Neurotoxin and dermal fillers have been used successfully in facial esthetics for decades. We believe that the role of neurotoxin and dermal filler are an adjunct to our natural ways of facial rejuvenation.


The original neurotoxin, Botox is the most popular minimally invasive facial product on the market. At our practice, we offer three different types of neurotoxin to suit your preferences: Botox, Dysport, and Jeuveau “Newtox.”


What is botulinum toxin?

Botulinum toxin is produced by the bacteria Clostridium botulinum, a gram-negative anaerobe that functions by blocking presynaptic nerve synapses, preventing the release of the neurotransmitter, acetylcholine at the neuromuscular junction. Therefore, neurons are unable to send signals to each other to move the muscle and create the wrinkle. When utilized long-term, Botox can dramatically decrease facial aging. The most common treatment areas include the glabellar complex (11’s), horizontal forehead lines, frown lines, and crow’s feet.

How long does botulinum toxin last?

Everyone is different. Botulinum toxins are rated to last up to up to three months. It typically takes up to 14 days after injection for the botulinum toxin to take full effect. Over time, patients can become less responsive to botulinum toxin, as the body can develop neutralizing antibodies.

Does botulinum toxin treat all types of wrinkles?

Botulinum toxin only treats dynamic wrinkles, not static wrinkles. Dynamic wrinkles are wrinkles during facial movement and expression on the skin. Static wrinkles are often set into the skin and sometimes, can be rejuvenated with liquid PRF injections or traditional dermal filler options.

Is botulinum toxin safe?

Although botulinum toxin is one of the most potent toxins, it is a very safe drug when delivered by a trained medical professional. The most common complication with neurotoxin is unwanted short-lived muscle inactivity of the untargeted muscles, i.e. a dropped brow, eye lid or smile. Very few people are directly allergic to botulinum toxin.

Hyaluronic Acid Dermal Filler

Hyaluronic acid is a linear polysaccharide that is a normal component of skin, where it forms part of the extracellular matrix of the dermis layer. Hyaluronic acid is negatively charged, therefore it attracts water and maintains hydration. In its native state, it is broken down by the body in one to two days, but when stabilized, the resulting product can take four to eight months to be degraded. Variation in the particle size of the hyaluronic acid also changes its viscosity, which influences its indications for placement. For example, finer lines or scars require a smaller particle hyaluronic acid filler, whereas larger particle sizes are used for deeper lines and folds.

Primary indications of hyaluronic acid dermal filler:

  • Volumizing the cheeks, lips, chin, tear trough, amd temples and scars
  • Reshaping the lips, chin, and jawline
  • Rejuvenating the hands, neck, nasolabial folds, and marionette lines



How do I know if hyaluronic acid dermal fillers are right for me?

The results of hyaluronic acid fillers are immediate, though the final result is usually not visible for a full month after injection, due to swelling to the injected site and “settling” of the filler. Unlike Bio-Filler®, the volume results of hyaluronic acid filler are more lasting and immediate, but without the rejuvenation effects of concentrated biologics.

What complications can result from hyaluronic acid dermal fillers?

Complications can be categorized into mild and severe. Mild complications from hyaluronic acid filler can include pain, tenderness, bruising, erythema, and swelling of the injection site. More severe complications can include allergic reactions, formation of granulomatous tissue, injection, and vascular events such as arterial embolization of the material that can lead to skin necrosis or blindness.