All Hail the Hyaluronic Acid Fillers

Dermal FillersWhen it comes to wrinkles, a person could either stay indoors their entire life to try and ward off the effects of the sun and environment on the skin. Or, because we live in a great outdoor area such as Bend, we prefer to try and address the wrinkles after we’ve had our fun in the sun on the mountain, river, trail, golf course, or wherever!

That’s what Deschutes is here for — to help you address your skin issues, whether the dermatology is medical or cosmetic. In the cosmetic sphere, dermal fillers are very popular with our patients for, as their name implies, “filling” wrinkles on the face. Two of the most popular are Restylane and Juvederm. Both are very similar hyaluronic acid fillers.

What is hyaluronic acid and why do I care about it?

Hyaluronic acid is a naturally occurring substance in the body that is responsible for skin hydration and plumping. Hyaluronic acid binds with water molecules to hydrate and add volume to the skin. Unfortunately, as with many other things as we age, hyaluronic production decreases the older we become. Because of this the skin becomes less supple, more leathery. Also, it has less support so things like wrinkles, creases, and volume loss all begin to show themselves.

Fillers fill it back up

That’s where dermal fillers come in. When injected beneath a wrinkle or crease, the filler “fills” in the wrinkle by plumping the area. In the case of Juvederm and Restylane, hyaluronic acid is the mechanism. Other fillers are made of synthetic materials, often calcium hydroxylapatite, and those materials push the wrinkle up from underneath.

Restylane vs. Juvederm

Although Juvederm and Restylane are very similar, Juvederm is slightly smoother and less likely to form a bump when compared with Restylane. For unforgiving areas such as the lips and tear troughs (where the skin is thinner), Juvederm could be a better choice. For forgiving areas such as nasolabial folds, marionette line, frown lines, and the like, both are very comparable. Restylane can be less expensive because, while the costs are about the same per syringe, Restylane offers larger syringe sizes 1.2 cc versus 0.8 cc.

If you’re looking to fill those wrinkles, hyaluronic acid fillers are great options. Call us at 541-330-0900 and let’s talk about Juvederm and Restylane.

Botox — the King of the Dynamic Wrinkle

BotoxBotox has been around for decades and has been used to treat things like involuntary eyelid spasms and TMJ symptoms. But it was 2002 when Botox became a rock star. That was the year the FDA approved Botox for the cosmetic treatment of wrinkles and lines. Now, everyone knows the name Botox. Really, Botox is more famous than many of the famous faces in Hollywood who use it to keep some of the signs of aging at bay.

Why all the adoration? Because Botox works, pure and simple. Botox is the master of what are called dynamic wrinkles, wrinkles that are formed by muscle contractions. Dynamic wrinkles are things like crow’s feet, frown lines, stuff like that. But Botox is not the king, it’s not even royalty, when it comes to static wrinkles. These are wrinkles that are there all the time and are caused by sun exposure, dry climates, and general aging of the skin. Botox has no effect on static wrinkles. Living in a dry climate like Bend, at Deschutes Dermatology we see plenty of both types of wrinkles.

So, how does Botox work on dynamic wrinkles?

Botox is called a neurotoxin. It is actually made from the botulinum toxin type A. This is the same bacteria that cause botulism. That sounds scary, but it’s not. Why? Because decades ago, scientists discovered that the botulinum toxin, when used in very small amounts, can actually temporarily paralyze a muscle. It does this by blocking the signals from the nerve to the brain. Without those messages, the brain doesn’t tell the muscle to contract.

When you perform a repeated behavior such as squinting, muscles contract, particularly those around the eyes. Over time as your skin ages, these contractions cause wrinkles to show on the skin surface when those muscles contract. Botox blocks those muscles from contracting, so the wrinkles either disappear or are dramatically reduced.

When opting to have Botox injections, however, it is important to choose an injector thoroughly versed in facial anatomy, such as Dr. Carter or Nurse Trapnell, because Botox injected into the wrong muscle or injecting too much Botox can create problems such as a droopy eyelid.

Botox results generally last around four months. At that point, the muscles will start contracting again and the wrinkles will return. That’s when it is time to schedule another Botox session with Deschutes to maintain your results. Give us a call at 541-330-0900 to schedule your appointment.