Most everyone has heard of Botox or of fillers like Juvederm, Radiesse, Restalyne, Belotero or Bellafill. But what exactly does each product do to rejuvenate the face and how does each work? Which one is best for you? It can be quite confusing and even overwhelming.

Let’s take a look at Botox and fillers and talk about how they are different, what each one can do to improve your appearance, and even how they can work well together.


Simply put, think of Botox as ironing out the wrinkles in your face, and injectable fillers as softening the deep folds from the bottom up. Botox works to smooth out wrinkles by relaxing the muscles that are the actual underlying cause of the wrinkles themselves. Take a look at the area between your eyes in a mirror: when you frown, muscles over each brow pull in towards the nose and cause the skin to crinkle into vertical lines. These are often referred to as “The 11’s” since it can look like the number 11 is over your nose. Botox has excellent effects in this area by relaxing the muscles that cause the 11’s, giving the eyes a happier, more approachable appearance.

Botox is also very effective when used for the wrinkles around the eyes known as “crow’s feet.” These lines are a result of smiling and squinting. When the 11’s and the crow’s feet are both treated, a nice natural elevation of the brow occurs; this is called the “Botox Browlift.”

Botox can also be used for wrinkles on the nose known as “bunny lines,” or for the horizontal wrinkles across the upper forehead. In the lower face, the corners of the mouth can be lifted with small injections.

Botox lasts, on average, about 3-4 months, though some patients notice that the effects last longer after 3 or 4 Botox treatments.

Botox Uses

  • 11’s of the brow
  • Crow’s feet around eyes
  • Horizontal lines of forehead
  • Brow lift
  • Bunny Lines
  • Corners of the mouth
  • Neck lines

33 yo female received 30 Units of Botox to forehead.

Notice elevation of the brows which dramatically brightens her eyes, and the correction of her brow asymmetry.  She also had 2 syringes of Juvederm the the mid face to correct the under-eye area.

See more before and after results here.

* Disclaimer : Individual results may vary.

Juvederm and Fillers

Injectable fillers such as Juvederm work by filling in wrinkles or folds in the face and increasing the volume of your skin. They have a pleasing, rejuvenating effect that softens facial features and can erase a sunken or gaunt look. Juvederm can give subtle, nonsurgical rejuvenation in the cheeks and lower face. For example, if you think about the transition from your cheek to your mouth, it is much like a hill and a valley. By filling in the valley, the transition area of the crease is made much softer and unnoticeable, giving a naturally youthful appearance. Juvederm Voluma This new filler from Juvederm can last up to 2 years. It gives a nice lift to the cheeks and midface, and can have subtle results in helping dark circles or hollow areas under the eyes. Bellafill in Richmond, VA Our offices also work with a new filler called Bellafill, which can work for longer than other fillers because it helps stimulate your body’s own collagen production and recreate the formerly degraded structure of skin. Bellafill is a collagen gel formula with PMMA microspheres that replace volume in the skin to raise depressed scars and smooth out the skin’s appearance, while working with your body to support natural collagen production.

Uses for Juvederm and Injectable Fillers

  • Cheek lifting
  • Dark circles under the eyes and hollow eyes
  • Nonsurgical rhinoplasty
  • Smile lines
  • Marionette lines
  • Lip augmentation
  • Chin augmentation
  • Lipstick lines
  • Smoker’s lines

View before and after Botox with Filler Gallery

Dr. Shaw has found that combining Botox and injectable fillers can give longer lasting, more impressive rejuvenation in certain areas of the face. Botox acts to relax the muscles, which can speed the breakdown of the filler products. One of the best locations for this technique is the under eye area. Many patients who have a tired appearance with dark circles under their eyes might think they need eyelid surgery to improve their appearance. In actuality, combining Botox and fillers will give a soft, refreshed appearance without the need for surgery, and will dramatically improve dark circles. Another area that looks beautiful with Botox and fillers is the corners of the mouth. Loss of volume contributes to a drawn, angry look and the marionette lines which extend down to the jaw line. The muscles at the corner of the mouth pull downward turning a smile into a frown. By treating this area with Botox and fillers together, a happy, soft and inviting look is restored. This combination approach gives impressive, lasting natural results.

Common Questions about Botox and Filler:

How long does Botox last?

Botox takes about 3-7 days to reach effectiveness and lasts about 3 months. Longer results can be obtained with repeated injections.

After injection in our Richmond, VA, offices do Bellafill, Juvederm and other fillers last as long as Botox?

Most fillers last from 9 months to one year. Voluma can last up to 2 years. Bellafill can produce long-lasting results by stimulating your skin’s collagen production.

How much does Botox cost in Richmond, VA?

Our price is $12-13 dollars per unit, depending on how much product is injected. We run specials many times each year with special incentives.

Find out more about Botox costs.

Are the injections painful?

Dr. Shaw uses a special technique with all of his injections to make them as comfortable as possible. Most patients say they are surprised at how little discomfort they had after injections. When injecting fillers like Juvederm or Bellafill in the Richmond, VA, offices, Dr. Shaw uses a blunt cannula that dramatically reduces pain, bruising and swelling.

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How long does Juvederm or other fillers last?

Most fillers last from 9 months to one year. Voluma lasts 2 years. Two other new fillers called Sculptra and Bellafill can last for more than 2 years.

For more information on receiving Botox or Bellafill in the Washington, DC, or Richmond, VA, areas, call us at the offices of Dr. Travis Shaw, or fill out a form on our contact page.

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* Disclaimer : Individual results may vary.

Does Botox Hurt?
Learn more about Juvederm Voluma

* Disclaimer : Individual results may vary.

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Dr. Shaw specializes in minimally invasive cosmetic surgery and non-surgical rejuvenation to help you look your best with the least downtime possible.

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