Patient Questions

QUESTION

Botox/filler Should I Do It Now or Wait Til I'm Older and Really Need It?

36 yrs old and no Botox or anything yet but have noticed some slight crepiness under my eyes when I smile. It's not terrible but it bothers me sometimes. I don't want to change my looks and would hate to make the problem worse by messing with nature. Lol. Should I see how much longer I can hold off or attend to the problem now? I'm one of those " less is more" believers and would like very subtle improvement. Should I just try creams or laser? Which has less side effects: Botox or filler?

ANSWER

Botox and Filler as Wrinkle Prevention and Treatment

Thank you for your question. Botox and Dysport are commonly used for dynamic wrinkles (lines created by muscle movement) and fillers like Juvederm and Restylane are used for static wrinkles (wrinkles like nasolabial folds and marionette lines). Botox and Dysport are more commonly used to in a preventative fashion. Specifically the progression of fine lines around the eyes (Crow’s Feet) can be effectively slowed using Botox or Dysport by relaxing the underlying muscles that contribute to the severity of the wrinkles. Generally speaking Botox and Dysport for the Crow’s Feet has a subtle effect and does not change the appearance of the eyes, however, sometimes the lines under the eye may be more noticeable in contrast to the smoothness of the sides of eyes that have been treated with Botox or Dysport. In either case topical tretinoin may be included to further reduce the fine lines. Other options may include laser resurfacing or surgery but have much greater downtimes and are generally reserved for more severe wrinkles or folds. For a formal evaluation and consultation visit the office of a board certified plastic surgeon.

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