Dr. Smita Ramanadham

Dr. Smita Ramanadham

September 12, 2019

Alright y’all. This might be one of the most common things I see in the office (located in Brunswick, New Jersey)…

A patient sitting across from me and says she is interested in Botox while pointing to her nasolabial folds (smile lines).

Botox has become a universal term these days when it comes to any type of facial rejuvenation. This is inaccurate. Let me explain why…

Botox is a brand name for a specific type of neuromodulator. There are several on the market now that are FDA approved (Xeomin, Dysport, Jeuveau). These medications paralyze or weaken the underlying muscles so that they essentially do not pull as hard on the skin. The resulting wrinkles from activity are decreased. Botox is commonly used for those horizontal wrinkles on the forehead, the “11’s” in between the eyes, or the crow’s feet. There are numerous other off-label uses. You might be wondering what off-label use is? It’s when the product is used for indications that have not been specifically approved by the Food and Drug Administration (FDA).

Fillers come in various forms as well. Most commonly, hyaluronic acid. They do just as they say. They fill or plump lines or hollowing when there is no activity. Fillers are great for nasolabial folds, cheeks, lips, temples, jawline, nose, or under-eyes. They help fill in lines or areas where we have lost fat (from aging or weight loss) or in areas we were never blessed with (lips, cheeks, etc).

While neuromodulators and fillers are not interchangeable, they are often used together to address different concerns a patient may have.