804.585.3673
1630 Wilkes Ridge Parkway, Suite 201, Richmond, VA 23233
  • Choose the right surgeon for you.

    Darrin Hubert, MD, is a board certified plastic surgeon in the Richmond, Virginia, metro area, offering a wide array of cosmetic plastic surgery and reconstructive procedures, as well as non-invasive options. He graduated from and completed his surgical training at one of the best Ivy League medical schools, the University of Pennsylvania.

Botox and Injectable Fillers Richmond

Wrinkles. Everybody gets them eventually. But today there are several great and minimally invasive options for helping to erase these signs of aging.

Botulinum Toxin

Botulinum toxin, usually referred to by one of the common trade names Botox, is a prescription medicine that is injected into wrinkles that are caused by unwanted muscle action in the face. As you get older, with the repeated muscle contractions, wrinkles form in predictable spots. By blocking nerve signals, botulinum toxin acts on these muscles, temporarily paralyzing them, so that they cannot make the wrinkles. The two most common areas Dr. Hubert treats with botox are the frown lines between the eyebrows (called the glabella) and the crow’s feet wrinkles located just on the side of your eyes, most noticeable when you squint. The medication usually takes a few days to see your effect, but then may last for several months. Because the needles used are very small, there really is not much discomfort. This it truly a minimally invasive procedure, with some patients even getting it done on their lunch hour. Dr. Hubert instructs his patients to avoid exercise and over-exertion on the day of treatment, and you leave with a cold pack for the ride home to help minimize bruising and redness.

Are there people who shouldn’t get botox?

Because botulinum toxin works on the end of the nerves where they signal the muscles, people with certain neuromuscular diseases should not get botox injections. These disorders include myasthenia gravis and Guillain-Barre, to name a few.

Dermal Fillers

Some wrinkles in the face are not due to muscle action, but rather they are due to your skin losing elasticity and not being as full as when you were younger. These winkles don’t respond to botox, but instead they are treated by placing a different injectable gel into and just below the skin to “plump up” those wrinkles by adding volume. The most common dermal filler used today is made up of hyaluronic acid (or HA), which is a naturally occurring sugar substance found throughout biology. HA is commonly used to treat wrinkles in the following areas: nasolabial lines (running from the nose to the corner of the mouth), marionette lines (which extend downward from the corners of the mouth), vertical lines around the lips, and to accentuate the lips where the red part meets the normal skin. Although hyaluronic acid is not permanent, many people may see the effects lasting for 9 – 12 months. And because the hyaluronic acid is identical across animal species and is grown by bacteria in the laboratory, allergic or sensitivity reactions are much more rare than we used to see with injectable collagen. Dr. Hubert has experience with many different formulations of HA, such as Juvederm and Restylane, and he will help you come up with the optimal choice for you.