Do I Need Botox or Fillers or Both?

Many women and men are interested in facial rejuvenation that doesn’t require surgery or anesthesia. The use of neuromodulators like Botox and Dysport and injectable fillers have, therefore, increased in popularity. One may wonder which treatment is right for them. It all depends on what one’s objectives are.  

What is Botox and what does it do?  

First, Botox is the brand name for an injectable neuromodulator that is used to relax facial muscles that cause wrinkles. Other popular brands include Dysport, Xeomin, and Juveau. When injected into a muscle,  these neuromodulators temporarily paralyze the targeted muscle which then prevents it from contracting and causing wrinkles. Common target areas include the forehead to prevent the horizontal lines, the vertical lines (11 lines) between the brows, and the crow’s feet at the outer corner of the eyes. The results typically last 3-4 months and then the neuromodulator injection needs to be repeated.  Without reinjections, the muscle action gradually returns. Patients might notice, however, that the wrinkles seem less pronounced because the muscles become weaker over time with repeated injections.  The results of neuromodulators usually begin to be seen within 2-3 days after injection, but it might take up to 2 weeks to see the full results. Therefore, patients do not see their results when they leave their plastic surgeon’s office.

What are fillers and what are they used for? 

Soft tissue fillers usually last 6 months to 1 year and are used to add volume to the face. Hyaluronic acid fillers, like Juvaderm and Restylane, are the most common ones used. Common areas that are treated are the cheeks, nasolabial folds, chin, marionette lines, and lips. The nice thing about fillers is that the results are immediate. Patients see the change in their facial lines when they leave the physician’s office.  

To learn more about each treatment, please visit our website or call our office for a consultation (239-939-5233).

Everything You Need To Know Before Having Your First Filler Treatment

Filler treatments have become increasingly popular in recent years as a non-surgical way to enhance facial features and improve signs of aging. However, if you’re new to the world of fillers, it can be overwhelming to know where to start. It’s important to do your research and understand what the treatment entails, as well as how to prepare for it and take care of yourself afterward.

Choosing a qualified and experienced doctor is key to achieving natural-looking results that meet your goals. In this article, we’ll cover everything you need to know before having your first filler treatment.

1. Choose a Qualified and Experienced Doctor

The first step in preparing for your filler treatment is finding a qualified, experienced doctor specializing in cosmetic treatments. Look for a board-certified plastic surgeon, like Dr. Golosow, who has extensive experience with filler injections. You can also ask for recommendations from friends or family members who have undergone similar procedures.

It’s essential to choose a doctor who listens to your needs and concerns and offers personalized treatment plans based on your unique features and goals. During your consultation, make sure to ask about their experience, and credentials and ask to see before and after photos of previous patients.

2. Understand the Types of Fillers Available

There are several types of fillers available, each designed for a specific purpose. The most common types of fillers include hyaluronic acid (HA) fillers such as Juvederm and Restylane. These are used to add volume to the skin, reduce the appearance of wrinkles and fine lines, and enhance facial features like the lips and cheeks.

There are many different types of Juvederm and Restylane, such as Restylane-L lip filler and Restylane Lyft for cheek augmentation. Dr. Golosow will explain all your options at your consultation to determine the right filler(s) for your individual treatment plan.

3. Prepare for the Procedure

Once you’ve chosen a doctor and type of filler, it’s important to prepare for your treatment. Your doctor will provide you with specific instructions on how to prepare for your appointment, but there are a few general guidelines to follow. Avoid blood thinners, such as aspirin or ibuprofen, for at least a week before your appointment. You should also avoid alcohol for at least 24 hours before your appointment. Finally, be sure to discuss any allergies or medical conditions with your doctor before your treatment.

Schedule a Consultation

Getting your first filler treatment can be an exciting experience, but it’s important to do your research and understand the process.  If you’re interested in getting a filler treatment, we encourage you to schedule a consultation with Dr. Lorraine Golosow. With her expertise and experience, Dr. Golosow can help you achieve your aesthetic goals and feel confident in your appearance while ensuring a safe injectable treatment.

Differences Between Juvederm and Juvederm Ultra

woman getting juvederm and juvederm ultra

If you are considering dermal filler treatment, you may be wondering if Juvederm or Juvederm Ultra is the best option for you. Both of these products are made by the same company, but they have different ingredients and offer different benefits. In this blog post, we will discuss the differences between Juvederm and Juvederm Ultra so that you can make an informed decision about which product is right for you.


