Patients treated with 3ml Juvederm Voluma in Nasolabial and marionette lines around the mouth

Fillers and Neurotoxins


Injectable fillers are a terrific solution to restore volume to the face and fill deep lines as well as accent features like cheekbones and jaw lines.  Fillers can fill facial hollows in the under eye and temples as well.  The results are instant and last up to 2 years.

Botox and Dysport prevent facial movements that cause wrinkles and lines to form.  The results are best after 2 weeks and last about 3 or 4 months.

Facial Fillers

Injectable fillers (also called dermal fillers), like Juvederm or Restylane, can be used for everything from lip augmentation to wrinkle treatment. Injectable fillers may be used to correct a variety of cosmetic concerns, such as wrinkles, thin lips, acne scars, sagging skin, and undereye areas.

Dark under-eye circles 

Eye bags 

Enhance cheekbones and lift the mid face

Smile lines 

Smoker's lines 

Whats the difference bettween the many fillers?

Fillers, for the most part are all made of Hyaluronic Acid.  Regardless of brand they are a Hyaluronic Acid gel and come in various forms from very watery to very thick and expand by pulling water from the body.  Some pull more water than others thus expanding more.  With this in mind there are many filler types in each brand that each is thin or think and swells or swells less so you can place the best product in an area to meed your individual needs.

Thick vs Thin

Thick or highly water attractant fillers offer more volume per syringe and are generally best suited to areas that benefit from more plumping like cheeks or very deep lines around the mouth.

Thin or more watery fillers are perfect for subtle lip enhancement, smokers line correction, under the eyes, etc

Lasting Difference

As a general rule think fillers last longer.  The body breaks down all fillers over time but thicker fillers resist longer and on average last 1.5 to 2 years.

Thick fillers break down faster and on average last 8 to 14 months.

Other Fillers

There are calcium based fillers that are long lasting (2 years or more) as well as combination fillers that can last up to 4 years but are only effective in a few facial areas.

Sculptra is a "filler" of a sorts.  It is injected and creates are reaction that stimulates collagen production.  Sculptra is a great choice when there is a large volume loss in the face, temples, or lower cheeks.

Botox & Dysport

Botox as well as Dysport are injections that temporarily relax facial muscles to reduce the appearance of fine lines and wrinkles, as well as prevent new lines from forming. Common injection sites include the forehead, the area between the eyebrows, the corners of the eyes, and the sides of the chin. Botox can also be used for a wide variety of other conditions, including excessive sweating.

Botox and Dysport are both neurotoxins but are made by two different companies.  Most patients feel they look 10 years younger after one treatment.

Crow's feet 

Excessive sweating 

Face wrinkles 

Forehead wrinkles  

Smoker's lines 

Botox or Dysport might be a good choice for you if:

  • You want a temporary solution to reduce wrinkles with no downtime.
    Botox treatments take less than an hour, have no recovery time, and results typically last 3-4 months.
  • You have wrinkles created by muscle movement in your face

How long does it last?

The effects of Botox, Dysport, and Xeomin take a few days to smooth the treated lines.  It is not uncommon to see results in 3 to 7 days but could be up to two weeks.

On average the smoothing effects of Botox, Dysport, or Xeomin last 3 to 4 months and fade gradually.

How much do I need?

Dr Channey will evaluate the areas of concern and recommend a treatment dosage.  Higher dosage results in "flatter" more "frozen" faces while lesser doses increase movement and the ability to make "lines".

Transform Your Skin! Transform your face! Look 5 to 10 years younger in one treatment!  SmartSkin™ CO2 laser–a revolutionary fractional laser resurfacing system developed by Cynosure® Board Certified Dr Stephen Channey, MD, FACS.