1. Toxin and Fillers Are The Same

Botulinum toxin is a naturally occurring protein created by the bacterium Clostridium botulinum. There are two different kinds of botulinum toxin available in the UK with a number of different trade names. Type A: Botox (Vistabel), Xeomin (Bocouture) and Dysport (Azzalure) and Type B: neurobloc.

Botulinum toxin is injected into muscles to temporarily relax the muscles that create wrinkles and lines.

There are a number different types of fillers on the market. A few of those approved by the FDA include temporary fillers made from hyaluronic acid (Juvederm range, Restylane range, Boletero range), Poly L Lactic Acid (Sculptra) and Hydroxylapatite (Radiesse).

Dermal fillers are used to add and restore volume and are NOT injected into the muscle. The literally fill out and smooth out facial lines and wrinkles that are static (not caused by the muscles moving).

2. Toxin Freezes Your Face

Rumour has it that once you use botulinum toxin you will not be able to move your face. If done correctly you can express happy emotions but not negative ones, like furrowing in between your brows. The beauty of botulinum toxin is that you can frown or look surprised without the wrinkles and creases.

3. Toxin and Filler Injections are Painful

Botulinum toxin is injected and is not particularly painful. I generally do not give any topical anesthetic for toxin injections. Most people rank the pain at 1-2 on a scale of 1 to 10.

Similarly, while filler injections are not completely without discomfort, topical anesthetic can be used. Most patients rank the pain at 2-3 on a scale of 1 to 10. Most temporary fillers contain lidocaine, an anesthetic that improves the comfort during treatment. Varying techniques including using cannulae can be used to minimize discomfort.

4. You Can Always Tell Someone Who Has Had Toxin or Fillers

If you are worried about looking ‘done’ or unnatural, find a doctor that you trust. Every patient requires an individual plan for treatment and I recommend to get less than more. More can always be added!

5. Lip filler injections can result in a ‘trout pout,’ and cheek injections can result in a ‘pillow face’

So many patients have been put off from having temporary fillers in the lips because of the cursed ‘pout trout.’ Less is ALWAYS more and if done well, lip injections are subtle enhancements that are not obvious. The same can be said about cheek injections. Overcorrection in the cheeks can result in an overtly plumped face. Less is ALWAYS more!

6. Toxin and Fillers Are Permanent

Botulinum toxin is not permanent and typically lasts 3-6 months.

There are a number of different temporary fillers which can last between 3-18 months. If you do not like the results achieved with hyaluronic acid fillers (like Juvederm or Restylane range), you can be treated with hyaluronidase to dissolve it.

7. Botulinum Toxin and Fillers Are As Good As A Surgical Face-lift

When used properly botulinum toxin and fillers can help slow down the appearance of ageing. Combining these treatments are synergistic. Botulinum toxin relaxes the muscles while fillers plump and smooth out fine lines and wrinkles.

Botulinum toxin can be used successfully to treat frown lines, forehead lines, crow’s feet, lip lines, gummy smiles, the neck and a number of other muscles of expression.

Fillers work to fill creases and plump the skin. They help to replace volume that has been lost because of age. Of the fillers noted above, hyaluronic Acid fillers like those of the Restylane and Juvederm ranges bind to the body’s natural stores of water to gradually plump the skin, giving a more youthful and smoother appearance. Radiesse is more long lasting dermal filler that also stimulates the skins own production of collagen. Sculptra is one of the longer lasting temporary fillers that also stimulates collagen.