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Understanding Botox and Fillers for Best Results

Renowned dermatologist and author Dr. Benjamin Barankin from Toronto Dermatology Centre speaks to us about Injectables and wrinkle fillers. Dr. Barankin has been treating patients with injectables for over a decade. With his extensive experience, he is able to answer all frequently asked questions pertaining to the different types of fillers on the market.

For starters, what is the difference between wrinkle fillers (e.g. Juvederm, Restylane, Perlane, Radiesse) and Botox? Often patients get confused, assuming that all injectables do the same thing. Where Botox minimizes fine lines and wrinkles due to movement (“dynamic wrinkles”), more common on the upper portion of the face, wrinkle fillers help to add volume to the face where it has been lost due to age, hormones, lifestyle and genetics.

The most commonly used fillers are made of hyaluronic acid, which is a natural substance we have present in the mid portion of our skin (“dermis”) to start with. However, with age, lifestyle, genetics, weight loss etc., we lose a portion of it over time. Hyaluronic acid is like a tiny sponge that can hold up to a thousand times its weight in water, so you can see why it is essential in maintaining a fuller, more youthful appearance. As well as filling in areas where volume has been lost, a good injector can also help to sculpt the face, adding cheekbones, a nose bridge, plump lips, or even a chin. A patient suffering from deep tear troughs or hollows under the eyes or sometimes dark circles can be great candidates for fillers as well.

With so many options on the market, a good injector will be able to tell the patient which filler is perfect for their skin and for the area being injected. How old is the patient? Do they have thin skin? What kind of look do they want to achieve? At Toronto Dermatology Centre, we carry an extensive selection of fillers from Juvederm to Perlane, Restylane and Radiesse.

Knowing the fillers, how they look in the skin and what suits a patient best are some of the reasons to choose a dermatologist over other injectors. Understanding the anatomy of the face as well as where and how deep to inject is what sets a dermatologist above most other lesser educated injectors. Proper knowledge of how much is enough and what looks most natural comes with experience, as well as understanding proper beauty proportions and symmetry.

While there may be good injectors out there, there are also a lot of “professionals” that really shouldn’t be injecting. It is your face, the only one you have. Feel safe, feel confident, and know that the knowledgeable, experienced Dermatologists at Toronto Dermatology Centre are among the best Canada has to offer.

~ Sheri Roselle, Medical Esthetician at Toronto Dermatology Centre

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