Botox and Fillers by Dr. Swaro

Skin is the largest organ of our body. It faces many challenges daily. With time, we see signs  of ageing.

Various changes occur which lead to signs of ageing. At the level of outer layer of skin (epidermis, which usually renews every 28 days), as we age it takes longer to renew which when combined with loss of natural oil layer, exposure to ultraviolet (UV) rays, smoking etc causes the skin to become thin and dry.

Under the epidermis lies dermis. Dermis is rich in collagen and elastic fibres. This helps skin  remain wrinkle free. With time, reduction in amount of collagen and elastic fibres leads to  loss of skin elasticity.

Muscles under the skin can cause wrinkles as we use them for various facial expressions like  smiling, frowning etc. Also loss of fat pad under the skin leads to appearance of more  wrinkles, dark shadows under the skin, folds around nose and mouth.

What can we do to help improve our appearance?

We can most certainly use common  things like sunscreen, moisturiser, avoid prolonged exposure to sunlight, avoid rapid weight loss etc.

We can also use injectable treatments like neuromodulators and dermal fillers.

Neuromodulators are injections like Botox, Dysport etc which are administered by tiny  injections into the muscles under skin. They block nerve impulses that trigger wrinkle  causing muscle contraction.

Maximum effect of neuromodulators can be seen at 3 days but can take up to 10 to 14 days.  Their effect can last up to 4 months after which one needs to repeat treatment to achieve  desirable effect. Results can last longer with repeated treatments.

Dermal fillers are injections that can help compensate for fat pad loss and they also help  stimulate collagen growth. Compensating for fat pad loss gives volume to face and helping  collagen growth helps gain elasticity of skin and reduce wrinkles.

There are various types of fillers. They are broadly divided into hyaluronic acid fillers and  non-hyaluronic acid fillers.

Hyaluronic acid is a naturally occurring protein in our body Example of Hyaluronic acid fillers are Juvederm, Stylage etc.

Duration and Effect of dermal fillers depends on what kind of filler is used and for what purpose. For example, Juvederm Volume can be used to add volume at cheek. The effect can last up to 2 years as cheek bone is static. Juvederm Volbella can be used for volumising lips and the effect can last 6 to 9 months as we use our lips daily.

Broadly speaking, neuromodulators like Botox are used for upper (frown lines, glabellar  lines) and mid face (crow’s feet) and dermal fillers are used mainly for mid (dark shadows under eyes, hollowing of cheek etc) and lower face (lips, chin etc). But both neuromodulators and dermal fillers can be used in any part of face and neck.

Ageing can’t be reversed (at least not till date) but certain changes of ageing can be corrected to improve ones looks.

About Dr. Swaro

Dr. Swaro was trained in the U.K as a family physician and worked there for few years before moving to Canada. He is a family physician at Beacon Hill Medical Clinic where he offers injectable cosmetic procedures. You can contact Dr. Swaro at or 587-500-6865. 

About Esthetics Edge

Esthetics Edge is a Canadian beauty distributor (based out of Alberta), specializing in skincare and esthetics. We provide innovative products, training and marketing support to help our clients succeed. Helping our clients reach their goals (in whatever capacity that may be) is our number one priority!

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