11 Jul 2024 | by Dr. Vickram Tandon

The last decade has seen an explosion in non-surgical techniques to address aging
skin and tissues. Patients want effective procedures for turning-back-the-clock that
have minimal downtime. One of the most popular options for my Boston area
patients continues to be injectables. This is a category that includes both dermal
fillers and neurotoxins. Many patients, however, don’t understand that there is a
difference between Botox® and fillers. While I often use the two in tandem as they
work synergistically, dermal fillers and neurotoxins perform two totally unique
functions. Here’s a primer on the fundamental difference between Botox® and
fillers.


Botox® Reduces Muscle Activity
The primary objective of any injectables procedure is to improve some of the
earliest signs of facial aging such as:
• Fine lines
• Wrinkles
• Volume loss
• Moderate skin laxity
A neurotoxin, like Botox® or Dysport®, works by temporarily relaxing the
underlying muscles in the treatment area. With less muscle contraction or activity,
there is less stress and pulling on the surface of your skin. The end result is a
visible reduction in fines lines and wrinkles, and a smoother, more youthfullooking countenance.


Dermal Fillers Increase Volume in Boston
Dermal fillers, on the other hand, work by replacing and/or creating volume. This
can make them ideal for addressing:
• Deeper lines & wrinkles
• Sunken cheeks
• Under eye circles
• Weak chin
• Hollow temples
• Lack of fullness in the lips
At Boston Center for Plastic Surgery, we offer our patients a wide range of dermal
fillers. The right one is going to depend on your anatomy and needs. For example,
a fine line requires a filler with a smaller sized molecule than a bigger hollow area
in your mid-face/cheek. This is why it is critical to see a really experienced injector
such as myself. Furthermore, as a plastic surgeon, I have the training and expertise
to assess whether or not an injectables procedure is going to actually deliver on
your goals. While everyone wants a non-surgical solution, there comes a point
where skin laxity is best addressed surgically. I am always honest about what you
can expect to achieve from any given procedure so that you can make the best
decision for you.


To find out more about dermal fillers, neurotoxins or any other surgical or nonsurgical procedure with Dr. Vickram Tandon at the Boston Center for Plastic
Surgery, contact us today or call 617-402-2768 to schedule a consultation.


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