Guest Blogger Dr. Irwin – Botox/Filler Injectable Treatments 101


Do you feel like you looks tired all of the time? Or you don’t look as youthful on the outside as you feel on the inside? I’m sure many of you have heard about using Botox and Fillers to get rid of some of your lines and folds, but would like to learn more.

So here is goes, my fillers and botox 101:



BOTOX is an injectable liquid used to treat frown lines, squint and smile lines, nasal crunch lines, and horizontal forehead wrinkles. It works by relaxing the underlying muscles, and therefore the lines become less deep. Botox can also be used to lift the eyebrows a little and help to fix a smile that shows too much gum on the upper teeth. When injected into a small facial muscle, it doesn’t travel anywhere else in the body, so is considered very safe. It gradually wears off naturally over a 3-6 month period.

The injections themselves only take a few minutes, and use a very small needle (like an acupuncture needle) so there is not really any pain. It may take a few days for the Botox to ‘kick-in’ before you start seeing the results. There is one other form of Botox that is currently FDA-approved in the United States called Dysport.

If you go to an inexperienced injector, you could end up with the ‘frozen look’ we all dread. So don’t go for cheap ‘Botox specials’ as they could be cheap for a reason! And beware of those ‘Botox parties’ held in offices or homes.

In the end, Botox has been used to treat thousands of patients medically and cosmetically for over 20 years. If used correctly by a trained professional, it can provide remarkable results. Cost wise, Botox costs more in bigger cities and some offices charge more than others. In Seattle or Los Angeles, for one example, it usually costs about $350US to treat your frown lines.

For more on Botox, click here.



FILLERS like Restylane and Juvederm are natural sugars called hyaluronic acids (think a natural substance that is the glue between your skin cells). They are injected into lines, creases, and grooves in the face and provide a near instantaneous correction of medium to deep lines. They are also injected into the lips to provide plumping, or more volume or definition to the lips.

Both Restylane and Juvederm are injected right into the wrinkles or lips, and because there is some pain associated with the injection most doctors will put on topical numbing cream first and mix the injection with a numbing agent as well. Most patients agree the result is well worth the small discomfort. Restylane/Juvederm generally last 4-9 months, depending on how much is used and how it’s layered in the skin. As with Botox, it is important to get injected by someone very experienced to ensure you walk away with natural-looking results.

More advanced techniques for fillers include using them to fill in under-eye circles, to fill out the backs of hands and make veins look less prominent, and to add volume to cheekbones and temples. There are also longer-lasting fillers such as Radiesse and Sculptra, but I’ll get to these in a later post. If you do decide to get injected, make sure you do not take any Asprin, Exedrin, Aleve, Advil, St John’s Wort or Vitamin E for 7 days before the treatment to avoid bruising. Cost wise, in Seattle or Los Angeles, for example, both Restylane and Juvederm generally run $500-650US per syringe, and most people need 1-2 syringes per treatment.

For more information on fillers, click here.


To watch a video demonstration for Botox and Juvederm, click here.

And for a Restylane demonstration as seen on The Oprah Winfrey Show, click here.

Talk again soon!
Dr Irwin


Read more beauty tips at :

Skin Care Information & Anti-Aging Tips with Dr. Irwin


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