What is the difference between Botulinum Products such as Botox® and Fillers?

injectionThere is a distinct difference in how these injectables work and how long they last. Dr. Hochman will assist you in making the decision about which ones are right for you and your aspirations.

Botox and its newer competitors, Xeomin and Dysport, are made from the botulinum neurotoxin, which blocks the action of nerves on muscles. All are used to treat the wrinkles caused by muscle activity. Botox is the only FDA-approved product that temporarily improves both moderate to severe crow’s feet and frown lines between the brows in adults.

Expressive wrinkles are the ones you see when you animate your facial muscles, such as the “11” between your eyebrows when you frown or the lines across your forehead when  raise your eyebrows. The smile lines in the corner of your eyes, also known as crow’s feet, are another good example. In some cases these injectables can be used to relax neck muscles or tendons to enhance the neckline.

There is no recovery time or down time though you may see some temporary redness or bruising at the injection site. On average, it takes three to five days to start to see an effect and up to 3 weeks to see the maximum results from all of the above products.  Results usually last about three months, although if used over time, less frequent injections are needed to maintain results.

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Fillers are complementary procedures used for stationary wrinkles and to enhance volume.

Static wrinkles or lines are those that can be seen even at rest, such as the nasolabial fold that runs from the side of the nose to the corner of the mouth on each side or marionette lines.

Soft tissue fillers are used to ‘fill’ these lines and folds.  It is important to note that these static wrinkles have multiple causes: loss of volume of the face as we age or sagging due to gravity. Some wrinkles are accentuated by muscle activity, such as when nasolabial folds deepen when smiling.  Fillers can also be used to plump or augment the lips and treat lipstick bleed lines. They give you a fuller face and plumper lips, while improving shallow contours or softening facial creases and wrinkles. However, they cannot help with excess sagging skin, and the results of fillers last for only a few months to a year.

Filler injections usually require some form of anesthesia, PRO-NOX which is a patient-controlled gas, local or topical anesthesia (some come with lidocaine in the filler) and can take anywhere from 15 to 30 minutes or more depending on the area being filled.  You should stop any NSAID pain relievers, including aspirin, Motrin, ibuprofen and Aleve, or fish oil supplements for at least one week before the procedure to minimize bruising and swelling and avoid scheduling any important social events for at least several days after the injections.

Although injections are generally safe, you should only consult an experienced physician to ensure the best results and fewest side effects. Botox if injected improperly can impact the wrong facial muscles. Some fillers can cause lumps and asymmetrical volume if done by someone without Dr. Hochman’s eye for facial symmetry and years of experience. Dr. Hochman will determine which products will best suit your needs during your Consultation.

Hyaluronic Acid Products

Hyaluronic Acid Products consist of one of the body’s own natural substances and are a completely safe treatment which simply supplements to plump-up the lip or to raise the skin and fill in the particular wrinkle or area being treated.


Juvederm XC® is a long-lasting hyaluronic acid gel that, once injected into the skin with an ultrafine needle, lifts and adds volume to the areas being treated. It smooths out moderate to severe wrinkles and folds around the nose and mouth, lasting up to a year. Now there is a new product,The first and only FDA-approved filler to correct age-related volume loss in the midface. Juvederm video

Juvederm VOLUMA XC®, a new product and the first and only FDA-approved filler to correct age-related volume loss in mid-face, which instantly adds volume to the cheek area. It gives you a subtle lift, helping to restore contour and a more youthful profile. With optimal treatment, natural-looking results last up to 2 years.  It’s different from Juvederm XC, working on different area of the face. Juvederm Voluma video

Savings with the Brilliant Distinctions program is an easy way to save money. Just log on at and complete the online registration. Every time you have Botox Cosmetic or Juvederm treatment or purchase Latisse (for lengthening and darkening eyelashes) you’ll earn money towards future treatments or purchase. 

Juvederm B&A

Belotero Balance®

Belotero Balance® Dermal Filler has unique properties that allow it to adapt within the skin for soft and even correction. The versatility of the product makes it strong enough to handle deep treatment areas such as smile lines around the mouth, yet soft enough to treat more delicate areas such as thin lines that appear above the lip line. It is made of hyaluronic acid, and by binding to water, it fills in wrinkles and folds, allowing immediate and smooth correction while simultaneously hydrating the skin. Many patients see results that last six months or more. Belotero website


Defy age with non-surgical RADIESSE®, RADIESSE® (+) advanced volumizing fillers of calcium-based microspheres suspended in a water-based gel that are FDA-approved to smooth moderate-to-severe facial wrinkles and folds, such as nasolabial folds (the creases that extend from the corner of your nose to the corner of your mouth). RADIESSE is also used to correct volume loss in the back of the hands.

The solution is injected into the skin through a simple and minimally invasive procedure performed by Dr. Hochman. For many, it is the ideal application to manage the facial contour demands that they desire. Watch the Radiesse video

Thinning lips, shape loss, fine lines around the mouth are among the most widely requested treatment areas.  While there are a handful of treatment options on the market, our patients are seeing their desired results from the only FDA-approved treatment to enhance the lips and surrounding area from the Restylane Family of Products, Restylane Silk!


Prevelle Silk® filler is a soft, smooth and easy-to-use filler, so you’ll see immediate results with minimal irritation which is a choice for first time users of fillers. It has increased comfort with the addition of lidocaine. Prevelle can help fill in lines and creases, temporarily restoring a smoother, more youthful – looking appearance. It will be broken down naturally by your body, which is why you may want repeat treatments. In general, repeat treatments are needed within 3 to 6 months to maintain the desired result, but the timing of additional treatment varies from person to person. After the initial injection an additional face filler treatment, or touch up, may be needed 1 to 2 weeks later to achieve the desired level of correction and wrinkle reduction.

Botulinum Toxin Products  are made of a purified protein produced by the Clostridium botulinum bacterium

Botox® Cosmetic

Is a simple, nonsurgical, physician administered treatment that can temporarily smooth moderate to severe lines between the brows and the corners of the eyes in people from 18 to 65 years of age. It is the only treatment of its type approved by the Food and Drug Administration (FDA). One 10-minute treatment-a few tiny injections-and within days there’s a noticeable improvement in moderate to severe frown lines between the brows and around the corners of the eyes, which can last up to 4 months. Results may vary.  Botox Cosmetic is a purified protein produced by the Clostridium botulinum bacterium, which reduces the activity of the muscles that cause those frown lines between the brows to form over time.

Botox Before and after photos


Xeomin® is the latest generation wrinkles relaxer, used for the treatment of wrinkles, lines, and the aging face. Xeomin® is a highly purified Botulinum toxin type A, precisely injected to relax the muscles and eliminate wrinkles. It works by blocking nerve impulses from nerve endings to the injected muscles, suppressing muscle activity and thus reducing the formation of wrinkles on the face. This relaxation generally lasts for 3-4 months, and then the treated muscles gradually return to their original condition.

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