Facial injectables: which one is right for me?

Mar 8, 2019

Facial injectables:
which one is right for me?


Dermal fillers and Neurotoxins, like Botox®, are becoming increasingly popular as fast, effective, and minimally invasive treatments with little downtime and noticeable results. But what is the difference between these treatments? How do the treatments work? What kind of results can one expect? And which one is right for you?

This article provides a clear background on both treatments so you can decide what might fit best with your beauty goals.

Treatment Benefits


Dermal Fillers

Dermal fillers are gels that are strategically injected into the skin to add volume to the face. While there are several types of dermal fillers that are available, Hyaluronic Acid (HA) dermal fillers are the most commonly used formulas. Hyaluronic Acid (HA) is a sugar naturally produced by your body. As a water-binding molecule, it has the ability to hold 1000X its weight in water. HA found in the skin adds volume and plumpness to its surface. HA fillers typically last 6-12 months. The duration of your treatment results will depend on the extent of the area treated, the amount of filler used, and your own body’s makeup and metabolic rate.

According to renowned plastic surgeon Dr. Alan Durkin, “Hyaluronic acid fillers have redefined facial rejuvenation and facial beautification. HA fillers, due to their soft and malleable nature, allow plastic surgeons to sculpture the face without surgery with an incredibly low risk of side effects or adverse events. Revanesse® gives plastic surgeons yet another outstanding tool in their nonsurgical armamentarium.”

Dermal fillers can be used for a variety of applications including: smoothing lines and softening creases, treating volume loss, or enhancing or refining facial features and contours.

Dermal fillers can be used as a quick, minimally invasive, anti-aging treatment that addresses wrinkles and creases due to aging. Dermal fillers work by adding targeted volume to smooth out wrinkles and creases and restore a more youthful, refreshed look. The results are instantly noticeable. See the real results of three Revanesse®  patients.

Acclaimed cosmetic surgeon, Dr. Raminder Saluja, tells us “Starting in our 30s, we begin to lose a teaspoon of fat from our face every several years. Initially, we look more defined, but over time, the volume deficit can lead to mid-face flattening, descent of tissue and generalized volume deficit.” Dermal fillers can be used to replace this lost facial volume. The overall appearance of the face can benefit from added lift when dermal fillers are applied to areas like the brows and cheekbones. Adding lift to the face can help reduce the downward sag that the loss of facial fat may trigger. Volume can also be added to areas of the face that can appear hollow over time, like the temples or cheeks.

A third used for dermal fillers is to augment or subtly reshape facial features. Most commonly, we think of augmenting lips with fillers, but they can also be used to smooth out the jawline, or even subtly reshape the profile of the nose.

Many different brand options exist when choosing an HA dermal filler. Different fillers are optimized for different treatment areas and goals, so be sure to discuss what options are available with your provider. Always be sure that the filler your doctor is providing is approved by the FDA, and manufactured by a reputable company that is focused on quality and safety.

Some brands offer customer reward programs that can help offset the cost of treatments for new or repeat customers. For example, Prollenium® Rewards is a rewards app that helps patients access promotions, rewards and coupons for Revanesse®  treatments via a convenient smartphone app. Visit Apple iTunes or Google Play to download the app for free and search for participating providers in your area. Be sure to follow @Revanesse on Instagram to be alerted to new offers.


A neuromodulator is an injectable muscle relaxer that blocks the release of chemicals that cause muscle contractions to reduce the appearance of wrinkles that can appear in conjunction with facial expressions. Lines that appear around the sides of your mouth, horizontal lines across the forehead, crow’s feet, and wrinkles on the side of your nose are common examples of dynamic wrinkles that are created through facial expression and can be effectively treated with a neuromodulator.

Although Botox® is a widely known injectable muscle relaxer, there are many other options on the market, like Xeomin®, Dysport® and JeuveauTM. As with dermal fillers, you should check with your healthcare provider to determine which product best fits your goals and budget the best.

Unlike dermal fillers, results from a neuromodulator treatment are not immediate. Most patients see noticeable results within a week. Neuromodulators are widely considered to last anywhere from 3-6 months, but may last longer or shorter depending on the individual and the size and severity of the treatment area.

Injectable muscle relaxers can be seen as both preventative and therapeutic. While the treatment was originally designed to reduce the amount of already-visible wrinkles on a patient’s face, younger patients are also considering this treatment as a preventative way to take control of the signs of aging by reducing the chance or severity of wrinkles before they start. Most often wrinkles are first noticeable when we are making facial expressions. Over time, this temporary wrinkling can lead to permanent creasing and lines.



Since dermal fillers add volume to the face, their results are noticeable whether your face is in the middle of an expression or if it is “resting” and expressionless. Due to volumizing properties, dermal fillers can be used for filling in facial hollows or augmenting and reshaping contours of the face and its features. While dermal fillers may reduce the severity of some expression-related wrinkling, they are not designed with this as a primary benefit and do not limit the movement of facial expression.

Conversely, neuromodulators are specifically designed to limit the facial movements and reduce “dynamic” wrinkles that happen along with facial expressions. Neuromodulators won’t affect volume loss or wrinkles that one can see when the face is resting.

Both dermal fillers and neuromodulators have a varying degree of effect relative to the amount of product and placement. For example, it is possible to limit facial movement with neuromodulators to the degree that it reduces wrinkling, but still allows a certain amount of expression so the face doesn’t become “frozen.”

Dermal fillers have an immediate result, while neuromodulators show a change within a week. Dermal filler results typically last from 6-12 months, while results from neuromodulators typically last 3-6 months. Both treatments are minimally invasive, have a low incidence of side effects, and are approved by the FDA for safety. Either treatment should only be administered by a qualified healthcare professional that you trust.



Ultimately, dermal fillers and neuromodulators can both be used to treat the signs of aging, but they work on two very different principles. Depending on the patient and desired results, many doctors will suggest a combination of both treatments as they can be used in unison and implemented at the same time. This approach provides patients with the “best of both worlds” and works to soften or reduce dynamic and static signs of aging simultaneously. To support the effects of these treatments, a good skincare regimen and regular use of sunscreen is the key to overall skin health and vibrancy.

Finding a healthcare provider that you trust and clearly defining your goals will help you to choose the treatment(s) that fit best. Be sure to talk with your provider about a treatment plan that can help you maintain the results you desire.

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