What is Juvederm?

Juvederm is a dermal filler that is made from a substance called hyaluronic acid. Hyaluronic acid is a natural substance found in the human body and it helps keep the skin hydrated and plump. Juvederm is used to treat wrinkles, fine lines, and other signs of aging while providing the skin with this hydration boost.


What is Juvederm Ultra?

Juvederm Ultra is also a dermal filler that is made from hyaluronic acid. However, Juvederm Ultra contains a higher concentration of hyaluronic acid than Juvederm which makes it more effective at treating deeper wrinkles and lines.


What Are the Differences Between Juvederm and Juvederm Ultra?

1. The main difference between Juvederm and Juvederm Ultra is the concentration of hyaluronic acid. Juvederm contains a lower concentration of hyaluronic acid, while Juvederm Ultra contains a higher concentration. This means that Juvederm Ultra is more effective at treating deep wrinkles and lines.


2. Another difference between Juvederm and Juvederm Ultra is the size of the particles. Juvederm contains larger particles than Juvederm Ultra and this affects how long the dermal filler lasts. Juvederm usually lasts for about six months, while Juvederm Ultra lasts about nine months to a year.


3. Both Juvederm and Juvederm Ultra are FDA-approved for the treatment of wrinkles and fine lines. However, Juvederm Ultra is also FDA-approved for the treatment of lip augmentation. If you are considering either of these procedures, be sure to discuss your options and cosmetic goals with a board-certified dermatologist or plastic surgeon.


4. Juvederm Ultra Plus can effectively target mid-face volume loss, deep nasolabial folds and wrinkles, dramatic lip enhancement, and overall facial shaping and contouring. Juvederm Voluma is the newest addition to the Juvederm line and is specifically designed to target age-related volume loss in the cheek area.


At this time, there is no evidence to suggest that one product is better than the other. However, some patients may prefer Juvederm Ultra because of the added benefits of lidocaine, a numbing agent that makes the injections more comfortable.


Schedule a Consultation

Dr. Lorraine Golosow is a board-certified plastic surgeon who has been in private practice since 1984. She is one of a select group of plastic surgeons who are double board certified, having achieved certification by both the American Board of Surgery and the American Board of Plastic Surgery. Dr. Golosow specializes in aesthetic surgery of the face, breast, and body, as well as reconstructive surgery. Schedule a consultation by filling out an online contact form to learn about these and other injectable treatments available at her two Florida offices.

4 Types of Restylane® Injectable Treatments

Restylane® has many different benefits. This safe and effective injectable treatment can give you a more youthful appearance, even when not in your youth. Appealing cheekbones, a lifted jawline, and more prominent cheekbones are just some of the expected results of Restylane injections. Restylane is a hyaluronic acid dermal filler that plumps up fine lines and gives your face a more youthful appearance. While it’s not as well known as Botox® or Juvederm®, many patients love the natural results. Here are the different types of Restylane injections explained.

Restylane Defyne and Refyne

Restylane Defyne and Restylane Refyne are excellent options if you want more volume in a particular area of your face, such as your cheeks or lips. In fact, both of these dermal fillers contain more hyaluronic acid than regular Restylane. This means they are more likely to last longer than other types of Restylane while still maintaining your natural expressions. Dermal fillers made of hyaluronic acid are ideal for lip enhancement because they are absorbed at a slow rate by the body. This means they will give you a long-lasting lip augmentation with little maintenance required. Hyaluronic acid also provides a natural-looking result when used to treat depressed acne scars. This is because it provides volume to the depressed area, which helps it rise back to the surface and be less noticeable.


Restylane-L is ideal if you have deep wrinkles or facial folds and want to correct them with a single treatment. Unlike other types of Restylane, it contains larger molecules that provide a longer-lasting correction. This makes it ideal for treating stubborn folds, such as those around the mouth and cheeks. Restylane-L is also the best option for people who have never had dermal filler treatment before.

Restylane Lyft

Restylane Lyft is the most recently introduced dermal filler. It’s ideal for people who want more dramatic correction, including those who have never had any facial treatments before. Because Restylane Lyft contains larger molecules than the other types of Restylane, it provides a more dramatic correction that lasts longer than standard Restylane. This makes it ideal for people who want more volume in a specific area.

