Injections Or Surgery: When's The Right Time?

Perhaps you have been considering a procedure to address your aging skin. Do you opt for an injectable like Botox or Dysport to stop muscle movement or a filler like Juvéderm or Radiesse to add volume? Or is it time for surgery in the form of a facelift, browlift or eyelift?

Your plastic surgeon may suggest that you give fillers a try if you have relatively good skin elasticity, but have lost some of the fullness in your face. Fillers can plump up areas that are beginning to look a bit gaunt, but they cannot address excessively sagging skin. If wrinkles are bothering you, injectables like Botox or Dysport may fit the bill to stop the facial movements (like squinting) that cause the lines.

If you have tried injectables or fillers and feel that you look "puffy" or "doughy," it may be time to move on to surgery. If you have sagging skin, surgery is the procedure that will fix it.

However, since some areas of your face may need more aggressive attention than others, don't be surprised if your doctor suggests injectables or fillers in conjunction with surgery to help you achieve the most natural, balanced look. Bottom line: Seek out a board-certified plastic surgeon to help determine the current condition of your skin and the best ways to improve it.

Related Links:
Beyond Wrinkles: 6 Surprising Uses for Botox
New Reason to Consider an Eyelift

Find Eyelift Doctors near you:
7 Comments
  • Roxy
    Posted on

    I have few wrinkles but my jaw line is sagging. I would rather have some kind laser light treatment to tighten the skin. What would work?

  • Donna
    Posted on

    I am very hollow and dark under my eyes, what would be the best type of treatment for me?

  • Leslie Stevens Anonymous
    Posted on

    Dear Anonymous, That depends on how you are aging. It is impossible to tell without a photo. Are you deflating or descending?

  • anonymous
    Posted on

    I am 58. Would I need a filler or a facelift?

  • Posted on

    Fillers can be a fantastic way to rejuvenate the skin. It seems people these days are leaning toward non-surgical solutions such as Botox, Radiesse, Sculptra, Perlane, Restylane and Juvederm to sculpt and remodel. Because we are a training center and have our own lasers, we have access to techniques and materials that enable me to provide patients with a different level of care. We have moved way beyond spackling wrinkles. In my practice, I strive to ensure that patients look like themselves, only younger. Once the deeper aspects of facial renovation are addressed, attention is turned to the surface. Whether Fraxel, UltraPulse, Intense Pulsed Light, Chemical Peels or another treatment is required, we can provide a way to improve the tone and texture of your skin. In addition, because we have our own skin care line, we are confident that we can help patients have the best skin possible. The surface of the skin may be treated with intense pulsed lights to help even the tone, texture and pigment of the skin. We offer complimentary Visia photographic image analysis to help document sun damage and pigment irregularity. Fractional lasers including the Fraxel may be used to smooth fine lines and wrinkles. In addition, we offer topical treatments with prescriptions and cosmeceuticals to help the skin improve and maintain its appearance.

  • anonymous
    Posted on

    Perfectly stated, Dr. Stevens. This explains why I somtimes see faces that look puffy like dough. Too much filler without the proper balance of other tools = an unnatural look! This is where we as clients need to trust a properly trained physician, who has the ability to know "the possible", to document before and afters, and to understand symmetry and balance--a true art.

  • Leslie Stevens Anonymous
    Posted on

    Injections and fillers do not replace surgery since each modality of rejuvenation has its specific roles. They are more symbiotic or complimentary of each other than a substitute for one another. Remember the three D's of aging. Deterioration, Deflation, and Decent. Each one of these D's is treated differently, either together or alone depending on ones state and manner of aging. Lasers, Botox, skin care and resurfacing for the first D (deterioration), fillers for deflation and surgery for decent.

From around the web