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.

Your good care and the patience you have given me over the past year was wonderful.

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.

Botox and Injectable Fillers Before & After Photos

Check out these before and after photographs of actual patients of Dr. Hubert!

Before & After
Before & After

* Individual results may vary.

Photo Gallery

View before-and-after pictures of real patients of Darrin Hubert, MD

View Before & Afters

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 wrinkles 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 rarer 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.

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