Restylane Silk and Restylane Kysse

Restylane Silk is a recent addition to the Restylane family. The unique formula of hyaluronic acid provides a smoother and more natural finish than other Restylane treatments. Restylane Kysse is another hyaluronic acid dermal filler developed to correct moderate to severe folds and wrinkles present on the lower third of the face. As the name suggests, Restylane Kysse can smooth the skin of the lips and provide a more natural look with increased lip pigmentation.

Schedule a Consultation

Restylane is among the most effective dermal fillers on the market. It’s an excellent option for anyone who wants to reduce wrinkles, smooth out laugh lines, or lift sagging skin around the face and eyes. The best way to determine which type of Restylane injection is best for you is to schedule a consultation with Dr. Lorraine Golosow and our team to discuss your best options. Contact our offices in the Fort Myers area by calling or filling out our online form.

Your Guide to Botox & Injectables

Our lives are built on emotions, and our faces help express them. With fine-tuned control over hundreds of muscles, we can express everything from laughing and smiling to frowning or crying to help others understand what we’re experiencing at any given moment.

The downside is, use of these muscles over time can cause wrinkles or fine lines to appear, sometimes making people look older than they feel. Going under the knife is one way to deal with this, but injectables are an often-used alternative, as they offer minimally invasive approaches to addressing the signs of aging.

What is Botox?

Botox uses an injectable approach of gently smoothing away fine lines and wrinkles on the face. Botox is a muscle relaxer. When you relax certain muscles on the face, they are prevented from creasing when you make certain expressions, reducing the appearance of wrinkles like laugh lines or so-called “11 lines.”

The active ingredient in Botox is a neurotoxin that targets the muscles that create wrinkles when they are flexed, resulting in a three- to six-month solution for smooth skin. And Botox can be used for more than just wrinkle reduction. The FDA has approved Botox for use along the temples to treat migraines and around the neck for aesthetic purposes.

Most Common Uses of Botox

  • “11” Lines: Botox that smoothens the 11 lines/ frown lines that appear on the glabellar line, the region between the eyebrows.
  • Forehead wrinkles: Botox injected strategically throughout the forehead can result in the reduced appearance of forehead creases.
  • Sweating: Botox injected under the arms targets the sweat glands to reduce excessive sweating in these areas.
  • Crow’s Feet: Employing injectables like Botox is one way to smoothen crow’s feet. These are creases resulting from years of squinting and smiling and form around the eyes.

Dermal Filler Uses and Benefits

Fillers are as simple as their name; they are naturally derived formulas that fill in creases and plump hollowed areas to get smoother and fuller skin. They help people get a more youthful look by adding volume and reducing the appearance of wrinkles.

Most dermal fillers, like Juvederm and Restylane, are made with a substance called hyaluronic acid that, when injected, minimizes the appearances of lines and increases volume. This substance is naturally produced by the skin and is therefore not a harmful or risky procedure.

During a consultation with Dr. Golosow in her Fort Myers office, she can help identify which dermal fillers or Botox solution may be right for your specific problem areas and concerns. Dermal filler solutions for you may include any of the following injectables:

1. Kybella Injections

Kybella’s injectable formula contains deoxycholic acid that enables quick breakdown and absorption of fat cells. It is most effective in treating double chins, as it ensures the fat beneath the chin quickly melts away and is no longer able to store fat.

2. Xeomin

This injectable is an alternative to Botox that may be used when patients have an allergic reaction or other contraindication that prevents them from utilizing that specific formula.

3. Juvéderm

Juvéderm is a line of dermal fillers that is effective in plumping lips or reducing the appearance of wrinkles for long-lasting results.

4. Voluma

Voluma XC can add volume at the center of the face. It is a hyaluronic acid-based product that has long-lasting effects: up to two years in some patients.

Professional Injectors in Fort Myers, FL

When considering facial injectable products like Botox and Juvederm, don’t risk having it performed by an amateur. Trust an experienced, board-certified physician like Dr. Lorraine Golosow, who listens and advises you according to your needs and preferences. To learn more about how injectables can make a difference in your appearance and lifestyle, contact us today by calling 239-330-6448 or filling out our online form.