Dermal Fillers

Juvederm is a dermal filler and Botox is a neurotoxin and both are used to effectively reduce or eliminate facial wrinkles and lines.

Can you describe Juvederm and Botox and what the differences are between the two treatments?

Dr. John Vitale: Sure. Juvederm is a filler and Botox is a neurotoxin. They both have similar end results in that they reduce wrinkles and alter the appearance of one’s face but they act in totally different ways.

What are the benefits of getting Botox and Juvederm treatments?

Dr. John Vitale: Well, both Botox and Juvederm are used to reduce or eliminate wrinkles, facial appearances called parentheses, and others called marionette lines. They’re very, very instrumental in reducing them for a period of time, not permanently.

Are they any possible side effects to these treatments?

Dr. John Vitale: Yes. Unfortunately, every treatment has some sort of a side effect. With Juvederm, you get some redness sometimes, some pain or tenderness, some firmness of the tissue, some swelling, sometimes lumps and bumps. With Botox, they could be a little bit more serious. You have to really inform your physician whether you have any of a number of diseases like ALS, Lambert-Eaton syndrome, problems breathing, problems swallowing, and facial muscle weakness or droopy eyes. So you have to be very, very careful with that before you administer because the administration of Botox could enhance these problems.

How often can someone get these treatments?

Dr. John Vitale: Juvederm, every 9 to 14 months, generally is when it’s redone. Botox, unfortunately does not last as long, four to six months.

Again, how long do these dermal fillers treatments actually last?

Dr. John Vitale: Dermal fillers like Juvederm last a minimal amount of approximately 9 months and up to 14 months. Some people have had Juvederm and it lasted, say, 18 months, almost 2 years but the norm is between 9 and 14 months. Botox, four to six months generally, that’s it.

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