Botox and Fillers / Injectables in Commerce Township Michigan




What are injectables?

Injectables are a variety of targeted treatments that can fill in areas that are hollowing out due to age, soften lines due to age, and give you a significantly more youthful appearance without expensive and painful surgeries. Injectables, sometimes called soft tissue fillers, are substances designed to be injected beneath the surface of the skin to add volume and fullness.

In a nutshell, injectables are chemical substances inserted into the skin with a needle that supports muscles or plumps up the skin, lessening the appearance of wrinkles. The two main types of injectables are Botulinum Toxin (usually referred to as Botox) and Dermal Fillers (often using collagen or one’s own body fat). Let’s break it down.


Botox or Botulinum Toxin

Botulinum toxin (Type A) is a cosmetic injection that blocks the nerve signals that cause muscles to contract. This effect relaxes and smooths the look of lines and wrinkles caused by repetitive movements on the face—most commonly, between the brows, crows-feet around the eyes, and horizontal forehead creases.


Botox is a purified form of the botulinum toxin that is obtained from bacteria. Though it is deadly in larger amounts, the tiny, regulated amount of Botox given to correct wrinkles has been used safely for decades.


Botox works by blocking nerve signals in the muscles where it is injected. When those nerve signals are interrupted, the affected muscle is temporarily paralyzed or frozen. Without the movement of these selected muscles in the face, certain wrinkles may be softened, reduced, or even removed.


Botox and other treatments made with botulinum toxin are sometimes called neuromodulators or neurotoxins.

Treatments made with botulinum toxin are sold under the brand names Botox Cosmetic, Dysport, and Xeomin.


What can Botox correct?

Botox only works on wrinkles that are caused by muscle movement. These are known as dynamic wrinkles, and are often called “expression lines.”


The most common dynamic wrinkles that Botox can treat are lines on the upper face, such as the “11” between the brows, horizontal lines on the forehead, and crow’s feet around the eyes. These lines are caused by smiling, frowning, squinting, and other facial expressions.


Botox will not work on fine lines and wrinkles caused by sagging or loss of plumpness in the face. These are known as static wrinkles. Static wrinkles include lines in the cheeks, neck, and jowl areas.


Botox is not a permanent treatment. Repeated treatments are necessary for continued wrinkle-reducing effects. Most people find that the muscle-relaxing effect of Botox lasts for 3 to 4 months.



Fillers are a type of minimally invasive aesthetic medicine used to add volume, alter the contours of the face, and fill in wrinkles. Common areas to inject fillers are in the face, neck, and hands, resulting in a fuller, smoother, and more youthful appearance.


Dermal fillers, sometimes called soft tissue fillers, are substances designed to be injected beneath the surface of the skin to add volume and fullness.

What can dermal fillers correct?

Different types of dermal fillers are designed to treat varying signs of aging. Depending on the filler selected, they may:


  • plump up thinning lips
  • enhance or fill in shallow areas on the face
  • decrease or remove the shadow or wrinkle under the eyes caused by the lower eyelid
  • fill in or soften the look of recessed scars
  • fill in or soften static wrinkles, especially on the lower face

Static wrinkles include those around the mouth and along the cheeks. These wrinkles are usually a result of a loss of collagen and elasticity in the skin.


Injectables before and after images:

Juvederm beforeafter 




Injectables FAQ's

Will I still look like myself if I get injectable wrinkle reducers?

The most common concern patients have is they're afraid of looking ‘done.’ They're afraid of not looking like themselves after treatment. Many patients have that fear because they have seen less-than-desirable outcomes. When the treatment is done well, however, you can have subtle results.


Will injectables hurt?

Honestly, it depends on which type of injectables are being used, and the experience of the provider and each individual being injected. Many of the experts point out that a lot of fillers also have a local anesthetic built in to make the procedure even less uncomfortable. However, if you do experience any unusual pain, be sure to immediately inform the provider. 


Is it too soon for me to start trying wrinkle reducers? Is it too late?

While everyone forms wrinkles a bit differently, for adults over the age of 18, there is no set time to start other than your provider determining that you are an appropriate candidate. 


Overall, however, an appropriate time to start using wrinkle reducers is when you see moderate to severe wrinkles that are apparent even after you’ve stopped animating your face. “I tell my patients all the time, [young adults] have crow's feet when they're smiling. [But, when they stop, those crow’s feet should go away.] What bothers us is when we're not smiling and those wrinkles are still there.” 

And no, it’s never too late to consider injectables! 


How long will wrinkle reducers and fillers last? 

For wrinkle reducers, retreatment may be desired every three to four months, though it should not be given any sooner than that. For fillers, most tend to last from six months to a year — or even two years — depending on the type of filler and area of the face treated. 


Will fillers make my face look fat?

An overly plumped look is less than ideal: It can also be a byproduct of poorly done fillers. That’s why it is essential to seek out a highly skilled licensed provider for your procedure, who will know whether filler is your best choice for adding volume, or if you should be seeking out other options.


Are injectable wrinkle reducers safe?

Injectable wrinkle reducers are FDA-approved prescription treatments for adults to temporarily reduce the appearance of moderate to severe wrinkles in certain areas of the face. “It's important to know that [injectable wrinkle reducers are] a purified laboratory product.” However, as always, be mindful that there are risks associated with wrinkle reducers, so it’s important to talk to your doctor about them, as well as the benefits to see if they’re right for you.



Please contact us for more information or to schedule a free consultation.