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Injectables (BOTOX®/Fillers)

As you age, the effects of gravity, sun exposure, and repeated facial muscle movements result in laugh lines, crow’s feet, and other facial wrinkles. The soft tissue of your face that provides that youthful volume and contour can descend and get smaller with time. These issues can leave you feeling self-conscious, uncomfortable, and dissatisfied with your appearance. At Hill Country Plastic Surgery, we offer a number of non-surgical options like wrinkle-smoothing fillers and neuromodulators such as BOTOX®. Dr. Farber or Dr. Shah will work closely with you to restore a youthful appearance to your face while still maintaining your ability to make natural facial expressions.

Neuromodulators (BOTOX®, Dysport®, Xeomin®) are used to treat dynamic wrinkles of the face. These types of wrinkles are caused by facial muscles that are continually moving during smiling, frowning, laughing, and talking. Neuromodulators can help to smooth out these dynamic wrinkles, giving you a more youthful and refreshed appearance.

Dermal fillers are very popular non-surgical cosmetic treatments for facial rejuvenation and restoration of lost facial volume. From softening fine lines and wrinkles, to improving fullness and filling in scars, these products can help you achieve a more youthful look.

How Do Neuromodulators Work?

Neuromodulators (i.e. BOTOX®) work by weakening the muscles of expression in the face by preventing the action of neurotransmitters on the muscle. By doing this, it prevents or limits the muscle from contracting and creating a wrinkle. Neuromodulators are temporary and usually last anywhere from three to five months. It typically takes three to five days to see the full effects of your injections.

Where Can Neuromodulators Help Improve Your Appearance?

  • Smooth lines in the glabella (area between the eyebrows)

  • Smooth horizontal forehead wrinkles

  • Get rid of crow’s feet (lines on the outer portion of the eyelids)

  • Smooth out dimpling of the chin

  • Get rid of the downward movement of the nasal tip with smiling or talking

  • Get rid of that gummy smile

  • Treat masseter hypertrophy

  • Treat hyperhidrosis (excessive sweating)

What Are Fillers?

As we age, loss of collagen, elastin, and the soft tissues in your face leads to skin sagging and hollowing which are signs of aging. Selecting the right amount and type of dermal filler can help rejuvenate your appearance in a natural way without looking overdone, only refreshed and refined.

Soft tissue fillers are also known as dermal fillers. The main goal of fillers is to restore volume and smooth out wrinkles of the face. Most dermal fillers are made out of a substance called hyaluronic acid or HA, which occurs naturally in the body. HA bonds to water in the skin to provide hydration and volume. As we age, the soft tissues of the face atrophy (goes away), which contributes to the hollowed out look associated with aging. When hyaluronic acid is injected into the soft tissue of the face or hands, volume can be restored and you will leave with a refreshed and refined appearance.

What Can Fillers Do?

  • Smooth out smile lines

  • Smooth out nasolabial folds

  • Smooth out laugh lines

  • Smooth out marionette lines

  • Cheekbone filler can define mid-face contours, restoring volume

  • Shape the nose in a “liquid rhinoplasty”

  • Improve the fullness and shape of the lips

  • Improve a small chin

  • Improve jaw definition

  • Improve the fullness of the lips

Natural looking lip fillers can enhance the delicate shape of the mouth and can really improve your facial appearance regardless of age.

Types of Dermal Filler:

Juvederm® and Restylane®

There are different options in the Juvederm® and Restylane® filler line, all of which are made from hyaluronic acid. These dermal fillers can be used to treat wrinkles around the mouth, vertical lines above the upper lip (perioral), hollowed cheeks and temples, thinning lips, and deep folds and lines near your nose and mouth (nasolabial folds and marionette lines). The Restylane line can also reverse signs of aging in the hands. Ask Dr. Farber or Dr. Shah which of these will work best for you.

Teoxane RHA®

Teoxane RHA® is the newest dermal filler in the United States and the first and only FDA approved hyaluronic acid filler indicated for treating dynamic facial wrinkles and lines. Teoxane RHA® addresses the signs of aging we see in the face such as wrinkles, volume loss, and loss of definition. It is used to provide volume and smooth out wrinkles from facial movement. It is designed to be resilient and flexible enough to adapt to your facial movements. Fewer chemical modifications are made during manufacturing, which helps preserve the natural structure of the hyaluronic acid, allowing it to mimic the natural HA found in your skin which results in a more natural looking and feeling filler that moves with you.

Why Should You Choose the Surgeons at Hill Country Plastic Surgery?

Dr. Scott Farber and Dr. Amita Shah are some of the leading plastic surgeons in the San Antonio metroplex and specialize in providing minimally invasive injectables to their patients.

Dr. Farber or Dr. Shah can help you achieve a more youthful, fresh appearance with the use of dermal fillers and neuromodulators such as BOTOX®. To learn more about these procedures and other products and services that San Antonio cosmetic surgeons Dr. Farber and Dr. Shah provide, please contact our office today and book a consultation appointment at (210) 658-3555.

Injectables FAQs

Depending on how many areas you want treated (injected), it can take anywhere from 10-30 minutes.

To minimize bruising, avoid aspirin, ibuprofen or similar products as well as fish oil, Vitamin E, and ginkgo biloba for two weeks prior to your treatment.

Most fillers last up to a year, however some can last longer than that. The duration depends on what filler is used, and how fast your body metabolizes it (which can be different person to person).

Depending on your goals and the areas of the face to be treated, the number of syringes needed and the cost will vary. During your initial consultation, Dr. Farber or Dr. Shah will provide you with the best treatment plan that is customized to you in order to provide you with the natural looking results that you desire.

After the injection, ice packs can be placed over the areas to reduce swelling and bruising for 10 minutes on, 10 minutes off 2-3 times a day as needed for swelling for the first 1-2 days. You should not massage the face and should avoid compression (including headbands and hats) to the areas injected. You also should not lie down and avoid strenuous activities which increase heart rate or blood pressure for a few hours after injection to decrease chances of bruising.


Are you interested in learning more about this procedure? To schedule a consultation, please contact us. Hill Country Plastic Surgery is the premier plastic surgery center in the San Antonio and Austin area, and our friendly team members are here to help you and will reach out promptly.

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