I think that it really depends on the depth of the wrinkles. There can be quite a distinct variety depending on that category but I usually would say that it's a combination of things for most people. I highly recommend younger people get involved with caring for their skin in their 20s. Neuromodulators including Botox and Dysport and some others to come can become important later. Typically in the 30s, the neuromodulaters can be used in certain parts of the face to prevent any of the wrinkles that are starting to occur from getting worse, and actually reversing them. As we continue down that aging path there's a lot of genetics involved with respect to where a person is going to see volume loss affecting her first. I really advocate if you want to be wrinkle-free you must be on a medical grade skin-care program taking care of your skin every day, integrating chemical peels, and neuromodulators and fillers add a lot as well. There's a synergy between all of it.
Q: I want to relax the wrinkles on my face and make my skin look tighter, should I use a filler like Juvéderm or a relaxer like Botox? Are there other brands or things I should consider?
What our experts say:
It all starts with the evaluation. You have to go see someone who is qualified in facial aesthetics and they have to evaluate if your lines or wrinkles are due to overactive muscles, in which case something like Botox or Dysport is appropriate or are the wrinkles forming because of loss of volume in which case a filler is appropriate. Is there loss of muscle tone, muscle laxity in which case Ulthera or Thermage or even Pelleve also would be appropriate. Oftentimes it's not a matter of a single treatment but rather a combination of treatments to address all the factors that contribute to aging.
San Antonio, Texas
It depends where the wrinkles are. Botox normally works well for the upper part of the face, like the forehead between the eyebrows and the eyes. Filler is normally for the cheeks down. But again it depends where the wrinkles are. Sometimes we use a combination of both Botox and filler.
New York City, New York