Botox And Injectible Fillers
About Botox & Injectable Fillers
Using Injectable fillers is just about injecting and filling. The practice, to be most effective and natural, requires a careful analysis of the aging changes that led up to the problem areas under consideration.
One example of this can be seen when a patient is bothered by deepening folds in the inner cheeks (nasolabial folds) from the loss of cheek volume. To add filler to the folds without correcting the loss of cheek volume will eventually result in facial imbalance.
Dr. Richard Tepper, at his Springfield Plastic Surgery Practice, will review options for you based on your concerns.
Dr. Tepper specializes in treating one often-overlooked area, that being the front cheek and lower eyelid region. People often refer to the areas as “circles” or darkened grooves beneath the eyes. The “tear trough” is another descriptive term used. As people age, the cheeks tend to lose volume and the relationship between the cheek and lower lid changes. The lower lid appears to get longer and the point where the lower lid and cheek meet appears lower down on the cheek. Dr. Tepper utilizes a special technique which he himself refined to help patients improve those problematic areas beneath the eyes. Check out the before and after gallery for pictures of this unique technique and decide for yourself.
Some of the more common products and uses are listed below.
Common Products and Uses
BOTOX® Cosmetic
Reduces or eliminates lines and wrinkles by injecting small amounts into the facial muscles. Botox is most often used for treatment of frown lines (glabellar lines, “eleven” lines), smile lines next to the eyes (“crow’s feet”, canthal lines), and forehead or brow lines. Botox can also help reshape the outer eyebrows in some people, leading to a more pleasing, elevated shape.
JUVÉDERM® Ultra XC
JUVÉDERM VOLUMA® XC
JUVÉDERM VOLBELLA® XC
Recovery

Patients are advised to refrain from taking ibuprofen or other NSAID products for a week, or aspirin for 2 weeks, in order to reduce the risk of bruising. Some procedures may result in more bruising than others. Most treatments take between 15 and 45 minutes, depending on the complexity and number of areas being treated. Many patients return to work or regular activities the next day.
For some procedures, there are some limitations for the remainder of the treatment day, both for safety and for result benefits. Please let us know if you had any dental work within 2 weeks of your filler procedure, or are planning any procedure shortly after, as there may be a slight risk of infection as a result. If you suffer from cold sores on your lips (Herpes), please let us know. Injections and laser treatments on or near the lips can result in flare-ups. Pre-treatment with medication may be advised.
If you are considering Botox or Injectable fillers, Dr. Richard Tepper can guide you down the right path, to look and feel better about those things that bother you.