Botox and Filler: 5 Things to Know Before Having Treatment

So, you think you’re ready to do something about your wrinkles? Our dermatologists share their expert advice on cosmetic injections. 

#1: Timing is everything

If you’re looking for a simple procedure that will help you look your best for an event such as a wedding or business gathering, cosmetic injectables are an excellent choice. “Botox and filler treatments can give you a nice, refreshed look without the hassle of significant downtime,” explains Dr. Gilly Munavalli. “However, I encourage patients to schedule their appointment for a month or so in advance of any planned social events, if possible. This allows ample time for adjustments and eliminates concerns about bruising or swelling that could occur after treatment.”

#2: Prices may vary

Discount prices for cosmetic treatments shouldn’t always be seen as a red flag, but do your homework before you buy in. “Every year, we have one or two special events when we offer Botox, filler and laser treatments at a lower price. It’s an opportunity for us to say ‘thank you’ to our patients, and more importantly, it’s a great way to give back to the community,” explains Dr. Munavalli. “We donate a portion of the event proceeds to local charities we support. Our patients consistently tell us that it makes them feel great knowing that they’re giving back while also doing a little something for themselves – and that’s a real win-win,” adds Dr. Munavalli.

If you’ve researched Botox and filler treatments, chances are you’ve read article after article cautioning you to be skeptical of discounts. The fact of the matter is you should always be informed before you buy. Call a few practices in your area and request an average cost for the treatment you’re interested in. If someone is offering you a fantastic sale price, ask for details. Is the lower cost just for a special event or do they always offer the discount? Does a board-certified physician perform the treatments or is it an “injection specialist”? As the old saying goes…you get what you pay for. And you definitely don’t want to dig through the clearance rack when it comes to your health.

#3: Make the most of your consultation

Just because your coworker’s-sister’s-best friend got great results with filler treatment, that doesn’t necessarily mean it’s the right option for you. “People often come in for a consultation with their minds already made up,” says Dr. Payman Kosari. “The reality is that everyone is unique and we tailor our treatment recommendations to fit each individual.”

For some people, injectables simply may not be the most effective options available – in terms of both results and cost. “We see plenty of patients who think they’re the perfect candidate for Botox and filler, but they really aren’t,” adds Dr. Munavalli. “Having a consultation with a board-certified dermatologist prior to treatment is so important. For example, if I know that cosmetic injectables are unlikely to give you the results you’re looking for, and I know you’d benefit more from laser skin resurfacing – then it’s my responsibility to make that recommendation and explain my reasons. The consultation is a time when you and I can discuss the options & outcomes in detail and help you make an informed decision.”

#4: Make adjustments as needed

Just like going to get your hair done, every so often, your Botox and filler treatments may require a little fine-tuning. “I advise patients not to overanalyze their results for the first two weeks post-treatment,” says Dr. Kosari. “Botox and Xeomin will need up to 14 days to take full effect while fillers may be associated with mild swelling & bruising for the first few days after treatment. It just takes a little time for everything to settle in,” adds Dr. Kosari. “Of course, our ultimate goal is to make sure that you love your results, and a well-informed patient will be better able to manage their expectations.” 

#5: All good things must come to an end

“Unfortunately, Botox and filler are not permanent,” says Dr. Munavalli. “Over time, the results will slowly start to wear off. Therefore, subsequent treatments are necessary if you want to maintain the benefits. It’s similar to working out at the gym, you can’t go one time and expect your body to stay in shape forever.” In addition, fillers usually last longer than Botox. “For most people, neurotoxins like Botox or Xeomin will last about 3 to 6 months.” Dr. Kosari explains. “How long your filler lasts depends on several factors – such as the product used or the area treated – and can range anywhere from 6 months to 2 years or more.