill in areas of the face that have lost volume through the natural aging process.

OK…then which filler is used for what?
Juvederm is a smooth–gel-like substances injected just beneath the skin to fill out and reduce small to medium lines and wrinkles, as well as some types of scars. It replaces the naturally occurring hydrating substance called hyaluronic acid (HA) that you lose over time and results in facial wrinkles and folds.

It fills out the volume of the face and attracts additional water to the area, maintaining a smoother, younger look for six months to a year.

Based on experience with the products, Dr. Peers generally uses Juvederm around the eyes and above the mouth and lips.

Radiesse has a different kind of composition but is also a filler. Radiesse is a synthetic compound that consists of microspheres of calcium in a water-based gel. It has been safely used in the treatment of wrinkles for more than 25 years. This filler works on more severe lines and wrinkles, such as the lines from the nose to the corners of the mouth (called the nasalobial fold). The gel component helps fill out the lines, while the calcium component actually stimulates the body to produce additional collagen. This double-duty action means the results of Radiesse treatment can last up to a year, or sometimes even longer.

Dr. Peers will also use Radiesse in the cheeks and hands.

How long does a Botox treatment or Juvederm/Radiesse treatment take?

Dr. Peers performs all injectable treatments right in our office. They typically only take a half hour to an hour, and there is no downtime afterwards. Some side effects include redness or bruising at the injection site, but these are generally minimal. Effects are immediate, though in the case of Botox in particular, they’re much more obvious a week or two after the initial treatment.

Dr. Peers also uses a numbing agent when injecting the Juvederm and Radiesse to lessen any discomfort with the procedure.