Learn more about treatment options for aging skin.
In this therapy, the doctor uses a combination of
soft-tissue fillers (e.g., Juvederm, Radiesse, Restylane, Sculptra, Belotero) and
neuromodulators injections (e.g., Botox, Dysport, Xeomin) to temporarily smooth
wrinkles and improve skin appearance. The procedure is minimally invasive.
During the soft-tissue filler component of the therapy, your
doctor will mark injection points on your face before cleansing it with an
anti-bacterial agent. A topical numbing agent, ice or a local anesthesia is
applied to keep you comfortable during the injections. The filler – usually a
form of hyaluronic acid or a collagen-stimulating chemical – is injected with a
very small needle. Some patients experience stinging or burning as the filler
During the neuromodulator injection, a minute amount is
injected directly into the underlying muscle, causing it to relax and gradually
smooth out the appearance of the overlying skin.
Why choose a combination of soft-tissue fillers and neuromodulators
for aging skin
This combination of minimally invasive therapies requires
minimal downtime and is relatively inexpensive compared to other more
comprehensive procedures. The combination of therapies can be used to:
- Improve the appearance of wrinkles.
- Improve frown lines.
- Improve crow’s feet.
- Plump lips.
- Elevate and fill deep folds.
- Fill shallow contours, such as sunken cheeks.
- Soften and smooth wrinkles and creases.
- Improve the appearance of scars and imperfections.
All medical procedures carry some risk. In the past, the
most widely used soft-tissue fillers were based on collagen and sometimes
required allergy testing prior to treatment. A newer class of hyaluronic acid
fillers is based on a sugar found naturally in human skin. Allergic reaction is
extremely rare for these fillers. Your ASDS dermatologist will discuss what filler would
work best to fulfill your personal goals.
Neuromodulator injection risks include:
- Mild bruising
- Temporary weakness of surrounding muscles
The average cost for neuromodulators therapy is about $325,
while the average cost of soft-tissue fillers ranges from $550 to $1,000. Actual cost can vary widely depending on the scope of
treatment. Since most medical insurance companies consider neuromodulators and
soft-tissue injections a cosmetic procedure, they usually are not covered,
except in special cases.
How to prepare for the procedure
Before the procedure, an ASDS dermatologist will review the
patient’s medical history. This is the time for the doctor and patient to
discuss expectations, potential risks and outcomes of the procedure. You should
tell your doctor if you use or have recently taken:
- Blood-thinning drugs
- Previous neuromodulator injections
- Antibiotics by injection
- Muscle relaxants
- Allergy or cold medicine
- Sleep medicine
- Any other prescription medicines
- Any other over-the-counter medicines
- Herbal supplements
What to expect after the procedure
Patients may experience one or more of the following
reactions at the injection sites:
- Bruising, which may last up to a week
Patients should take care not to rub areas treated with the neuromodulators,
which could cause it to migrate to another area.
All neuromodulator and soft tissue filler therapies are
temporary, lasting anywhere from six months to two years, depending on type of
procedure and other factors. Some patients require maintenance treatments to
achieve the best results.
Find a doctor for your aging skin treatment
Visit “Find a dermatologic surgeon” and choose “Soft-tissue
Fillers” or “Neuromodulators” from the dropdown menu. In 2011, ASDS dermatologists performed nearly 831,000 soft-tissue filler procedures and 1.2 million
neuromodulator procedures. Because ASDS dermatologists are trained in a variety of the
best and latest techniques, they are the most qualified to evaluate and select
the best treatment choice based on the individual patient’s condition.