Virginia dermal fillersDid you know that cosmetic injectables like Botox®, JUVÉDERM®, VOLUMA and more can be used before cosmetic surgery, after cosmetic surgery, and in some cases, instead of cosmetic surgery?

BOTOX® (and its siblings, Dysport® and Xeomin®) are all injectables that “freeze” facial muscles that cause wrinkles. When the skin cannot contract, lines and furrows cannot be formed by repeated movement. In cases where wrinkles have already been etched into the skin, relaxing the underlying muscles with BOTOX® can sometimes reverse those lines, and can prevent them from getting worse.

BOTOX® can also prevent wrinkles from forming at all. Usually injected into the forehead, crows-feet area, or between the eyes—the glabella, where dreaded “11” lines often form – BOTOX® also has utility in other areas, including the chin to prevent “pebbling,” or to soften platysmal bands in the neck that have become prominent. Ask your cosmetic surgeon what is best for you.

JUVÉDERM®, Belotero®, Restylane®, Artefill®, Radiesse®, and Sculptra® are among the injectable fillers offered by the surgeons of The Austin-Weston Center for Cosmetic Surgery. Each filler is different, whether in material or its best use.

For example, JUVÉDERM®, Restylane® and Belotero® are all hyaluronic-acid, or HA, -based fillers, but JUVÉDERM® has a thinner, more fluid consistency, making it useful in thin skin underneath the eyes and in lips. Belotero® is even more fluid than Restylane®, making it useful in treatment of wrinkles in the crows-feet area, where skin is thinnest. Restylane® has a thicker consistency, making it ideal in areas that need deeper filling and perhaps a lifting effect, such as nasolabial folds. JUVÉDERM®, Restylane® and Belotero® all last about six months. HA fillers also have the advantage of being dissolvable with injections of an enzyme called hyaluronidase if you don’t like how they look.


VOLUMA is an exciting new HA-based filler approved by the FDA for creating or restoring volume in the midface and cheek area, and can even add a subtle lift. Because of its unique cross-linked composition, VOLUMA lasts up to two years.

Radiesse® uses tiny calcium hydroxylapatite microspheres the size of red blood cells as its base, and is longer-lasting than HA fillers, lasting about a year and a half. Radiesse® works well in areas with thicker skin and is useful in treating, for example, wrinkles on the forehead. Artefill® is a permanent, polymeric microsphere-based filler. Artefill®’s permanence makes it useful in, for instance, non-surgical rhinoplasty or secondary rhinoplasty issues, and nasolabial folds.

Sculptra®, a poly-L-lactic acid-based filer, lasts for five years, and is ideal in thin skin can’t tolerate a lift and needs a an overall plumping effect. Sculptra® is useful in creating all-over volume in thin faces requiring volume in more than one area.

Most injectable filler treatments at The Austin-Weston Center are performed with advanced blunt-tip Dermasculpt needles, which can decrease bruising up to 99%.

Juvederm before & after diagram

Fat grafting is another option to create or restore volume and contour in the face and lips. Fat is taken from a donor site on your body using liposuction, spun in a centrifuge, and then injected. Fat grafting is usually performed under anesthesia during surgery, but can also be performed under local anesthesia. As with other injectables, you can go right back to work and most of your normal activities immediately following fat grafting performed with local anesthesia.

[maxbutton id=”1″]Remember, while anyone in a white coat can legally administer injectables, that doesn’t mean they should. Cosmetic plastic surgeons are experts in safe and effective treatment with cosmetic injectables. Many physicians, no matter their specialty, dentists and nurses find it convenient and profitable to offer BOTOX® and fillers in their offices or in medi-spas. It may be tempting to have injections done at the same time you get a facial or have your teeth cleaned, but the convenience is outweighed by the risk of complications of improperly performed injections.