“Do I need Botox or Juvederm for my lines?”

This is one of the most common questions patients ask, as the world of injectables can be confusing. When New York City plastic surgeon Mark H. Schwartz receives this query, he first explains the difference between Botox and Juvéderm. Once patients understand the nuances between these two types of treatments, Dr. Schwartz can recommend the ideal approach for their specific concerns and goals.

Botox is an extremely safe injectable protein that prevents the muscle contractions that lead to lines and wrinkles. It works by blocking communication between facial muscles and the nervous system, in turn smoothing the skin’s surface and improving the appearance of fine lines and deeper wrinkles caused by the natural aging process and years of repetitive facial expressions. Though often used as a generic term, Botox is a specific brand-name product. Dysport and Xeomin are two other FDA approved products that work similarly to smooth dynamic lines and wrinkles.

While Botox and other wrinkle relaxers minimize the muscle movement that leads to wrinkles, Juvéderm and other fillers plump up the skin to improve the appearance of lines and furrows that are present at rest. These injectables can also be used to restore facial volume that has diminished with age, enhance the lips, improve depressed scars and more. Juvéderm is just one of the many hyaluronic acid fillers, and it is available in a variety of formulations designed for specific uses (such as the lips) and for use at different depths in the skin. In addition to the Juvéderm family, other fillers include an array of Restylane products as well as non-hyaluronic acid injectables such as Radiesse and Sculptra.

Now back to the question, “Do I need Botox or Juvéderm for my lines?” More times than not, Dr. Schwartz’s answer is “Both.” Wrinkle relaxers and fillers are generally used to address signs of aging, and most patients have wrinkles caused by facial expressions as well as lines and furrows caused by the natural aging process that are visible when the face is at rest. Using a combination of an FDA-approved wrinkle relaxer like Botox, Dysport or Xeomin along with one of the many available injectable fillers offers the most comprehensive non-invasive rejuvenation by minimizing the movement that leads to wrinkles and restores skin volume.

Dr. Schwartz also takes the appearance and quality of the skin’s surface into consideration when created a customized anti-aging treatment plan. Beyond lines and wrinkles, discoloration, loss of elasticity and rough texture lend an aged appearance to the skin as well. In some cases, Dr. Schwartz may recommend laser skin resurfacing to reveal younger-looking skin and enhance the rejuvenating results of toxins and fillers.

Call 212.737.9090 to schedule a consultation with Dr. Mark H. Schwartz to learn more about Botox, Juvéderm and other injectables that can help you achieve your facial rejuvenation goals.