Injectable treatments, such as Botox and dermal fillers, have become immensely popular for their ability to provide a youthful, rejuvenated appearance with minimal downtime. In our plastic surgery practice, we're often asked how to maximize the longevity of cosmetic injectables. 

We regularly stress the importance of following specific guidelines before and after your injectable appointment to help you get the most out of your injectables and ensure your results last as long as possible! We've included some important details below.

Neurotoxins such as Botox, Dysport, and Xeomin are derived from botulinum toxin, a natural substance produced by bacteria. Despite sounding intimidating, these neurotoxins, along with dermal fillers containing naturally occurring ingredients like collagen and hyaluronic acid, are gradually reabsorbed by the body over time. The duration for which these substances remain effective varies depending on several factors.

Location of the Injection:

Neurotoxins tend to wear off more quickly in highly active facial areas such as the forehead, around the eyes, and areas involved in scowling. That said, they last longer in less mobile areas with thinner muscles. For fillers, the most active areas of the face, like the mouth and lips, will need little touch-ups more frequently, whereas fillers placed deeper in the cheeks or tear troughs, positioned on the bone beneath the muscles, tend to last longer.

Larger doses and multiple injections placed closely together tend to maintain their effects longer than smaller doses spread over a larger area.

The Dosage Of Injection

Neurotoxins tend to wear off more quickly in highly active facial areas such as the forehead, around the eyes, and areas involved in scowling. That said, they last longer in less mobile areas with thinner muscles. For fillers, the most active areas of the face, like the mouth and lips, will need little touch-ups more frequently, whereas fillers placed deeper in the cheeks or tear troughs, positioned on the bone beneath the muscles, tend to last longer.

The Type Of Neurotoxin Or Filler Used

Fillers are designed with varying properties to achieve different effects, such as filling fine lines or adding volume to the bone structure. Consequently, their integration into the appropriate tissue and the rate at which they are reabsorbed can range from 4 months to 2 years. Neurotoxins, although essentially the same toxin, can have different proteins surrounding them. Some individuals metabolize certain brands of neurotoxins more quickly than others, and switching brands periodically might be necessary to achieve the desired results.

Environmental Factors

UV radiation, air pollution, smoking, and alcohol consumption also influence how long the results last. Damage from free radicals accelerates skin aging, diminishing the effects of Botox or fillers. Additionally, products applied to the areas of injection can impact the longevity of these treatments.

Preparing For Your Appointment

The most important thing to remember before cosmetic injections of any kind is to continue the use of blood-thinning medications, alcohol, and supplements at least 24 hours before your appointment. Doing so will reduce your risk of bruising and swelling during and after your injectable appointment. Here's a short list to reference when considering what you might need to discontinue temporarily:

-Aspirin, Ibuprofen, Vitamin E, and Fish Oil

Our practice recommends discontinuing these for 1-2 weeks at minimum for best results.

By following these guidelines, you can help ensure that your Botox and dermal filler treatments are maximized Proper preparation, post-treatment care, consistent maintenance, and complementary treatments are all part of a comprehensive approach to maximizing the benefits of Botox and dermal fillers. Always start with a consultation with a board-certified plastic surgeon or skilled cosmetic injector who can provide you with the best result possible.

Laura Stelk, DNP, APRN, FNP-C

Laura Stelk is our Advanced Practice Nurse Injector specializing in nonsurgical rejuvenation of the face and body.  Get in touch with Laura to schedule your complimentary consultation and discover what injectable therapies will make you look and feel your best.