
Botox® and dermal fillers are injectables that are designed to reduce the signs of aging and retore your youthful appearance without the need for surgery. However, Botox® and dermal fillers work in two distinctly different ways.
Botox® is a neuromodulator that restricts muscular movements. When injected in areas such as the outer corners of your eyes and between your eyebrows, Botox® helps reduce “dynamic wrinkles” like crow’s feet and glabellar lines that appear due to constant facial expressions.
Dermal fillers restore lost facial volume. By plumping up your skin, dermal fillers can reduce wrinkles that appear due to a loss of skin elasticity or facial volume. Dermal fillers can also resculpt and augment features such as your lips and chin to make them appear more prominent or balanced.
At Roseville Facial Plastic Surgery, we make sure to understand your aesthetic concerns and recommend a comprehensive facial rejuvenation treatment plan that is customized to meet your aesthetic goals. Oftentimes, we will recommend both Botox® and dermal fillers to deliver beautiful, natural-looking outcomes.
Searching for Botox® or dermal fillers near me? Call us at 916.773.0395 or contact us online today to schedule your Sacramento Botox® or dermal fillers treatment.
How Botox®® Works to Make You Look Younger
Having an expressive face is a sign of living life to the fullest. But when you smile, frown, or think deeply, your expressions can cast a shadow on your smooth skin and make way for dynamic wrinkles. These wrinkles appear as a result of constant muscular movements overtime.
Botox® targets expression lines and wrinkles caused by repeated movement of the facial muscles. These include the frown lines that form between the eyebrows (sometimes called “11” lines), forehead creases, crow’s feet, and some lines around the mouth. Botox® is a form of botulinum toxin type A that is purified and works by blocking the signals from nerves that cause the muscles to contract. As your treated muscles relax, they allow the skin above them to smooth and flatten, softening fine lines and wrinkles. Botox® can also successfully treat hyperhidrosis (severe sweating) and migraine headaches.
After a consultation with one of our board-certified plastic surgeons Dr. Jonathan M. Sykes or Dr. David J. Kiener, we can recommend a Botox® treatment plan that can help you reach your aesthetic goals.
Benefits of Botox® and Dermal Fillers
These minimally invasive products provide noticeable results without the downtime or risks of surgical procedures. Treatments are quick, often completed in under 30 minutes, and most patients return to daily activities immediately afterward.
We can customize an injectable treatment plan based on your specific concerns. Botox® targets wrinkles caused by muscle movement, while dermal fillers restore youthful volume and contour. Combined, they offer a comprehensive approach to facial rejuvenation that simultaneously addresses dynamic wrinkles and volume loss, often postponing the need for more invasive procedures such as facelift surgery.
Many patients who choose a “liquid facelift” in Roseville enjoy:
- Smoother, younger-looking skin
- Subtle and natural enhancement instead of drastic change
- Restored volume in areas like the cheeks and lips
- A refreshed and well-rested appearance
- Boosted self-confidence in social and professional settings
What Results Can You Expect?
Botox® results usually begin to appear within three to five days, with full effects visible at about two weeks. These improvements typically last between three to six months; as they begin wearing off, you can maintain your results with a quick touch-up appointment.
Dermal fillers take effect immediately, adding volume, softening lines, and improving facial balance. Depending on the filler you choose, results may last anywhere from six to 18 months. Products such as Juvéderm® Voluma can last even longer in your midface.
Who Is a Good Candidate?
Botox® and dermal fillers are excellent options for adults who want to refresh their appearance without surgery.
You may be a good candidate if you:
- Notice fine lines, wrinkles, or folds that make you look older than you feel
- Have lost facial volume due to aging or weight loss
- Want fuller or more defined lips or cheeks
- Prefer a minimally invasive treatment with little downtime
- Are in good health with realistic expectations
During your consultation, Dr. Sykes or Dr. Kiener will evaluate your concerns and recommend a treatment plan tailored to your goals.
How Dermal Fillers Improve Your Facial Appearance
Most dermal fillers consist of hyaluronic acid (HA), a substance that occurs naturally in your skin and connective tissue. It helps retain moisture and keeps your skin flexible and resilient.
Dermal fillers minimize lines and wrinkles in the face and neck, softening creases and making them less visible. Dermal fillers can also add volume in the cheeks and temples and under the eyes, correcting the hollowed look that can come with aging. Some fillers can add volume to the lips, restoring youthful fullness or giving them a plumper look for the first time. Other fillers can help subtly lift sagging tissues. At Roseville Facial Plastic Surgery, we offer several types of dermal fillers, each of which is ideal for different kinds of cosmetic improvements and to correct specific facial issues.

After examining you during your consultation, Dr. Sykes or Dr. Kiener will recommend the filler(s) that will provide you with the optimal outcome.

The best results can sometimes be obtained by a combination of Botox® and dermal fillers. Often, we can achieve remarkable results that can postpone the need for a facelift.
Dr. David J. Kiener, M.D.


