Q. Is there any truth that Botox started early is preventative? I recently had (1 syringe voluma) temple filler, which I had hoped would fill out my brow and lift my brows a touch. I don’t think it’s made any difference to be honest but my injector suggested I should start Botox now. I only have crows feet when I smile, and it doesn’t honestly bother me at this stage, as these are pretty invisible at rest. What would you suggest? Is there any chance the temple filler will take more effect (only had it done the other day ) – thanks in advance!
A. Botox is a muscle relaxer and works to reduce the folding of overlying skin. If there is already a crease in the skin, Botox followed by filler and a retinoid (such as retinol or Retin-A) will help to minimize the skin laxity and the dermal etching or thinning that caused the wrinkle that developed.
There are many times I recommend Botox or other muscle relaxers to be used preventively. When an individual shows marked expression with folding of skin, it is easier to prevent the creasing and more permanent etching of the crease before the longer and more costly process of rejuvenating the wrinkle. Yes, Botox is expensive but for many patients, the rejuvenation of aging and the reversal of a wrinkle is worth it.
Other options in the rejuvenation process which may prolong or be less expensive in the preventative process include:
1. A consistent use of a medically therapeutic skin rejuvenation program such as ZO (Obagi) Skin Health, and / or
2. Sculptra.
Regarding the filler in your temples, there are different techniques, medical products and skill levels by the injector.
Please consult with a well experienced, Board Certified Plastic Surgeon or Dermatologist to properly evaluate your concerns and offer their recommendations.
I hope this was helpful. All the best! Is there any truth that Botox started early is preventative?
Q. Is there any truth that Botox started early is preventative? I recently had (1 syringe voluma) temple filler, which I had hoped would fill out my brow and lift my brows a touch. I don’t think it’s made any difference to be honest but my injector suggested I should start Botox now. I only have crows feet when I smile, and it doesn’t honestly bother me at this stage, as these are pretty invisible at rest. What would you suggest? Is there any chance the temple filler will take more effect (only had it done the other day ) – thanks in advance!
A. Botox is a muscle relaxer and works to reduce the folding of overlying skin. If there is already a crease in the skin, Botox followed by filler and a retinoid (such as retinol or Retin-A) will help to minimize the skin laxity and the dermal etching or thinning that caused the wrinkle that developed.
There are many times I recommend Botox or other muscle relaxers to be used preventively. When an individual shows marked expression with folding of skin, it is easier to prevent the creasing and more permanent etching of the crease before the longer and more costly process of rejuvenating the wrinkle. Yes, Botox is expensive but for many patients, the rejuvenation of aging and the reversal of a wrinkle is worth it.
Other options in the rejuvenation process which may prolong or be less expensive in the preventative process include:
1. A consistent use of a medically therapeutic skin rejuvenation program such as ZO (Obagi) Skin Health, and / or
2. Sculptra.
Regarding the filler in your temples, there are different techniques, medical products and skill levels by the injector.
Please consult with a well experienced, Board Certified Plastic Surgeon or Dermatologist to properly evaluate your concerns and offer their recommendations.
I hope this was helpful. All the best! 
