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 is injected.
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.