You've heard about them from your friends, aesthetician, or beauty magazines, but what exactly are facial injections and how do they work? More importantly, how much do they cost?

Today, at our San Antonio spa, Skin Rejuvenation Clinique, we learned about Allergan's Botox, Juvederm, and Voluma facial injection products from Ruben (Allergan Representative) and Ashley (PA at Lopez Plastic Surgery, an Allergan Black Diamond provider). Botox, Juvederm, and Juvederm Voluma are all manufactured by and registered brand names of Allergan pharmaceutical company and administered within select medical practices. For details about these products, how they are administered, and to determine if you are a candidate, seek a physician in your area who is qualified to administer these products for facial rejuvenation.  



For line and wrinkle reduction of the face, Botox works wonders from the cheekbones up to the forehead by reducing muscle contractions. Our brain sends a message through our nerves to the facial muscles. The message: furrow, smile, raise a sarcastic eyebrow, etc. Over time, these expressions begin to leave lines on our forehead and around our eyes. Botox is a protein that blocks the message and allows the muscles to relax, resulting in a smoother look and line reduction. Once injected, its fulfills its duties on the target muscle and the body eventually breaks it down naturally. 

How much do I need, how long does it last, and what will it cost me?

According to Ruben, Allergan has suggested dosing based on research and clinical trials. It includes 20 units for the glabella (between the eyebrows), 8-12 units per side for crow's feet, and the forehead units vary depending on the size of your forehead. Dosing may vary based on the strength of the muscles in these areas and it may last 3-4 months. The price will vary depending on the medical practice and is usually priced per unit. There are several FDA approved uses for Botox aside from facial rejuvenation. 



Hyaluronic acid occurs naturally in our bodies. It helps lubricate our joints and keep our skin supple and hydrated. Wrinkles form as facial muscles and fat begin to change. The face loses volume and begins to develop lines at nasolabial folds and around the mouth. Juvederm is a hyaluronic acid filler that is injected deep in the skin to "fill" a wrinkle from the base. It may last for up to a year and the body breaks it down naturally. Dosing varies by the size and number of lines needing to be filled, and Juvederm is sold per syringe.

If you don't like your Juvederm placement, there's an enzyme called hyaluronidase that can accelerate the breakdown of the filler - but it takes a little time. To prevent the need for reversal, seek a qualified and experienced physician and interview them before determining if you are comfortable with them administering the filler. 



Facial volume loss and gravity contributes to facial laxity, a sallow look, and jowels. As gravity pushes down on the skin, under eye "bags" or puffiness is enhanced. Voluma is injected around the zygomatic bone (or cheekbone) to restore volume and contribute to youthful looking "apples" of the cheeks. The lifting occurs from the cheekbone, resulting in an improvement of under eye puffiness and laxity of the lower face.

Some time after Voluma has taken effect, an administering physician may complete the look with Botox for the forehead and crow's feet, and Juvederm for nasolabial folds or lip enhancement.   



At Advanced Rejuvenating Concepts and Skin Rejuvenation Clinique, we're all about a natural approach to achieving your best look ever. Seek a qualified physician with a reputable business practice. Interview the physician and/or their administering nurse for qualifications and their philosophy behind rejuvenation BEFORE you decide to allow them to perform injections. Knowing that their credentials fall in-line with your personal goals is - as Martha Stewart would say - a good thing.  

Facial fillers and Botox combinations can improve the look and contour of your face, but are not a replacement for surgery. It all depends on the results you want. Before you spend money on fillers - hoping they will firm dramatically and cost less than surgery - consult with a reputable and experienced facial plastic surgeon to determine if injections will achieve the results you want. 

Facial injections address lines, wrinkles, and laxity - they DO NOT improve texture, pore size, and discolorations. Talk to your aesthetician about options to complete your look. Planning your rejuvenation procedures is the best way to save money and protect your investment.