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Botox
Do New Wrinkles Require Dermal Fillers or Just Botox?
If your wrinkles are caused by muscle contraction, they are perfect for Botox. Botox injections begin to work after 2-3 days with full results at about 2 weeks. You'll notice an immediate improvement at that point. Deeper wrinkles in the lower face may benefit from filler.
Clinical Context
Wrinkles that appear only when you make expressions (like frown lines) are caused by muscle movement, so Botox works well by relaxing those muscles. Wrinkles that are visible even at rest are usually caused by lost collagen and volume, and are better treated with dermal fillers, which restore fullness. Many patients benefit from a combination of both, depending on where their lines are and what's causing them.
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